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2027 Selva Madera Ct (vault) CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001718 Date 1/20/09 Property Address . . . . . . 2027 SELVA MADERA CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 800 ---------------------------------------------------------------------------- Application desc replacement windows and fence repair ---------------------------------------------------------------------------- Owner Contractor BARRICK, FREDERICK OCEAN BOULEVARD CONSTRUCTION 2027 SELVA MADERA CT. INC ATLANTIC BEACH FL 32233 60 OCEAN BLVD ATLANTIC BEACH FL 32233 (904) 246-9593 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 800 Expiration Date . . 7/19/09 ---------------------------------------------------------------------------- Special Notes and Comments WIND BOURNE DEBRIS PROTECTION MIGHT BE REQUIRED ON THE NEW WINDOW INSTALLS *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS * If the installation of these 4 windows represents 250 of the existing windows in this home, then wind- borne debris protection shall be provided on the new windows installed. * ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----m�--------TT--}}----- --------nn-nn- ---------- ---------- ---------- PERMIT IS AYPR" FQV I1 RQ &c RDANCE WITH LG CITY OF ATL iC EACH ORDINANC ()AND THE FLORID 0 BUILDING CODES. r CITY OF ATLANTIC BEACH ..- 800 SEMINOLE ROAD ,J, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 08-00001718 Date 1/20/09 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i' ) q � ss CITY OF ATLANTIC BEACH 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O(8 "' OFFICE:(904)247-5826•FAX NO.:(904)247-5845 _k BUI LDI NG-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1JOk3 ADDRESS }s x ` "4° 2. f 2 VALUATIpN OF WQRK, k >h ,�,_� ;3zSBT'_UNDER ROOFa 2OZ--? S(��W e- CT . f(, SOO. 4 LEGAL•'DESCRIPTION M, F `4,e r 7 xr ,i, `'.'.4x$ «.: C _5; LASS ❑NEW BUILDING ❑DEMOLITION` ❑RESIDENTIAL LOT BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL r�7.'DESCRIPTION'OFyJQRK �,m ..`y- „Ftikv€ ' � R 3 wts ❑ TERATION 11 ACCESSORY BLDG. 6F1RE:SPRINKLER £r PAIR ❑POOL/SPA 13 YES ❑N/A ❑MOVE ❑OTHER ❑NO PROPERTY OWNER 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:P '• FvNS 16.NAME�:,J,,�� 24.LICENSEE NAME: [4lGIN.�V� �_f416A 11- 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: ZOZ? SCIvA 0 A 9 E�/�4 14.13 Fl, 1 L L 33 18.ADDRESS: 26.ADDRESS: (oo �L(t14N 13V� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.F NO.: 27.OFFICE PHONE: 28.FAX NO.: • 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL DRESS' 30.EMAIL ADDRESS: O r+..�-:;2 _,,'�I:.ti(IP OTHEl2THAN OWNER) t.....:�� ;'�-.�::.=e. ,..�. _.,,.1'+-i c.,P,.:.,+. „x#.�.; _ _r a-,�;r.y`u aa�.,.sv.-a..�x F...n�. ♦ a 't4.'�..".s_,.?a,4�,y� 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF,COMMENCEMENT sS 4 ',OWNERorAGENT. CONTRCTOR u....... __, ,.Of Agent P p(cftAttomey .r.,ge cy Letter Requved) Signed: Date: Z a Signed: Before me this day of 2007 in the county of Before me this d y of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared I I herin by himself/herself and affirrns that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known - ❑Personally Known ❑Produced Identification- ❑Produced Ida C2tiOn- Notary Signature: Notary Signatu CE CITY OF ATI.W11C BEACH { �; SEE PERMITS FOR ADDITIONAL FILE COP REQUIREMENTS AND CONDITIONS. COAB FORM BLDG01:REVISED:1f i0�0{ , a{a: REVIEWED BY: DATE: l 0 I ' O U a) F� t° �o ; o � � e "C O U U In, a cJ N to � O 3 zcn CZ3o E o `/ -5alo � ` C33 ` C's U L w 73 o 4 J -6 �? 5 ° � � � s� ai ai — .– _ `�- 00 un N d O � p Q � •� � C •p 0� + r+ bb LnO by03 lab N O to U O cabn o. to —cd Cl cd0 H cn V) a1 y y ai CC� N cPi d vi �D N m d �n `O ti` co rn .' 9 r d c� a dcC C a '-sla,y;J�. City of Atlantic Beach APPLICATION NUMBER �s 1 Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-544 — 17/9 5 - Phone (904)247-5826 • Fax(904) 247-5845 e g '~! jM" E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ZO 2.7 t Iva, C Department review required Yes No Property Address: �Q�f2� 1— uildin gD tanning & Zoning Applicant: 6(�1 t}YlLvJ JfYEla4�� Public Works Public Utilities Project: �Cw uJ i_lDo wS 1 /l C Public Safety Jt pfil2 Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Comments: borne � � 6 Wind- � t�f'�r�S Pro�'�Pc�v r1 rr't' � BUILDING rev r ►'ed on 4/1_e PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. [—]Denied. Comments: Reviewed by: Date: Cd Q,4 U O p� C C) t° bfo 4- ti--4 O m U cd U bA N O c3 O 3 � O :� QL � o H un o �, cri cq l I o 4 � o H Z cdc40to t C� v� $4o Q Cd ° W o -mss ' A bnLn y w O 079 4C� bA sO O U to ObD S1 O O U r r 20 7Eb 0 —Cd 7:1 cn O CZ) C/n C!1N U Q w Q � y �,� � � rte,, W ,-� N M d• �n �O ,-� N M d' � � [� co Q\ ,— .-, --� v 0 .a c� w 0 0 0 E 0 o~ v a� A U O L L L v C :et O q Ed En oo U to a o, to ¢Ln .� o Z U 00 0; O c i M �t kr) kn CO Q\ � �„� �--i .--i r--i •---� '--� U U A # 2 / # \ � � � 0 » k 2 .§ Q ■ / .� U / � � 0 � $ § � � � ■ � 2 � ° g 2 ƒ « / Q k § u 2 m aj too U W O o A ? ? § ƒ qt:t O q Q & G G & G G Q o6c� a n 7 - - u Q � U 0 � � O U r w as H � O �+ 4-4 U bb 00 a o Z O U •, �.fes, O Ri tU. rU, i 'ate cd 4-•+ a,,,bA a 59 z v ;. w w ° � CO u, o C o U rn + O O O Z � z cd bA ct C O x, bb ::3 D .d E " 003 cu o � � cici cn U ° O •cd y N 'SS S CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 19) Application Number . . . . . 08-00001734 Date 12/22/08 Property Address . . . . . . 2027 SELVA MADERA CT Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc swimmung pool ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BARRICK, FREDERICK JARRIEL ELECTRIC INC. 2027 SELVA MADERA CT. 5820 110TH STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244 (904) 887-6708 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/20/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- I I I I I �I OFFICE:(904)247-5826•FAX NO.:(9(4)247-5845 BUILDING-DEPT@COAG.US ELECTRICAL PERMIT APPLICATION 7JO-BADDRESS: DUVAL COUNTY 2IS THIS A SUB PERMIT: 3.DATE �YEOS PERMIT#: 1�. PROPERTY OWNER: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: "9 LT ` s _ 6.PHONE: 7.NAMELECTRICAL CONTRACTOR: E OF COMPANY: , J r/--- B ADDRESS.: 9.STATE OF FLORIDA LICENSE NO: "C / 10.CELE�HON O, C� 11.FAX NO.: 12.EMAIL ADDRESS: J U 13.OFFICE PHONE: 14 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I Certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if Construction Or WO."K is suspended Or abandoned for a period of six(6)months at an time afterwgA is commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: ❑MULTI FAMILY-#OF UNITS: 17.SERVICE: 18.METER NUMBER: ❑SINGLE FAMILY ❑TEMP SERVICE ❑RESIDENTIAL ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: ❑ALTERATION 11 SIGN 19.CURRENT CODE: ❑OLD ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER:- VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: INA: OVER 600V: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: BLDG02 Permit Application Elec:REVISED:12/182008 rtl.:l,y� s CITY OF ATLANTIC B Vcrl EACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 .j1)? INSPECTION PHONE LINE 247-5826 Application Number Property Address 08-00001628 Application t 2027 SELVA MADERA CT Date 12/01/08 Property type description SWIMMING POOL/SPA y Zoning . --- APPlication valuation TO BE UPDATED ------ _ 35000 Application desc -------------- ----__new_pool -------------------- ---------------------------- OwnerBARRICK ---------------------------------------- ___ Contractor , FREDERICK ------ 2027 SELVA MADERA CT. R.M. ATLANTIC BEACH AMIL HCONSTRUCTION 60 ARAMILELLA DR _----- FL 32233 ATLANTIC BEACH ------------------- ----------------------------------- Permit (604) 631-6268 FL 32233 Permit --------------- ---- ______ Additional desc BUILDING PERMIT ----------------- Permit Fee Issue Date 205 . 00 Plan Check Fee Expiration Date Valuation 102 . 50 -------------- ---- ----- 5/30/09 35000 Special Notes and Comments--------------------------------------------- FENCE REQUIRES SEPARATE PERMIT *2004 FLROIDA BUILDING CODE W 2004 FLORIDA BUILDING CODE / � 05 X06 SUPPLEMENTS . 2005 NATIONAL ELECTRICAL CODERESIDENTIAL. REQUIRED INSPECTIONS: *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) -P001-only. Fence requires separate permit . ------------------------- Fee summary Charged ------ g Paid ---------------- ------ed Due Permit Fee Total 00 05 . 00 205 . 00 Plan Check Total 102 . 50 102 . 50 . 00 Grand Total 307 . 50 ' 00 . 00 307 . 50 . 00 . 00 ERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA 11 �s CITY OF ATLANTIC BEACH i� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 -:7 OFFICE:(904)247.5826 0 FAX NO.(9o4)247-5845 BUILDING-DEPT@COAG.US 1.JOB ADDRESS ;-, BUILDING PERMIT APPLICATION 2.VALUATION DUVAL COUNTY A)C J - 3.SQ.FT.UNDER ROOF -4.LEGAL DESCRIPTION. / r .3 Q(,C! _ 5.CLASS OF WORK: ' LOT 7?BLOCK SUB DIVISION /V-� / I ❑NEW BUILDING 6.USE OF STRUCTURE; 7.DESCRIPTION OF WORK ` ! ^�C N ❑ADDITION ❑DEMOLITION ❑CONVERTING USE El RESIDENTIAL ❑ALTERATION COMMERCIAL ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: El REPAIR POOL/SPA PROPERTY OWNER:' ❑MOVE El YES ❑N/A 9.NAME - CONTRACTOR: OTHER ❑NO ��-f L`` r �`�. f' ` r `` 15.COMPANY NAME: _ ARCHITECT/ENGINEER: M �/c. 23.COMPANY NAME 1 : �j 16.pIgME• �✓1 JJPr ✓��Fi 1n� - � r V1 J ✓✓,(1J / 24.LICENSEE NAME: 10.ADDRESS: d y Y"- �1q 1�"1 ^� 17.STATE OF FLORIDA LICENSE NO.: `L D„� _ Q /1/C� m y(�t+Y C` / �O/' /'/ 7 3 ` 25.STATE OF FLORIDA LICENSE NO.: A 1 t(A 11 L Q Q�C / 18.ADDRESS: 60 /I n S,/� o✓ 26.ADDRESS: 11.OFFICE PHONE: 12.FAX "- �c`0'-JUC A 19.OFFICE PHONE: 20.FAX NO.: C.