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1530 Selva Marina Dr (vault) JOB ADPRM /5 3D acs n PE FORK PR®PERT's OTER �,4 o ,gym ai mTELEPHONE CONTRACT'OR �� TELEPHONE PERWT NUAMER DATE MPECTIONS: FOOTflVG TLE BE" NAlL17vG/SHE.4THVVG 77 FRAWVGICGVER UP - EVSULAT ION FWAL BUILDr�wG l CF-R77FIC4TEOF70CCUPAIVLT L C7WCAL IPJSPECTI€NS ROUGH � FVVAL ,MECHANICAL PERK EVSPECTIONS PLURMVIG PERMM EvSPECTIONS ROUGHAWDER SL4Byl � --9 g T OPOUT WAT'ERISEN ER FEVAL I NOTES: W le CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 1,1 9' INSPECTION EMAIL REQUEST: Building-deptncoab.us Application Number . . . . . 07-00001586 Date 12/06/07 Property Address . . . . . . 1530 SELVA MARINA DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 125000 ------ ----------- --------------------------------- -------------------------- Application desc kitchen and covered porch addition ------------------------------------------------------------------- --------- Owner Contractor -- ---------------------- ---------------- -------- MOFFITT GENESIS BUILDING CORP 1530 SELVA MARINA DR. 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 535 . 00 Plan Check Fee 267 . 50 Issue Date . . . . Valuation . . . . 125000 Expiration Date . . 6/03/08 --------------------------------- -------------------------- - ---------------- Special Notes and Comments *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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 31 ST CONSTRUCTION SURCHARGE 5 . 62 AB CONSTRUCTION SURCHARGE . 62 STATE RADON SURCHARGE 5 . 93 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 535 . 00 535 . 00 . 00 . 00 Plan Check Total 267 . 50 267 . 50 . 00 . 00 Other Fee Total 12 .48 12 . 48 . 00 . 00 Grand Total 814 . 98 814 . 98 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. uuP.i i out.commaoorgiassictear/pc_thermal_pertormance.ph ' Building Value CODES I GET INFO I ABOUT O Into Building Products' DOORGLASS SKYLIGHTS DECORATIVE WINDOWS ENTRY TREATMENTS PRODUCT INFO Doorglass>Clear Doorglass>Product Info> Performance&Codes Product offering features&benefits Thermal Performance painting&finishing ODL Doorglass can be used in doors to meet Energy Star criteria ODL Mass can Performance&CodesSlam&Cycle Testing throughout the United States.Thermal performance values for be used m doors • to me4t Energy Star Thermal Performance different door systems are in the table below. criteria • Water&Air Resistance • Sound Transmission NFRC thermal performance ratings are determined for a fixed set of conditions and specs • Design Pressure. severe weather doorglass Decorative 1"Clear Lowe warra 1"Clear Glass Doorglass Glass Door system configuration U factor SHGC U factor SHGC U factor SHGC with full glass 1 hermal Fiberglass door—polyurethane Performance 0.29 0.20 0-29 0.22 0.33 0.25 core ' Criteria %`r for Canada Steel door—wood edge—EPS core 0.30 0.22 0-31 0.22 0.35 0-25 Steel door—steel edge—EPS 0.36 0.22 0.37 0.22 0.38 0.26 core Click here for a complete table of thermal performance ratings. Performance Criteria The Energy Star®Windows Program is a voluntary partnership between the Department of Energy(DOE)and the fenestration industry(NFRC)to promote sales of energy efficient windows, doors,and skylights. Regional thermal performance standards as defined by DOE for 2005 are presented below. Local and state codes are developed using Energy Star standards as a guideline but may be more or less stringent. Climate Max.U- MAX. COPY Zone factor SHGCFILE h;ro rG+rNt.Icr North 0.35 Any 3wlht-rrrtr(]rr� North/Central 0.40 0.55 South/Central 0.40 0-40 Southern 0.65 0.40 U-Factor:Overall thermal transmission.The lower the value,the slower the rate of heat flow. SHGC/Solar Heat Gain Coefficient: Portion of directly transmitted and absorbed solar energy that enters interior.The higher tNerueh*J2Ger0i._0ee6tf *ti®btsj4irDecorative Windows I EntryTreatment/ dw ©ODL 2004 Privacy Statement f 1 4/3/2007 4:02 PM i R-IAC T4,Pl XC i S\•r 722\fL+.54 If 11.51-1. -- -- -- O• (A A W N VlZy C7 n�� ;y y--I m m (n y -1 m200a2 2 m �22m-tXr2 D�0�02!'tO C) � D M!D nmD rr��mmm2 C4 T O �C to mit" U27 to to ~DZ C)m (A D O 2 tit 2yCInc�nbmO m O U r r r m t r r r m c�r i n C U A m<Um '<Umm O- UAO O 1 m=i -i tnOC tnZOA C tnrA 2�UC�nm OOmp O Z C n0 jA_rrrrrr..+A..+�� rA�t- m mUm 2000 ZtZi1 ym2 pull �j� -I rrS:9012 m�oom�F O'i0--� to o m no� 0m?v'z zmZ 0 miy'Ea2 m mz � �m 2 A O m Apy ;m mn_.NDC mEn�=C pn mU m A ~ 5 �n Co om[w�m; oK ami zoom r' 'o Aoom '� D momo;•m2nv ; ;x.�D�D oA�o o�oZ C7 D Z x n yz 2 y m o n mZ o 2 nA� r mr+� -i r- m rn r m r 0 0 O �m :k Cc: -. r�� n .�� 0�;02 �7(E ~ O D O m m r Cm -tm�70m_, O O T� o o o oz mo a . �� m56 ono �mZn ZO m �mcn Z tUiT O n 2 -nim -..*it mZ . 9 zZ m�2yy mmOm p (� to w m m o o 000 " "v� ? -,turn C)L' o x L7 --0-1 tmi y z m ?omomo itn o ='^ �'yzC) �n�z rn D - �z O O -1pFzz A Z m r � m;20 CID -j .�.� O Z to Z -+ Z m<m O y�y_En CIO A to r' t2i U Z y °f i m _ trail m 0 2; U Z=_ TT T11 rn ao f<� O Q En ={ y O n Cn to m Z m 2 Z D 01 M t• o z Agmom z n Dz=< C) � y C7 O_AN in N ZO nO CA In mmo0 r m r.1 r4 ��o t, ��, o �� m m s m n y m O D-r- 0 F O C C m~py 20 M OOA �n�2 D o o A � z o�om ��m m Q a n In� N o c � o<oy �omi p Ln ANm CZj !n O m _ m U ED U 6'8" = 79.25" MAX. z' 66.1 MAX. _N _ O • • N OD • r Z 21Z 2 VZ U A O O C C m m r Ln O m m r O 2 rC- O O tQ mm Cj 2 n lT m u U u, m Tl~ zw O O O ( ImD AO 0 m to U cn to m A i O O O A 0 ym o00 + C21 + + + Z [n U U U O O m U p G� Ln O O O uy oLA 1 p N O O O N Z MIMAX �+— 6'8" = 79.25" MAX. g * PRODUCT: 7 g NON-IMPACT G� co�sE,awrry, Nc. ^' DOOR GLASS ASSEMBLY ✓Lu �.o. �e. 230 Ww_ rL. 33Ev _ I \ Q U ✓3 -t A Ph M W_ e/1WM.wli� A PART OR ASSEM@LY. rlo. * r pr p p A ELEVATIONS, DESIGN W M73 NO DATE 9Y TYPICAL PRESSURES h GENERAL NOTES 't•-"os- REVISIONS w.,•e,�W. � „�� R'.%ACT14 Pr XCTSVr722VL 15LtFL-L54.?,-G ---_ _--— 74 tn Ln I I rn I I ',n ca m I _> I I CI V N N — ------ 4. ___—__ L1 � Q O O o 4. o Z �_ A 2 O pK) tn� ; m; r`mi0 cn nry00 O X r fJZ p 00 O�l� V1 2(n0= m�Z ,\� V1 O Wr OOA at75 O 7 -trm c) `"�f rn �z av U o wp �j(A 1 1Orn\ 2. U D mm yr Z z ;Dc '^ ov2 �7 v 0 z m to ED N V An ( Woz mp VINul m m Amo c�0o • 1 L'• �;oz �z sm N Z= r N O O FiOF m z m v m N\ 63.0' MAX. D.L.O. HEIGHT 66.1' MAX. OVERALL FRAME HEIGHT ti LA U U: U� z O m v c» i A ; �rAi n �A Om Orn to v m vi o o m En o to o r4 'n c rn< 9 m_ 1' NOM. ?; a .50" NOM. c c .125' NOM. u m rIA GLASS THK. N m 'GLASS THK. ; °; GLASS THK. a\o O y n ms vC fD7 m0 O; m0 % sO N2rn En Ej N C�Vy �j 1 CO VNl Z;a 0 in my 0 v W LD C cryo o Z U N � Ln L7 Z r v \\\\\\ 0 o \\\\\\\\ r t0 \\\\ to \\\ to \\\\\\\ \ \\ ii PRODUCT: NON-IMPACT coreMatA�� .c. I o DOOR GLASS ASSEIL?LY ./� ad. �..7tp v.nye fi J76�6 z N rwow.M. •.aa.r+n Q :. y p PART OR F��6w ./ �� N O �� _ NO DATE 6Y TRADITIONAL CROSS SECTIONS h ��3�iS� -REVISIONS GLAZING DETAILS R'%ACTiw PWACTS\Fr722\FL�51IFL'51-3.pNc -T�rf��r v N m N m � m r v In D D [[O Nm O (nmm lno m tno U N - A C AlnCA N 1' NOM. w o n p GLASS THK. w --J w, m e m mmm 1 o O Z 00 �m0 Fi z cn n�= o 0' o n O r O n�Zm m A 2zo mO o Z� ti;\ N to O A z�F DO 01- V O m M>Z G7 C Z 7 11 <m ^ omo L1.819' 1 � 2.84' o i z j m m 0 0 z u _ ^ Ln o m O A UO X00Ic bz p�N �T �_u 0NN r d m �r0 Az Ong OGo �z2 t-U lnoo Ivof m mrT�Z- A N f N 63 0' MAX. O.LO. HEIGHT---- 661" EIGHT -- - �� 66.1' MAX. OVERALL SMART DOOR GLASS HEIGHT PROIXJCT NON-IMPACT GD caTwwr7, Nc. DOOR GLASS ASSEMBLY ✓l. ►.o.�..t3o..rao rt aseoe A z N P++..wn:eTaeee eTn PMT OR ASSEMBLY: �O �d M Eftok . NO DATE 8Y SkiFRAME CROSS SEC & GLAZING DETNLS TIONS 5 EASIONS r..w.�t N,, aTy R.\AETry PKCTS-722\FL-5LWLyU, 66.1' MAX FRAME HEIGHT w m � N Do Z� m� 3.25" m �Z =m -i �O x Or r2 2;t O2O xNL^ymx�m�mC T}cin �m�my D GUi I ti am. Z O 10.5" MAX. �p O.0 �m� o ^'A 325' cNn ;a v(Do v) m r " 'of �>I f z O -- 63.0" MAX. D.L.O. HEIGHT o I � 3 2 66.1' MAX. FRAME HEIGHT m— m 4 Z7 � D - o m :D =ox 3.25" .m x V 10.5" MAX. O.C. 3.25" IL ;o ul m 63.0" MAX. D.L.O. HEIGHT F. ox n r 2 AN � m sAs C m A A F m A 66.1" MAX. FRAME HEIGHT 8.9" mOC 8' m U N \ N \ p p p O r \ m U D p N Op y =D U 2 mU d rn 'x ---- 63.0" MAX. D.L.O. HEIGHT m rn t7 ,Ln p X Z L D 66.1' MAX. FRAME HEIGHT O (AO Z Ln = m NM m 2pZ m ory� 8.9" h� OC 2.8" o A 63.0" MAX. D.L.O. HEIGHT ^� F 0 -i 0 PRODUCT: ppo.r..�.b �yb M NON-IMPACT a DOOR GLASS I b z N ASSEMBLY o.o. A. zio v+we st 3aa�e PART OR ASSG/BLY. Pb�aa � w a4o . NO DATE Y TRADITIONAL & SMARM13 T FRAME �^�.� REVISIONS ANCHORING LOCATIONS � w, 54156 CM-01110A 06PARTMIENT 11 ommunity Affairs, BCIS Home Log In Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Product Approval Oits USER: Public User • Product Approval Menu > Product or Application Search >Application List>Application Detail FL # FL5165 • - Application Type New Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Simonton Windows Address/Phone/Email 1 Cochrane Ave Pennsboro, WV 26415 (800) 746-6687 ext 4825 patricia_robison@simonton.com Authorized Signature Patricia Robison patricia_robison@simonton.com Technical Representative Chuck Anderson Address/Phone/Email 1 Cochran Ave. Pennsboro, WV 26415 (800) 746-6687 chuck_anderson@simonton.com Quality Assurance Representative Miami-Dade Building Code Compliance Office Address/Phone/Email 140 West Flagler St. Suite 1603 Miami, FL 331301563 (305) 375-2901 ftldade@aol.com Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency Miami-Dade BCCO - CER Referenced Standard and Year (of Standard Year Standard) Dade County Protocol 1994 TAS 201 1994 TAS 202 1994 TAS 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 08/30/2005 Date Validated 09/02/2005 Date Pending FBC Approval 09/26/2005 Date Approved 10/11/2005 Summary of Products FL# Model, Number or Name Description 5165.1 5500 5500,StormBreaker, Vinyl DH Limits of Use (See Other) Certification Agency Certificate _ Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: PTID 5165 I 03081305.pdf Impact Resistant: PTID 5165 I 04042103.pdf Design Pressure: +/- Verified By: Other: 5500, Vinyl DH 53x71 DP = + 50 psf-50 psf 37x76 DP = + 65 psf- 70 psf 37x72 DP = + 55 psf- 65 psf 28x76 DP = + 65 psf- 75 psf See limitations of use listed in Notice of Acceptance (NOA) # 03-0813.05 Missile Impact Rating: None For use in HVHZ requiring the use of approved shutter system. 5165.2 5500 5500,StormBreaker Plus Vinyl DH Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 5500, Vinyl DH 53x71 DP = + 50 psf-50 psf 37x76 DP = + 65 psf- 70 psf See limitations of use listed in Notice of Acceptance (NOA) # j 04-0421.03 Missile Impact rating: Large and Small Missile Impact. For use in HVHZ. i Backi, �Nextl DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824,Suncom 277-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved. Copyright and Disclaimer Product Approval Accepts: OJ ® ;k lrerrN � 0000�� EAi1. �)MO'F MIAMI DADE MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) Simonton Windows One Cochrane Drive Pennsboro,WV 26415 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION:Series 5500 Storm Breaker Plus-PVC Double Hung Window APPROVAL DOCUMENT:Drawing No.S-2361,titled"Storm Breaker Plus Impact 5500 Series PVC Double Hung Window",sheets 1 to 6 of 6,prepared by R.W.Building Consultants,Inc.,dated 04/05/04,with revision#1 dated 06/24/04singed and sealed by Wendell W.Haney,P.E.,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence pages E-1 and E-2,as well as approval document mentioned above. The submitted documentation was reviewed by Herminio F.Gonzalez,P.E. NOA No 040421.03 Expiration Date:August 05,2009 te Approval Date: August 05,2004 Page 1 Simonton Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. S-2361,titled"Storm Breaker Plus Impact 5500 Series PVC Double Hung Window", sheets 1 to 6 of 6,prepared by R. W. Building Consultants,Inc., dated 04/05/04, with revision "#1"dated 06/24/04, singed and sealed by Wendell W. Haney,P.E. B. TESTS 1. Test reports on 1)Air Infiltration Test,per FBC,TAS 202-94 2)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 3)Water Resistance Test,per FBC,TAS 202-94 - 4) Large Missile Impact Test,per FBC,TAS 201-94 5) Cyclic Wind Pressure Loading per FBC,TAS 203-94 6)Forced Entry Test,per FBC 2411.3.2.1 (b)and TAS 202-94 along with marked-up drawings and installation diagram of PVC double hung window,prepared by Architectural Testing Inc.,Test Report No.ATI-01- 48833.02 dated 04/14/04, signed and sealed by Joseph A. Reed,P.E. C. CALCULATIONS 1. Anchor Calculations, ASTM-E1300 and structural analysis,prepared by R.W. Building Consultants,Inc.,dated 04/18/04 signed and sealed by Wendell W. Haney,P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office(BCCO) E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 03-0421.02 issued to Solutia, Inc. for"Saflex IIIG" dated 01/08/04,expiring on 05/21/06. 2. Notice of Acceptance No. 00-1212.04 issued to E.I.DuPont DeNemours for "Dupont Butacite®PVB"dated 02/15/01,expiring on 12/11/05. F. STATEMENTS 1. Statement letter of conformance and no financial interest,dated April 16,2004, signed and sealed by Wendell W. Haney,P.E. 2. Statement letter of no financial interest dated June 17, 2003,signed by Allan Crum. 3. Letter from Simonton Window, dated June 17,2 3,designatin ck Wright of R.W. Building Consultant Inc.,as the contact p rs for this c o F.Go lez,P.E. Director, uct Control Division NOA No 040421.03 Expiration Date:August 05,2009 Approval Date:August 05,2004 E-1 Simonton Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED G. OTHER 1. Letter from consultant stating that the product is in compliance with the Florida Building Code(FBC). 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(Circle one): Yes Describe in detail the type of work to be performed: O(�� ktMqe,7 --/- e-o veE' IDC)X c Property Owner Information (name: 110 ff/Tr 329,4/7 d-11"fIL ei0l? Address: JS-30 S'f,4M/"1**4/11 nom' City 14T-4?* c- &g cN State Zip -3-;,�3 3 Phone �Vf Contractor Information: Name of Company: e-Si S xzy— CD,<'P Qualifying Agent: ,/7 //�70 Address: /S'8" /ylf ()A7- JW City " State Zip 3 y.73 Office Phone ;;'-+/-0 Job Site/Contact Number --s7-4-x--/6 o k State Certification/Registration# GL cOffice Fax# a;�J-0-3 Architect Name&Phone# FxdNil 7 3 -;I-I-6 Engineer's Name & Phone# deo f"r– 5 5-7-121U 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 taws regulating construction in this jurisdiction. This permit becomes null and void ij 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 anytime after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of 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 other federal, state, or local taw regulating construction or the performance of construction. Signature of Property Owne R Signature of Contractor: Sworn t and subscribed before Sworn tQand subscribedebome this j Day of this:�Day of � � v T-/ 11 i�d�s Notary Public: wlum y 1?"K Notary Public, State of Florida My comm,exp. Oct 19. 2011 REVISED 03.05.07 Comm. No. DO 714216 HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Nov 27 2007 9:41 AM Last Transaction Date Time Type Identification Duration Pages Result Nov 27 9:40AM Fax Sent 92410326 0:50 2 OK rs�� CITY OF ATLANTIC BEACH PERt BIDING / ZONLNG DEPARTMENT APPLICATION 900 Scmirole Road -7 Vlantlo Beach,Florida 32233 (904)247-5000 (?04)247-5945 Fax vnvw.coab.us APPLCATION 7CKING FORM R IRED _ DEPT: Y m PLr'ANINING Property Address, 14 bb 1 10 V� Y G�9 BUILDIMG ftntDcr: W PUBLICwaRKS -Applicant: l U� � a Y w PUBLIC UTILITIES Y M FIRr=DEPT- P>mjec'se Y 1 I Y M PUBLICSAFETY v ACLU) L APPROVAL C C] i REQUIRED AGEN--Y: RECEIVED GY: INITIAL: DATE: UJ LLL Y N I D-E.P HUFSTETLER sa Y AI S.J,R.W.M- CARPER W 2 N ARMY CORPS of EMG CARPER F- C Y N HOTELS&RCSAURAN S HUFS T E!'LER APPLICATION STATUS CIRCLE ONE: SI = BUILCING D AP REVIEWED BY: INITIAL: DATE: ® 1 ST REV PLANNING BUILnI�C ® ® 2ND REV LICV PUBLIC UTILITIES =IRE DEPT. PUBLIC SAFETY ® ® 3RD REV Relmra ON foam to tha Ed-Ndina Devartm.ent once-_�uaa have eutered,ccuir comments into the 5409. �-d 9689-ZVZ-V06 swelsAs u0i;ewj0}ul 0L6:60 LO 60 AON z O D J W � F- a Ucr m Z M 0 yU Q m m N) W O m Z m. .