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1515 Selva Marina Dr (vault) of ��,. e,ce� �got ��� Qum 0.10 pe Lb 7 / c`OcQ� O�o 3 5 �9,�CO- O (se�'g� F��aal om0 (�eceNe6 / atess P g�Q Q°fie 00% 0 G���E ca°c�O s Y '�o o\9 C �PQ�I Fla Qom. ` °t pcc-Q 0��ee g�ae .ple Ge��C Nw��,Q�NG / e Pe ��O° ae ecVol\ _ac�O� RECEIVED CITY OF ATLANTIC BEACH ' BUILDING & ZONING s. i,g11 CITY OF ATLANTIC BEAC MAR 1 12004 'Z, ROOFING PERMIT APPLICATIION "Dills) / BY: a Job Address: Owner of Property: 14h,1V es Tee Address: e Zvg: 1,VN-c 1!),.", Telephone: Contractor: e, .�j— t _<('./V�ta icense Number: Contractor's Address: -3,0 fA 3 2- Telephone: Fax: -Z- Scope Scope of Work: /'va J / /L / 6 C►i��'�(� �(�r��► 1��1 I 1 2-9�f Deck Slope: / _Greater than 2:12 Less than 2:12 Valuation of work: 9 1 Product Name(Example:Timberline) Manufacturer(Example: GAF): ASTM Designation(s): Required Inspectio - S ng an inal Signature of Owner: Date: Ile /b Signature of Contractor: Date: AS TO OWNER: o Sworn to and subscribed before me this f day of /L�G�'2v/( ,20 State of Florida,County of Duval „ )w Notary's Signature: ,GLORIA I.CASTERLINE-MCLAUGHLI'ti ❑ Personally known t .y MY COMMISSION#CC 976739 Produced identification f 7/ q (( '?oFn T EXPIRES:!tT&erg,z Type of identification produced PL� Z, aJIJ 1-gpp.3.fVOTARY FL Notary Service 8 Bont]inn � lI AS TO CONTRACTOR: Sworn to and subscribed before me this day of \/Z/Y ,20 - State of Florida,County of Duval Notary's Signature: 4?1�r° GLORIM.CASTERLINE-McLAUGHLIN' MY COMMISSION#'CC 976739 Personally known o0 EXPIRES:December 8,zow ❑ Produced identification � T FLMAWServioeaeonoing Inc Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 • http://www.Ci.2tl2ntic-beach.fl.us Page 1 Revised 221/03 CITY OF ATLANTIC BEACH PERMIT .CALCULATION SHEET Address_ k 571 S Date � •Cq Heated Sauare Footage ( ' per sq _ft = $ Garage/Shed L ��� _(�,� p e r sq ft = $ Carport/Porch �; @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = S TOTAL VALUATION: $ Total Valuation 1st $ Iity E ; s ,qr� Remaining Value $'j per thousand or portion thereof f TOTAL BUILDING FEE $ `7 + 1/2 Filing Fee ( ) Fireplaces @ $15 :00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : lyechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : .5 ASN. RETURN qH 0�E i NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 0 State of County of_ To whom it may concern: 0! QI The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following Information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: v co C .9 Address of property being improved: 0 G4 General description of improvements: Owner /Y/L e3 T z`4 Address Lr/,5- Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address / ! Contractor r Ale, Address Phone No. 2 s� �' Fax No. el Surety(if any) Address _Amount of bond $ Phone 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 Phone 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 Statutes. (Fill in at Owner's option). Name Address Phone 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-1 OWNE Signed: te: Before me this /L7) day of 27Xt2 in the County of Duval, State of Florida, has personally appeared Doc# 2004082355 Notary Public aarge, State of Florida, County of lDu Book: 11684 My commission expires: _ rC► c26�! Page: 546 Filed I Recorded Personally Known or 03/11/2004 0'x:43:11 PM �/ JIM FULLERULLER Produced Identification CLERK CIRCUIT COURT DUVAL COUNTY ��' GLORIAJ.CASTERLtNE-Mct RECORDING f 5.00 TRUST FUND $ 1.00 i cy MY COMMISSION#CC 976739 y COPY FEE $ 1•pp poa EXPIRES:December 8,zona t CERTIFY f 1.00 »oaararnHr Ft NMS saMo,a e« : - y , CITY OF ATLANTIC BEACH Cc. js r.- fff I� BUILDING / ZONING DEPARTMENT Higgins S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 0.4 - o2 7,8,34 Property Address: GS <SP_CV- i'YL( r�nc� _ r- d Applicant: R O rYAL n Project: 1 -r- This permit application has been: EP-'--/Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: :3� t� Sj Date: t4_✓ fi CITY OF ATLANTIC BEACH r) 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Ins)" Application Number . . . . . 04-00027884 Date 3/12/04 Property Address . . . . . . 1515 SELVA MARINA DR Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 Owner Contractor --------------------- --- ------------------------ LESTER, DR. R. S . ROMANO ROOFING SERVICES 1515 SELVA MARINA DR. P .O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 -------- ---- ------------------------------- - -------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 113 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9000 Fee summary Charged Paid Credited Due ----------------- ------ ---- ---------- ---------- ---------- Permit Fee Total 113 . 00 113 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 113 . 00 113 . 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. ,0, ( , 1.'k BUILDING OFFICIAL PSR-3844 9024 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION Li.