� 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 631-- fl A B OV L� �1 I Q t�3;,- L/L/ )P� 21.CELL PHONE- 1120 V _ / /� 29.CELL PHONE: 14.EMAIL ADDRESS: J / C 2-v S 22.EMAILADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: (iFOTHeRnwNowNeR) 31.N.4N!E33.NAME: BONDING COMPANY: MORTGAGE LENDER: : - 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installationha s commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is Commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. ** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR' (If Agent,Power of Atiomey or Agency Letter Required) (Qualfier Only), (� L, Signed:_ Date: ]" D Signed: A'-'4'/'/w- ff �� Date: ��- �O� Before me thi Ay of ?hie county of Before me this day �� __iP the county of tat �of Florida,has person peared Duva State of Florida,has personally appeared I I hehn by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. '/n true and accurate. ,/ Notary Public at L , tate of _,County of Va- -- Notary Public at Large,State of � County of ay�z- y / �Pe sonally Known ❑ rsonally Kn n /�'� (O ❑Produced Iden�cation- "�" _ Notary Signatu ' CITY QF A r� REBECCA C.COOPER ;�wr REBECCA C.COOPER ,fez"f!�h4w'' r �`N Public-State of FWida a.,,. • Rotary Public Stele of Florida 1 JNA tommissjan Ek*"Nov 11,2009 11, S�� ('��,�1m�ssronE Nov2009 , ^, ' NOTICKOF COMMENCEMENT Tax Folio No. /69 S 0 6 ` /] 6 L' State of � I C-1 County of l / A N/ to I To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being im roved: �Mo,vt7 s� 7 N� �` �h ,�c, eYa C-t, f � r � ewcQ roved: Address of property being imp � Poe General description of improvements: w 0 L+v� Owner: Y�'C l t PC, Y i c i A N r n J Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): n CN e: / / :rC: f I rn r�^ 11 ell � r Y N f h f ress: n f9 Ir l4 f l(cU v� ii' ( QC, C Telephone No.: 631- 6 ) 6 Fax No: oz y G y a l Surety(if any) Amount of Bond$ Address: Fax No: Telephone No: Name and address of any person making a loan for the construction of the im Name: Address: Fax No: Phone No: other than himself,designated by owner upon whom notices or other documents may e Name of person within the State of Florida, served: Name: Address: Fax No: Telephone No: in addition to himself, owner designates the following person to receive a copy of the Lienor 's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Fax No: Telephone No: unless a different date is Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording specified): THIS SPACE FOR RECO SE ONLY OWNER ZG�e: Signed: day of 7ss in the unty of Duval,State Before me thi` Of Florida,has personally appeared Notary Public at Large,State o F1on�j.Con of Duval. <<a M commission expires: / or 1,"Y O vY,1 REBECCA C. ally known: COOPER Pro ed Identificati n: /�O • ��. •Q my Com�rymftspn Expin9s Nov 11 2009 Commission#DD468281 1 CA/Cv/AIfO 0f /1O f 7j Se IY/a /VOr � Vh• �bvo �A�lm ���lr�s 5 2 0 27 ��✓� �c? �e�a l., o✓rf 6px :' �7 t / OX 93 4- IlGX 3 `� 4 32.5 K-Ac- 79s6 �qoa A/0 d o f(30 4 �tir^ iqX 3 �c.Pi4 .- 115 07• SV /Soso y�s7.5,y �,9y �-iaa� : a9•� �� Al,-o4 00 W Fo 120.01; 3ft.4. J i 3R � 3ft. =r O co J�. T fD A N m m CA 3 CD v m _ z 0 A ♦J W m ,A0. CF) 0 < .o� 44.0 in. 72.0 in. 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City of Atlantic Beach APPLICATION NUMBER js Building Department (To be assigned by the Building Department.) 800 Seminole Road s� Atlantic Beach, Florida 32233-5445 D w�V v Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us City web-site: hftp://www.coab.us Date routed: o�� v APPLICATION REVIEW AND TRACKING FORM Property Address: �Da ���✓a' a.��,C� Cr qoPaFtmept review required Yes No / an ' g Applicant: AH'L Project: Z)DOC. . t. Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: Approved. [-]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: 61 PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER J3 Building Department _ (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 Fax(904) 7-58*V E-mail: building-dept@coab.us ��Qe Date routed: � a City web-site: http://www.coab.us , APPLICATION REVIEW AND TRACKING FORM WServices required Yes No Property Address: d /„ Applicant: /� �' thlir\A/ Project: T ll� D�C- Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: ❑Approved as revised. []Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER j t�Building Department ,�y r•f� (To be assigned by the Building Department.) ` 800 Seminole Road any Cllr ,- � Atlantic Beach, Florida 32233-5445 , 2-9 Vr Phone (904)247-5826 Fax (904)247-5845 1Q�8.` D E-mail: building-dept@coab.us Date routed l O�� C/ City web-site: http://www.coab.us \ / APPLICATION REVIEW AND TRACKING FORM Property Address: ,p-1 , ���a' �� D nt review required Yes No Applicant: �, /� . ��" ' an g Project: �- Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: �Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLI WO S Reviewed by: Date: I �� Li PUBL I IT S Second Review: ❑Approved as revised. []Denied.Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: [—]Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Utilities —Distribution & Collection Date: I I I J5-'0 S Initials: Project Name/Address: o�?od� c ed uA Application/Permit#: Check Box PPlication T racking CQ-M is To Acid Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must ❑ be installed in a vault as noted in JEA specifications. F TIanReviewComments-PU.doc CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08 I I I I I v OFFICE:(904)247-5826•FAX NO.:(904)247-5845 ` BUILDING-DEPT@COAB-US BUILDING PERMIT APPLICATION DUVAL COUNTY Gk1�JOB ADDRESS ,j „ VALUATION-OF WQRK 5 i , _„.LL;;ti 3rSOeEr UNDER ROOF , aP'4_LEGAL DESCRIPTIONC. . , .Y , ' 5.;CLASS OF WORK _ , _ ;'Eof STRUC7r3.REN-2 c -/ 11 NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT�]q!( BLOCK_SUB DIVISION v� /��L, /�o rl e (A �/ ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 8.FIRE;SPRINKLER`4',k,F.'T. 7DESCP.IPTlON OFr.yU01�K;;;�';�;�; ,.�;^�;`�;�;„�„��._ ,�:- �%: El ALTERATION ❑ACCESSORY BLDG. ❑REPAIR JRPOOL/SPA I El YES ❑NIA ❑MOVE ❑OTHER ❑NO : .•, PROPERTY;OWNER. ,p r CONTRACTOR .,ARCHITECT/ENGINEER: 9-NAME: /� .j 15.COMPANY NAME: 23.COMPANY NAME: P�1 t^r'.`h + U d./fir m, N C, P"„ , 6"4T„c Y 16.NADMEi Y 4 HOt V-1I / 24.LICENSEE NAME: 1D.ADDRESS: i 17.STATE OF FLORIDA LICENSE NO-: 25-STATE OF FLORIDA LICENSE NO-: ao,1 CPCl`I-S 7 ` A n 18.ADDRESS: 6c) A� /IIA Or 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 8 f-L/ `/.3D 6J 6 X62 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE-;TITLE-HOLDER- _ BONDING COMPANY -- '. MORTGAGE LENDER y 4 5 (IF OTHER THAN OWNER) „-�' �,h'�,,.'i. , ...r, .I 31.NAME: 33.NAME: 35-NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: * * YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or'AGENrn 5 CONTRACTOR --+, (Qualifier Only) a„k,_,�_ - (If Agent Power of Attorney or:.Agency LetterBequfr-ed).;. _ Signed: Date: Y'//_'Og Signed: Date: //- L/-�� e Before me tlti f in t e county of Before me this day o r7 r _7 iP the county of , T1Vaf,-, j;� Stat of Florida,has personally�ppeared � Duval State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. /J n / true and accurate- ,/ Notary Public at La tate of _,County ofG VWj- N,,otat Public at Large,State of _,County ofy�� 41 ,❑-.Personally Kn +n / /may" ��/7 6'/y L7Personally Known R�Produced Id lift on-a'✓' ✓� / ❑Produced[dent Cation- Notary Signa ure Notary Signatur REBECCA C.COOPER .�;''<Y'PGa� REBECCA G COOPER Notary Public State of Florida •�°= Notary Public-State of Florida •�' = - s :a _ My Commission Expires Nov 11,2009 ,oe,My Commission Expires Nov 11,2M COAB FORM BLDG01:REVISED:iii0l20 + ,�' 68281 �'`;�� Commission#DD468281 111e0 "P" Commission#OD4 OFF \, CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-. I I I I I `y OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY VALUATION OF YVQRKa.,w.: . 3 S(]ET^CINDER ROOF -.n # 3GzfiH IVC, do,vc C 3s opo ft.+.. - '., T _5;CLASS,OF WORK, x } ?fit ii= 6:USEOF STRLICTGRE r. LEGAL"DESCRIPTIONS a �]Q / t ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT / / BLOCK_SUB DIVISION S'e 1 V: NO rjr2 �N r / ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ALTERATION ❑ACCESSORY BLDG. `B`FIRESPRINKLER[ ❑REPAIR =POOL/SPA ❑YES ❑NIA I ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: , ARCHITECT/ENGINEER." „ 9.NAME: 15.COMPANY NAME: _ 23.COMPANY NAME: 1- l + � R'M. (-f L' Vrqr'l �✓1 �Pr ✓r�Ii�n� N ryl 16.pIA0 � rP f t/C� r / 24.LICENSEE NAME: 10.ADDRESS: 17✓/.(SJITATE[E OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO-: aodL1 CPCf`IS7366 / n I `_ 18.ADDRESS: 6C> /I rd e/IA oY 26.ADDRESS: Attfnn �I'C (J �0.Ch L .3:Z 233 At(c,.,t, 13'C�C 4 /L 11.OFFICE PHONE: 12.FAX NO-: 19.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE'TITLE}IOLDER 1 } f BONDING COiNPANY MORTGAGErvLENDER r w (IF OTHER 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT, } ^ CONTpp��CTO ; r wr.,:r�<y�. t-y, a 2"' t rW. a R� z�``-x .. x7- '�''`` y.'Y`;. t '.,"` ,`' t�3 .7a h4 Sz R ;_(IfAgent Power ofAttomeyorAgenrylettei Requlred)If �, in c '^ ' (Qualfie�On�y)� Signed: Date: ZY'' Lj Signed: Date: L/ o),2 Befog me thi ay Of �� nMlnn t e county of Before me this day oho%n 7 i the county of ,Bvval�Stat 'of Florida,has personatlg-4ppeared Duval State of Florida,has personally appeared 4-t5u/ _X3 0 D e27/_Z'C�'- t L- herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. /�) //n / true and accurate. Not Public at La tate of County of'/ YWj- Notary.Public at Large,State of�� County of�K ❑gersonally Kn , , �jy'// Personally Known Produced Id tint on V / ❑Produced Identi cation- Notary Signa ure: « Notary Signatur qPa°,ppb. REBECCA C.COOPER .1PaY'Pre. REBECCA G COOPER Notary Public-State of Florida = Notary Public-State of Florida `s 6r My Commission Expires Nov 11,2009 :o< My Commission Expires Nov 11,2009 COAB FORM BLDG01:REVISED:ii10/20 +,E o Commission#DD468281 Commission#DD468281 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us O� APPLICATION REVIEW AND TRACKING FORM Property Address: d /'� ��� �r D nt review required Yes No Applicant: •.r;• r,..v.>..a.�a.xa+'• n - ,aio.•.,. .a.+w,,.�:w a. .+aa.. . .... . . _.. _.. .. - _a n..n. Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [I]Approved. ❑Denied. (Circle one.) Comments: (� BUILDING LA G &ZONI /7 PUBLIC WORKS Reviewed by: Date: // PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: nn � � �c nnCITY O/F �� 9 `sb 9Y da Office of Building Official REQUEST FOR INSPECTION Date IU-!6 -022 3 Permit No. Time A.M. Received PM. 2 Job Address ocality Owner's (/� Name �� Contractorj� �� � UILD G CONCRETEELECTRI y` PLUMBING MECHANICAL g Footing ❑ ugh Wiring J4�—Rough ❑ Air Cond. & ❑ Re Roofing Slab ❑ Temp Pole Top Out ❑ Heating Insulation Lintel ❑ Final Sewer ❑' Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday Inspection Made A.M. Inspector ! C_ Final Inspection 11 Certificate of Occupancy ❑ Date nCITY OF fQl 11,,ant4C /S�-0;&U-4:& Office of Building Official /IREQUEST FOR INSPECTION Date !O Z-- Permit No. v�� Time A.M. Received P. ress ocality j(:�BUILDN11---) wner's � G' f� Contractor I CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing 1-1 Rough Wiring =_ Rough C Air Cond. & ❑ Re Roofing ❑ Slab Fl Temp Pole - Top Out Heating Insula on Liniel F Final Sewer Fire Place ❑ Pre Fab READY FOR INSPECTION � A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. Inspector NV Final Inspection C Certificate of Occupancy E. Date CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION �;o a 7 S el vq / 1 Laera, PERMIT# SUBDIVISION OWNERNAME PHONE � A1 � LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE CLASS OF WORK i CONTRACTOR L �(,C.�/►'I PROPOSED USE ��'���, tiuuJJ jWORK DESCRIPTION • INSPECTION REQUIRED �/I'�� INSPECTOR AM LL DATE INSPECTED 7IJ��`, BY � APPROVEDt�?kl REJECTED 1 1 COMMENTS 1 1 i I. FLORIDA ENERS'Y EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 9 —RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES FORM 900-A-86 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative to this method for single-family detached dwellings,and multifamily attached dwellings of three tories or less,is provided in Section 10.Multifamily attached dwellings greater than three stories must comply under Section 9 or 5.Additions to existing residential builds must comply under Section 9 or 10.Additional information may be obtained from your local building department or the Department of Community Affairs,Ener _ ram,2571 Executive Center Circle East,Tallahassee,Florida 32301-8244. PROJECT NAME PERMITTING OFFICE: AND ADDRESS: CIRCLE CLIMATE ZONE: 1 2 3 BUILDER: PERMIT NO.: OWNER: S JURISDICTION NO.: DETACHED CHECK IF WORST ❑ IF MULTIFAMILY, GLASS AREA AND TYPE 1 NEW F–] ADD. CASE CALCULATION: NUMBER OF UNITS: CLEAR TINT,FILM,SOLAR SCREEN CONDITIONED CEILING INSULATION ATTACHED FLOOR AREA UNDER ATTIC SGL. ASSEMBLY SGL SGL NEW ❑ ADD. /'� /�O R _R.0 R = m.❑ � DBL DBL l.� V NET WALL AREA AND INSULATION CBS R= FRAME R= STEEL STUD R= LOG R= I � I I ❑.❑ J 717 1M I I I I I 1� ❑ MIT ❑ DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCOND. SPACE CENTRAL ❑ NONE ❑ ELECTRIC STRIP HEAT PUMPLECTRIC ❑ SOLAR R = 1-151.© ❑ ROOM ❑ NATURAL GAS ❑ ROOM/PTHP ❑ NATURALGAS ❑ HEAT RECOVERY IN COND. PTAC ❑ OTHER FUELS ❑ NONE ❑ OTHER FUELS ❑ DED. HEAT PUMP SPACE R SEER/EER = ®.© COP/AFUE _ ALJ.❑ EF = .� SF/EF = ❑•❑ NUMBER OF BEDROOMS = ❑ INFILTRATION (T _ C� 5 q y X 1�� _ 9 - PRACTICE USED . ❑ #1 I lJ #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS • CALCULATED E.P.1 CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications covered b s calculation are in pliance with the compliance with the Florida Energy Code.Before construction is completed,this Florida Energy Code. building will be inspected for compliance in accordance with Section 553.908 F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: 9A I PRESCRIPTIVE MEASURES Must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SQ. FT. OF DOOR AREA, INCLUDES SLIDING GLASS DOORS, SOLID CORE, ADJACENT DOORS WOOD PANEL INSULATED OR GLASS DOORS ONLY. EXT.JOINTS& 904.1 TO BE CAULKED, GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. CRACKS MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND WATER HEATERS 904.2 STANDBY LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUT-OFF GAS MUST BE PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED. SWIMMING POOLS 904.3 SPAS& HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST &SPAS HAVE A PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES, PIPING HEAT LOSS SHALL PIPES BE LIMITED TO 17.5 BTU/H/LINEAR FOOT OF PIPE. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 TO 80 PSIG. HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS&LOCAL MECHANICAL CODES. DUCTS IN / CONSTRUCTION 904.6 UNCONDITIONED SPACE MUST BE INSULATED TO MINIMUM R- 4.2&JOINTS MUST BE SEALED_ HVAC CONTROLS 904.7 SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. CEILING INSUL. 1 904.9 1 MINIMUM R-19. -1- 91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3 SYSTEM TYPE .EATING SYSTEM MULTIPLIERS Heat Pump COP 2.5-2.69 2.7-2.89 2.9-3.09 3.1 -3.29 3.3-3.49 3.5-3.69 HSM .56 .52 .48 .45 .42 .40 .38 Electric Strip HSM 1.0 Gas&Other Fuels HSM 1.0 See Table 91 for Credit Multipliers) PTHP& Room Units HSM HSM for COP 2.2-2.49 = .63. See above for COP>2.49. Minimums: Central Units 2.5 COP. PTHP&Room Units 2.2 COP. COP means Coefficient of Performance. 9J HEATING CREDIT MULTIPLIERS(HCM) SYSTEM TYPE HEATING SYSTEM MULTIPLIERS Multizone HCM .90 Natural Gas AFUE .60- .64 .65- .69 .70- .74 .75- .79 .80-.84 .85- .89 .90-U HCM .54 .50 .46 .43 .40 .38 .36 Other Fuels HCM .84 .77 .72 .67 .63 .59 .56 Where more than one credit is claimed, multiply HCM's together. Enter product on page 4. AFUE means Annual Fuel Utilization Efficiency. 9K COOLING SYSTEM MULTIPLIERS(CSM) SYSTEM TYPE COOLING SYSTEM MULTIPLIERS SEER 7.8 8.0- 8.5 9.0 9.5- 10.0 10.5 11.0- 11.5- 12.0- Central Units 7.9 8.4 8.9 9.4 9.9 10.4 10.9 11.4 11.9 &U CSM .44 .43 .40 .38 .36 1 .34 .32 1 .31 .30 .28 PTAC & Room Unit CSM CSM for EER 7.5-7.7 = .46. For EER's>7.7 use multipliers above. Minimums: Central Units 7.8 SEER. Room Units 7.5 EER. PTAC under 13,000 BTUIH 7.5 EER, and over 13,000 BTU/H 7.0 EER. SEER means Seasonal Energy Efficiency Ratio. EER means Energy Efficiency Ratio. 9L COOLING CREDIT MULTIPLIERS(CCM) SYSTEM TYPE COOLING CREDIT MULTIPLIERS Ceiling Fans CCM .86 Multizone CCM .90 Cross Ventilation or Whole House Fan Credit for only one CCM .95 Where more than one credit is claimed, multiply CCM's together. Enter product on page 2. 9M HOT WATER MULTIPLIERS(HWM) SYSTEM TYPE HOT WATER MULTIPLIERS Electric EF .80-81.81 .82- .83 .84- .85 .86- .87 .88- .90 .91 -.93 .94- .96 .97&UP Resistance HWM 4183 4081 3984 3891 3803 3678 3560 3450 Natural Gas EF .48- .49 .50- .51 .52- .53 .54- .55 .56- .57 .58-.59 .60-61.61 .62&U HWM 2259 2169 2085 2008 1936 1870 1807 1749 Other Fuels HWM 3494 3354 3225 3105 2995 2891 2795 2705 Water heaters must comply with prescriptive measures of Table 9A. EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS(HWCM) SYSTEM TYPE HOT WATER CRE IT MULTIPLIERS Solar Water Heater SF 1 .2 .3 .4 .5 .6 .7 .8 .9 1.0 HWCM .9 .8 .7 .6 .5 .4 .3 .2 .1 .0 Heat Recovery Unit With Air-conditioner Heat Pum HWCM .62 .58 Dedicated Heat Pump EF -2.0-2.49 F 2.5-2.99 3.0-3.49 3.5&U HWCM .44 1 .35 .29 .25 A HWM must be used in conjunction with all HWCM. See Table 9M. SF means Solar Fraction. EF means Energy Factor. 9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(f)) COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK PRACTICE #1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ON TABLE 9A. v� PRACTICE #2 COMPLY WITH PRACTICE 11 AND THE FOLLOWING: Exterior Walls and Floors Top plate penetrations sealed. Infiltration barrier installed. Sole late/floor moint caulked or sealed. Exterior Walls&Ceilincis Penetrations 'oints and cracks on interior surface caulked sealed and gasketed. Ductwork Ductwork in unconditioned space must be sealed. Fireplaces Equipped with outside combustion air, doors and flue dampers. Exhaust Fans Equipped with dampers.Combustion devices see 903.2(f). Combustion Appliances Provided with outside combustion air. PRACTICE #3 COMPLY WITH PRACTICES #1 AND #2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Top plate penetrations sealed or ioints&cracks on interior walls caulked sealed or gasketed. Recessed Lights Sealed from conditioned space&insulated from ventilated attics aces. Ductwork All ductwork located in conditioned space. Combustion Appliances Be in unconditioned space(except direct vent), draw air from unconditioned space,exhaust by-products to outside. Stoves see 903.2 . -6- SUMMER POINT -MULTIPLIERS 9B SUMMER OVERHANG FACTORS(SOF) For single and double pane glass. 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 N 1.0 .91 .87 .83 .79 .76 .72 .69 .63 6� .50 .45 NE/NW 1.0 .91 .86 .80 .75 .71 .67 .63 .55 .42 .37 E/W 1.0 .92 6 .80 .73 .68 .63 .57 .47 :T91- .31 .25 SE/SW 1.0 .90 2 .74 .66 .60 1 .54 .47 .39 .32 .27 .23 S 1.0 .86 .68 .60 .54 .51 .45 .39 .35 .31 .28 OVERHANG RATIO = L/H T_� L H L H H 9C WALL SUMMER POINT MULTIPLIERS(SPM) 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 2.4 6 INCH R-VALUE EXT ADJ R-VALUE EXT ADJ EXT EXT EXT 7- 10.9 .6 R-VALUE EXT 0- 6.9 5.5 2.2 0- 2.9 2.2 1.1 1.7 2.2 1.7 11 -18.9 .4 0-2.9 1.5 7- 10.9 2.1 .8 3- 4.9 1.3 .8 1.0 .8 .7 19.25.9 .2 3-6.9 1.0 11 - 12.9 1.7 .7 5- 6.9 1.0 .7 .8 .5 .4 26&U .1 7& Up 8 13- 18.9 1.5 .6 7-10.9 .7 .5 .6 .3 .2 R-VALUE BLOCK 8 INCH 19-25.9 .9 .4 11 - 18.9 .4 .4 .4 .0 .1 0-29 1.0 R-VALUE EXT 26&U .6 .2 19-25.9 .2 .2 .2 3 6.9 .6 0-2.9 L1.0 STEEL 26& U .1 .1 .1 7-9.9 .4 3-6.9 .7 R-VALUE EXT ADJ 10&U .2 7& U 6 0- 6.9 7.6 2.8 7- 10.9 3.5 1.3 9E CEILING SUMMER POINT MULTIPLIERS(SPM) 11 -12.9 2.7 1.0 UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF 13-18.9 2.5 0.9 R-VALUE SPM R-VALUE SPM CEILING TYPE 19-25.9 2.2 0.8 19-21.9 1.1 5- 6.9 5.8 R-VALUE DROPPED EXPOSED 26&Up 1.2 0.4 22-25.9 .9 7- 8.9 3.9 10- 13.9 3.2 3.5 26-29.9 8 9-10.9 3.1 14-20.9 2.2 2.4 30-37.9 .6 11 -12.9 2.6 21 & Up 1.5 1.6 38&U .5 13-18.9 2.4 19 25.9 1.8 9D DOOR SUMMER POINT MULTIPLIERS(SPM) CREDIT MULTIPLIER FOR ATTIC RADIANT BARRIER = .55 DOOR TYPE EXT ADJ 9F FLOOR SUMMER POINT MULTIPLIERS(SPM) WOOD 7.7 2.9 SLAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATION CONCRETE (See 903.2(e)) INSULATED 8.5 3.1 R-VALUE SPM R-VALUE SPM R-VALUE SPM 0.2.9 -41.2 0-2.9 - .8 0- 6.9 -1.0 3-4.9 -37.2 3-4.9 -1.3 7- 10.9 -1.1 5-6.9 -36.2 5-6.9 -1.3 11 - 18.9 -1.0 7& U -35.7 7&Up 19&up 9G INFILTRATION SUMMER POINT MULTIPLIERS 9H DUCT MULTIPLIERS(DM) INFILTRATION PRACTICE R-VALUE With Return W/O Return (See Table 9P) SPM Air Duct Air Duct 4.2-4.9 1.14 1.10 PRACTICE a 1 10.2 5.0-6.6 1.12 1.08 PRACTICE s 2 8.0 6.7&Up 1.09 1.06 PRACTICE u 3 5.2 DUCTS IN CONDITIONED SPACE 1.00 1.00 -3- PLUMBING WORKSHEET SINKS SHOWERS ' DISHWASHERS 2 CLOSETS 2 BATH TUBS 0 FLOOR DRAINS WASHING 1•IACHINE WATER HEATERS DISPOSALS LAVATORY URINALS Q OTHER TOTAL FIXTURE COUNT J FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10. 