(1) > g 0 0 Z O z O H U Q m Cl) H H `Z Z Z 2J CW o G U Z O 00 wz U U) zN ?� 0w ao W U) LU W c a) mO cn y p cn rn c Z -0 ° E 3 a) o (Ir a) _ E N a .� -6+ fn Q in _ c w Q � L W Q w — N a. O m O c L a) o UJ N C p O m O m Q 11 l __ p C N L p Q L VI E C C M .. ' — p O § C . O E O c 0 �I oma) � M --- E -a ° gym CL ci ►- c c cn in = v — � O O C U) Q a) a) E m m 8� 7 U a 3 a) a) o W O .� N C C C O ll m a L O 3 a) - C L E m Q to c O M ° 3 C: �° o a ° N0 �' m � ac) (n 0 -� - c r z a) o N s �' � + LL .t° m E m c c �1 O o o mm co U � H aNi o E -a O m _ � ° � ~ io cot � a��•+io c w � aoo (A 3 ca) � Q U � O U C C L L > C 1A a) C p LC O > _�N Q a) O 0 Q v_ cu m o m o r. co Q m L p C O w E E WU c � W ° _ op` Q �' cn .> � -0Li>, , `n `n acayopa � a°) a o m J Noa °) m ° E 3 � a) c mL N o _m rno ca m o ( U U m O 'd O C O C m 'a ° C) N C U U of O N m C C N Z U c + O �+ O m 4iQ O U m a) p N fn m N m Z O ` cd m '' a) v> m M F— d - C 'Q a) m m c C: umi U C S C r N S E to +0' E m o m 0 U L p O a) a0 — C N E U V> Z LL LL o c ` m a oy M °- c E aU C � m a) 0 3 is a o ° a oa 3 dc°o d � co me .. � E Lmo p` 1 c5 (D w` ccu F- Z v cam C7m � a � o >- o am � a � � � c m W r N N r- N r N rn Q 2 cn a d � � � a0 U D. 0 •N d o 0 o c0 N r� LV +� Q m a) m O c c ri co oo 06 L) p Q a p p cn CITY OF ATLANTIC BEACH PERMIT J °00 Seminole Road �U V �Y -- - Atlantic Beach,Florida 32233 (904)247-5.00 (904)24',-5845 Fax vJwnw.coab.us APPUCAT�ON TRACKING FORM RE RED DEPT: PLANNING x®pu �r A1d�aysge ��Vl� �IIa �i�cc. r' z tY N, BUILDING I— N PUBLIC WORKS AppHezH1 t: rr £ S �d� C0 e} 0IN PUBLIC UTILITIES f V N FIRE DEPT. P;wojec to �- -chg-r, Zeevia Y N PUBLIC SAFETY w APPROVAL U o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w Y N D.E.P HUFSTE T LER ¢ D O �8 S.J.R.W.M. CARPER �w wVNY ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFS T ETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INI L: ATE' ® 1ST REV rr /W,00-rytitcr OlroA g d, 0 11 PLANNING 2ND REV BUILDING J PUBLIC WORKSA • 1 I �� r�� PUBLIC UTILITIES v ��l-0 6 I rl v Y FIRE DEPT. 60 ;0 �� PUBLIC SAFETY 3RD REV Return this form to the Building Department once yuan have entered your comments pato the A8400. CITY OF ATLAriTIC BEACH PERMIT BtaL DING / ZONING DEPARTMENT APPLICATION J' a,Stir 000 Seminole Road Atlantic Beach,Florida 32233 ,— 1.OQ (904)247-5000 (904)247-5845 Fax , — www.coab.us APPLICATION TRACKING FORD � .._ REQUIRED DEPT: Ed PLANNING Py Ce 'Address, / t7 �G/�Iki �J//!� �1 7)GLi z Y P4 BUILDING PUBLIC WORKS Appfics` nt- L 73 -� L4� �� 0 PI PUBLIC UTILITIES /f Mo1 1 / Y N FIRE DEPT. P�"QIjecte .4 ,1 : 'Z-0A�-n Y N PUBLIC SAFETY pofh-- I APPROVAL w REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z or Y N D.E.P HUFS T ETLER Q 5 Y N S.J.R.W.M_ CARPER 0�w _ Y N ARMY CORPS of ENG CAPPER F- O Y N HOTELS&RESAURAN T S HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® 1ST REV PLANNING ® 2ND REV El BUILDING PUBLIC W S PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ! 3RD REV d Return guar form to the Building Department GflCe VOU h.%Ve eRtered Your COMWenfi,9 a>Rt®ibe A8400, Public Works Plan Review Comments Date: 1�� Initials: Project Name/Address: I S D �P&' w"'bIz_ Application/Permit#: h:'� L L .s O A� A. A�pucation T�ac'kmg Comments r r M1.} t u ' "�oII1Tne Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography(flow arrows, etc.) ❑ Provide construction site management plan,including Right-of--Way Permit if using ❑ . right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land Surveyor, Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required per ❑ Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting proper ❑ construction will be required. A Right-of-Way Permit must be obtained. ❑ A Revocable Encroachment Permit must be obtained for ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from street ❑ or drainage feature (swale or structure) All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the Reinforcing rods or mesh are not allowed in edge of the pavement to the property line. ❑ the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using CO7 Standard Detail Case X and must be overlaid 10 feet in each direction fromithe center of the cut. Repair must be shown on the plans. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ' =-- �, r 800 Seminole Road, Atlantic Beach FL 32233 Office: (904)247-5826 Fax: (904)247-5845 211p7 Job Address: 4f—)a Permit Number: Legal Description JV -,4 Valuation of Work(Replacement Cost)S ■ Class of Work(Circle one): New ��ddit�on= Alteration Repair, ve ■ Use of existing/proposed structure(s)(Circle one): Commercial esi enti ■ If an existing structure, is a fire sprinkler system installed?(Circle one): es N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes Describe in detail the type of work to be performed: i ro�.-erz ,�,n Property Owner Information Name: of 1Tr -3?�An 4-kWl ej id Address: J.5-3.0 City —4r4-4T4 - State Zip j;,�33 Phone Contractor Information: Name of Company: y'E�.- ��i CyP Qualifying Agent: Address: X13 fT City State FG Zip 3 y 2-J--2 Office Phone �-/-C 3YJ Job Site/Contact Number A o k State Certification/Registration# G,,�5 c yszr I - Office Fax# ;-9-/-p3 b Architect Name &Phone# vi,, lf a cAk b 13 71_--yi 2 Engineer's Name& Phone# -P/'cfo f rs: ,i Tj z4 577-0 gra 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 qf a permit and that all work will be performed to meet the standards of all taws regulating construction in this jurisdiction. This permit becomes null and void ifwork is not commenced within six(6) months, or i 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 and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that I have read and examined this application and know the same to be true and correct. A 11provisions of laws and ordinancesgoverning this type of work wt'll 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 other federal, state, or local Iaw regulating construction or the performance of construction. Signature of Property Owne 1 - f,� -° J Signature of Contractor: Sworn,to and subscribed before / Swornto;and subscribed,, ore me this j ;'Day �_;� f of t this 'r F Day of Notary Public: �� J/JC WIMA y!'AeE Notary Public, State of Florida My comm,exp. Oct 19, 2011 REVISED 03.05.07 Comm. No. DD 714216 rf�'•�';� CITY OF ATLANTIC BEACH PERMIT _ f BUILDING / ZONING DEPARTMENT APPLICATION# 800 Seminole Road ��• _- Vr Atlantic Beach,Florida 32233 (904)247-5000 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORINT RE RED DEPT: -�j� N PLANNING P�'®per$�'Address: 0 � /va, /�1Q `i r]Cl� z Y ht BUILDING F- Y N PUBLIC WORKS Appficante �f'I"1 r;t�J.S LO'�' LrOe� N PUBLIC UTILITIES Y N FIRE DEPT. Project: DTh Y-iey-2 i7cAg-n COV£,ef© Y N PUBLIC SAFETY U) -APPROVAL w DA REQUIRED AGENCY: RECEIVED BY: INITIAL: Z Cr Y N D.E.P HUFSTEI"LER CD¢� X a Y N S.J.R.W.M. CARPER _CC Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® ® ST REV ® ® S� l,�Z 7 PLANNING L_ ® 2ND REV ® z�� v BUILDINU PUBLIC WOR�C PUBLIC UTILITIES FIRE DEPT. II ' PUBLIC SAFETY ® ® 3RD REV Return this forin to the Building Department once you have entered your comments into the AS400, Ys+1i�ri� BUILDING PERMIT APPLICATION J _ CITY OF ATLANTIC BEACH + 800 Seminole Road, Atlantic Beach FL 32233 's J1119 Office: (904)247-5826 • Fax: (904)247-5845': 2(1t'r Job Address: if'3v St`��/A �1/l�ti✓!f ��?t��' PermitNUMW: _ Legal Description adv -,8' /6 Valuation of Work(Replacement Cost)S ■ Class of Work(Circle one): New <A44ition; Alteration Repair ve ■ Use of existing/proposed structure(s)(Circle one): Commercial esidentia ■ If an existing structure, is a fire sprinkler system installed?(Circle one): es N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes ' Describe in detail the type of work to be performed: Property Owner Information Name: zloFF/TT -�A4 d-l-WI-ei0d! Address: is 3D Sf-1-11d ,AWl,✓n City 4T4-4.yWc, (j.jcj,1 State Zip '3-;-�3 z Phone Contractor Information: Mame of Company: � y k'P Qualifying Agent: e Address: ;�-ZlS� City State Zip 3 Office Phone_ 0 Site/Contact Number State Ce-'" -eek> 1 Office Fax # Arcl O � 6� Engu Applic �� S2c �VS the work and installations as indicated I certify that no work or installs, �� fit, vrmit and that all work will be performed to meet the standards of all laws rel, �5 � ?ermit becomes null and void ork is not commenced within six(6) months, N p v 01W5 �andoned for a period of six (6) months at arty time after work is comment C(ft� be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces rs, etc. WARNLIDS ` RECORD A NOTICE OFLC�OPROPERTY. N I ER ME INF MAY YOU RESULT TROVEMENTS OYOUR O INTEND ',T WITH YOUR LENDER OR AN ATTORNEY BEFORE 1` _AWNCEMENT. Thereby certih .nis application and know the same to be true and correct. All provisions of laws and ordin e of work will be complied with whether specified herein or not. The granting o ffa permit does no, ve auX rity to violate or cancel the provisions of any other federal, state, or local laaiv regulating const or the performance of construction. Signature of Property Owner: r Signature of Contractor: Sworn,to and subscribed before mf Sworn to,and subscribed ore me this Day of— Q = this '`�`'�'`Day of ilz r- Notary Public: �� `�'� Z WtNdM►4,�pu13QEE L`t�l �= . �~ Notary Public, State of Florida My comm.exp. Oct 19, 2011 1ZEVISED 03.05.07 Comm. No. 00 714216 Public Works Flan Review'Comments Date: Mo n I l� tn Initials: Project Name/Address: S I Y 1 Application/Permit ��5 ...,... ....z ...,r. .. 'r�'I�i4r :i,.F� i t 1 ;ty,{.FJ{.','.._ 1 _ :},.IJ �Y. • l .yL� �� , Ick a �ri� �j ick k `yfl ? � •�w t, al�`.>'"I t ,pd,_ Z= Zi. r � "1�p Fy? � ul } k� k iin{�f ktrh '3Tnod nr ,'e 'C _ "a(GtlEi11 011,-�•J [, GO.0 rJr k �YJ ^I� Po71•Ni'� i 7yy71 ,��' l+ • M 'M1Vcn�r.rwa�� K ,o �� •N� }, �` � � 000GCP 31cY'rW u T 'r7,.:!•.Fn y, .{�z•:r:4•::,x..r-r;arta. r ,.,r�.��'k�� Fsclhedule- Provide vide impervious surface calculations. vide erosion and sediment control plans with installation details and�naintenauce Q drainage plans showing site topography (flow arrows, etc.) d Provide construction site management plan,including Right-of-Way Permit if using . right-of-way for construction pa7king. Provide a pre construction topographic survey prepared by a Florida Licensed Professional Land Surveyor, l7`� Section 24-66(b) of the Laud Development Regulations requires on-site storage for increased rmoff. Provide Delta volume calculations and on-site retention.required per Q Section 24-66(b). (See attached info. Sheet) ---------------- If'on-site storage is required, a post can topographic survey documenting proper ❑ construction will.be required. A Right-of-Way Permit must be obtained. .A.Revo cable Encroachment P e=ait must be obtained for � Pool.—Wellpoint(if used)must disrlinge into vegetated area 10'minimum from street � or drainage feature (swale or stricture) All driveway aprons must be concrete, S inches thick,4000 psi,with.fibermesh from the edge of the pavement to the property liue.Reinforcing rods or mesh are not allowed in the ROW(Commercial dziveways—6"thick). Any utility cuts in the road must be repaired using C07a ard Detail Case X and must be overlaid.l0 feet in each direction fzom;the center of • RePa�r must be shown on Q the plans. 33 � 9Sc J7 �/4* s y3 3 l r 0/o / El CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J �3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 08-00000654 Date 5/20/08 Property Address . . . . . . 1530 SELVA MARINA DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------- Application desc 6 ft fence ----------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MOFFITT GENESIS BUILDING CORP 1530 SELVA MARINA DR. 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 ------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . Permit Fee 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/16/08 ----- ----------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ------------------------------------------------ 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 04- I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 v I%I OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 17BUILDING-DEPT@COAB.US j< 7 BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3,SO.FT.UNDER ROOF /�_� Atlantic Beach, FL 32233 a4 L N/A 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ( Q t' ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT S BLOCK SUB DIVISION � ie� /rJ�RI��{ 'LY� �' ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A irN'a"J G'C' ❑MOVE OTHER IV NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: ��F�f �{I V1- t�R�e�e�rf Genesis Building Corporation 16.NAME: 24.LICENSEE NAME: Todd Bosco 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: ��3o f�6Vf -WW-4 A� CBC 1250212 18.ADDRESS: 26.ADDRESS: 3 yr3 2158 Mayport Road Atlantic Beach, FL 32233 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 26.FAX NO.: (904)241-0320 (904)241-0326 13.CELL PHO, 21.CELL PHONE: 29.CELL PHONE: 9 PJB - 9 (904)545-1608 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: Jr/OFFilT�C ir?✓ll�/'/ �� ' FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 16.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated.,��+ tttify;,that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standard of alf law�,regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,'or if,consfruction',or Ndork-is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permitsmtast be secured for Electrical Work,Plumbing,Signs,Wells,Pools, Furnaces,Boilers,Heaters,Tanks, Air Condki. " s,„etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be do `e.iri lance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced buil In any part therof, until 5 pections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building offieiial,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 ' CTORe,,,..� (If Agent,Power of Attorney or Agency Letter Required) Q' ( Ifier �1,�"""� ty Signed: / Date: ;-�9A®v Sign - Date: Before me this day of 1y 200fin the county of Before me this f? day of;/� 20aViin the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared T°al) 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. true and accurate. Notary Public at Large,State of )4�7 L County of -Py✓� Notary Public at Large,State of ) - County of PO(V4L" Personally Known Personally Known ❑Produced Identificatio�n ff- i Produced Identification- Notary Signature: Notary A. 099"MPUANCE Notary Public,State of Florida CITY OF AT �orida FILE P Y. My comm, exp, Oct 19, 2011 SEE PERMITS oa 011 Comm. No. DD 714216 REQUIREMENTS < p 11, 16 B FORM BLDG01: EVD:1/108;• r. COA ,r } Y Rs j REVIEWED BY: #1 5--13-0 8- .. DATE: v� • f Customer: � - Address: 1-530 SEjLyA MAfg1 oA DR, 5404 Race Track Road...... .........Office: (904) 268-1638 _ Jacksonville, FL 32259 Fax: (904)886-4334 ATLAPTlC_ WAC�11_.