-,�:ATION INFORMATION Permit Number : 902 4 diess , 1515 SELVA MARINA DRIVE Permit Type ; RE-ROOF Class Of W017k : NEW ATLANTIC ATLANTIC BEACH , FLORIDA. 3- Constr . Type: WOOD FRAME --------- LEGAL DESCRIPTION Prcivosed rise : SINGLE FAMILY at ; S I ock � S e C t i ctn Dwell-inas : 1 Code: 0 Township : RNG* 0 RFtifPated Value: 51505 .00 ubdivision: SELVA MARINA Improv. cost : ; 0 .00 T',tal Fees : $22 . 50 Amourit voaio .- S22 _50 !94 )I#M�`TWFORMATION ---- APPLICATION Add: PERMIT RPRINA Uf�i­ WATER IMP ICT FEE A T z 7nA ACH , FLOFID'A 1MPACT FEE RADON GAS-H. R . S . CQNTF.AQT0R , jNFORMATiON RADON CAB 5% NiMe . r-ANIkL- R. GRASTON CAPITAL IMPROVE. FOXHUNT, TRAIL SEWER TAP TLLE, FL 32250 ("ROSS CONNECTION Typo: ` ,;EC H IMPACT FEE CONST. SURCHARGE NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER BUILDING ENGA MATERIAL, RL U'L I M T L' CLEARED EARED U P AND HAULED C T FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN P OP T_ HE PROPERTY 1 THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. .__ __ :: I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CIT? OF ALANTIC BRACH ROOFING PERMIT APPLICATION Owner(s) : 57,,� Address : >.SIS" SENA elh-p „J4 pR Phone: X49-�'49y Lot ; Block or Unit Subdivision- Contractor : J7cn/ Address • &4p z City, State and Zip_ .Ti4c�.�y>L�E Phone State License #_9C- c> Describe work to be performed: RfcJZvof FLA7 Valuation of Proposed Construction:__ Materials to be used: C.*/1S7A Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information FOR OFFICE USE ONLY Date--,.;w...,F'. --------19 .,.... ' p�J Permit # /13 T.l--...Fee$.. ... ...... CITY OF ATLANTIC BEACH Valuation $ �--- .............................. FLORIDA House #.../. .5,.. �_.. ...... ........................................................................... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ""�� A / Drate. ------------------------•---,- 19/.---- Owne -+.I`-..L _ A_ ---------- Address ��� 1'� lob lephone No..A.VQ..•ay/ Architect-------------------- ------------------------------------------------------Address- --.---------------------------------...................Telephone No..-------------_---------- ContractorBuilder-- . . --------------------------- ------------------------Address------------------------------------------------------------Telephone No.---- ------------- Lot No.--------/ ---------------•---------------Block No-------- T_----------------Sub Division---- -----------------------------------OO----------------------Street--------------------------Side Between-- ---------------------------------------------and--------------------------------------..............Sts. Valuation $---7.1.0_-----_------------For what purpose will building be used-----16:440000"---_.-Type of construction_-_-_-__..._....._..-__-.__...-------- Dimensions of Building-47X_Z_Z.�_p---Dimensions of Lot _T-O-x..I�. ........................ :Size of Footings _............_ . Size of Piers__-__ _________________________Size of Sills---- -__ -__ _ .. .__ -__.Greatest Sill Span in ft-----�------..____._Type Roof....'' M How will Building be Heated?-_ _------_---___-___-------------Will Building be on Solid or Filled Ground?___ -. A Size of Ceiling Joists_!.-X�____-_--__-__--.__-_-, Distance on Centers___-_��....___-_-I--------..__..., Greatest Span____..1A.-I__-----------------_---- " Size of Floor Joists------------------------------------ , Distance on Centers- - -- ------ ...................... Greatest Span----------------- ........................ „ N 0 Size of Rafters----------- ------------------_-�------_-- - -- , Distance on Centers........ �L -------•------------- Greatest Span.------1.4----------_-_------------ » This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z /�G' Z 3. When steel is in place and ready to pour beam. '� a 4. When framing is completed. O,-a '�.•— s 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City �o'f`Atla is B _ Signature of Builder.-7_...: Address-?4V1 _.. /i_._ �. - Signature of Owner._-.`, . Address = ,.. fes• � � ,.�,�, .J W c Or q � a = Q�z . i J � • 1 1 J' } 1 MAP SHOWING SURVEY OF 1116v _ AS RECORDED IN PLAT BOOK_Z7 PAGE6;,K + _OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR_"A,6_ LP__-+—CTA�ILZ�L I �•Q.4, V ° t �) PE�vCE Got'• TO L,Ni ►`'. d i , ,:'8°O1'. >'•E76.03' ,Soa�va.Z^lilav. ,� �SEr //t••/KO,V r i NOT.f: • .ZEl.. t5:41&V_f>-oR ,Va. '.Z.74 FLA • PECf/ECK r0 FEf3. 9 / 97/ 7-a 6R/,V<; 5a�z✓EY a.�-To-Oso fE ,4550C 1,4 TE 5/ INC. HEREBY CERTIFY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THERE ARE NO ENCROACHMENTS. 9 � SIGNED_ 53 SCALE: / i� - REGISTERED SUR�EYOR O. 320 FLA. w _ ORDER NO. -- - FOR OFFICE USE ONLY Date.-__-! 146 ------ ­�&_1951, Permit #_'//](.4__ ..Fee$----•-- - TOWN OF ATLANTIC BEACH Valuation $-_.