00 PER FIXTURE UNIT C0NNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF / LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL Q SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (� UNIT) URINAL, WALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) ' URINAL, PEDESTAL, SYPHON WASHING MACHINE RES. (3 UNITS) JET BLO14OUT (8 UNITS) WATER CLOSETS, VALVE OPERATED NATER CLOSETS, TANK-OPERATED ($ UNITS) (4UNITS) O BATHTUB ([,'/OR W/O OVERHEAD ' SHOWER STALL, DOMESTIC ' SHOWER) (2UNITS) (2 UNITS) Q BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) +� D1SHl•:ASHER (2 UNITS) Q KITCHEN SINK (2 UNITS) KITCHEN SINK/l•:ASTE GRINDER (3 UNITS) n 00 TOTAL FIXTURE UNITS @ $10.00 EACH -3 (-3 f D =_23_/ BUILDING AND ZONING INSPECTION DIVISION cl'IY 01" A'I'LAKTIC' BEACH, 11MKIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT-Appl;oent to cornplet• oil item, in ,ocGon, I, II, III, end IV. 1• 0. tido of s,. LO,--ATION (N-A.Sw14,,E•,1,Wsf) (Adds••,) (Int.r.ect;.q St-h) Of SLD1NG Lot N•- ZY ri-A Nr. (Stat. perl;on of lo• if I.0 tl.•n fVV d.-ip,;on par d..d in dvpl;-I. if r..c.,..ry) IL TYPE OF PROPOSED MECHANICAL WORK - All applicanh co<npl.t• Pero A - D A. USi OF WILDING II. OWNEAsIiIP RESIDENTIAL Is. Qir;.•f. (ind;+;dwl,I. co por•rion, e/ nU p Off IMtitY}ro •.t C.) 14. Q P.Slk (FvHI-I,State w lout go.asw•f) . 2. Q Two or mor.L-ily_ 12. Q S.S !.rosary, E.1-number•f,oe..,. olh.,.<lu<•r;on•I G NATURE OF WORK e ). Q L.n,;•nf,he,•I,moral, 17. !3 hl+ ivitdinq . rx ;nq hovs•- 13, ❑ Stora, m•.c•..f;ie Enl.r numb.,of unih OIMr It. Q E.nlinq 6v;ld:•q. 4. ❑ Olh•r r•s;d.nfia! 14, ❑ OTHER-SPECIFY 20. Q�Naw in,t.lt.f;en (N...y.r.l.r F...;o..ly NONRESIDENTIAL 21. ❑ E.f-,;on w add-on to u;.Ci q rr,+-. 22. ❑ OtA--Sp•c;fy 4. ❑ C3%.mh,off•r r.1;9:... 7. Q Indust id 1. Q G.l•q., nice 06t;on E TYPE OF ,RUILDItdG t ❑ Ho.p�t•I,;n J�lu f;o nal / 10. Q OlCc.,bank,prof•u;on•t - )A. Q�Numbar of,k i )1. Q W-d fm" D. MECHANICAL EQUIPMENT TO LE INSTALLED )t. ❑ tJ. -y and.cod (Pro•;d• mpl•ta 1,1 of c..p-.,h o.back of this forM) 31, ❑ R.fn{. d concr+r• _ 2l. p" Fv r„•c•: ❑ Spec• ❑ R.c..,.d� 1rXCentr.l O F16- 40. r� srrvcf.,r.l,r..l 2.. (� r Cond;ron;nq: F7 Room f�' C..rr:! 41. ❑ 011s., _ 75. Duct Sy0-: Malaria Lam_ 1 M•.Imvm capacity clam. - 2A ❑ R•L;q•rot ow THIS SPACE FOR OFFICfc USE ONLY _ 27. ❑ Ct»ling b.er: Capacity 9-p^- 28. ❑ Fn ,pr;A11-: Number of head, 21. ❑ Eb.afw ❑ M•nCff Q hul•for (number) I .. i 70. ❑ G•soGne pampa (numbs) )I. Q Tanh (nYmb•!) R•....rfa 12. ❑ LPG conl•in.,a (number) )). ❑ Unfired pressure v.uel npwo..d by D.k 34. Q 6o;lan -j'!i S r - - is. ❑ OtA.r - Spacity z . Ill. GENE,tAL INFORMATION A. 8. Type of A�•ting iv.l: �//_, IS OTHER CONSTRUCTION BEING DONE ON 42, ly E4!tr;c THIS BUILDING OR SITE? �w 43. ❑ Ga.-Q LP ❑ 1,10­1 ❑ c«,tr.l Utility IF YES, GIVE NUMBER OF CONSTRUCTION 44. Q Oil PERMIT 'f5 70 4S. ❑ 04- - So•ciry fV_ IDENTIFICATION - To be comp{etod by an applicants I. cons:dv,I' of p•rm;l y;.en fw do;.q the .,a4 •, cr-crib.d ;n the •Lao.• il•t•m•nt .• A--by •qr•a to Pe form u;d .oA ; ccosda nc• ..;N tA• r•tacAad plan, and ,p.cifcat:ow, .Nich •r• • Pao 1,--f and ;n •cccrd,nc. .;Ih the City of l.clson.114 ordl na nc•, .n1 J.nd•rd, of good prac6c• I�st•d tAa nNl. N.-cl M.;han;-I J - � �� S;q..tm of Co.!r,c Lr (/nnl) Cortr•c.,Aq.nt_ 0..,.,Ip;.t) Addrwit --- '' ( S gaits.of Gana. S,gnatu.of >.A_ �o•:,.d A.q.nr Arc6it.ct w Enq.n.., iC, .5 :E,iBER ��I00/S/gS r-- DEPARTMENT OF BUILDING O CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 4400 T 9-29-36 4400ST Date 19 7796 1 A 12/23/S Valuation$ Fee$ 44. 003047 HOCA 7795 1 ►c�1c^?/�1 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Air Engineers Inc. has permission to old INSTALL HEAT & AC Classification RESIDENTIAL Zone Owned by Lot Block S/D House No. 2027 SELVA MAtDERA 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 I from this work must not be placed in public space, and must be cleared up and uled away by either con- trac r r stwner. �T. official. FOR OFFICE PERMIT DATE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ie�c,�i- �iYtu� (_�G 4&aatic Office of Building Official REQUEST FOR INSPECTION DateY Permit No. D Time A.M. Received P.M. District No. r- Lx - Job Address Locality Owner's tractor DG 129 S eEp Name ILDIN CONCRETE ELECTRIC L LUMBI MECHANIC Footing ❑ ng O Hearing e Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Fire Place Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs Friday-P.M. A. Inspection Made Inspector Final inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA APProwa by APPLICATION FOR ELECTRICAL. PERMIT / /Z - 19 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: K AS DESCRIBED IN THE FOLLOWING, WE IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE ITHHE ATTACHED PLANS AND SPECIFICATIONS, HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES A OF ATLANTIC BEACH ORDINANCES. Jou " rt'�� d.�rd.✓ ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE zmmm ADDRESS: 2027 RFD BOX NAME BLDG.SIZE BETWEEN: NEW 1'-( OLD ( REW. RES.(� APT. ( 1 COMM.( 1 PUBLIC ( 1 INDUS. ( 1 1 l ) TEMP. ( 1 ADDITION ( ) TRAILER ( ) SIGNS ( ) SO. FT. FEE SERVICE: NEW("1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS Zorn COPPER l 1 ALUM. SWITCH OR BREAKER Do AMPS / PH 3 W 41/0 VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL OPEN TOTAL RECEPTACLES CONCEALED 31.100 AMPS. 0.90 AMPS. SWITCHES INCANDESCENT --- FLUORESCENT&M. - AMPS. OVER BELL TRANSF. FIXED APPLIANCES H.P. RATING H.P. RATING AIR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT CONDITIONING COMP.MOTOR OVER PHS 0-1 PHS NO 1 N.P. VOLTAGE MOTORS H.P. VOLTAGE MISCELLANEOUS s TRANSFORMERS: UNDER 600 V. OVER 600 V. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES u CITY OF ATLANTIC BEACH APPLICATION. FOR PLUMBING PERMIT ' JOB LOCATION D�7 ,Sfi%/� A, rl f' °s PLUMBING CONTRACTOR ;.LICENSE NUMBERS OWNER { BUILDING CONTRACTOR TYPE OF BUILDING SINKS / SHOWERS LAVATORY _WATER HEATERS J BATH TUBS _DISHWASHERS URINALS _DISPOSALS CLOSETS 'WASHING MACHINE ' " FLOOR DRAINS OTHER r 1 S TOTAL FIXTURE COUNT ` `:!;;INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH ,�,1 `r-''... '-.-THE MOST RECENT -EDITION OF THE SOUTHERN STANDARD PLUMBING CODE J lit '�ti jt .. 'l.• t DEPARTMENT OF BUILDING 048 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO, 8 a PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9`29'86 19 f2.50 T Valuation$ C2 . 50 52950NT Fee$ 5164 1A IO/29%P This permit not valid until above fee has been paid to City Treasurer,and is 90,40 Oncn subject to revocation for violation of applicable provisions of law. 164 14 1 r/29a/8 This is to certify that BENEDIX PLMIBING Inn � has permission to KXd INTTALL HEMMING Classification RESIDENTIAL Zone Owned by Lot Block S/D House No. 2027 SELVA 1%DERA COURT According to approved plans which are part of this permit c NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Building material, rubbish and debris _ m frothis work must not be placed in public space, and must be cleared = up an uled away by either con- traCt6r r owner. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CO RACTOR PLUMBING ELECTRICAL I SEWER WATER i DEPARTMENT OF BUILDING ' T CITY OF ATLANTIC BEACH,FLORIDA PFA"J NO AURT PERMIT TO BUILD PEA"J ,f r"7 DCA THIS PERMIT MUST BE POSTED ON JOB L3 ( t U/a(/n Sept. 29, 86 Irmo I Date_ 19 Valuation$ 91, 300. 25 Fee$ 327. 75 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that ROGER JOEEPII has permission to build Single Family Home as per plans i ResidentialRS Classification Zone + Owned by Mr• and Mrs . Barrick I Lot 7Q_ BIQck Il S/D Selva Arte House No. COURT According to approved plans which are part of this permit �` � — t NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. i PERMIT VOID SIX MONTHS _n AFTER DATE OF ISSUE —♦ z Building material, rubbish and debris from this work must not be placed in public space, and must be cleared up and yAviyd away by either con- i tractor r ner. i I �f Building Official. I FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR i PLUMBING ELECTRICAL i SEWER WATER i 8 UTILITY AGREEMENT (Water and Sewer) THIS AGS', made and entered into this I day of by and between the City of Atlantic Beach, Florida, a municipal corporation, hereinafter referred to as "City", and and its saec;.qor d assigns herein referred to as "User", Tn]f-EREAS, User owns land in Duval County, Flori , described as follows: and WHEREAS, User plans to develop said land by constructing / buildings, residences and/or other improv is thereon consisting of and W[MV-AS, The City is the owne of a water plant, water distribution system, sewage treatment system and sewage collection plant in the vicinity of the above described property; and 1,1HEREAS, 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; i (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: Hunan 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 to� the User's property, and all other facilities necessary to make it possible for the City to provide adequate potable water and domestic sewage service. If buildings more than two stories in height are constructed on the User's property, the User, at its awn 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, swinming 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 owned 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 7/sAgreenient. , 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 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 mde 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 potabld 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 making 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 main 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 ti 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 ity o At anticB Witness INS+PE'CTION LOG JOB ADDRESS 0 \ CX CONTRACT R C� 2 OWNER _ BUILDING PERMITELECTRICAL PERMIT :J // PLUMBING PERMIT �U �.� TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE o 9 s DATE SURVEY FILED Called-In Approved J ,E .A, Temp Pole Footing 3, Slab Framing Plumbing (R) Electrical (R) Mechanical Fireplace Top out Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued COMMENTS : CITY OF 4&4^14C Beni-0;&u-9z Office of Building Official REQUEST FOR INSPECTION Date Permit No. 8o`f Time la.a Received District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBI G MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel O Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION _A_M Mon. Tues. Wed. P.M. Inspection Mace r Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF f4&ast0.0 Beac,4-0;&j -do Office of Building Official ! REQUEST FOR INSPECTION Dete�,LPermit No. TimeA.M. Reuel P.M. District No. Owner's Job Addr y Localit 3���� Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ RoughAir.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place O READY FOR INSPECTION Pre Fab A.M. Mon. Tues. y Wed. Thurs. Friday P.M. [�/ _ Inspection Made A Inspector Final Inspection❑ Certiticate of Occupancy Date GJ CITY OF / 4&4"14C Bea-44-1&uk Officd of Building Official (/ REQUEST FOR INSPECTION Date �"� Permit No. Time A.M. Received P.M. District No. Job Address Local i My — Owner's Name Contract r BUILDING CONCRETE ELECTRICAL PL BING ANICAL Framing ❑ Footing 0 Rough Wiring Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION AM, Mon. Tues. ed. Thurs. Frid Inspection Mace_ P. i Inspector Final Inspection❑ Certificate of Occupancy Date ..,.ddresS :seated Square Footage 000 @ $ er sq ft = $ � �v Jar Shed �' .��� @ $ S �er sq ft ,arpo /Por ort .S @ C�LL—IsLjer sq ft )etc Q @ $ per sq ft = Itio C� @ $ per sq ft = $ TOTAL VALUATION: $ Ste'- tal ,Val cation / 1st main&r Valuation oo per thousand or portion Total Building Fee $ ion thereof � �• .�� ---------------------- ___------- • DITIONAL Pmv= and/or FEES 9WIRED 1' + 3 Filing F $ �U , aces @15.00 C� :chariical � i BUILDING lambing i • Electric/New ►------------------------------------------------ Electric/Temp BUILDING PERT $ a '� Septic Tank O >., WATER MEIEt CHARGE Well Swinming Pool o SEWER IMPACT $FEE WATER IMPACT FEE Sign MISCEUANEOUS $ Water Connection Sewer Cmnection $ . Water.Meter ✓ $ Elevation Certificate GRAND TOTAL DUE $ -------------------------------------------------------------------------- ---------------- CALC[JLATIONS and/or NOTES � / - . � int 1 ,t{o,b e"F/r. CITY OF 4&Kt4c Beads-07taaz& 15S Office of Building Official l REQUEST FOR INSPECTION Iq / Date —r Permit No. Time A.M. Received p M District No. d-622 FLvp 01DE2W Job Andress Locality Owners ontractor Name C BUILDING CONCRETE ELECTRICAL PLU MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Ro h Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thur Friday—P.M. Inspection Made — ' Inspector Final Inspection Certificate of Occupancy Date CITY OF t����it�c �eac� - �Qa7cda 716 OCEAN BOULEVARD —--- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 February 13, 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 #5066 - 2045 Selva Madera Court Permit #5114 - 2027 Selva Madera Court Permits issued to Munson & Bryan Electric Company Sincerfly, i Rene' Angers Community Development Director cc:building file 1 MLITIES WDIUC ORDER Cwner/Con Lrac for Street Address Lo t� Block# ' Subdivision : Type of Buildixlt; S� WAT Z IMER INST/U TIOZI (ifunil tiess -fa�i1 Size Account Y) -- � NLunber Meter deter _N�nther Reading -------------- -------------- ---------------- Date Installed: ---------- By: i ... ••1.:?tib: r... (/ ' 1'1 YES ' LocateNO :;:�• Water Locate Sewer Make Water Tap Make S — icfi- •f.�..�:,.o�,� v,7er Tap z t +•I, 9-:i:_. hCxti.ea.ate-..:,r.�tv..e. Cvy7 S�2'�1 bA `� t diii1.1 n 10 (Y) ( cc .:1 ✓, C r vLn CD co CC Z 7r . CD D en 1 O O U ...y'. rr ( C.7 Q sr.: � r ;. 1 Q J 1 W ro co f cc w ( w Q f = H 1 I o } CJI ,. LLJ o o 1 r=i Q W ; Y z 34 1 L0. Z � Q O I rf4 a' n y J m LL G I u- u-t Q w ro ( rf1 In 2 _j 1 rf1 ` N 0— > rzJ f Z ZO � - .1 C �rt�f � Q � ; f ;r O f i I Ln ✓ � r Q CI Ln o M V I qq, Z r G rf'1 I ro �i -cn u- O 4 O _ r � O I �•• O — O V o 0 CC 0 S- !� O 1 Z • d t-i r tl d 6 ru V R1 W Q ¢ O O o W U { C3 o ; L J w l C3 um co O V O h 1 w CZ Q O cn p U. co o f O m o } O # o J_ �s• Q Q `'v '�c z ui N z d,i I "ss CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026931 Date 9/23/03 Property Address . . . . . . 2027 SELVA MADERA CT Tenant nbr, name . . . . . . HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------- - ------------- ------------ - ----------- BARRICK, FREDERICK AIR ENGINEERS INC 2027 SELVA MADERA CT. 10947 BEACH BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-2333 ------------------------------------------------ ---------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL qi o r r) CITY OF ATLANTIC BEACH V~ MECHANICAL PERMIT APPLICATION Date: Owner of Property: jo- '— c Job Address: a p 4'1 Contractor: �/lC In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. T�ype�of heating fuel: B. ldY Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: _LP _Natural _Central Utility BUILDING OR SITE? ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE /'NATURE OF WORK Residential or Commercial INSTALLED ❑ New Building (Provide complete list of components on back of this form) (/ Existing Building lK Heat _Space _Recessed i,/Central _Floor Replacement of existing system ❑ Air Conditioning: Room Central ❑ New Installation(No system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacity cfm ❑ Other-Specify ❑ Refrigeration ❑ Cooling tower: Capacity gpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT Alk CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency HEATING—FURNACES,BOILERS,FIREPLACES Number Units Descn ton Model Number Manufacturer Capacity Approving C-1,;2 e ` BT Agency it'rz TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• http://www.ei.atiantic-beach.fl.us 1/14/03 t f =4 ° , CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030371 Date 5/23/05 Property Address . . . . . . 2027 SELVA MADERA CT Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9800 Owner Contractor ------------------------ ------------------------ BARRICK, FREDERICK WHITES ROOFING COMPANY INC 2027 SELVA MADERA CT. 14262 PLEASANT POINT LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 120 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9800 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120 . 00 120 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 120 . 00 120 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 22-02"4- Date b 0q, -,cPS Heated Square Footage @$ per sq ft= $ Garage/Shed L.JC9 —@$ per sq ft= $ Carport/Porch @$ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation 1 $ i oob �5 - MD- $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + '/Z Filing Fee $ FLOOD ZONE: ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ ZC� WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ ��• ©� CITY OF ATLANTIC BEACH Cc: D. For BUILDING / ZONING DEPARTMENT 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 _ R E G r I V E D (904)247-5845 Fax CITY OF ATLANTIC BEACH www.coab.us BUILDING &ZONING PLAN REVIEW COMMENTS MAY 17 2005 i Permit Application # _ - '5 02 S7 Property Address: P Applicant: V��-�'►'r�(S �o'Fl h�C Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: �* Date: Date Contractor Notified: f �l Rmer j 7/ Q CyI • - s P MAY 17 2005 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION BY: Date: - S� Job Address: Owner of Property: rn ✓� GL Address: h Telephone: 14K Contractor: e `f\ C— State License Number: (•G� o�' o(17 Contractor's Address: Telephone: Fax: C� Scope of Work: L\n )-l-e- E Deck Slope: I '�_ Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example: Timberline): M Manufacturer(Example: GAF): ASTM Designation(s): b (0 Required Inspections: Sheathing and Final Signature of Owner: '� 1 Date: 7 — CS e— Signature of Contractor: Date: 1 _ OS AS TO OWNER: Sworn to and subscribed before me this day ofd'('" ,20 r State of Florida,County of Duval Nota;�Personally ignature: � known Produced identificati Y °�e�, Paula Drake[dean Type of identificationpro fed`Commission*DD397559 Ir AS TO CONTRACTOR: OF F,.°`e�e. -009 Xe T� M FmIn °00a°atM Sworn to and subscribed before me this I day of ,20 O State of Florida,County of Duval Notary's Signature: c Personally known ❑ Produced identification Type of identification produced Nhi Paula DMK9 Commission#DON7559 800 Seminole Road •Atlantic Beach,Florid *Ores Apel 8,2009rote Telephone: (904)247-5800 •Fax: (904)247-5845 • FWi7�1A eac i .us Page 1 Revised 2/21/03 NOTICE OF COMMENCEMENT State of ' Tax Folio No. County of V V To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is s ted in this NO IC OF COMMENCE NIT. J r Legal Description of property being improved: C��_� � 1 4- (n C- ��C- �T ter. c(i `at Address of property being improved: - 57 General description of improvements: < Owner: ® /�lig f T C h- Address: !Tp4y\G X2-7 �-zZZZC Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: � S f` L_ Address: .�, Telephone No.: � Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER p -r 7 Signed: 0• 6, - ` -1' Before m is 1:1 -day of m in the County of Duval,State Doc#2005179244.OR BK 12487 Page 2177, Of Florida,has personally appeared Number Pag es'. 1Notary Public at Large,State of Florida,County of Duval. Filed&Recorded 05/17/2005 at Ot.13 P •, or JIM FULLER CLERK CIRCUIT COURT DUV Personally Known: AL COUNTY My commission expires: °roduced Ide ' icatia oY n� U a RECORDING$10.00 0 C ni 10 TAY PREPARED 10/02/03, 16:32 :15 INSPECTION TICKET PAGE 25 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 10/03/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 2027 SELVA MADERA CT SUBDIV: TENANT, NBR: HVAC CONTRACTOR AIR ENGINEERS INC PHONE (904) 641-2333 OWNER BARRICK, FREDERICK PHONE PARCEL 169506-1648- - APPL NUMBER: 03-00026931 MECHANICAL ONLY ------------------------------------------------------------------------------------------------ PERMIT: MECH 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 34 01 10/03/03 LJH M FINAL TIME: 08:00 ��� '�• �� 41-2333 X38 ------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF ATLANTIC BEACH s 800'SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026336 Date 7/07/03 Property Address . . . . . . 