�-L. _�) 886 AIA North, Sui!e 5................Office: (904) 543-7743 Ponto Vodr2 Boach, FL 32082 Fax: (904) SAS-8733 Phone: H (w) I -ozzo St. Augustine................................Office: (904) 827-9088 GOT'A�t - �5 l a (F) Vi ' 03Z110 I YPL- ❑Gate Op. ❑C"Z ❑V1n►d VAIUAWMM FENCE HEIGHT ❑.3 4' O+ 1/2' 0 5' O 6' O Transirivntr ( J WALK c A7T +4 4 L Jkb4 DRIVE GATES 01A POSTS O 5 ❑7 Gal 09• ❑to' [312, s i TERRAIN ❑Even WrSVN O Steep rAIUTItr'faVE : --- CLEAAING ❑Beat Fence ustdnufal4Gt.iLlfrll�-' �_.�r OLD FENCE' 11Beet Fence ❑ stonier IJ�14 a ' �...._.:..... -i. . __.. _ GRADE ❑ ropt.vel 16 Foltn+vGrade NOTES ___ - ••- --!..,._.!., !_. i _ !... j.. . I �. N oust 4&)Fvr'1131Sµ 4- lk)STAL.L ?'bj' o'F Lit IG.N '3LAC.K. AL.um10, vey\ Z-2AIC, CODE I=FNC.E WkTk Qi FLAT Top 14 Wi AE G 91-C-S AL,dwev SI DES <2} Af kC-A TOP C- A7 S 14 WIDE OfJ ALL GATE--) To NAVE }�YIj4G1 �TC.us 01 , TNsrA . ALL I�o�TS TO -8F-E 5E'C 1?•� wi U_ CANTI LEVE2_ I k fo t,,Jt4TCe . City of Atlantic Beach PERMIT 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 J E-mail: building-dept@coab.us Date routed: Z �v City web-site: http://www.coab.us BUILDING PERMIT REVIEW AND TRACKING FORM Property Address: l�Sd d�lV�- Ia�C'�a D nt review required Y s No Bu' Applicant: ' E/1��5 � Co ey nnin &Z ublic Works Project: 10�� /� C� Pu isi ities 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: CEF PLANNING &ZONING PUBLIC WORKS Reviewed by: rK 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: i �1r q City of Atlantic Beach PERMIT APPLICATION NUMBER 1` Building Department sss (To be assigned by the Building Department.) 800 Seminole Road z Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 U _ < �'91319 E-mail: building-dept@coab.us Date routed: 2 City web-site: http://www.coab.us BUILDING PERMIT REVIEW AND TRACKING FORM Property Address: 1.S� JJIVA- 7P4,/,/'_17`t' De01" nt review required Yes No Applicant: 'Ell��rS T Co ey Project: �t ��n C� Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING ZONING Reviewed by: D loo ORKSate/ PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by:• Date: CITY OF ATLANTIC BEACH OQ-P7 I I I I / 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ��++ OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF � N/A Atlantic Beach, FL 32233 ,` 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ` /'/ q_ El NEW BUILDING 11 DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION SjkV4 AfReld� qA"'� r ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE kOTHER NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 14pG�f�, :so{In ¢ ��L�f� Genesis BuildingCorporation ( 16.NAME: 24.LICENSEE NAME: Todd Bosco 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO,: /r3o fc`Vtt �vJ��l�//� CBC 1250212 !/ 18.ADDRESS: 26.ADDRESS: 2158 Mayport Road Atlantic Beach, FL 32233 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.. �- --kj33-3 (904)241-0320 (904)241-0326 13.CELL PHON 21.CELL PHONE: 29.CELL PHONE: 9k' ' _ 9 (904) 545-1608 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: i'Ifcirf-iTT-<<' z1 64, �a CCG Ca'7 FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 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(If Agent,Power of Attorney or Agency Letter Required) �daV A��' �CTO�R � Signed: Date: > �9Id0 Sign - Date: G� Before me this�day of_ 20grin the county of Before me thi �_,2003t'in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared SOD 04's"J herin by himself I herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are ttrue and accurate. rue and accurate. r!� L Notary Public at Large,State of ,County of 4OUV�w Notary Public at Large,State of /-` County of DV Personally Known Personally Known - ❑Produced Identification-, Produced Identification�- Notary Signature: �r,/J Notary Signature: /f WILLIAM L POPE Notary Public, State of Florida Notary Public, State of Florida My comm. exp. Oct 19, 2011 My comm. exp. Oct 19, 2011 Comm, No. DD 714216 Comm. No. DD 714216 COAB FORM BLDG01:REVISED:1/10/2008 o m � � � mOD 3 pl� C9 CP c`oveo "I" � allo r- ��a � 2 b W ❑ e 3 07 CoD Ql X CY 11 v w c3 t) � ti � � « o � � L ate c m Aa 0 0 0 � u w � � � ❑ o ❑ CO ❑ LL A cl o14 rv4e d ❑ * ❑ 1100 ❑ V Q � 4izonCc: lu cLoa o � O w l�7cna ? Wiu v) O � ¢ „ �eHa � `- ocn i n acn , � 3a ►. � � c� z s 1 fly'�P1f��3 City of Atlantic Beach PERMIT APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233 5445 Phone(904)247-5826 F 04)247-5 ► ri13y91 E-mail: building-dept@coa City web-site: http://www.coab.0 �� 8 Date routed: Z BUILDING PERMIT REVIEW AND TRACKING FORM Property Address: 1.-so d,91Va- 7' 4,11 -44' �" D epaftraqnt review required Yes No Bui ' Applicant: SEA T li? Coo tannin & Z 4-T5ub—lic Works Project: (p,�T ��/� �+>` Public Thties 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 Reviewed by: 4100< Date: PUBLIC WORKS d� 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 08, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US __- BUILDING PERMIT APPLICATION DUVAL COUNTY 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF 1.JOB ADDRESS: � N/A Atlantic Beach, FL 32233 4 5.CLASS OF WORK: 6.USE OF STRUCTURE: 4.LEGAL DESCRIPTION: RESIDENTIAL d l _ ❑NEW BUILDING ❑DEMOLITION LOT L( BLOCK_eSUB DIVISION S�vl{ /°I/I4 it"/� �[ ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: C1ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N A Fl MOVE ACOTHER 110 NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: /tG�f '�oF`�i�, �.�j rf l�iQ Genesis BuildingCorporation 16.NAME: 24.LICENSEE NAME: Todd Bosco 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: 0 frLvit M1f4tA1 A?. CBC 1250212 1 26.ADDRESS; 8.ADDRESS: 2158 Mayport Road ,I Atlantic Beach, FL 32233 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: _ f13J� (904)241-0320 (904)241-0326 PHONE: 29.CELL PHONE: 13.CELL PHONk 21.CELL (904)545-1608 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: J.M©FFiIr�!'?✓felf Ca FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:---------- (IF ENDER:(IF OTHER THAN OWNER) 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-, `ettiN 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;al(taws� julating construction in this enced within six(6) months,or if'construc jurisdiction. This permit becomes null and void if work is not commtion or Work-_is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate pelYnits mt�s� be-secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Condit , ,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be doF�a ll�iance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced buildint any part therof, until AI7 1(t�pections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,As required by law. WARNING TO OWNER: * *ID 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 ANDPOSTED �NG CONSULT WN THE JOB SITE ITH OUR EFORE HE FIRST INSPECTION. IF YOU INTEND TO OBTAIN LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT ( iterQol (If Agent,Power of Attorney or Agency Letter Required) Date: Signed: 1 Date: S/9! � Sign ' 20��rIn the county of Before me this _ day of e: y 20OXAm the county of ` Before me this day of 200,(in State of Florida,has personally appeared Duval,State of Florida,has personally appeared o xcco herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are ttrue and accurate. rue and accurate. _ � , of .��t' Notary Public at Large,State of ,County of _d u if� Notary Public at Large,State of Coun tY Personally Known Personally Known Produced Identification- ❑Produced Identification- � ff Notary Signature: Notary Signature: W.G � � WILLIAM L POPE Notary Public,State of Florida Notary PublIC,State of Florida My comm, exp. Oct 19, 2011 My comm, exp. Oct 19, 2011 COMM, No. DD 714216 Comm. No. DD 714216 COAG FORM BLDG01:REVISED:1/10/2008 �4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-depta,coab.us Application Number . . . . . 07-00001733 Date 1/11/08 Property Address . . _ . . . 1530 SELVA MARINA DR Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 61535 --------------------------------------------------------------------------- Application desc INSTALL SWIMMING POOL --------------------------------------------------------------------------- Owner Contractor MOFFITT CLIFT & CO POOLS & SPAS 1530 SELVA MARINA DR. 7000 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 855-0019 --------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 308 . 00 Plan Check Fee 154 . 00 Issue Date . . . . Valuation . . . . 61535 Expiration Date . . 7/09/08 --------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) Wellpoint (if used) must discharge into vegetated- area 10 ' minimum from street or drainage feature (swale or structure) . --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 308 . 00 308 . 00 . 00 . 00 Plan Check Total 154 . 00 154 . 00 . 00 . 00 Grand Total 462 . 00 462 . 00 . 00 . 00 PERMIT_'IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CrICY OF ATLANT11C BEACH PERMIT B DING / ZONING DEPARTMENT TMEN APPLICATION 800 Seminole Road J\� e2 1�2 7, • v Atlantic Beach,Florida 32233 U (904)247-a8000 (904)247-5845 Fax vfrww.ca APPLICATION T41 FORM R RED DEPT: N PLANNING Property Address, L Pd BUILDING N PUBLIC WORKS Applicant: ph6 2?z- 5r,00'2g � W PUBLIC UTILITIES FIRE DEPT. P661 Project: T V N PUBLIC SAFETY co w APPROVAL U� tNRE❑ AGENCY: RECEIVED 8Y: TIAL: DATE: Z D.E.P HUFSTETLER 1-3-09 ¢� N S.J.R.W.M. CARPER Ir ui _ N ARMY CORPS of ENG CAPPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEW BY: ! / DATE: ® 1 ST REV �i PLANNING ® 2ND REV BUILDING PUB G WO S oLr Ll U !L! !E5 DEPT. i PUBLIC SAFETY ® ® 3RD REV ® r a-,. .e_._. a.____ . _ to_ lAT___°9�_•__..liT_..,.._-..t ...,:.b,.......,.e.,.,e. A.ewarnw�o-A6aw.:nea Frannn vae,"b wnpinf g info thp- ARAM- V_ $ Lire CITY OF ATLANTIC BEACH , ,rr•;i1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07-11 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 U BUILDING-DEPT@COAB.US ' 1rs BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ:FT.UNDE.R,RQOF. 1530 Selva MArina Dr `l v 4:LEGAL DESCRIPTION: 5.CLAS _OF WORK:' 6.USE OF STRUCTURE: 90VEW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK SUBDIVISION ADDITION ❑CONVERTING USE ❑COMMERCIAL 7:DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. Bi F.LRE$PRI)JKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER ❑NO Llig P O NERr CONTRACTOR: -_ ARCHITECT ENGINEER' 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: John Moffitt Eric Clift 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: CPC 056663 1530 Selva Marina Dr 18.ADDRESS: 26.ADDRESS: Atlantic BEach, Fl 32233 7000 Atlantic Blvd 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 904- 55- 1 13,CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 904 704-7277 Q0493:7-939:7 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: ' BOCOPANY .. ; i NDINGM MORTGAGE LENDER (IF OTHER THAN OWNER): 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&AGENT CON CTOR (If Agent,Power of Attorney or Agency Letter Required) y `' ifierOnly)i' F� 1 Sign-6 ign Date: M-�--�7' 07 Signed: Date: e�w/� a�2007 in the count of Before me this day,of Tom' ,2007 in the county of Before m is-n-d f Y Duval,State of Florida,has personally appeared Duval,State of Florid'l,h personally appeared s 6� ,ham ok herin by himself/herself an ffu�.��t all state pR herin by himself/herself a - ,r t aM1f @ MMM 0Ndk(Wli s MY COMMISSION#DD 287602 true and accurate. . EXPIRES:April 19,2008 true and accurate. ,., } dS BmW Thru Notiry Public Undorvu tens Notary Public at Large,Stat f�'•.,,,. March 14,2008 Not Public at Large,Sta N tent envri ers Personal) Known ❑Personally Known Y Produced Identifi 111 517 tv ❑Produced Identification- Notary Signatur . Notary Signature: COAB FORM BLDG01:REVISED:8/2/2007 rS'.11`J lry CTTy OF ATLANTIC BEACH FP7ERMITBIDING / ZONING DEPARTME Vr800 Seminole RoadAtlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM R RED DEPT: �[ N PLANNING ` 0 N BUILDING Property Address: z 1— N PUBLIC WORKS Applicant: 0 Y N PUBLIC UTILITIES •�� FIRE DEPT. Project- J J Y N PUBLIC SAFETY W APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL' DATE Z� Y N ERSAURANTS HOFS T E7LER ¢ y N SM. CARPER w y N ARMYof ENG CAPPER H Y N HOTELS HUFSTEfLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING ODAAEPREV17BY: I i DATE : , ® 1 ST REV PLANNING ® ® 2ND REV BUILDING, PUBLIC WORKS PUBLIC UTILITIES I FIRE DEPT. PUBLIC SAFELY ® ® 3RD REV , El � 7 CITY OF ATLANTIC BEACH 07_ -- ---�-r- f 1 r 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 cy OFFICE:(904)247-5626•FAX NO.:(904)247-5845 7.= BUILDING-DEPT@COAB.LS BUILDING PERMIT APPLICATION DUVAL COUNTY 15Q:FT.UNDER.1530 SAlva MArina Dr (01 ROOF r USE OF.,9,T�(7CTUR a� rr CEC (ff jqq�"vr,{-,irT`.�+"`?�,£ t'��e"'n (1F - EW BUILDING O DEMOLITION RESIDENTIAL LOT A BLOCK R SUB DIVISION Selva Marina Unit 4 ADDITION O CONVERTING USE COMMERCIAL 7:DESCf2IN1)011'OF.INORIC ear""' 'r r e r t n (]ALTERATION 0 ACCESSORY BLDG. B FIRE$i1ii3�EfZ ' REPAIR O POOL/SPA -OYES O NIA O MOVE O OTHER 1 13 No -w ` y NAME: 15.COMPANY NAME: 23•COMPANY NAME: Clift 16,NAME: 24.LICENSEE NAME: John Moffitt Eric Clift 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.:-rPe Q56663 25.STATE OF FLORIDA LICENSE NO.: 1530 Selva Marina Dr 18.ADDRESS: 26.ADDRESS: Atlantic BEach, Fl 7000 Atlantic Blvd 32233 11.OFFICE PHONE: 12.FAX NO: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: ----904-85E 1 - 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE IMQ TITLE l ER:; ; gpN '0�pANY MO C LENDER- z.. _. 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 O ERi°o�(GENfi , rCfl T�R� to As f 4 P oAner:a Agency caner Recwued) - -_ .. �, Sign Daae: �"�7 Signed: Date: Before me this day of Tom' ,2007 in the county of Before m is d 2007 in the county of Duval,State of Florida,has personalty appeared Duval,State of Florida,h ersonaliy appeared (�It,n ,,Inc herin by himself/herself a ffurlfS;77 herin by himself/herself a _aUl�I@�41MI6�1®Nr# s true and accurate. true and accurate. '^: 'o`e EXPIRES:April 19,2008 287602 8crdedTtw Na"Pubk undwaners Notary Public at Large,Stat f 2008 Not Public at Lar e,Sta 'error erg. g ❑Personally Known Personalty Known �[Produced Idenllfl t' r Produced Identification- Notary Signatur . Notary Signature: COAG FORM BLDG01:REVISED:8/2/2007 Doc # 2007396670, OR BK 14325 Page 2395, Number Pages: 1, Filed & Recorded 12/27/2007 at 02:55 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of Tax Folio No. County of 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 improved:_,pt 8 gl nrk 8 Selva MArina Unit #4 Address of property being improved:_1,5,1 f) GP1 va Marina Dr-Atlantic Bch, F1 32233 General description of improvements: —1-11cr'et2nd-T e e Owner:_jQhn Moffitt Address: 1 ,,-If) SP1 va MArina Dr, Atlantic Bch Fl 32233 Owner's interest to site of the improvement: Fee Simple Fee Simple Titleholder(if other than owner): am I\e Add dress: 'Contractor: vY;G N r'1 i ft- C1 i ftand rnmpanv Pnol s & Spas Address:___7_Q()() n}1n + i r R1 vr� Tar lrcnn,�i 1 1 p Fl, 32211 Phone N0:- 00=855 0019 Fax No: 904-855-0698 Surety(if any): Address: Amount of Bond S 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 he 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 Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(I)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY WN R Signed: Date: Before me this ay of in the County of Duval to of Florid has per onfilly appeared Notary Public at Large,St '.jda,Cd&Apjtrwtl. My commission expires: COMMISSION 0 DD 287602 Personally Known: Be.