__. - . ----------- ---------- FLORIDA House #----- -- ---------------------------------- ---------------;'� ........../J_—J lj� lf - -....Or ---- APPLICATION FOR BUILDING PERMIT --------------------------------------------------------------------------- Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date-------------- -------------Z-3------ ------------Z-3--------------- Owner-------, t4o------_4--4,Yk,0------_4WA >../Volit-Address-----92--54_ _;K_IUS 4 Telephone � ' N- Architect-----------------------------------------------------------------------------------------------Address-------------- -----------------------------------------Telephone No.---------------------- Contractor o-------------_-------- Contractor Builder----------------------------5 e f457--------------------------Address---------------------S_A �---------------Telephone No.......S'4.ef-r Lot No..---.r------J&------------------------...Block No----------3-----------------Sub Division-67F AIrAT-_?WIWA-------4o0V4tr,.0---Zone----------------- ------A44---------Street__.,J9v4SrjSide Between_i5E/l 1A424__r_---ARA--------and.----------- Valuation &.00-------Forwhat purpose will building be used......OW_"_k* Type of construction----,Al+.S Dimensions of Building----------------,/ Dimensions of � Size of Footings---------&-4-A-nip-------- Size of Piers---------------------------------Size of Sill's-------------------------------Greatest Sill Span in ft.-.---------__------_-Type Roof---J_16Z/.....46r---0 How will Building be Heated? Building be on Solid or Filled Ground?------------5-41-41--h--------- Size of Ceiling Joists-------------- --------- Distance on Centers----------- ---161. -0-----4 ___, Greatest Span-------------- ---------------- 11 Y6--- ci-o' ft Size of Floor Joists------------------------------__-------.--, Distance on Centers--------- ----------------—------------- Greatest Span------------------------------------------- Size pan-------------------------------------------- Size of Rafters--------------------- 4{-------, Distance on Centers-------- --_--146' ___Q...Coo---, Greatest SpAn.. ,/---Of 2 ------ 54roPoPo!of r-5 A7- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is inp lace and ready to pour beam. a a 4. When framing is completed. 5. When rough plumbing is completed,'and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT �w In consideration of permit give I n for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of Atlantic Beach. 7= - $!�� :� --- ---- Signature of Builder-----------74. 4.ew .1 4 to----------­ 0. ..... ----------------------- -------*--------- *kddress------------------------------- ------- ...... Signature of Owner-------------- Instructions to Builders and Contractors building or working it the Town of Atlantic Beach No work on any building shall be started without obtaining the necessary permit. 2. No changes in the approved plan shall be made without the approval of the building inspector. 3. Inspections: The following inspections shall be called for: A. Foundation, when steel is in place. B. Plumbing, rough. C. Lintle, when steel is in place. D. Framing, before any wall covering is placed. E. Electrical, City of Jacksonville. F. Septic tank or sewer, before covering. Q. Plumbing, final. H. Final, when all work is complete. Any concrete poured or work covered without the necessary inspection shall be removed or uncovered at the request of the Building Inspector. 4. After the final inspection and upon submission of a drawing showing the size and location of completed building on lot to the Building Inspector a Certificate of Occupancy shall be issued. No building shall be occupied before said certificate is issued. 5. Plumbing permit does not cover sewer connection permit . 6. All contractors and sub-contractors shall have occupational license issued by Town of Atlantic Beach before doing any work within the Town Limits. Contractors shall furnish certificate of liability insurance when obtaining license. 7. The penalty for violation of any provision of the Building Code or of Ordinance ,x}186, shall upon conviction thereof be punished by fine not exceeding $500.00 or imprisonment for not exceeding 90 days, or by both such fine and imprisonment. 8. Copies of The Southern Standard Building Code and Ordinance #1186 are available at the Town Hall for reference. 9. When a sidewalk exists across front of building lot, said sidewalk shall be placed in first class condition before final inspection is requested. I have read and been furnished a copy of the above instructions in connection with Building Permit No. Y . Date , Y6 J01 Signed n' APPROVED I�► SCR �,_Zo, -Architectural Control Commlth! ».:. ' .. ................... ... L • DATE..NNNI.111\NMI.N........N.N.INI\III«.NNN.1..• I 7S -o I i a 39 2- c, P, ,y3 20 ` 4 V� c Of ifpj?o � p QV/L p/�/VTj�� ate ✓� `C QFF/ EqCy ��T /L l31,��k ��....E},--�R�wAJAI ►1r- •�- -___--__�..