2027 SELVA MADERA CT Tenant nbr, name . . . . . . 6 ' PT AND OR CYPRESS Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 960 Owner Contractor ------------------------ ------------------------ BARRICK, FREDERICK OWNER 2027 SELVA MADERA CT. ATLANTIC BEACH FL 32233 -------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. JAI 4 \ BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 }� SUNCOM:852-5800 1✓ http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # C)3, - Applicant: Jc)an n a L, I r rt c k Address: o?c,2- 7 yc- M& �� C4 Project: U ' P'7 *- or 0 g4pre c s ��our application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by / Signed JDate Contractor Notified Date ss CITY OF ATLANTIC BEACT EF ATL III B D H _EACH "L^ P.G & ZON `G FENCE PERMIT APPLICATION J31� JUN 18 2003 Date: - I LP Job Address:_ 011.'1 S.Qk%JC% M oA94L*040_ C e6y�•-r-_. Owner's Name: C_'�M V1*V W-W,1 Address: !Z�:17-1 Jat r, M& ter., rm Phone: oz{c� Legal Description: Block Number: ' Lot Number: '7 Zoning District: Fence Contractor: /17ARcvnl Address: fl23 )(6--^ 6,eA,,,a' 2 lav; /lam YL Phone: 7 13— City: 2"re- �04�+ State: Zip: 3ZWZ-Fax: Type of fence and materials to be used: PQE5Su2c TJZ£.¢-TTo Vo Ok 0-MIK 5 Valuation of fence: Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. %Interior Lot El Comer Lot ElDumpster or storage tank enclosure Tree Protection: 1 NO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that all information provided with this application is correct. Signature of Owner: jay...,. W t% Date: " t 0- Signature Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print): Name: 1114R4-1 IV 7) 1_71�;In.1, Mailing Address: .230 I/s _7)4l e�, ,/ Phone: �r3�f9 L Fax: vP V/-q//eY E-Mail: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 OWNER'S AUTHORIZATION FOR AGENT /77%11?4o1l 'D/ • RS-Q 1J is hereby authorized to act on behalf of 3 oCX,\ A,j the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception Fence or Pool Permit ❑ Rezoning Sign Permit ❑ Plat or Replat ❑ Other BY: Si Te of Owner 2 UaC1V%^.' (>I# Print Name Signature of Owner Print Name 024c"345' Telephone Number State of Florida County of Duval jL)Aj-e_ Signed and sworn before me on thus day of,-2W2. 2-003 By -J ►-1 4�-� Identification verified: a4- rb Oath sworn: t/ Yes No vada Peter loft:1'1 Notary Signature « � My Commission expires: J MAP SHOWING BDUN.DARY SURVEY QF-1 LOT 79, SELVA NORTE UNIT TWO, AS RECORDED IN PLAT BOOK 40, PAGES 37 AND 37A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ria ntJ�PlcIle.a P9 5flct+o e� Ares r� �,fn�aff �23: �• ,, , . / 7� p fCiy irony op Ori+n o 9 P1 t71 (v i� EaS�`nSeM�r9 �'' no \ l 0 9 CoA .to 25ilifje5 Cob 5a a \ •.. h 2�8r1ff°I F Oct8�oq8_ U fi-r—B E• \\a o . . S�I�rde 49 3 • N'o w 50, Y. `V .�? a RAS��q� T f'�• -\y \ lS1 ��p p4) po a 1 _ +tri`�•. �_ L I rd4 ` 1 Cancrcic' k 2 TLP. (7tfVG 4 u AligQc � �N � rtG � Zo C Gadk a ,� 1 _ � � ��• ,spy �� �DT Jnrnd'/a7ranP'fr� /rH WIB) NOTES f I gbh BEARINGS ARE BASED ON THE NORTHWESTERLY LINE OF LOT 79 Planning anI AS BEING N-47'4218"E.BY PLAT. This approval VbriflCPQIT kith NO 11UILDING RESTRICTION LINE BY PLAT,BUT?HERE MAY BE Zoning, subdivision &pd local land RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY BY development regulations, b6"o t Constitute \ ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY approval for the issuance of pe C ncf, THAT ARE NOT SHOWN ON THIS SURVEY, with Florida Building Code and ali o e ap local, State and Federal permitting req.-- THIS PROPERTY LIES IN FLOOD ZONE"X" AND FLOOD ZONE"A"BY must be verified b signature of the Citv of titlant c FLOOD MAPS REVISED 4/17/1989,COMMUNITY PANEL Beach Building tial prior to a issuance of a NO.120075 0001 D. THE CITY OF ATLANTIC BEACH BUILDING a ZONING Building Permit. DEPARTMENT HAS DETERMINED A MINIMUM ELEVATION OF 8.5 NGVD Approved By: 1929. Com mu y Development Director bate: CERTIFIED TO- JOANNE W.BARRICK LIVING TRUST; MERRILL LYNCH CREDIT CORPORATION ; OLD REPUBLIC NATIONAL TITLE INSURANCE Co. DUFILM,EN LAND LB 6645 PAOF', ONAL LAND SURVEYOR NO-1674 FLORID!, H. FJRUCE UURDLN, SR. II03 SOUr14 THIRD STREET OCTOBER Z1. 1998 _ JACKSONVILLE BEACH, FLORIDA 32250 DATE: (904) 249-7261 FAX (904) 241-1252 SCALE: THIS MAP OF SURVEY IS NOT VALID UNLESS 1r IS SIGNED AND HAS THE ORIGINAL RAISFD SEAL OF A FLORIDA LICENSE[) SURVE)'OR. CITY OF v' JyLI ' 4&4#ZAc /3 eQl'A-A;6Q" Office of Building Official REQUEST FOR INSPECTION Date � � Permit No. 0-3 2-N b 3 Time A.M. Received RM. Job Address Locality Owner's mo A �.� Name Contractor f�/w B�,.g CO CRETE ELECTRICAL ❑ ti4e !2 g ❑ Rough Wiring ❑ Rongh ❑ Air Cond. & ❑ Re Roofi ❑ Temp Pole ❑ Top Out ❑ Heating Insulatio ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Wed. Thurs. Friday P.M. A.M. InspectioPM Inspector Final Inspection Certificate of Occupancy ❑ Date C1TfOF Office of Building Official REQUEST FOR INSPECTION l/ 3 Date / -7C Permit No. O Time /�,_ A'M Received District No. 0� Job A rens � Locality Owner's Name_T Contract BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑, ❑ Air.Cond.& ❑ Re Roofing ElSlab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSP A.M. Mon. Tues. Wed. Thur Friday P.M. Inspection Made P.M. Inspector Finallnspectio C \J Certificate of Occupancy Date I � 6344 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH i-ERMIT IN! LOCATION INFORMATION ---- ----- ermit Number ' idl.ess : 2027 SELVIA MADERA Fei-i-ait Type : F L U 14 b ) !i ATLANTIC BEACH , FLORIDA 32233 'Jazn of Work : NEW LEGAL DESCRIPTION Constr , Type : WOOD FRAME Ti I oc k Section , Proy9sed Use! 'SIN-IAF -,E FAMIL-�( Township � %wel :Lngs : ubdivision: c;E].,VR NFTF t I'ma t ed Value- llnprov : cost : $0 , 00 T-otal Fees : 50 hmount. Pai,d : I),a t ft -1 2 7 OWNER, (INFORMATION AjrIrLlATI'-ll FEE6 PERMIT Sl?L "A A WATEP !MPACT FEE A V E K 2#TIC-BEACH , Fj.`-VrTr%" TMFAC-T -FEE 14A T$ XF.'f i�R, $u 0 c� RAS g 3)03 " SAF,,- ON RMATIQN RAD11 AS .. WATER TAP SEWER TAP HYDRAULI,-` SHARE RE--INFPEC7T FEE SEC ..H 114PX"T FEE -7"TP% NOTES: PAID JAN 2 7 1993 CITY OF f T! ` TIC BQH, 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: lSJ CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION :—___2_221____ �,--,_7 __,t,--i?-a.aP_ tL,G------__ OWNER OF PROPERTY : ----____— t1L1G,&__—_---_ -------- -------- BUILDING CONTRACTOR : PLUMBING CONTRACTOR -------LZ---?_!9M_l-___ AND ADDRESS: ,. TELEPHONE NUMBER : �� -1_f STATE LICENSE NO: � O/ ��1� TYPE OF BUILDING: ----------- — ---------------- SINKS _____—__SINKS SHOWERS LAVATORY & .0ydr. _ __WATER HEATERS BATH TUBS _____________DISHWASHERS URINALS _____________DISPOSALS CLOSETS —__--_----WASHING MACHINE FLOOR DRAINS -------------SHOWER PANS OTHER TOTAL FIXTURE COUNT:----------- x $3. 50 + $15. 00 = $-----.—_---- ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247-5826 TY OF 310 CI Ja Office of Building Official REQUEST FOR INSPECTION cZ O Permit No. Date j A.M. District No. Time P.M. Received F G L) l°� Locality Job Address / !✓ Owner's Contractor MECHANICAL NaMBING me CONCRETE ELECTRICAL F h Air.Cond.& BUILDING Rough Wiring Heating Footing - op Out Temp Pole Fire Place Framing Slab _ Pre Fab Re Roofing Lintel El X13 0,�T►o'' A.M. READY FOR INSPECTION P.M. Thurs. h h Friday—�— s. Wed. A.M. Mon. p.M. Inspection Made Final Inspection 0 Inspector Certificate of Occupancy Date CITY OF f &aa /3e4 4-I&UC& Office of Building Official 1r1f / REQUEST FOR INSPECTION �n � Permit No. '52 Date C' / v Time / District No, Receivo If/IA �WAdd ; Lpcality Owner's �l Contractor--: Name BUILDING CONCRETE ELEC ICAL PLUMBING MECHANICAL 0-- FramingFooting ❑ Rough Wirin Rough HeaAir. g Cond.& Top Out 0� Re Roofing _ Slab ❑ p le ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION �A.M; WedThurs. Friday Mon. .. A.M. P.M. Inspection Made ALL Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT PERMIT# JOB LOCATION SUBDIVISION 2027 SELVA MADERA COURT PHONE 2478 00, OWNERNAME ATLANTIC BEACH, FLORIDA 32233 SELVA MARINA lilt LEGAL DESC: LOT JO MOETT SECTION PERMIT TYPE CLASS OF WbKFr'q�4)720-0100 PROPOSED USE CONTRACTOR ELECTRICAL ADDITION tip ALL SERVICE ELECTRIC OF .TAX SINGLE FAMILY a �5 WORK DESCRIPTION INSPECTOR INSPECTION REQUIRED EXIST SERV E OAMPS IPH 3W 240VOLT SEU RACEWAY S p, ROUGH ELECTRICAL gppROVED ❑ AM REJECTED ❑ 4 DATE INSPECTED-- BY LL COMMENTS 0002478 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- - LOCATION INFORMATION - Permit Number: 2478 Address: 2027 SELVA MADERA COURT Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION -- -- LEGAL DESCRIPTION --------- Constr. Type: N/A Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RHO- 0 Dwellings: 0 Code: 0 Subdivision: SELVA MARINA Estimated Value: $0. 00 Improv. Cost : $0. 00 Tpt,al F'ea . 920. 00 Amount Paid: 920. 00 a e a f vi u 1 e s c. . J I Inu 6 .+ .-' jw1'. OWNER INFORMATION --- - - - '- APPLICATION FEES ------ Hame: -JO BARRETT PERMIT 920. 00 Address: 2027 SELVA MADERA COURT WATER IMPACT FEE 90. 00 ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE 90. 00 Phone: (1904)7-10-0100 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 - CONTRACTOR INFORMATION - __ ._ RADON GAS -- 5% $0. 00 Name: ALL SERVICE ELECTRIC OF JAX WATER TAP 50. 00 Address% P. O. BOX 16694 SEWER TAP $0. 00 JACKSONVILLE, FLORIDA 3224` HYDRAULIC SHARE $0. 00 License: Type: 2 RE-INSPECT FEE 90. 00 ENGINEERING $0. 00 OTHER Ir0. 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 TQ,REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT /. By. --_ CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: j 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. ELECTRICAL FIRM: ASTER' LECTRICIAN SIGNATURE JOURNEYMAN NAME t: !b 134 2lf_7 fADDRESS: Q-2 :2 y�00'(''�`) 'c�/ RFD BOX BLDG.SIZE rJ G O BETWEEN: RES. ( 9 APT. ( ) comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS 1 1 SO. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. 1 1 SWITCH OR BREAKER AMPS PH OLT `RACEWAY EXIST.SERV.SIZE 7C) AMPS / PH W �CI VOLT 'C RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. �KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDE TOTAL FEES 0002478 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -- - - --- - - LOCATION INFORMATION Permit Number : 2476 Address% 2027 SELVA MADERA COURT Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 3223D Class of Work: ADDITION LEGAL DESCRIPTION Constr. Types N/A Lot : Block: Sections Proposed Use: SINGLE FAMILY Townships RNG- 0 Dwellings: 0 Cc-.)de-. 