^.:odTrr,NcarF;.ncuMecvnhrs Or ii Produced Id tification:' ,. Clift and Company Pools and Spas Inc. 7000 Atlantic Blvd Jacksonville, F132211 (904)855-0019 Fax(904)855-0698 Inground Swimming Pool Permit Application For Moffitt Family 1560 Selva Marina Dr Atlantic Bch, Fl 32233 Occupancy Class Group R-3 All construction will comply with: 2001 Florida Building Code 2001 Florida Fire Prevention Code 2002 National Electric Code Neptune Beach ULDC FBC 424.2.17.1 Barrier Requirements and NEC electrical code compliance Index Page 1 Index Page2 Legal Description of Property Pool drawing on survey of property to include,setbacks,equipment location utility information and drainage Page 3 Detailed pool plans, Pool Barrier Requirements, Pool Equipment, Required Electrical Devices, Grounding and Bonding Details Page 4 Underwater Light Diagram Pate 5 Shell Concrete and Steel Diagram Page 6 Anti-entrapment Diagram Page 7 Door and window Alarm diagram Page 8 Lot Coverage Calculations CUY OF ATLANTIC BEACH PERMIT SfI G / ZONING DEPARTMENT APPLICATION# r � Vr o00 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.ns APPLICATION TRACKING FORM R RED DEPT: N PLANNINQ` Property Address: z BUILDING 17- N PUBLIC WORKS Appcante 0 Y N PUBLIC UTILITIES FIRE DEPT. Project- Y N PUBLIC SAFEi Y W -APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL DATE Z Y N D.E.P HUFSTETLER CD Y N S.J.R.W.M. CARPER CC C5 Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INITIAL: DATA ® LANNIN BUILDING ® ® 2ND REV El PUBLIC WORKS PUBLIC iUTILITIES FIRE DEPT. PUBLIC SAFETY ® 3RD REV CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233 OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB-US BUILDING PERMIT APPLICATION DUVAL COUNTY A KO--0f--RX-4 W 3, A—Q 2'�VALUATf M- -QfiWW F—r-YNDE. DRESS.-'-- C)o MAri na T)r - -)oa�j 19;In st--Iva ;r-91t- r(921 -C WID17,iW& --'- :4.L90k,QESC11WDW- 4�, — .0F�VM.0W C-W 6F EW BUILDING 0 DEMOLITION W RESIDENTIAL LOT-,R-BLOCK-8-SUB DIVISION ,;c--IXa mar-In;; Unit 4- ADDITION 0 CONVERTING USE M COMMERCIAL 0 ACCESSORY BLDG. 0 ALTERATION 7.bf-Sc9IM0k-OF*0RK',- [I REPAIR 0 POOL I SPA 0 YES 0 NIA 0 MOVE Q OTHER 10 NO CONTRACTOR.. .:_=:-�- WPAWOiMER: 4 r: 23.COMPANY 9.NAME: 15.COMPANY NAME: NAME: clift & co Pool-, & Spas- 16.NAME: 24.LICENSEE NAME: John Moffitt Eric Clift 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: r-PC 056663 --- 1530 Selva Marina Dr 18.ADDRESS: 26.ADDRESS: Atlantic BEach, Fl 7000 Atlantic Blvd 322 3 1 28.FAX NO.: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: - 27.OFFICE PHONE:904-855 -0698 9 855 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 904 704-7277 14.EMAIL ADDRESS: 22.EMAIL 30.EMAIL ADDRESS: EE `RRR: MORTGAGE LE SBONDIN' a ANY' (IF QTtIER 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. 01 jig N rictiliz7oft (It pgest.P-66 Att eY<a4 Sign Date: 17 07 Signed: Date: I2007 in the county of Before me this day of: 2007 in the county of Before m is Ta— d Duval,State of Florida,has personally appeared Duval,State of Floridg,h personally appeared � C-Y%C- NLIM JOHN4 *FvemmmaloMR29Mws herin by himself/herself an T"—Ip all statew"Pw. 10 r herin by himself/herself a a f19,2008 ?g. EXPIRES:April w true and accurate. true and accurate.MY COMMISSION#DD 287602 10 Bonded Thru WATY Putic urate n Ste E Not Public at Large "U 'trch 14,2008 Notary Public at Large,Stat ru- --ry rron ers_ rPe..Ily Known 0 11 Known A Personalty Ii k Ir 11 Produced Identification- Notary Signatur Notary Signature: COAB FORM BLDG01:REVISED:812/2007 Clift and Company Pools and Spas Inc. 7000 Atlantic Blvd Jacksonville, FI 32211 (904)855-0019 Fax(904)855-0698 Inground Swimming Pool Permit Application For Moffitt Family 1560 Selva Marina Dr Atlantic Bch, Fl 32233 Occupancy Class Group RR=3 All construction will comply with: 2001 Florida Building Code 2001 Florida Fire Prevention Code 2002 National Electric Code Neptune Beach ULDC FBC 424.2.17.1 Barrier Requirements and NEC electrical code compliance Index Pay,e 1 Index Page2 Legal Description of Property Pool drawing on survey of property to include,setbacks,equipment location utility information and drainage Pap-e 3 Detailed pool plans, Pool Barrier Requirements, Pool Equipment, Required Electrical Devices, Grounding and Bonding Details Page 4 Underwater Light Diagram Page 5 Shell Concrete and Steel Diagram Pay,e 6 Anti-entrapment Diagram Page 7 Door and window Alarm diagram Pate 8 Lot Coverage Calculations Silt Fence Moffitt Lot Coverage Calculations Total Lot Area: 43,935 Sq Ft House: 2898 Sq Ft Porch, Driveway and Sidewalk 2728 Sq Ft Pool Deck and walkway 1545 I FutureAddition' I Total Impervious: 7,171 Sq Ft I I Lot Coverage: 16.32 % Contractor Proposal: All Parking of Vehicles will be done on property. There will be no Portable Toilet or Dumpster on the site. Any pumped ground water will be in a vegetated area a minimum of 10' from all property lines. i! 114575' 0880 THE SAFE POOL PROS V IDES ALARM,PROTECTION TO OUTDOOR GATES OR HOME DOORS LEADING TO POT ENTIALLY DANGEROUS POOL AND SPA AREAS.THE SAFE POOL FEATURES FrrifEATHER RESISTANT CONSTRUC—HONAND IM.OUIN i S DIRECTLY T O EITHER WOOD OR METAI DOORSP-Wf&Mn0 rSiGATES. v:HE Ck Li3REId OPENS T HE p-cOTECTE`D DOOR1',tBNDOW/GATE BY MORE THAN i Ik,CFsi THE UNIT MILL SOUND ITS BUILT-IN 110 DB HIGH OUTPUT ALARM,NOTIFYING NEARBY ADULTS OF T�iE AT e t��PTE€3 ENTRY.THE BYPASS BUTTON ALLOWS EEN€RY CR EX'T FOR ADULTS WTI HOUTsE3;UNDING THE AL ARNI.OINCE THE DOORIVYINQ30+1 IGATE is CLOSED,THE UN-IS WILL RESET AUTOMATICALLY TG RESUME PROTEC-100. = � FEATURES 1-50—1 *High ot-rtput illi DB Alarm siren 9V 100i nA AC adaptor operation *Includes mounting hardwaie for both wood or metal boorsigates *Weather and water resistant - - Construction * BYPASS button provides C Convenient adult pass-through operation COMPLIES WiTiri ` *3 year warranty UL 2017 SCREWS &TAPE LO' ATEA INSIDE SENSOR 14OUSI€ G CALTiTON LA.RbScY LOUD . THE SJZ-6E EUNIT FOR`OSA.SA--E-!Y.NEVOt PLACE CLOSE FO YOUR EARS.TO TEST THE ALARM. DIRECT THE JN! AWAY FOR,gAYOU . AT ARMS Lei GTH AND ACTIVAT- . ALL-RIGHTS RESERVED _-�•-. _ TI-IS'PROD-,*1 ?Rt�rF �'i.'15N3>vTt FEDERAL PATENT.TRADEMARK AND COPYRIGY.T LAWS AND LAWS PREVENTING UNFAIR COMPETITION. r NO DUPLICATION OR SIMUl-ATION OF THIS PRODUCT IS PERMITTED FYCEPT BY WRITTEN.AUT'_4OP9ATIOk •� OF-ECHKO.INC. TcCHKO AND THE CONFIGURAT tON OF THIS PRODUCT ARE I pADEMARKS OF TECHKO INC. COPYRIGHT 1992 TECiiKO,INC. ALL RIGHTS RESERVED e , TECHKO,INC. LAGUNA HILLS,CA 92553 MADE IN CHINA GENERAL DESIGN REQUIREMENTS -DESIGN DIMENSIONS SHALL COMPLY WITH SPECIFICATIONS IN NSPI 5 AND NSPI 3 BASED ON THE POOL TYPE. -SEE NSPI FOR DIVING WATER ENVELOPES. -SLIDES SHALL MEET-THE MANUFACTURER'S INSTALLATION REQUIREMENTS. -ENTRY/EXIT:REQUIRED AT THE SHALLOW END AND THE DEEP END IF OVER 5 FT.DEEP. ACCEPTABLE ARE STAIRS(10"MINIMUM TREAD WITH 240 SQUARE INCH MIN.AREA 12 INCH MAX RISER WITH INTERMEDIATE TREADS AND RISERS UNIFORM).LADDERS,UNDERWATER SEATS,AND SWIM OUTS(MAX.20 INCHES BELOW WATER). -CIRCULATION SYSTEMS,COMPONENTS AND EQUIPMENT SHALL COMPLY WITH NSF% j -THE MAXIMUM TURNOVER RATE IS 12 HOURS. -FILTERS SHALL HAVE AN AIR RELEASE AND PRESSURE GAUGE. -PUMPS 3 HP AND LESS SHALL MEET ANSI/UL1081 CORROSION RESISTANT WITH STRAINER AND MEET THE REQUIRED FLOW. -SURFACE SKIMMERS SHALL MEET NSF 50 AND THERE SHALL BE ONE FOR EVERY 800 SQUARE FEET OF SURFACE AREA. -RETURN INLETS SHALL BE A MINIMUM OF ONE FOR EVERY 600 SQUARE FEET. -HEATER SHALL MEET ANSI-221.56 OR UL 1261 OR UL559. -DISINFECTANT EQUIPMENT SHALL COMPLY WITH NSF 50. -PRESSURE TEST PIPING AT 15 PSI FOR 30 MINUTES OR MEET LOCAL CODE IF GREATER. 4'-0":: SPECIAL SPA REQUIREMENTS. -MAXIMUM WATER DEPTH 4 FEET,MAXIMUM SEAT DEPTH 28 INCHES -FLOOR SLOPE 1:12 -STEPS:MIN.TREAD 10"x 12",7"MINIMUM RISER,12"MAX.RISER EXCEPT THE BOTTOM STEP MAY BE 14"IF IT IS THE SEAT. INTERMITENTLY IT SHALL HAVE A ONE HOUR TURNOVER,IF CONTINUOUS A 6 HOUR TURNOVER. -MAXIMUM TEMPERATURE 104 DEGREES. -MEET ANSI/NSPI ARTICLE XVII,SAFETY INSTRUCTION/SAFETY SIGNS. -PRESSURE TEST PIPING AT 25 PSI FOR 30 MINUTES OR MEET LOCAL CODE IF GREATER. ELECTRICAL REQUIREMENTS: -WIRING AND BONDING AND ALL ELECTRICAL TO NEC ART,580 OR LOCAL CODE. -NO OUTLET OR OVERHEAD POWER WITHIN 10'IF WITHIN 15'PROTECT BY GFI. TRANSFORMERS MIN.10'FROM POOL,8"ABOVE WATER,J BOX 4'FROM POOL,BRASS TO J BOX OR TRANSFORMER WHICH EVER IS FIRST EXCEPT WHERE PVC IS APPROVED. FLORIDA BUILDING CODE 424-2 THE POOL CONTRACTOR IS RESPONSIBLE FOR FURNISHING ALL DETAIL DESIGN REQUIREMENTS FOR EACH INDIVIDUAL POOL IN ACCORDANCE WITH THE FLORIDA BUILDING CODE,AND ALL CONSTRUCTION SHALL MEET ALL APPLICABLE CODES INCLUDING PLUMBING,ELECTRICAL AND GAS.PIPING SHALL BE SCH.40 PVC,NSFpw,MAX.PRESSURE VELOCITY 10 FPS,SUCTION 6 FPS, THE POOL PLAN SHALL SHOW THE DESIGN PLUMBING AS PER THE SAMPLE WITH THE INFORMATION REQUIRED SHOWN. MAIN DRAIN PLUMBING SHALL BE TWO DRAINS SEPARATED BY 3'WITH APPROVED ANS I/ASNE At 12.29.8M COVERS. AS AN ALTERNATE THE APPROVED DRAINS • MAY BE PLACED ON DIFFERENT PLAINS. THE 2 DRAINS SHALL HAVE A COMMON SUCTION LINE. '� SUCTION GRATES MAY BE USED IF APPROVED AT A MAXIMUM OF 1.5 FPS AND THE SUCTION PIPING IS RECESSED FROM THE GRATE THE DISTANCE EQUAL TO THE SUCTION PIPE SIZE. IN ADDITION,A SAFETY VACUUM RELEASE SYSTEM MUST BE INSTALLED. THIS MAY CONSIST OF AN AIR RELEASE SYSTEM. THE VENT PIPE SHALL BE TIED TO THE MAIN DRAIN LINES,SIZED THE SAME AS THE MAIN DRAIN SUCTION LINE AND BROUGHT BACK TO THE FILTER LOCATION, : ELBOWED UP AND OVER WITH A GRATE FOR PROTECTION AND LABELED"SAFETY VENT". AS AN ALTERNATE THE SAFETY VACUUM RELEASE SYSTEM(SVRS)MAY BE AN APPROVED VALVE l MEETING IAPMU IGC 160-2001a. SKIMMERS DO NOT REQUIRE PROTECTION AND MAY BE DESIGNED FOR 30 GPM SUCTION. THE FOLLOWING SHALL BE LABELED WITH RED LABEL MARKER TAPE AT THE FILTER LOCATION:PIPES,VALVES,"SAFETY VENT"OR"SAFETY DEVICE",PUMP(S) OFF SWITCH. IT HAS BEEN CERTIFIED THAT THESE DESIGN REQUIREMENTS ARE COMPLIANT WITH THE FLORIDA BUILDING CODE 424-2,ANSI/NSPI-3 1992,STANDARD FOR PERMANENTLY INSTALLED SPAS AND ANSI/NSPI-5 1995 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING POOLS. `I t Pool Circ.Pump: 2.0 Hp Whisper-Flo t Spa Jet Pump: N/A Filter Type: Clean 8 Clear 200 I Heater: Pentair mini-max 400 Gas Tank By: Others Vented By N/A *. . . . . . . . Electrical By: Clift Timer: Intermatic Skimmer(s): 1 Size 2" Main Drain(s):2 Size 2" "".-NF. Return Lines: Wall Retuns Stnd-Lighting. Yes 2 Pool watts 300 Spa watts 250 Chlorinator: Yes Deck By: Clift Deck Drainage: Drainage away from pool POOL SIZE: 20'X40' OWNER APPROVAL: Contact: Eric Clift POOL AREA: 844 Sq. Ft. 12/17/07 7000 Atlantic Blvd POOL PERIMETER: linear fit. DATE: Jacksonville, FI 32211 (904) 855-0019 DECK AREA: 1545 Sq. Ft. SALESMAN APPROVAL: DOOR AND WINDOWS TO POOL AREA TO BE ALARMED TO CODE. Yard Around Pool Area will be Fenced to code. All barrier codes will be met :zo 6'Spa a +12 N 40'-0" 3.5 Dee 20'X40' 0 8' Deen �g 0 N N i 14'-6" Li 18'-8" 1? Pool n Equip met - Q p :��501, 040 0 Junction Box Future Addition VENT LINE STUB UP Insulated#8 BOND WIRE IN CONDUIT FROM LIGHT NICHE THRU DECK BOX.LIGHT OGFCIPROTECTED GFCI Timer With Receptacl Home Run a In Timer Back To Box Wired Panel to Light A New Pool For The CREATING A LESS STRESSFUL LIFESTYLE DRAWN BY: John Moffitt Family LIFT SALESMAN:Eric 1560 Selva Marina Dr C ' Atlantic Bch, Fl 32233 COMPANY DATE: 12/17/07 • MorillIM SCALE: 1/8" = 1' � . 3 G' 0 4 p J1 est 1 © '++ ® y E � WE � L w u a m LL w ys� n U W m CL t? (D a Ul ^W � tEN a �. Q � �+ a- z v o � .c c � -• Lo_ p� 10 p Q ar C.Q o a C �.r �E °s i , q"p �p m Un 0 ._ e � o• E�T f C� L1. � 1a X1111 I E W 1 N IV r� a 0 v U U V C � � C y O ty U � o > a E r_ K c m m I---; =-� �- Ire►. - Q _ - � o ZC > N a[� c- _ o o 0 LO co _ � � C o0 - CD :a o DEC` ® Z:= � cu Assy��`e 7 A� F Ol ca C-N, z 10-r-! ! O e o _ 0 > G) mco O -C cuU O Ec� Lo j O > CO �] U < c- 7-, O O O O � C6 c;3 O � —"7 U CI'T'Y OF ATLANTIC TIC BEACH PERNiII- "' , BIDING/ ZONING DEPARTMENT APPLICATION V� 000 Seminole Road j2 ��-'��=•• Atlantic Beach,Florida 32233 (904)247-5o00 (904)247-5545 Fax www.coab.ns APPLICATION TRACKING FOR 1��0 4% R5EMRED DEPT: N PLANNING Property Address: I z N BUILDING N PUBLIC WORKS A�p�pHcantePz Y N PUBLIC UTILITIES � ��jj FIRE DEPT. PP®�� a �� J I PV� ' Y N PUBLIC SAFE TY APPROVAL W REQUIRED AGENCY: RECEIVED BY: INITIAL DATE Z Y N D.E.P HUFSTETLER ¢� Y N S.J.R.W.M. CARPER L Y ARMY CORPS of ENG CARPER H o Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE ® 1ST REV 1:110 ��— PLANNING ® ® BUILDING 2ND REV (P;UBLIC WO S PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY .0 ® 3RD REV Clift and Company Pools and Spas Inc. 7000 Atlantic Blvd Jacksonville, F132211 (904)855-0019 Fax(904)855-0698 Inground Swimming Pool Permit Application For Moffitt Family 1560 Selva Marina Dr Atlantic Bch, F1 32233 Occupancy Class Group R_3 All construction will comply with: 2001 Florida Building Code 2001 Florida Fire Prevention Code 2002 National Electric Code Neptune Beach ULDC FBC 424.2.17.1 Barrier Requirements and NEC electrical code compliance Index Page 1 Index Page2 Legal Description of Property Pool drawing on survey of property to include,setbacks,equipment location utility information and drainage Page 3 Detailed pool plans, Pool Barrier Requirements, Pool Equipment, Required Electrical Devices, Grounding and Bonding Details Page 4 Underwater Light Diagram Page 5 Shell Concrete and Steel Diagram Page 6 Anti-entrapment Diagram Page 7 Door and window Alarm diagram Page 8 Lot Coverage Calculations r>s> CITY OF ATLANTIC BEACHj 800 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233 07- ^I y OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTQC OAB.US j! BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB'APORESS: 2 V,}�t�► _ -t�xktt_ _9��:v��--:'113'W FT:UNOE(t•8t) �;� -rs . -• 1c;30 Splya MArina DrJ.V� . 4:LWAL 1' f r� I)EBCRIPTtON:..: ?G S CLA� ,QF_WOltk.' EW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK 8 SUBDIVISION SelVa Marina Unit 4ADDITION ❑CONVERTING USE COMMERCIAL 7.DESCRIPTION ORWOR ; ... , i � R . . ❑REPAIR 0 POOL/SPA ❑YES ❑N/A ❑MOVE 0 OTHER ❑No CON_TRAC�TOR .. 7 ARCff rM1Ut Ltd t. 9.NAME: 15 COMPANY NAME: 23.COMPANY NAME: Clift & co Pools & Spas 16.NAME: 24.LICENSEE NAME: John Moffitt Eric Clift 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: CPr 0956663 1 530 Selva Marina Dr 18 ADDRESS: 26.ADDRESS: Atlantic BEach, F1 32233 7000 Atlantic Blvd 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 904-855-0019 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 904 704-7277 904932-939:7 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE.TITLE HOLDER ''" ""�''" " - _4W _ �- BONDING COMPANX' �R GG tt?NdER: tet•. ..._ -! 13tf ) _ 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. "OWNEI o /CGENT CON CTORt Of Ag 4.eoYreroft� A8grw7L Imo) Sign c� �Date* M—17 07 Signed: Date: —cn Before me this day of T � ,2007 in the county of Before m is�d 2007 in the county of Duval,State of Florida,has personally appeared Duval.State of Floridg,h personally appeared S -nc 41'u herin by himself/herself a ifi� r5 tt all state herin by himself/herself a 9f a�(¢t@ ITyI®Nclt�}bf�888hts MY COMMISSION#DD 287602 true and accurate. true and accurate. =: �._ �= EXPIRES:A01 19,2008 E j March 14,200 ;q� Bonaea Thr,Notary PuN unaara+aers Notary Public at Large,Stat FitiruNot Public at Large,Sta 0 Personally Known 7 nvn ' Personally Known A Produced Identifi Y 13 Produced Identification- Notary Signatur Notary Signature: COAB FORM BLDG01:REVISED:8/2/2007 Public Works Plan Review Comments VV011 Date: I 3L d �tr� Pro ect Name/Address: S3 O J��} /9 Application/P ermit#: 0 J t d..r ^IE, 3E•4 k`f J J% r 1. 11_13,.� >_,� a :.;•,s.M. +�� " ,�►�,p"�cat�o�'��.aclringt oIILlI18II��T�`.-�„x t., J. ,c.cx 6;�:� -� '�NOR_ ^'��; r..y'-�•:.^-��..rd"'�:`+uu{,r"� r� ,.�'=-rte r+�'-'T��++-'�� t'.� .�..r,,��•+�., �y_ 3 11 '�'- -x3 �'2 ..�,. k-`tom, kf �"'r,� 111. ._§ T Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance schedule. Provide drainage plans.showing site topography (flow arrows, etc.) ❑ Provide construction site management plan,including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required per ❑ Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting proper ❑ construction will be required. A Right-of-Way Permit must be obtained. ❑ A Revocable Encroachment Permit must be obtained for ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from street or drainage feature (swale or structure) All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the . edge of the pavement to the property line.Reinforcing rods or mesh are not allowed in ❑ the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid.10 feet in each direction fromithe center of the cut. Repair must be shown on the plans. 1 AL 6� CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept a coab.us Application Number . . . . . 07-00001586 Date 1/07/08 Property Address . . . . . . 1530 SELVA MARINA DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 125000 ------ ---------------------------------------------------------------------- Application desc kitchen and covered porch addition --------------- - ---------------------------- Owner Contractor - ------------------------ ---------- ------------- MOFFITT GENESIS BUILDING CORP 1530 SELVA MARINA DR. 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone ZONE ------------------- -------------------------------------- ----- -Permit . . . . . . PLUMBING PERMIT Additional desc INSTALL 2 FIXTURES Sub Contractor GENESIS BUILDING CORP 00 Permit Fee . . . . 49 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/05/08 ------------------------------------------------ ------------- Special Notes and Comments *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. ----------------------------------- -------------- ------------ Fee summary Charged Paid Credited Due ----- ---------- Permit Fee Total 49 .-00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 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 PLUMBING PERMIT APPLICATION Date: O/ O O Property Address: 15 3 D JEL M M Ate-1 Ala 3�I ✓e Owner: /�`t ��/T 1r0 Telephone#• Contractor: E71sE�314C. 2?L<iL-40 Telephone# a� : 1 D3 Contractor Address: 2/x:8 �� O Fax#: Contractor Signature: in consideration of permit given for doing a 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 ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: if other construction is being done on this building or site, ❑ New list the building ermit number. Ll Re-Pipe �`�" :dumber of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers 2. Sinks Disposals Urinals Floor Drains Washing Machine Water Lavatory i Sewer Water Heaters Sprinkler System OtherFees Permit Issuing Fee: $35.00 Total Fixtures: ?�, X $7.00 + $35.00 = i 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845. http:iwww.cl.atlantic-beach.H.us Revised 1/04 i d 9V99-LVZ-b06 swe;sAS u01lewi0jul eL£:LO 90 £Z AeW L.L`l CITY OF ATLANTIC B E ROAD EACH 800 SEMIN �? ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ` - INSPECTION EMAIL REQUEST: B u i I d i d 0 tCa.coab.us 08-00000228 Date 2/15/08 Application Number 1530 SELVA MARINA DR Property Address . . • • . Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 -------------------------- Application desc DUCT SYSTEM REPLACEMENT ------------- -------------------------- Contractor Owner -- -------------- MOFFITT TROPIC HEATING & AIR Q/A:MARKS, CHARLES J. 1530 SELVA MARINA DR. X50 MpypORT RD. ATLANTIC BEACH FL 32233 FL 32233 ATLANTIC BEACH (904) 241-1788 ------------------ Permit , , . . MECHANICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 55 . OD 0 Valuation Issue Date • • . ' g/13/08 Expiration Date ---------------------------------------- Fee summary Charged Paid CreditedDue ----------------- ------ --- ------- . 00 . 00 Permit Fee Total 55 . 00 55 . 00 . 00 0 00 . 0 Plan Check Total . 00 . 00 . 00 Grand Total 55 . 00 55 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH - MECHANICAL PERMIT APPLICATION Date: A er:Property Address: ( 5 S e V0, IVB�`�-C_ r' (�;-�.�. Telephone#• Own ` Contractor: Telephone#: ''�f' .7 `�I - 74� Contractor Address: a- Qcd • Fax#: 2 Lj E -Z 7 Z Contractor Signature: In consideration of permit given for doing the as described is the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas; _LP _Natural —Central Utility ❑ Oil ❑ Other-Spec MECHANICAL EQUIPMENT TO BE INSTALLED• NATURE OF WORK ❑ Heat —Space _Recessed —Central _Floor �j, Residential ElAir Conditioning: Room _Central Duct System: Material Pt ,Soo- ickness /e'y ❑ Commercial Maximum capacity !_4z-04D cf n ❑ New Building ❑ Refrigeration ❑ Cooling Tower:Capacity gUm )4 Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator. __ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) C1Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel )t Extension or Add-on to Existing System cls // El Boilers p 0 �A J-J-1C3Gas Piping �- Other-Specify 1 -- ❑ Other-Specify s � LIST ALL EQUIPMENT Approving AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Ton s Agency Number Units Description Model# Manufacturer Approving HEATING—FURNACES,BOILERS,FIREPLACES&AIIt HANDLER'S BTU's Agency Number Units Description Model# Manufacturer oinCapacity Type Liquid Serial Approvng TAS Manufacturer No. A en How Many Dimensions Contained 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://Www.ei.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH F 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building_dept(a,coab.us Application Number . . . . . 07-00001733 Date 2/04/08 Property Address . . . . . . 1530 SELVA MARINA DR Application type description SWIMMING POOL/SPA Property Zoning . . . . TO BE UPDATED Application valuation . . . . 61535 ---------------------------------------------------------------------------- Application desc INSTALL SWIMMING POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MOFFITT CLIFT & CO POOLS & SPAS 1530 SELVA MARINA DR. 7000 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 855-0019 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . SWIMMING POOL WIRING Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/02/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale or structure) --------------------------------------------------------------------------- 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 08- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BU ILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 2.IS THIS A SUB PERMIT: 3.DATE 1.JOB ADDRESS: 1 _3 G $�(V 4 d►'1�• 2�n1� l��` ❑YE - - S, Off' YES PERMIT#: 1"1 7 � �� 5 Atlantic Beach, FL 32233 PROPERTY OWNER: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 4.NAME: t ELECTRICAL CONTRACTOR: `- 8.ADDRESS.: o��UC' �� 13C 7.NAME OF COMPANY: V 10.CELL PHONE: 11.FAX NO.: 9,STATE OF FLORIDA LICENSE NO: r , l 7 _ a �y 6 C ��E� Jl 14• 90 12,EMAIL ADDRESS: �!► 13.OFFICE PHONE: , 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 work is suspended or abandoned for a period of six(6)months at any time after ork is commenced. CONTRACTORS SIGNATURE: i 17.SERVICE: 18.METER NUMBER: 16.CLASS OF WORK: RESIDENTIAL ❑ MULTI FAMILY-#OF UNITS: SINGLE FAMILY ❑TEMP SERVICE ❑ COMMERCIAL 19.BUILDING: 19.CURRENT CODE: ❑ADDITION ❑TRAILOR OLD ❑ NEW ❑'05 NATIONAL ELECTRICAL CODE ❑ALTERATION ❑SIGN ❑OTHER: ❑ REPAIR OOL/SPA ❑ REWIRE LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND XUNDERGROUND 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: AMPS: _ PH: W: VOLT: RACEWAY SIZE: . _ 24. EXISTING SERVICE SIZE: #OF AMPS: 25. FEEDERS: #OF AMPS: #OF AMPS: INCNDESCENT: FLUORESCENT& M.V.: 26. LIGHTING FIXTURES: OVER 100 AMPS: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 030 AMPS: 31-100 AMPS: OVER 100 AMPS: - 30. RECEPTACLES: OVER 100 AMPS: 0-30 AMPS: 31-100 AMPS: 31.SWITCHES: 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: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: or/ a)I itCOAB FORM BLDG02:REVISED:1/8/2008 A S, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptgcoab.us Application Number . . . 08-00000271 Date 2/27/08 Property Address . . . . . . 1530 SELVA MARINA DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED i Application valuation . . . . 0 -------------- -- -- ------------- --- - - --- - ---- ----- - ---- ----------- -- ---- - Application desc miscl ---------------------------------------------------------------------- Owner Contractor - ------------------------ -------- --------------- MOFFITT LORE ELECTRICAL CONTRACTORS 1530 SELVA MARINA DR. 210 N. ROSCOE BLVD ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 273-1143 ------------------- -------- ---------- - ------------------- - -- --- - Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/25/08 --------------- ------ ------------------- --- - ----- ----- - ------- Fee summary Charged Paid Credited Due -------------- --- ---------- -- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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[ ELEC'T'RICAL PERMIT APPLICATION Date: A Property Address: 1�� 1 L� �R��,��r Owner: MOzI Telephone#: ^ t � Telephone#: o�1s 1 i`�s Contractor: - Covf U �- Contractor Address: �GJ 0-� �� -I Fax#: �={ o Contractor Signature: 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 ordinance and standards of good practice listed therein.❑ Trailer Service: If other construction is Building: Building Type: being done on this building ❑ New L3 Residence ❑ Temp. ❑ New Or site,list the building ,/� 1 Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM qRACE Switch or VOLT Breaker AMPS PH W Existing Service VOLT Size AMPS PH W Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Ligating Outlets CONCEALED OPEN Rece taclesCONCEALED OPEN l Switches Incandescent l S Fluorescent & M.V. PS OVER BELL Fixed 0.100 AM TRANSFER. Appliances Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER t H.P. PHS IJNDER600V OVER600V Transformers NO.� KVA NO. KVA No.Neon_Transf. Ea. Sin Miscellaneous T 800 Seminole Road•Atlantic Beach.Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http- .//www.ci.atlantic-beach.fl.us n nA CITY OF ATLANTIC $EACH _ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 '-nchis 9 Application Number . . . . . 08-00000518 Date 4/17/08 Property Address . . . . . . 1530 SELVA MARINA DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SERVICE UPGRADE FRM 200AMP TO 400AMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MOFFITT LORE ELECTRICAL CONTRACTORS 1530 SELVA MARINA DR. 210 N. ROSCOE BLVD ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 273-1143 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/14/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rs` �'' CITY OF ATLANTIC BEACH I I I I F7800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O`+ RR i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US =_» ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOBB�ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE �) O ❑YES PERMIT#: / V Y PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 7 '^// ELECTRICAL,\CONTRACTOR: 7.NAME QF�MPANY: Z ZI C+'� �U� 8.ADDR 9.STATE OF FLORIDACEN$E�N 1 3 o I 10.CELL PHONE: /.-0^^ r 11.FAX NO.: 12.EMAIL DDRESS. 33 13.OFFICE PHONED: Y UY 14. 2 )3 15.Application is hereby made to obtain a+ ermit 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 co enced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mchs a� ny time er wore rented. CONTRACTORS SIGNATURE: j/)/ (- 16.CLASS OF WORK: 17. RVICE: 18.METER NUMBER: ❑ M LTI FAMILY-#OF UNITS: I RESIDENTIAL SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ❑ALTERATION ❑SIGN BOLD ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑ POOL/SPA ❑ REWIRE ❑OTHER: LIST ALL LECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CON UCTORS PER PHASE: POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: 46' z-` ❑COPPER 2 LUMINUM 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: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL:dn 6L4':7-- &94, 2-ey-D --fe- Y60im--'a COAB FORM BLDG02:REVISED: /10/2008 4• Florida Building Code AA. F Informal Interpretation , all. Date: Tue Aug 2 2005 Iv Report#: 3805 Code: Building I � a Section: R309 Question: Interpretation for Section R309.1.1—Duct Penetration. What if the AHU is located in the Garage and penetrates straight up to the attic? Will this require sheet steel or will ductboard material be allowed?? Answer: 26 gauge sheet metal or other approved material is required for ducts within the garage or penetrating the walls or ceiling into the dwelling from the garage. Commentary: Duct board is not approved for this application. Notice: The Building Officials Association of Florida,in cooperation with the Florida Building Commission,the Florida Department of Community Affairs,ICC,and industry and professional experts offer this interpretation of the Florida Building Code in the interest of consistency in their application statewide. This interpretation is informal,non-binding and subject to acceptance and approval by the local building official. O�11't G ..I 5aje5011VIa tev,3e ducf6,ro►"U > > a-1 lowPd ) -Pie K ducf � � a/fawe0/ wr ><h a , la'lo -id-i wilding Code "�. r lnfornial Interpretation R11(ri ov � Date: Fri Oct 4 2002 Report#: 1985 Code: Building Section: 1606.1.4 Question: Is it the intent of this section to require impact glazing regardless of the exposure. The proposed building is doughnut shaped with a center courtyard, a hexagon that is approximately 35' wide. We are providing impact glazing at the perimeter window opening but question if we need to "harden" windows opening to a courtyard space. Note that the covering over this space is a translucent material with screen enclosure for natural ventilation. It is not an atrium. Answer: No. In the wind—borne debris region the code requires exterior glazing that receives positive pressure (i.e. wind blows against the glazing) to be considered an opening unless the glazing is impact resistant or protected by impact resistant coverings meeting the standards of the code. In this case, a determination as to whether or not the windows facing the courtyard are subject to positive pressure during a design event is necessary. Commentary: Absent the building designer's determination as to whether the courtyard windows are subject to positive pressure, the assumption should be made that they are subject to positive pressure, and protected accordingly. Notice: The Building Officials Association of Florida,in cooperation with the Florida Building Commission,the Florida Department of Community Affairs,SBCCI,and industry and professional experts offer this interpretation of the Florida Building Code in the interest of consistency in their application statewide. This interpretation is informal,non—binding and subject to acceptance and approval by the local building official. AGC Alexander Grace Consulting, Inc. April 9, 2008 T` Todd Bosco Bosco Custom Homes APR X008 2158 Mayport Road Atlantic Beach, FL 32233 /h Re: Rear Wall Strapping, Moffitt