0 subdivision: SELVA MARINA Estimated Value: SO100 Improv. cost : 10. 00 Total P&&=t $20. 00 Amount Paid : 920. 00 Date Paid: 5/29/90 WoiL-k Dese.. . EXISTING 'SERVICE 200AMP'.� PH 3W 240VOL14 SEU RACEWAY OWNER INFORMATION APPLICATION FEES --- 14amez JO SAPRETT PERMIT $20. 00 Addrest-. 2027 SELVA MADERA COURT WATER IMPACT FEE 10. 00 ATLANTIC BEACH, FLORIDA 3.2233 SEWER IMPACT FEE $0. 00 Phone; (17.104 )720-0100 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION RADON GAS -- 5% $0. 00 Name: ALL SERVICE ELECTRIC OF TAX WATER TAP $0. 00 AddsB - P. O. BOX 166'94 SEWER TAP $0. 00 JACKSONVILLE, FLORIDA 32245 HYDRAULIC SHARE 1$0. 00 License; Type: 2 RE- INSPECT FEE tio. 00 ENGINEERINU -$10. 00 OTHER SCS. nit 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 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 CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT PERMIT# JOB LOCATION SUBDIVISION 2027 SELVA MADERA COURT 2436 OWNER NAME ATLANTIC BEACH, FLORIDA 32233 PHONE SELVA NORTE LEGAL DESC: LOTJOE Bli:BEa SECTION PERMIT ly'564)24.1-1639 CLASS OF WORK CONTRACTOR 79 II PROPOSED USE BUILDING ADDITION LUCKIN CONSTRUCTION SINGLE FAMILY WORK DESCRIPTION INSPECTION REQUIRED CONSTRUCT ADDITION PER PLAI§PECTOR f D 3 L B -` APPROVED � REJECTED DATE INSPECTED ✓ BY X M. COMMENTS 0002436 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- LOCATION INFORMATION PERMIT INFORMATION Permit Number : 2436 Address: 2027 SELVA MADERA COURT Permit Type: BUILDING ` - -----ATLANTIC BEACH, FLORIDA32233 - LEGAL., DESCRIPTION - Class of Work: ADDITION Lot: 79 Black: Section: iI Constr. Type: WOOD FRAME Township: RNG: 0 proposed Use: SINGLE FAMILY Subdivision: SELVA NORT.E Dwellings: 0 Code: 0 Estimated Value: 923982. 00 Improv. Cost : 90. 00 Total Fees: 9127- 87 Amount Paid: 9127. 87 Date Paid: 5!.14190 Work Desi:-. : CONSTRUCT ADDITION PER PLANS OWNER INFORMATION -- -` " ` - -- - APPLICATION FEES - - ' 9122. 25 PERMIT Name; 30E BEREG WATER IMPACT FEE 90. 00 Address: 202 SELVA MADERA COURT 90. 00 3 SEWER IMPACT FEE ATLANTIC BEACH, FLORIDA 322 WATER METER 90. 00 Phone: (904)241-1639 RADON GAS-H. R. S. s5. 34 7 RADON GAS - 5% `$0.2 - -- CONTRACTOR INFORMATICIN ` -_ WATER TAP 90. 00 Name: LUCKIN CONSTRUCTION SEWER TAP 90. 00 Address: 241 ATLANTIC BLVD. HYDRAULIC SHARE 9C►. 00 322 3 ATLANTIC BRACH, FLORIDA RE-INSPECT FEE 90. 00 License! CRC044823 Type: 7 $0.00 ENGINEERING OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ING MATERIAL, RUBBISH AND DEBRIS CONTRACTOR THIS TOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE .D UP AND HAULED AWAY BY EITHER URE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN 1OPERTY OWNER PAYING TWICE FOR BUILDING 95 ')RDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR -APPLICABLE PROVISIONS OF LAW. BUILDING DER RT ENT CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT PERMIT# vw. JOB LOCATION SUBDIVISION PHONE 2436 ,,. OWNER NAME 2027 SELVA MADERA COURT SELVA NORTE t ' ATLANTIC BEACH��TI ON FLORIDA 32233 PERMITTVPE LEGAL DES LOT BLOCK CLASS OF WORK ..• 30E BEREG PROPOSED t5qEQ4)241-1639 CONTRACTOR BUILDING 79 II ADDITION tls SINGLE FAMILY WORK DESCRIPTION LUCKIN CONSTRUCTION INSPECTOR INSPECTION REQUIRED (��ONST T ADDIT N R FLANS REJECTED ❑ APPROVED I f BY A M or DATE INSPECTED_�- COMMENTS PLANS REVIEW CHECK LIST Address (0 > _� �-Owner--- - ------------------- Le al Descri tion= QQ '� �D�'� _Contractor ?....... License Number_'`G License on File YE NO Section 24_101 * Zoning Regulations Zoning District1� 1 Proposed Use_ Required Lot Size___��____- Actual Lot Size Setbacks Req ui ed Provided Section 24-17 front CORNER LOT INTERIOR LOT rear -- _Q / Flood Zone side-1 Required Elevation_____.___ side-2 �� 67 Max. Height AllowedProposed HeightC� _ Pro _ p �---- Section 24_62 * Minimum Lot Coverage // Required Heated Area Proposed Area JLv Section 24-161 * Offstreet Parking Number Spaces Required------- Spaces Provided____ Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES ' N Utilities Water and sewer service is to be provided by: Buccaneer Utilities ----- City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL ) Plans Reviewed by : __ Date --------------------- -- - -�---- Building Permit #_-_------- ( ISSUED DENIED Address E K q ' t < o�cJ Heated Square footage S� 2- @ $_ �J per.eq f t = $ Garage/Shed rcpt �� G (o @ $ / ° ` ' per sq ft = Carport/Porch @ $ - per sq ft = $ Deck @ $ --- per,sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION t $ ZE .73 1•ota` faluat ctl ' 1st $ (S (�(�(�� �• • Raibider Valuation �-d0per thousand or portion thereof.. a -------------------------------------------- - Total Building Fee ADDITIONAL PERMS anEMS z S REQUuiEn , f -7 ! + Filing kee Mechanical y Fireplace`s @ 15.00 Pluibing _ BUILDING IFERM T IT $ �� Electric/No,, --------------- ----------------------------------- Elect-ric/Tef4) Septic 7'atilc t BUILDING PERMIT $ / �• Well , WA1IiR MCTER ClIARCE, $ StoLmJ ug 1'001 SEWER IMPAGr FEE $ Sigh WATER IMPACT FEE $ Water Catulectiofi' MISCELLANEOUS $ Sewer Connection t $ Water Meter , I"tev;M.On Cerlifluil0 ' • � , + .• r, GRAND T�I'AI. DUC $ �c�7 �� ------------------------------------=-----..-............-----------=-------------------------------- CALCULATIONS acid/or NO11:S � .4,. . ..•)7 t Ott '1� !� t ..r,! a' PROPERTY DESCRIPTI011 Lot M_ �9___81ock N________Section * 716 OCEAN BOUI,F.VAnu!'.O.NUX2fi ` ) ATLANTIC BEACH.FLORIDA 32233 Subdivision: ��/(JQ NC�`7/e �/�jf� �C(JQ TELF,I'l10NE(904)249-2395 Street Name-- nCe% .M -- DESCRIPTION OF WORK or Address I ------------------------- If in a FLOOD HAZARD Flood Zone: -area complete page 3. Brief Description t Class of Workt (flew/Remodel/ dditio ZOIIING IIIFORNATION Type of Constructions ---)LZ22(f -------- Zoning Proposed DistricttUse: Estimated Value 8 LOQ Exceptions or Ma terialst___ _U 61 ---------------- wrinnerrn Orontn�ll ------------------------- Solid or ------------------------------------------- Filled hYl/SS �/1 tr � Ground:-------------Roof i.:_60140 // w-, OWIIER I1IFORNATION // ------ Hethod of firm Ling I Property Owners -Szh- e_lv* CJG'�9 Phonet t----------------- --------- Roiling ----- Address ( day Se%Q / -cd ------------------- ------ ---- ----------- CONTRACTOR INFORMATION Contractor: 1 �j Phone t/ Mailing ------------------ ----------- -------------- Address: ----- --- _ zz --- License Humbert C 2�' V Expiration -------------- - ------ Datet----�°-7��'2---- , I HFRERY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND K11OW TIIE SAME TO RE- TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES OOVERNIUG TIIIS TYPE OF WORK WILL IIE COMPLIED WITH, WHETHER, SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES HOT PRESUME. TO GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULE.^„ ,� ,{'',f�� p�. RF.OULATIO1t5, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION an TIIE *� PF.RFORMAUCE OF COIISTRUCTIO14 OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF TIIIS PERMIT IS f ^ \ I•'il.s,. CI7tITII10F•IIT UPON THE ABOVE It1FORMATIDN BEING TRUE AND CORRECT AIID TIIAT TIIE PLANS AND SuPPORTINO j•1., DATA IIAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. 1'Y , N Owner Signature Date ........................ ,------ -------- ------------ ,,{ yA�*�:;.; Contractor Si nature __ te ------------ ?uiuoZ pue 2uippn8 ob- oi-h 0'66 �IdUJ s� qcolq :o 0 �j�.,,,,cl�voycUo��lvnJ f� i i Al h las3 6 b o� q �s /`c��- CSI/e, pho�✓� � o �.tw1 O i SG D N .5�lGV2t P p \ N N fo o � �o. �f f z 3o��c g,�.aGc in �t= Z Z- ��his 3 W'�ows �Pdq/mss S%Syl j� bbl. R-rep1c<cC A - OF 1 l in Ct �CLr�I c MAY 3 Building and Zoning - 9 -- --- --- -- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 _ --- _ PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24623 Address: 2027 SELVA MADERA COURT Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: SELVA MARINA Parcel Number: Est. Value: _-- Improv. Cost: 2,141.00 OWNER INFORMATION Date Issued: 8/09/2002 Name: JO BARRETT Total Fees: 38.00 s: 2027 SELVA MADERA COURT i Amount Paid: 38.00 NTIC BEACH, FLORIDA 32233 90 0 0100 Date Paid: 8/09/2002 P ( Work Desc: TERMITE RE A LIC N FEES -- CONTRACT O 38.00 HUSTON, CIE ORA GOO IN t� v z F- Ll M, 7 S 4 V t NOTICE- I PECTIO UST BE REQUESTED AT LEAST 24 HOURS„ IOR TO IN ECTION - BUILDING MATERIAL, BISH AND DEBRIS FROM THIS WORK MUST N E PLACED I UBLIC SPACE,AND MUST BE CLEARED UP Al+ HAULEDY EITHER CONTRACT OWNER ff "FAILURE TO COMPLY W HE Cf)NSTRUTNA SULT IN THE PROPERTY OWNER PAYING [l IM, — S" - ISSUED ACCORDING TO APPROVED PLANS THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. —__—_- .---- - — • OC ' 8M11 3102 *I Ilemipt no. N NTIC B C BUILD] DEPT. 14 pItS-dfILDING 1 • tIi1M 949 liK�.N Trans fE: 8111/e Time; i3:1a�4� CITY OF ATLANTIC BEACH PERMIT CALCULATIION SHEET Address 20.27 I PA-gxG,r �CllvliCJ> Date do' J>` O 2-- Heated Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch F @ $ per sq ft = $ L Deck �_@ $ per sq ft = $ Patio qS� 0� @ $ per sq ft = $ TOTAL VALUATION : $ r �Z/ / .s- $ Total Valuation 1st $ / 600 Remaining Value $,, per thousand or portion thereof TOTAL BUILDING FEE $ 2 + 1/2 Filing Fee $ / 3 ( ) Fireplaces @ $15 . 00 $ p BUILDING PERMIT FEE $ 3 O WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ 4p- ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 3Y.00 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : n l O 8 ?nn� City of Atlantic Beach City of Atlantic Beach• 800 Seminole Road- Atlantic Beach,Florida 32 =5`4d�' and honing Phone: (904)247-5800 • FAX (904)247-5805• http://www/ei.