Residence 1530 Selva Marina Drive, Atlantic Beach, FL Job Number 07-10-0147 Dear Todd, I have visited the site to observe the rear wall hold downs where threaded rods were not able to be installed due to space constraints. The threaded rods that were not installed were replaced with a flat strap fastened from the top plate to 36" down the cripple studs, all fastened with 10d nails. The cripple studs are then fastened to the footing with an LTT20B at the left rear window and the diagonal window and an HTT16 at the right rear window. This configuration is acceptable; no further strapping is required. The LTTs and HTT were used where threaded rods were not able to be installed due to space constraints. Please call if you have any other questions. Sincerely, Geo Gartner, P.E. 3515 Ocean Cay Circle - Jacksonville Beach,FL 32250 - 904-608-0364 AN( AG .0 Alexander Grace Consulting, Inc. V April 9, 2008 Todd Bosco APR 2008 Bosco Custom Homes 2158 Mayport Road Atlantic Beach, FL 32233 Re: Truss Repair and Beam Installation, Murphy Residence Atlantic Beach, FL Job Number 08-10-0043 Dear Todd, In the dining room the above referenced structure, an existing wall was removed. When the structure was originally built, the subject wall was an exterior wall with roof trusses bearing above. To remove the wall, a beam is to be installed. Due to the home owner's request, the installed beam is upset so that the ceiling is flat. The beam required is a 2-ply 14" 2.0E G-P LAM LVL beam. The beam is supported at each end with a double 2x4 stud group. The beam is fastened to the stud group with (2) MSTA24s with all holes filled with 10d nails. The stud group is fastened to the footing with an LTT20B, using a '/2' threaded anchor with 6" minimum embedment. Where the beam is upset, the bottom chord of the roof trusses are cut back and bucketed to the beam. The bucket used on each face is a minimum LUS26 with all holes filled with 10d nails. Where the truss is cut, there are no webs or joints; the only aspect being cut or repaired is the bottom chord. Please call if you have any other questions. Sincerely, Geoff Gartner, P.E. Mi 3515 Ocean Cay Circle - Jacksonville Beach,FL 32250 • 904-608-0364 n CITY OF - �0 3 Office of Building Officia �j / REQUEST FOR NSPE IONS Date / ermit No. Time A.M. Received P. Jola Address Lo ality Owner's Name Y Contractor ILDING CONCRETE CTRICAL M HANIC raming ❑ Footing ❑ oug mng ❑ Rough it ond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Ear Wed. Thurs. Friday Inspection Me Inspector Final Inspectio Certificate of Occupancy❑ Date CY OF r4u4il lC Bea A- Office of Buildi Official d 2� REQUE T FO INSPECTION -7 tPYI-3 Date Permit No. Time A Received Job Address Locality Owner's Name r UILD G CONCRETE UMBIN MECHANICAL Footing ❑ Rough Wiring Rough ❑ Air on Re Roofing X Slab L— Temp Pole Top Out X Heating Insulation ❑ Lintel ❑ Final ❑ Sewer F1 Fire Pre Fab ce READY FOR INSPECTION Mon. Tues. Wed. bLurs. t Inspection Made PM' Final Inspection Inspector Certificate of Occupancy ❑ Date nr orovisicns being included ` roved subject. t� the f�,llnw3 _ This plan aPP in the building; eac], unit Fell sha 11 be red • unit constructs10D p Ou hollow mason 5 bar at all corners; In with at least one No . shall bc. property rafters- reinforced such reinforcln9All wood truss and tamped with concrete , spandrel beam• to tbc; . xtc:rior the footing and sP ., fastened s shall tied into shall he securc.1, r or clips - Foot in r of construction anchor reinforced rove=d hurricane `xtarior walls V, �..Ialls with aPR concr�a" unde1� for Or"'- be ns r be continuous monoliths-c �1L� r "ds �, defarmF'c3 r,infor , g d 1-�:infor- pnr?rt,." 7 with two 5/9 th rec 5/n" d�'t� rm- ► s and h infoYcinq stcry bang ' Ci i Y �,f A 1-LA;`. ', b.�i1 f -5t�;r�; ir� c. 1" , rods for t_wo l.c,w�:r c_ �;.-t.r E3Uil.ii� 'i; cing l laced i ;, ti► a int '�► �j shall be P , cc ' t i „ �� rods al c. +n q thefootings. Propi.rl.Y ]a r :;Y,C3 it 1).:. 20 gate... ''— With wideland Be*e thick minim��m•�_ B�CITY OF Ifticial -Office of Building REQUEST FOR INSPECTION d 3� — l Permit No. / Date Time A.M. Received A4,X4Ca J),4�� S3o Locality Job A dr ss Owner's Contractor Name MECHANICAL BUIL NG CONCRETE ELECTRICAL PLUMBING ❑ Rough Wiring C Rough Air tingCon & Framin El Footing ❑ Top Out ❑ Heating e oofing Slab ❑ Temp Pole ❑ Fire Place C Insulation Lintel L Final C Sewer Pre Fab READY INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. P.M. Inspection M e — Final Inspection I ector Certificate of Occupancy ❑ 20 ��n� Date CITTOF TYiLG C ,5e4cJs-IM ^l Office of Building Official J3 /,n owl REQUEST FOR INSPECTION Date Z�3 9� Permit No. Time A.M. Received P. —Job Addr ss Locality r, Owner's for Na B WING CONCRETE LECTRI PLUMBING MECHAN Footing ❑ Rough Wiring � Rough Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out C g ❑ Final ❑ Sewer Fire Place ❑ Insulation ❑ Lintel Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Mad 4-/_ — P.M. Final Inspection ❑ spector Certificate of Occupancy ❑ n oY e CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 T INFORMATION LOCATION INFORMATION PERMl Permit Number: 2INF Address: 1530 SELVA MARINA DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Township: Range: Book: Class of Work: ADDITION Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/22!2001 Name: MOFFITT, JOHN & VALERIE Total Fees: 32.00 Address: 1530 SELVA MARINA DRIVE Amount Paid: 32.00 ATLANTIC BEACH, FL 32233 Date Paid: 2/21/2001 Phone: (904)241-9944 Work Desc: Install Condenser Unit , Heat Exchan er APPLICATION FEES CONTRACTORS PERMIT 32.00 ALAN'S AIR CONDITIONING lnsppctions.Required FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS BYTHIS WORK MUST NOT BE EITHERCONTRACTOR OR OWNER IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED WAY B "FAILURE TO COMPLY WITH THE CONSTRUCTIONOR BUILDING IMPROVEMENTS!' IN THE PROPERTY OWNER PAYING TWICE F ISSUED ACCORDING TO APPROVED E PROVISIONS IC LAW.RE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE $3003E 14 �83� Bate: E/22/01 Al Receipt: 648 ATLANTIC BEACH BUILDING DEPT. CHE.CKS 23255 V C v L ��: C� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address:_ 0 J L L ii A OF InferwcYing Streets: Between WILDING And Subdivision II. IDENTIFICATION —To be completed by all applicants In consideration Of permit given for doing the work as described in the above statement we hereby agree work in accordance w id with the ettec4d plans and specifications which are a part hereof and in accordance with the said id w send standards of good practice listed therein. Cify o/ to to perform Name of Mechanic I n Confrectors H Coaactor (Print) NY� Mester Name of Property Owner �•E.r Signature of Owner Signature of or Authorized Agent - Architect or Engineer III. GENERAL INFORMATION A. Type of heating fuel: g, IS OTHER CONSTRUCTION BEING DONE ON EhtctPc THIS BUILDING OR SITE? L% ❑ 649—❑ U ❑ Natural ❑ Central Utility ❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO EE INSTALLED NATURE OF WORK (Provide Complete lilt of components on back of this form) W Residential or ❑ Commercial Q Heat ❑ Space ❑ Recessed V Cental ❑ Floor ❑ New Bullding ET Nr Conditioning: ❑ Room Central Existing Building ❑ Duct System: McNriel ThicknessQ Replacement Of existing system Maximum capacity af.m. ❑ New Installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ CI Cooling tower. Capacity Other—Specify q.p.m. ❑ Fire sprinklers: Number of head. ❑ Elevator ❑ Manlift ❑ Escalator (number) ❑ Gasoline PUMP. (number) THIS SPACE POR OFFICE USE ONLY (Ree.Iveei) ❑ Tank. (number) Remer}s ❑ LPG Conteineri (number) ❑ Unfired pressure vassal ��• V U ❑ Sellers Permit Approved by Date d ❑ Other—Specify Permit he !LISTALL EQUIPMENT NDITIONING AND REFRIGERATION EQUIPMENT mber Units Description ][odd Number Manufacturer Gpecity Appmvinj v1 U ( ) Agency HEATING - FURNACES, BOILERS, FIREPLACES Number Unite Description Model Number Manufacturer (g capacity) AAgency A H v Vj G 1 c' R f►t- �. -105CT kyj V(. TANKS Row Many Naming Capuclty Type Liquid Name of Serial Aprovin and Dlmanaiasa Contained Manufacturw No. P 6 pAs CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 02-00025309 Date 12/13/02 Property Address . . . . . . 1530 SELVA MARINA DR Tenant nbr, name . . . . . . REPLACE SHOWER PAN Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- MOFFITT, JOHN ATLANTIC COAST PLUMBING & TILE 1530 SELVA MARINA DR. 323 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-5381 ---------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . 42 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 i 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 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT , JOB LOCATION: %�L5 Q OWNER OF PROPERTY: JJ o� ) ��Ti TEL. PLUMBING CONTRACTOR: 7l"gkA�, CONTRACTOR'S ADDRESS: J � i `I•� �30�. % STATE LICENSE NUMBER: C� / TEL. -53�o HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS _SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X$7.00 + $35.00= MINIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: 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. 1 �►",jLo CITY OF Beads-&7&" Office of Building Official j� REQUEST FOR INSPECTION Date / 91-9-� Permit No. Time917/� A.M. Received M. ��-OrYLfL l � V Job A ess Owner's Name Contractor BUILDING CONCRETE ELECTRICALIGf13 NGS MECHANICAL Framing 11 Footing Rough Wiring Rou ❑ Air Cond.& ❑ Re Roofing El Slab _ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel _. Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Tues. Wed. Thurs. A.M. Inspection Made (J PM' Final Inspectio Inspector Certificate of ccup ncy ❑ Date I ------ ---- - ------- - --------------------------------------------_-_.--- - --------------------------------- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 I I PERI IT Iff,i MATT ii _ -- - _ _._LOCATION INFORMAT Permit Number: 18034 Address: 1530 SELVA MARINA DRIVE Permit Type: ROOM ADDITION ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: 1 Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 65,708.00 C?WitIE.R iNORfiTt Date Issued: 4/06/1999 Name: DIMOUSH, ALBERT& KARA Total Fees: 616.07 Address: 1530 SELVA MARINA DRIVE Amount Paid: 616.07 ATLANTIC BEACH, FL 32233 Date Paid: 4/06/1999 Phone: (904)218-6091 Work Desc: RENOVATION AND ROOM ADDITION RADON 623 - SCHARGE 1390 CON1%ACTaf1_(S)_ - APPPLICATIt3N�MS - PROPERTY OWNER PERM 486.00 WAT IMPA T FEE 120.00 RADON - . S. 2.96 RADON CAB 5% 0.16 CON T.SU= RGE 6.25 SCI ATL. CH. 0.70 � I I __Inspe Rem -------=-COVER U P --- - FOOTING S I FRAMING INSULA N FINAL BUILDING NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 I FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH UILDING DEPT. CITY OF Situ SEMIN01-1'. ROAD REACH, I ORIDA ',2211-54-1j rF.1.1:11H0NF 004) _247-5800 FV\ (004s '47—�805 ll_WOM �i2_5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 / Attention: Connie Re: Final Electrical Inspections Dear Connie- Ix' ions on the followin ` cations have been completed and approved: Final Inspect 9 PERMIT NO. ADDRESS A Please call me at 904-247-5826 if you have any questions. Sincerely, ATLATIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 - PERMIT INFORMATION !T— LOCATION INFORMATION Permit Number: 18413 Address: 1530 SELVA MARINA DRIVE PATLANTIC BEACH, FL 32233 Permit Type: MECHANICAL Township: Range: Book: Class of Work: ALTERATION Lot(s): Block: Section: Proposed Use: SINGLE FAMILY Sudivision: SELVA MARINA Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: DIMOUSH, ALBERT & KARA Date Issued: 6/24/1999 Address: 1530 SELVA MARINA DRIVE Total Fees: 47.00 ATLANTIC BEACH, FL 32233 Amount Paid: 47.00 Date Paid: 6/24/1999 Phone: (904)218-6091 _Work Desc: INSTALL NEW SYSTEM FOR ADDITION gPPLICAIrON FEES CONTRACTORS PERMIT 47.00 ALAN'S AIR CONDITIONING Inspqctions,Required FI ROUGH MECHANICAL NAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. _ — ;47.08 14 �'� 4 Date: 6/24/99 01 Receipt: 086710 18413 ATLANTIC BEACH B ILDING DEPT. CHECKS e BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. i. 530 SEL.•JA (YlfaQfzJ� oR LOCATION Street Address: 1 _ t OF Intersecting Streets: Between_ Si-(n%00LE And 6EL\JA MA(a+tN44 BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Confracfors Contractor (Print) I Mester CAC049309 Name of Property Ownerp,r�o,;S,-� n n 7, Signature of Owner Signatureof or Authorized Agent �'V / Archifecf or Engineer 1 Ill. GENERAL INFORMATION A' Type of heating fuel: B' IS OTHER CONSTRUCTION BEING DONE ON (a Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ CHher — Specify I . 03 Ll IV. MICHANICAL EQUIPMENT TO It INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) l)9 Residential or U Commercial [S Heat ❑ Spec* ❑ Recessed Control O I'loor ❑ New Building Air Conditioning: ❑ Room to Control � Existing Building 10 " U Replacement of existing system Dvcf System: Mehrial P L R Thicknest_?--.--- Maximum capacity 1Z.C c.f.rn, U New Installation(No system previously installed)C) U Extension or add-on to existing system (( ❑ Refrigeration 14 Other — specify N G� 5�S�6 M ❑ Cooling tower: Capacity 9-P.M. ❑ Fire sprinklors: Number of heads ❑ Elevofor ❑ Manlilt ❑ Escalefor (num'>er) THIS SPACE POR OFFICE USE ONLY ❑ Gasoline pumps (number) ( ) ❑ Tanks (number) Remarks ❑ LPG containers. (number) ❑ Unfired pressure vessel Permit Approved by Dat+ Q 1{eilere ❑ Other — Specify Permit Fye LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT cap.racesins y n r Number Units Description Model Number Manufacturer (Toni) cY HEATING FURNACES, BOILERS, FIREPLACES Capacity A __� Number Units T)escrfption Model Number Manufacturer (BTU) ��y� sa-\-Aa sv 0,ER T'we c3(0 TRANS — TANKS now Many Nonfatal Capacity Type Liquid Name of Serial Approving and Dlmeeuions Contained Manufacturer No. nc1 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247- 877 PERMIT INFORMATION -__— LOCATION INFORMATION----------- Permit Number: 18927 Address: 1530 SELVA MARINA DRIVE Permit Type: REPLACEMENT PERMIT ATLANTIC BEACH, FL 32233 Class of`Noris: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION - Date Issued: 10/06/1999 Name: ®$ MOFFITT, Total Fees: 25.00 Address: 1530 SELVA MARINA DRIVE JOHN & VALERI: Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 10/06/1999 Phone: 904 241 9944 _ Work Desc: COMPLETE CONSTRUCTION OF RENOVATION/SEE PERMIT #1084 _ CONTRACTOR(S) APPLICATION_ FEES_-_ PROPERTY OWNER ---- PERMIT 25.00 _ _ Inspections Required- FF equire --- — --- FFNAL BUILDING NOTICE - INSPECTIONS MUST BE ,REQUESTED AT LEAST 241 ,HiOURS PRIOR TO INSPECTION 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 SU3.IECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. — ---------- $25 3 © 14 Date: 10/08/5931 Receipt: ?+ 1 1 774 ATLANTIC BEACH B ILDING DEPT. CHECKS 104000100003201303 a REC.'71VED n!""; 6 1999 City of Atlantic Beach Building and Zoning October 7, 1999 Don Ford City of Atlantic Beach Re: Building Permit-1530 Selva Marina Drive Dear Mr. Ford, My wife and I have contracted to purchase the above referenced home which is in the final stages of renovation. We respectfully request that the City of Atlantic Beach assign the building permit from its current owners to Valerie and John Moffitt. We understand that by assuming the permit, we are restricted from reselling our home for 12 months from the date of the issuance of the Certificate of Occupancy. If you have any questions, please feel free to call me at 241-9944. Thank you for your assistance. S' cerely, OT(D John Mo tt Acknowledged and Agreed: P"w� Shirley A Cobb * *My Commission CC736969 Expires April 26,2002 Al Dimoush CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 2475877 PERMIT INFORMATION' LOCATION INFORMATION Permit Number: 18231 Address: 1530 SELVA MARINA DRIVE Permit Type: UTILITIES ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: ' 5/18/1999 Name: DIMOUSH, ALBERT & KARA Total Fees: 120.00 Address: 1530 SELVA MARINA DRIVE Amount Paid: 120.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/18/1999 Phone: 904)218-6091 Work Desc: ADDITIONAL WATER IMPACT FEE CONTRATflR S APPLICATION FEES _ PROPERTY OWNER WATER IMPACT FEE 120.00 I I ins ns Required NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. PAID MAY j 8 1999 _— City of Admde Bell. ATLANTIC BEACH BUILDING DEPT. AA111��-��;�,c /CHIT OF Office of Bui ding fficial O �� REQUEST FO I SPECT�ION Date� ,e / Permit No. Time1-5— A.M. Received /' P.M. 1-5'3- e--) (J l 4 Job Address Locality Owner's /l Name Contractor !L UILDIN CONCRETE ELECTRICAL PLUMBIN MECHANICAL aming \Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Ins lation 1-1 intel ' C Final ❑ Sewer ❑ Fire Place ❑ READY F R INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday PM A.M. Inspection Made PM. Inspector Final Inspection ❑ ( Certificate of Occupancy❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMITINFORMATION I LOCATION'INFORMATION Permit Number: 18268 Address: 1530 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY I Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: _OWNER INFORMATION. Date Issued: 5/25/1999 Name: -DIMOUSH, ALBERT & KARA Total Fees: 39.50 Address: - 1530 SELVA MARINA DRIVE Amount Paid: 39.50 I ATLANTIC BEACH, FL 32233 Date Paid: 5/25/1999 Phone: (904)218-6091 Work Desc: INSTALL PLUMBING IN REMODEL AND REPIPE CONTRACTOR(S)CHRiSTY FIRST COAST PLUMBING PERMIT APPLICATION.FEES 39.50 I I I � ' � I I I I I I � I Inspections Required _ I UNDER SLAB PLUMBING I SEWER iTOPOUT FINAL I I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION I I 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. I I I I I $39.5014 4r), e /)Cy Date: 5/25/99 01 Receipt: 0059719 46-44 ATLANTIC BEACH BUILDI' G DEPT. ei 88832210©0 CITY OF ATLANTIC BEACH Flxcure Unic Worksheet for Wacer Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASURE!ENT OF WATER OF-HAND FOR EACU WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTL4. THE- WATER SUPPLY CH.IRGE IS HEREBY FIXED AT —, ,;EN-.Y DOLLARS PER FIXTURE UNIT CONNECTED TO THE CIL, WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND WATER CLOSET. LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WAM CLOSET, TANX OPERATED (4) VALVE OPE.-; ;TED (8) 1 BATHTUB/SHOW`ER (2) 2-- URINAL WALL L_P (4) _SHOWER GROUP PER HF-0 (3) FLOOR DRAIN (1) L SHOWE3 STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) Cu^M.3INATION SINK AND T=;Y (}) WASHING MACHINE (3) POT, SCULLERY SINK ( :) DISHWASHER (2) WAST. SINK EACH SEL CF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) LITM SINK. WITS WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDE, URINAL STALL, WASHOUT (4) FLUSHING lim SINK. (8) C0lw2INAT7_ON SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LiVATORY, BARBER/BEAUTY SHOP (2) ICE MAKER (1/2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS_ $20.00 EAC:i / _2 Q . D JOB INFOR24.A7I0N ��3 ST L V14 ` ( a (N A D/Z . r i! i ,a -. 36N ,�_1 • _. I ' .. ...�,.� 04-0 , I �� t I o Li �t.,ouf f ti 0 A p SPA o llc g wi CITB�Lp�N� IFVICS 9 WL � MAY 181999 L c- -. .«_ CITY OF ATLANTIC BEACH, FLORIDA l Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. -19 �I9 IMPORTANT NOTICE: )�03� 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: MASTER LECTRICIAN SIGNATURE � - 3 J��Ja 1'► RFD—BOX— NAME-1:;> r ADDRESS:_, - BLDG.SIZE 3 3yy l I> �aL gib'^-BETTWEVN: RES. U i APT. ( 1 COMM. 1 '1 PUBLIC ( 1 INDUS. 1 1 NEW 1 ! OLD REW. (-1 ADDITION (w) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR CONDUCTOR SIZE v AMPS Z� COPPER ( 1 ALUM. 1 SWITCH OR BREAKER - AMPS PH 3 W Z�VOLT � L N RACEWAY EXIST.SERV.SIZE Z�=' AMPS l PH�Sl 3 W z yVOLT e--RACEWAY FEEDERS NO. SIZE NO. ZE N0. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE ASHER T-- EACH SIGH RDED FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT _ PERMIT INFORMATION LOCATION INFORMATION - - -- - Permit Number: 18268 1 Address: 1530 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/25/1999 - Name: -DIMOUSH, ALBERT & KARA Total Fees: 39.50 Address:-1530 SELVA MARINA DRIVE Amount Paid: 39.50 ATLANTIC BEACH, FL 32233 Date Paid: 5/25/1999 Phone: 904)218-6091 Work Desc: INSTALL PLUMBING IN REMODEL AND REPIPE CONTRACTORS APPLICATION FEES CHRISTY FIRST COAST PLUMBING PERMIT 39.50 I I I Inspections Required - I UNDER SLAB PLUMBING ISEWER ITOPOUT FINAL j NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i 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 i 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 BUILD16G DEPT. CITY OF ATLANTIC REACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Is 3 0 S- IV4 Yy)A rt nc. 'beoi . OWNER OF PROPERTY: I� I ])imp\A3k TELEPHONE NO. �), y7- YON nn ;?)J>- bogI PLUMBING CONTRACTOR ar,.SS '(-,'CS a (MSS CONTRACTOR' S ADDRESS:'Tl,C) So y y 4, C3�- a a STATE LICENSE NUMBER: CSC oS (o 14 g7 TELEPHONE: ,-I V Z_qql 9 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: -------------------------------------------------------------- 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 - PERMIT INFORMATION LOCATION`INFOR>wATiON Permit Number: 18231 Address: 1530 SELVA MARINA DRIVE Permit Type: UTILITIESATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: 7777 Improv. Cost: ! OWNER INFORMAT[ON Date Issued: ' 5/18/1999 Name: DIMOUSH, ALBERT & KARA Total Fees: 120.00 Address: 1530 SELVA MARINA DRIVE Amount Paid: 120.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/18/1999 Phone: 904)218-6091 Work Desc: ADDITIONAL WATER IMPACT FEE - CONTRACTOR S APPLICATION FEES _ PROPERTY OWNER WATER IMPACT FEE 120.00 I �Anspecfions'R uired NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. L128.89 54 / Date: 5/18/19 81 Receipt: 8057741 38 CHECKS ATLANTIC BEACH BUILDING DEPT. 48880083433788 *,, CITY OF ATLANTIC BEACH .� DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach. FL 32233- Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION - - Permit Number: 18250 Address: 1530 SELVA MARINA DRIVE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/20/1999 Name: DIMOUSH, ALBERT & KARA Total Fees: 25.00 Address: 1530 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/20/1999 ! Phone: (904)218-6091 Work Desc: ESS200AMPS1 PH3W240VCABLERW/2008RMR 2-1/2"RW REWIRE & RELOCATE METE CONTRACTOR(S) APPLICATION FEES ALANS A C & HEATING & ELECTRIC, PERMIT 25.00 i I i Inspections Required ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. i i i i i i i i i $25.8014 Date: 5/20/99 01 Receipt: 0058694 AT TIC BEACH UILDING PT. CHECKS 21061 00100083221800 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 6 0 'c 1W0/7-(0 )f1j Date 9 g -0.00 per sq ft = S �q 300 Heated Square Footage @ $ Garage/Shed 0 @ s-0 per sq f. = 5 C Carpo_ %Porches (a $ jd.d per sa ft = S @ $ per sa ft = $ Deck ,^,\\ Patio @ $ per sq ft = S V TOTAL VALUATION : S 4 Q Tot Valuation 1st S O( 0 /0 ay s Remaining Value S<1 per thousand or portion thereof TOTAL BUILDING FEE + Filing Fee Z- �� at9C3GF DOC TO (0) Fireplaces @ P�ofrj "fzCS �p vz7 BUILDING PERMIT FEE � a �= P2P WATER IMPACT FEE $ ✓5 -� SEWER IMPACT FEE S WATER METER/TAP S CAPITAL IMPROVEMENT S SEWER TAP S ( clqu) RADON (HRS ) C050 SECTION H PAVING t i $ HYDRAULIC SHARES CROSS CONNECTION $ /3r� ) SURCHARGE . 0050 S S-90 OTHER S— GRAND TOTAL DUE 7 S/ S� ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp : SwimminaPool Septic Tank Well , Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 Small Additions,Renovations&Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-97 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB-97 or 600A-97. PROJECT NAME: c� BUILDER: AND ADDRESS: L PERMITTING CLIMATE OFFICE: ZONE: 1 ❑2 ❑3 OWNER: (� } PERMIT NO. JURISDICTION NO.: CD SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. lavvy Q 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. �. 6. Glass area and type: Single PaneDouble Pane a. Clear glass 6a. sq. ft. _CA_-A _sq.ft. b. Tint,film or solar screen 6b. sq. ft. sq. ft. 7. Percentage of glass to floor area 7. % 8. Floor type and insulation: a. Slab-on-grade (R-value) 8a. R= lin. ft. b. Wood, raised (R-value) 8b. R= sq. ft. c. Wood, common (R-value) 8c. R= sq.ft. d. Concrete, raised (R-value) 8d. R= sq. ft. e. Concrete, common (R-value) 8e. R= sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 9a-1 R= sq.ft. 2. Wood frame (Insulation R-value) 9a-2 R= sq.ft. b. Adjacent: 1. Masonry (Irsulation R-value) 9b-1 R= sq.ft. 2. Wood frame (Insulation R-value) 9b-2 R= sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic (Insulation R-value) 10a. R= e sq. ft. b. Single assembly(Insulation R-value) 10b. R= 1 6 sq.ft. 11. Cooling system* (Types:central, room unit, package terminal A.C., gas,existing, none) 11. Type: SEER/EER: iJ 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE: 13. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14. Ty e: (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calcul tion re in Review of plans and specifications covered by this calculation indicates compliance compliance with the Florida En r Code. with the Florida Energy Cod efore construction is compI d, his building will be inspected for compliance i ace dance with S ' n 553. 0 , S. PREPARED By- DATE: I hereby certify that this building incompliance with the Florida Energ e. BUILDING OFFICIAL: ` OWNER AGE DATE: DATE: 2 -1 - RECEIVED CITY OF ATLANTIC BEACH WAR 2 07 •1999 PERMIT APPLICATION REMODEL, ADDITIONS, OR A 2�tbM Beach MOVING,DEMOLITIONS Building and ening owner(s) Job Address:� = d ll� 1�10( Phone: a4- — 24'� IIS 'C'Q `� Lot # _ Block or Unit # _ Subdivision: Contractor: lr�)LoI\WI State License # Address: Phone No: City State Zip Code Describe work to be done: 4 Present use of building: valuation of Proposed Construction: iS7 O OC>O Proposed use: Is this an addition? If yes, what are the dimensions of the added space: s�_ft. X ft.' Will the added area be heated and tt cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace7L He Jon SUBMIT ?ffiiSS (C ZAZ) rX0 =SZDJ=Z1L) CCWLSTS SSTS OF I' aNS, II7>M1=1= SITS Flow, SaRDSZ, ZZMV �GrCOIIS , =TICS Or , 1fIVD cwjq R/CoxTr.&=oR Arr=)A7=, Ir owxaR XS CONTRA=OR. Signature OWNA Date: Signature CONTRACTOR: Date: AS TO OWNER: Sworn to an .1�°•^Y,e'c; E I WHITE .: .- MY COMMISSION#CC 557447 ;€ EXPIRES:May 27,2000 OTARY PUBLIC Bonded Thru NOIDry Public Underwriters AS TO CONT Sworn to and subscribed before me this � day of ,19_ NOTARY PUBLIC ^rte, f JJ. Jl r Y } id CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 1 .Z,C Date /-/- (; _ , Heato� C -e Fvo-1-a-. �G7 ✓ L y "40'0 V .ICL s u ✓uua. p0 i tiara Shed @ $ -33 .0 0 Per r.i3 Carport orcr @ S 11, 06 er sa 1.t Deco @ $ P r sa t = S Patio S Pe ` sa rt IOTA VALUAT`0I7 : Total Valuation 1 t SO, 000 /,570? " S oy Remaining Value S P thousand or port on there _ r TO_ L BU LDING EE $ J2q- ou + i 2 Fi ing ee $ /42.00 (0) . it lac s f'. $15 . 00 $ —6 — BUIL ING RMIT FEF. S— zlk4 WATE IM CT FEE SEWER I ACT FEE S WATER ITER/TAP S CAPIT L IMPROVEMENT Sr,W h,r TRE S RADON (YRS ) C C 5 SE ION H PAVING H*' RAULIC SHARES $ :CSS CONNECTION $ y,396 SURCHARGE 0050 OTHER GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical PlwYrbin E ectric%New Electr_ c Temp SwimrrtingPool Sen'-3c Tank We_ i Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF l*&4ezz Fead - 9&ud4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)'247-5800 FAX t904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION, YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER To IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. _UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT To $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-226(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA 'CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNS /BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS D I� • NOT,4RY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. 1q@Y�?peg, SHERI WHITE MY COMMISSION#CC 557447 EXPIRES:May 27,2000 Bonded Thru Notary Public Underwriters f j FLA. 1067 LAWS S 5 MIN. RETURN FS 713.13 s RAMCO/dRM .SO. PHONE # I �0 r, ftlIN jrr Jar f Of-alummirrilwitt 41PR[►A11[ 111 UU►LICA7[1 Zit fn)jam it tJ�2tt�I IL: 4' The undersigned hereby informs all concerned that improvements will be made to certain real 'i property, and in accordance with section 713.13 of the Florida Statutes, the following information Cfl is stated in this NOTICE OF COMMENCEMENT. Description of property.. � �).. .................................................. h1 .. . . ...".. I � ..:.. N .............................................................U_U ..._ I. 1 1 �.�S�1J ................. ............................................. 0 (� 0 .......... .A.V....... .. General description of improvements..... ..5 S .. ............................................................................. ............................................................................. Owner....... .\ ......]....r...... .:.. ��.A. .((YIN1Q..I� Address..... 5' .. ...... ,'..1.(.1.f ........1.!..ti. Q�l�?. ..... 4,....w ..........._.... .... ._........_......................._............. Owner's interest in site of the improvement...... ,.. fee Simple Title holder (if other than ower) Name............................................................................................... Address.................................................... Bk.. 9273 .............................................................9.s............19.7P.............................._. Doc# 99104927 Filed R Recorded Contractor.......................................... ......................................................... .....Oar/Q`3f9'�............................................................................. 09:56:28 A.M. Address.•...................................... HENRY W. COOP. .....................................................:.................. . CLEfiFC...CTRCl1Y.T...COURT.......... _ _..._ . . _.. DUVAL COUNTY, FL Surety (if any)........................................._.................................................... REC. $ 6.00 ......................................................... .................................. Address....................................................................... ...............................................................................Amount of bond ............... ............... o� Name of person within the State of Florida designated by owner upon whom notices or other docurnerds may be served: (� Name ....1'-1..�.�.�(L,.�...�........•1.....J..(,t:Y.1.Q..4�•-�1.............................................................................�....................................... � v Address.�.....'vt....i...................��..�1I..�.........!..1...1�A�!.lf�....!��................................................. n In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option), Name.......1 ..`.....�,..?..hC�,�, . :Address........�.. .....A �u ....................�f� tu(.�._.._......._. _.................... THIS erAC[ FOR R[CORO[R'e US[ ONLY I .. .. ..........___......