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS,MOVING OR DEMOLITION) DATE JOB ADDRESS -,20a APPLICANT ADDRESS PC 6L 7 SP� /� �C�G}'�tLt �T PHONE: %��Y` g-� y-' LEGAL DESCRIPTION: /`BLOCK DUMBER LOT NUMBER ZONING DISTRICT CONTRACTOR _. ole2 ` vs-� STATE LICENSE NUMBER el( _ 0. g Y, (o ADDRESS ago 0161 i � 6�0 55 %� c, PHONE 1F0/'d 70- dS CITY ,Ja X STATE A / ZIP _?a-02 FAX /moo Si- A,?o -16 e V DESCRIBE PROPOSED USE AND WORK TO BE DONE �/�N�' >° tem PRESENT USE OF LAND OR BUILDING(S) ,f�/'i✓a �� IPS 000""n ' VALUATION OF PROPOSED CONSTRUCTION V 7 Is this an addition? /l)O If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 02/28/02 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applicatio $ "AL'I 2k. M.P.. p� Cc�-�.issicn#1;0135917 I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH _I om MRECT. Eonded Atialltic Bonding CO.,1uc. SIGNATURE OF OWNER DATE 8- S - Q I HEREBY CERTIFY THAT I HC4 READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING.DATA HAVE VEa.0jR SHALL BE PROVIDED AS REQUIRED. Ai rap, Shan�l _:, ;Cc W issi a 11 DDl]5919 :�.+ _ Exr fires Judy 21, tOAs SIGNATURE OF CONTRACTOR �CJ]h'�� or ��;:••� ptirCc.,mcg` o a ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME 5h G�11 �� � 3 r E /MAILINGADDRESS PHONE FAX E-MAIL Ifocr.e SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE ! VUU9MUC11 k. k�;r Qmmissicu#L0135917 AS TO OWNER: ( Personally known ! `'_ = Expires 1u17 21, 20rf, ❑ Produced identification Type of identification produced "" ` °r Bo°`tag C�"for. AS TO CONTRACTOR: Personally known ❑ Produced identification Type of identification produced 02/28/02 NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending.upon materials used. Information verifying Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveways, decks or porches involves any increase in Impervious Surface area. Job Survey Debora. Huston. Date: a Z.=- 3 900 Old Field Crossing. Owner fl r r c k Jacksonville, Fl. 32223 pwnez-phone number: Z y�-- 93yS (90�) 270-05 80 Project address 2o2-7 Se l u A ►-r14CA- Project name: . . . . . . . . . . . Y^!\ ��. . �:T-Ic A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CI7V Of ATLANTIC 3EACr BUILDING OFFICE . . . . . . . . . . . sCAJ-e . dumber l Job description IP c —,vt 4 f 1 i �Odeh 7'7v5-,5 S y.5,1"2 '- I I H I N O 1 O� ll,)jZ i •�s 1 ,Y'F-E lit/ tel Building and Zoning I I � R n j r 9 1 I . "fQ 12 Y 1`�G ll II I I I . I . I t : 14 AY 3 .1990 Building and Zoning MAP SHOWING SURVEIL OF Go r -7-5P ------- S6 C VA AS RECORDED IN PLAT BOOK QO PAGES ___ .37 E37Q OF THE CURRENT PUBLIC RECORDS OF ,0004 L COUNTY, FLORIDA. FOR �� / SEG• 9, T.- 2 O o <5tq Qs Ia l'/ 4 as 1y.1 � Pa Q�0R� / a , -C-- h`!l� o A.� 3 GpnG. 'VA A 01, G O 7- Certified Certified to Frederick P. 2q°093/ Barrick and Joanne Barrick: �,� - 50.0 Commonwealth Land Title and 41- 2l0'�l 23" Duval Federal Savingp ,and Loan p`/'10 M Ay 3 '1990 1--� dirj_g and Zoning. T I HEREBY CERTIFY THAT THE LANDS SHOWN HEREON LIE WITHIN ZONE^—AS SHOWN ON F.I A.FLOOD HAZARD BOUNDARY MAP oco is , COMMUNITY NO. 000 DATED '18• B3 NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL CLARY, MILLER & ASSOCIATES, INC. LEGEND I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER _PROFESSIONAL LAND SURVEYORS MY RESPONSIBLE SUPERVISION AND DIRECTION,THAT THERE ARE NO �.y ■ CONCRETE MONUMENT ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN 4,C-41 SMAI E,','„”IROAD HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY JACKk?NVILLg, FLOR "A 32217 X-X FENCE THE FLORIDA BOARD OF LAND SURVEYORS,PURSUANT TO SECTION 1 �8. 9 472.027, FLORIDA STATUTES. -�'SO IRON PIPE SET SIGNED �F�R��4 QST 19 87 - • IRON PIPE FOUND SCALE Z" 30 ' ��cG�gt'j� �iL p.C5.7ERT c/d. � X CROSS CUT JOB No. CHK. By F.B. .___Sh5_._. P G MAP SHOWING SURVEY OF Cor2 5-6(1-' VA k/o 4P til i-r' Tc va AS RECORDED IN PLAT BOOK 4Q — PAGES _.__- 2ZE_ �-- OF THE CURRENT PUBLIC RECORDS OF _ f )OV. 1 L, __ COUNTY, FLORIDA. FOR �l 0�4/p4 COMA��rxi 4G Z:3 L �aQ> o� co✓r Cor � 1: �' � �:., ti / SEG 9, 7-- 2"s R- 29-E. 10 G0or, \ NDN a I(0' 4 �QO -1 09 0 'C� \n.'� S.o� � �• \g GpnG. ° °� LL 00 o A �. 78 AJ `�; • , a.Z" 2s' 57c5LYA M4DERA GT" QFF4,Q1 c/ 84 SED Al T I HEREBY CERTIFY THAT THE LANDS SHOWN HEREON LIE WITHIN ZONE_��AS SHOWN ON F.1 A.FLOOD HAZARD BOUNDARY MAP COMMUNITY NO. ZQD DATED— NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL N CLARY, MILLER & ASSOCIATES, INC. LEGEND PROFESSIONAL LAND SURVEYORS I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER • CONCRETE MONUMENT MV RESPONSIBLE SUPERVISION AND DIRECTION.THAT THERE ARE NO ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN 4041 SAEA)A?ROAD x-x FENCE HEREON MEETS THE MINIMUM TECHNICAL STANDAROS SET FORTH BY JAC 9AVILL , FLOR A 32217 THE FLORIDA BOARD OF LAND SURVEYORS.PURSUANT TO SECTION ( 81 jY O IRON PIPE SET 472.027, FLORIDA STATUTES SIGNED ��c44UA�?S� 1992— IRON PIPE FOUND SCALE Z 30 06'240 -n 4 AN P 6,gf x CROSS CUT JOB No. CHK. By F.B. —SGS_ P.G. 3� MAP SHOWING SURVEY OF - S6-6✓A 11oRTS 0,L!/T --- AS RECORDED IN PLAT BOOK 40 PAGES ___ 37 E374 . OF THE CURRENT PUBLIC RECORDS OF .00VA L COUNTY, FLORIDA.FOR F0�4/OQ OMME,4�i;4G clay MAY 11 1990 Building and Zoning •if - �S •OV J• Top •..... . ..• ,�• ' t4.c/ ,. (y� � O C � / Q � a - n� > 3 y Ij a a ly.'I o 1Q L R / 54 P 0 a 0.0 A�Fi 3 ? Gane O eG J. �. � � I •• ' •' coP Q X21 L'00 00. . 0 -73 AJ J Certified to Frederick P. �c%2�I°09 3/ Gtr Barrick and Joanne Barrick: � � - 50•0Y��) $0.44��) Commonwealth Land Title and d• 2�'iG' 23" Duval Federal Saving ,and Loan p�iio 57 6Z M40(5RA C X50•�/w� I HEREBY CERTIFY THAT THE LANDS SHOWN HEREON LIE WITHIN ZONE ^A AS SHOWN ON F.I A.FLOOD HAZARD BOUNDARY MAP COMMUNITY NO. /;?00 DATED -18-B3 NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL CLARY, MILLER & ASSOCIATES, INC. LEGEND 1 HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER PROFESSIONAL LAND SURVEYORS MY RESPONSIBLE SUPERVISION AND DIRECTION.THAT THERE ARE NO �� ■ CONCRETE MONUMENT ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN 4041 S . �E,N&91ROAD HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY JP.L KP UNVILL�. FLOR '`A 32217 x-x FENCE THE FLORIDA BOARD OF LAND SURVEYORS.PURSUANT TO SECTION I 391 g O IRON PIPE SET 472.027• FLORIDA STATUTES. SIGNED �FB/Q�)LJ�P`� 19$Z— • IRON PIPE FOUND SCALE 30 ��c�QZD Q 9/Z Q FpG5. ERT�C/d. 48 x CROSS CUT JOB No. CHK. By F.B. _-- C 5_ -_ P C. - ----.�C^--- CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner Mr. & Mrs. Barrick Address ' 100 North Charles St. Balt. zip 21201 Phone 237-2641 Architect Plan Shoppe Address 3000-5 Hartley Rd. Jax. , Flzip 32217 Phone 268-3354 Contractor Roger Joseph Address 4737 Dellwood Avenue Jax. , Zfl) 32205 Phone 389-4551 Contractor's License Nunber CGC 017884 Expiration Date 6/87 Copy on File yes Lot # 79 Block or Section # Unit 2 Subdivision Selva Norte Zoning SF Street 2027 Selva Madera Between Seminole Road and Selva Marina Dr side 20th St. Valuation $ Type of Construction 2 x 4 Frame @ 16" o:c. Purpose of Building Residential Nuiber of Units 1 ' Fireplaces 1 42" prefab Utility Service: Water x Sewer x w/ ou si e air If the City if providing water or sewer service, do we need to make. taps? no Dimensions: Building65 x 69 Lot 5ox173x99x128x1Size Footings 8xl6 w/2 #5 R-bar Sz. Piers N/A Sz.; Sills N/A Greatest Span Sills N/A Sz.- Ceiling Joists Pre Engineer6istance on Centers 24" Greatest Span Sz. Floor Joists N/A Distance an Centers N/A Greatest Span N/A Sz. Rafters Pre Engineer TrusseDistance on Centers 24" Greatest Span Method of Heating Air/Air Hq�­Pt5p Solid-Filled Ground Yes Roof TOrgNte--Class A _ Flood Zone A If located within a FLOOD HAZARD complete page 2 F.F. Leve . SUBMIT: I'wo complete ets ofp including a detailed site plan.. Florida Energy iency Code Sheets Recent Survey Inspections Required; 1. Mien steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POS;ED ON JOB. In case of rejection, reinspection MUST be called for after Rear Lot Line corrections are made. See Plot Plan In consideration of permit given for doing the L work as described in the above statement, we N r. hereby agree to perform said work in accordance m 2' with the attached plans and specifications, 6+ which are a part hereof, and in accordance rt rt with the building regulations of Atlantic Beach. r-+ Signature Owner Sigmarture Contracto F'rontT1otTdiie FLOODPLAIN DEVELOPMENT INFORMATION Type of Development:' x New Building Alterations to Existing Building Flood Zone A Required Floor Elevation 9.5 Actual (as built)Lowest Floor Elevation. If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "'lowest floor e evation is equal to or above the base flood elevation establisFied 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 : Z 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 developemnt. Date Sept. 19, 1985 applicant Is Signature ------------------------------------------ --------------------------•- Department Use Survey ,filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative ' i I , N y0t4,`t), lasSbbc.�°'� 2' Aqh S /`r��-- �'�tll�,Phoma✓� B a► A !/'ICG P� Z _____ --- q - _ 3ar�tv� 8�•�ce rn w.7 ,a�r�s �P��IGSS h4C-a N bbl.F�eptc� S nCj le- cc slc,I f c ( 14AY 3 i 90 Building and :Zoning -90 i t \ I rt r � 1 5 Q I_ I I i I _ ' I I • I I 1 MAY i99Q Building and Zoning MAP SHOWING SURVEIL OF or � S-6C' VA �/O�QTE- ti/i 7' TWD -------- AS RECORDED IN PLAT BOOK — do PAGES ___ 37 E37,4 — OF THE CURRENT PUBLIC RECORDS OF - C.2 V4 COUNTY, FLORIDA. FOR s- �: SEG• 9 77- 6. - r 0~ .... �a/ P0 5.5 �. LION V -76 A ,� Certified to Frederick P. 2�00-? 3� W Barrick and Joanne Barrick: \ �� - so•o<<-4) 50.440•) Commonwealth Land Title and J• 2' '/4 3" Duval Federal Savings „and Loan o May MAY 31:19() S6ZYAI 11-14DeRA Cr Building and Zoning AI IaL 4 T. I HEREBY CERTIFY THAT THE LANDS SHOWN HEREON LIE WITHIN ZONE '4_AS SHOWN ON F.1 A.FLOOD HAZARD BOUNDARY MAP 000 16 COMMUNITY NO. /000 DATED 83 NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL CLARY, MILLER & ASSOCIATES, INC. LEGEND I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER PROFESSIONAL LAND SURVEYORS MY RESPONSIBLE SUPERVISION AND DIRECTION.THAT THERE ARE NO ' ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN 4041 SNS- �E,,'.'IROAD r CONCRETE MONUMENT HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY JAGKQ ONVILLJE, FLOR '`A 32217 THE FLORIDA BOARD OF LAND SURVEYORS.PURSUANT TO SECTION .,,,/777 x•X FENCE 472.027• FLORIDA STATUTES. SIGNED < 1?04 q � O IRON PIPE SET SCALE 30 ' • IRON PIPE FOUND i ft C F?G5. ERr. ab.3348 X CROSS CUT JOB No. 1:�'�,4j::�, CHK. By F.B. .___���5 ._. P C;