_......................................... Owner "11rar�rll _ ---.._.� 1 ITE ate;•. t MY COMMISSION p CC 557447 Sworn to and subscribed before me this....::...:........................ " EXPIRES:May 27,2000 or; Bonded Thru Notary PI bile Undetwft, L -.................dayn .. YY kXCI .............................. 19..�11 j Nolary Public l CITY OF k J 1I� 13e=4 it Office of Building Official REQUEST FOR INSPECTION �6--,7 �2 S' !� Permit No. Date A. � pistrl ., TiM eceived � R lily owner' Job� PLUMBIN ddress —+� "t �Or MECHANICAL Nam ELECTRICAL _CONCRETE Air.Cond.& BUILDING ❑ Rpugh.Wiring ❑ Rough Heating Top Out � ❑ Footing pole C Fire Place Framing O � Temp Slab Pre Fab Re Roofing Lintel ❑ / A.M. READY FOR INSPECTION Friday P.M. _.---�—" Wed. Thurs. i Tues. ` A.M. Mon. 'j � P.M. J Inspection Made _ Final Inspectionn �3 Inspector _ Certificate of Occupancy Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATIONINFORMATION Permit Number: 18034 Address: 1530 SELVA MARINA DRIVE Permit Type: ROOM ADDITION ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 70,060.00 OWNER..INFORMATION Date Issued: 4/06/1999 Name: DIMOUSH, ALBERT & KARA Total Fees: 751.50 Address: 1530 SELVA MARINA DRIVE Amount Paid: 751.50 ATLANTIC BEACH, FL 32233 Date Paid: 4/27/1999 Phone: 904)218-6091 Work Desc: RENOVATION AND ROOM ADDITION RADON 990- SCHARGE 1310 CONTRkl'flR(Sl _:__ - __ _ _ APPATION FEES PROPERTY OWNER PERMIT 620.00 WATER IMPACT FEE 120.00 RADON GAS-H.R.S. 4.70 RADON CAB 5% 0.25 CONST.SURCHARGE 5.90 SCHARGE/ATL.BCH. 0.65 Inspections Required FOOTING i SLAB COVER UP FRAMING INSULATION FINAL BUILDING i i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. Operator: WENDY _ Date: 4/29/99 01 Receipt: 0053053 ATLANTIC BEACH BUILDING DEPT. Total Payment (751.50 j l -� CITY OF ATLANTIC—BEACH A77; DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tei: 247-5826 - Fax: 247-5877 li ELECTRICAL PERMIT PERMIT INFORMATION � LOCATION'INFORMATION Permit Number: 18250 Address: 1530 SELVA MARINA DRIVE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: I Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/20/1999 Name: DIMOUSH, ALBERT & KARA Total Fees: 25.00 Address: 1530 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid 5/20/1999 Phone: (904)218-6091 2-1/2"RW REWIRE & RELOCATE METE Work Desc: ESS200AMPS1PH3W240VCABLERW/200BRMR CONTRACTORI Sl APPLICATION FEES �ALANS A C & HEATING & ELECTRIC, I PERMIT 25.00 I I I I I I � I I I I I I I I I Inspections Required - - ROUGH ELECTRIC AL ELECTRIC I i I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 I I � "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 i FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i I i I i I i I I j li $25.IN 14 Date: 5/28/99 91 Receipt: 8958694 21861 AT TIC BEACH UILDING PT. DECKS 19� CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water IapaCt Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DE.�AND FOR EAL73 WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CH_A.RGE IS HEREBY FIXED AT ;ENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CIiC WATER SYSTZ%I. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET. LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) WATER CLCSE" WATERT CLOSET, TANX OPERATED (4) VALVE OPERATED (8) EATH=JE/SHOlw'ER (2) Lrv:;7AL WALT, L:? (4) SHOWLI GROUP PER HF-0 (3) -OOR Dn.A:N (1) _SHOWESt STALL D021ESTI C (2) LAUNDRY LAVATORY (1) C�`*_3:NAT:CN S:NK AND -: t TS:ASHZ:iC H.ACHZ'7E (3) � POT SCL?...=RY S:NK ( .1 _D I S'dIr'ASHER (2) + W SET WASH S7-NK EACH CF j FAUCETS (_) YZ T CIiE'l SI'nC (2) DENTAL LAVATORY (i) LITCBFSi SZ2ix VZTH LiAST. DF-NTAL UNI:' OR CUSPIDOR (1) GRIXDF7t (3) BIDE• URINAL STALL, WASHOUT (4) F USHi2iG 2�i SINY (8) C=N-BINAT=ON SINK AND TRAY WITH FOOD DISPOS. (4) Ul:NAL, PEZESTAL. SY?HCN JE':' DRINKING FOUN7AZN (1/2) ELJ4iGU7 (_) LAVATORY, L RBER/3E1Ui' SHOP (2) ICE MAKER (i/_) _SURGEONS 5:NK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TDTAL FIX.JR° UNITS $20.00 EAC:l $ f Z B . OO JOB INFOR.`!A:'ION 4 1;7f K/ 1T 1J1 I'/J CITY OF N° 27457 ATLANTIC BEACH FLORIDA NAME ADDRESS L 322 33 CITY-- $15.!0,74 ITY $15.E074 late: :%17/53 31 `;Ec4 t: 0056626 - 13; Received When Signed, Dated and Numbered, This Be omesaPayment I _Receipt MAKE CHECKS PAYABLE TO TREASURER 'ITY OF ATLANTIC BEACH, FLORIDA CITY OF Office of Building Official REQUEST FOR INSPECTIO Permit No. ! �j Date A.M. Time P•M Received � U cality t Job Ad ss Owner's ^^n ✓) D / y Contractor M CHANICAL Name ELECTRICAL UMBING CONCRETE Rough Air Cond. & 0 BUILDING Rough Wiring ❑ ❑ Heating ❑ Footing Temp Pole ❑ Top Out C Fire Place 11 ❑ Framing C Slab C Final ❑ Sewer Pre Fab Re Roofing Lintel Insulation READY FOR INSPECTION Friday Mon. P.M. Wed. Thurs. Tues. A.M. r P.M. to Final Inspection ❑ Inspection ade ❑ Certificate of Occupancy Inspector Date i APPLICATION FOR 14ATER CUT-IF TO THE CITY OF ATLANTIC BEACH: Application is hereby made for G water cut-in at the following address for units. � Cut-In charge of Street No. c4--, Lot Flock Subdivision Ordered by: OVINER a Mailing Address: .-6mo cY. DATE, ACCOUNT T NO. METER 110. DATE I STALL7D s / r S CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS PERMIT NO.— DATE LOCATION r. Vd��Z lc—&_2t M&ZET LOT NO. ,�' BLOCK NO. OWNER c a, TYPE OF BUILDING r MASTER PLUMBER INSPECTED BY BILLED ACCOUNT NO. P � CITY OF Q �� /�� 0;&��_ Office of Building Official REQUEST FOR INSPECTION O — 9 Permit N Date A.M. Time P.M < Received 3 O Locality Job Addre Owner's Contractor v Name PLUMBING MECHANICAL BUILDING CON TE ELECTRICAL Rough El Wiring [7, ❑ Air Cond. &g Framing ❑ Footing ❑ ❑ Heating Temp Pole ❑ Top Out ❑ Re Roofing El Slab ❑ Sewer El Fire Place Insulation 11 Lintel ❑ Final Pre Fab READY FOR INSPECTION CAM.-D Tues. Wed. Thurs. —_ on. A.M. InspectionMade Final Inspection ❑ Inspector Certificate of Occupancy Date .a 1 APPLICATION FOR WATER CUT--IN TO TEii; CITY OF ATLA;'TIC TEACH* Application is t-.ereby made for water cut-in at the following address for �� unit/s ./ Cut-In charge of 'J Street 110. Lot !� Elock Subdivision Grdered by : OVNER y f Mailing Address:: ( c. �C �— DATE: ACCOUNT 1110., S METER NO. DAT: INCTALI,7n CITY OF ATLANTIC BEACH APPLICATION FOR FLUMBING PERMIT PERMIT NO. Date : LOCATION Street LOT NO._ BLOCK NO.- S/D �� ✓""�7 OWNER MASTER FLUNIBEREldg . BUILDER OR CONTRACTOR Bldg. TYPE OF BUILDING SI1,'YS_4LAVATORY #O/BATH TUBS URINALS 4 CLOSETS FLOOR DRAITvS7+SHOWERS WATER HEATERS / DISH'IASHERS DISPOSALS OTHER TOTAL FIXTURES__ ":1 . 00 NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size -.and looation of all the soil and vent pipes, and the number and location of all fixtures , (in acaordanae with Ordinance no. 188 of the Citv of Atlantic Beash, Florida ) must be shown on bask of appli- cation and be approved by the Plumbing Inspeotor. DR.Li PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspeotor Date (FOR OFFICE USE ONLY)ROUGH-IN INSPECTED REMARKS FINAL INSPECTION: CERTIFICATE ISSUED : CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS PERMIT NO. / /S DAT E S LOCATION/S LOT NO._!� BLOCK NO.�_ OWNER TYPE OF BUILDING _,"L�- MASTER PLUMBA INSPECTED BY BILLED r, ACCOUNT NO. 5- -J/ - FOR 0 F1 E USE ONLY Date. Permit #.._....../.............Fee CITY OF ATLANTIC BEACH Valuation ..........A................... FLORIDA House #...... ------- ..... APPLICATION FOR BUILDING PERMIT .................I...(I............... ------------......... -------------------------------------*......... 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 beverified. Date--------------------- ----------_................................ Owner--------11-11,16e, ----- ........................................Address------1�Ae----111;le----------------------------Telephone No.----......_................. Architect--------------- ------ ---------I— ...........................................Address,-_---------------.....------......---------....•---- elephone No------------_--------------- Contractor Builder.........--....... ...............................Addresses ....t-Nelephone No..IYI_0� ---------- ----------------- ........... Lot No.------_-----------2� lock No--------...LF...............Sub Division...._& . ' __ ----------Zone------------_-- ------------------------B -Adzllk CI1i---- ------------------------------------------------------------Street--- --- --------.......Side Between... ----. -------- -------------------_----and....................------- ----- ----------------Sts. Valuation $.....e��e .---.For ............... Dimensions of Building------- 5147�----------Dimensions of Lot.what purpose will building be used..-_ t3.1,3.................Size Type of construction-__-. ------ of Footings...... Size of Piers.-__---.____._------------------Size of Sills,_--.-___.__..__-__-.-....___.Greatest Sill Span in ft...........................Type Roof_1r-------A_--5 Zf How will Building be Heated?._-.._ 17 .. & ............Will Building be on Solid or Filled Ground.?-----ax/ ----------- Size of Ceiling Joists--- ou-4T,--------------------- Distance on Centers........... .......';i. Greatest Span---------/J.-/ // . r.,----------- ,,t_ 4............. e9 ........ Size of Floor Joists-_---_---_ tr1t Distance on Centers_..._ .. ....../�.................. Greatest Span...... ------------ C) Size of Rafters................. . 1U(0..___---- _- ----- Distance on Centers --------------J Greatest Span---ce ......... This rectangle is to represent the lot FLORIDA STATE REGISTRATIONLocate 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. Z Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 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. 7. Electrical inspection by City of Jacksonville. S. 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 of�<ajVl4ch�� . -—-------------- Signature of Build _'e�r---- ------------ ......... Address.............. Signatureof Owner--------------------------------------------------------------------------------- Address_-----------_------------- ------------------------------------------------------------------- CITY OF 800 SEMINOLE ROAD __-- ATLA-\TIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 - --`� SUNCOM 852-5800 June 18, 1996 Thomas Burdette 1530 Selva Marina Drive Atlantic Beach, FL 32233 Dear Sir: Our records indicate that you are the owner of the following described property in the City of Atlantic Beach, Florida.- Re: lorida:Re: 1530 Selva Marina Drive It has come to our attention that the assigned house numbers are not permanently attached to your home. This is required by Chapter 6, Section 108 of the Code of Ordinances of the City of Atlantic Beach. The absence of these readily visible numbers is a detriment to your safety should you require police, fire or medical emergency services. I urge you to install 3" high numbers easily visable from the street by day or night. Simeroly, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED 'I PSR-3844 12616 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -------- LOCATION INFORMATION ----- - )ermit Number: 12616 ddress * 1530 SELVA MARINA DRIVE Permit Type : PLLIMBING ATLANTIC BEACH, FLORIDA lass of Work: ALTERATION ---- ----- LEGAL DESCRIPTION --------- Constr . Type:WOOD FRAME Block : Lot : Twp: Proposed Use: Section: 0 Subd: 0 Rnq ' ' Dwellings : I Subdivision: SELVA MARINA Est . Value , Improv. (,Oct : To .tal -F --'-"ATION APPLICATION FEES PERMIT -1 am ': BU PERMIT Addr INA DRIVF A, = B FLORIDA -ho 3 E C F FORMATI6 ----- -lidd r L Exr, NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDS Y& WeT-TII OC�T FQJ4339 ectyy. �4 MBRILV �-ate- 9/17/96 91 ec VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By:- e CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : IS-30 S E i VA /hAR.A1 A �>(z - OWNER OF PROPERTY : u fi 4),,- !l r PLUMBING CONTRACTOR , Roo 77,< -5 ee-,c v,c Fs Cy 0_ CONTRACTOR' S ADDRESS: oZoaR c,1 of s S I SA X0 FIA , a-2-2-05 STATE LICENSE NUMBER: C FC OV IK13 1 TELEPHONE: Jw't 3-5-6-7111 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER I ��°il' f C' Wol_ew J15 76-r TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: 7 �'-��- ---- ----------------------------------------------------------------- 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT 1 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:._. 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. BILL THOMPSON ELECTRIC CO., INC. 9GT6 P. 0. BOX 50398 iarlcsONVILLE BEACH FL 32240.0398 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME� �� ADDRESS: S'505t�Va- 1 RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.(?U APT.( 1 comm. ( I PUBLIC ( 1 INDUS. ( 1 NEW( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE Z a AMPS PH W / 7 C VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 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 w O.I OVER MOTORS H.P. I 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 FORWARDED • TOTAL FEES �?�.o` 3574 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- - PERMIT INFORMATION - ------ LOCATION INFORMATION --------- Permit Number: 3574 Address: 1530 SELVA MARINA DRIVE Permit Type: FENCE ATLANTIC BEACH, FLORIDA 32233 .lass of Work: NEW --------- LEGAL DESCRIPTION --------- Constr. Type: CHAINLINK Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: O Dwellings: 1 Code: O Subdivision: SELVA MARINA Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $10. 00 Amount Paid : $10. 00 Date Paid : 3i2-19191 fork !-"r, -! r'!IATM !.T NK FENCE ---------- €JWNE:R INF OkMATION -- ------ ---- APPLICATION FEES ----- Name : BURDE:TT PERMIT $10. 00 Address: 15:30 SELVA MARINA DRIVE WATER IMPACT FEE . $0. 00 ATLANTIC BEACH, FLORIDA 32:: SEWER IMPACT FEE $0. 00 Phone: (904 )249-0849 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 _ _.-_-- CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: ARLINGTON FENCE WATER TAP $0. 00 dd-ess: 1419 WHITCOCK AVENUE SEWER TAP $0. 00 .JACKSONVILLE, FLORIDA 32211 HYDRAULIC SHARE $0. 00 License: Type: 7 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." 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: c APPLICATION FOR FENCE PERMIT Owners name---- v2/-� 7 ----------------------------Phone Job address1J-Z6 J �Q !'�/ 2 �A- �2 -------------------------------------------------------- Lotblock and/or unit # subdivision -------------------- Contractor if different from owner Valuation of fence S_ Z �L__ Cor interior lot_____________ Type construction__Z Show location and height of fence as well as location of street(s) . Owner signature-----__- -- - - Date____--__ --Q-- ----- Contractor signature _____ ------------------------- ARLINGTON FENCE CO., INC. 262-9341 REMIT TO- 12677 Phillips Highway 1419 Whitlock Ave. Jacksonville, FL 32211 743-1915 TRWR TERMS AVAILABLE CONTRACT # CUSTOMER X�u.onF,-7- ADDRESS /s--?co �d(cia /`-/.Q,Fi.yR J< DATE INSTALL AT PHONE NUMBER _25/ 4 — 0c!? !j WHEN SIGNED BY THE PURCHASER AND ACCEPTED BY THIS COMPANY THIS PROPOSAL BECOMES A CONTRACT — BINDING BOTH PURCHASER AND COMPANY. 1 TOTAL FEET HIGH TOTAL COST 5� �I `2S TOTAL FEET HIGH DOWN PAYMENT S rJ S TOTAL FEET HIGH BALANCE DUE UPON COMPLETION MATERIALS APPROXIMATE STARTING DATE GATE POSTS It �fk O.D. PAYAS AGREED ARE SUBJECT MENTS INTEREST� MONTH. END POSTS � �� f O.D. ANY ADDITIONAL MATERIAL OR LABOR USED WILL CORNER POSTS rsXl O.D. BE AT THE COST OF THE BUYER. LINE POSTS�l J�8 S O.D. J� 5 ur o , C\�V�� c .L ci d J TOP RAIL / /fi' O.D. All FABRICyf��'> MESH r� �!8 GAUGE i �' �✓ �� 3 3 <44%. GATE SIZES( T id y v • RESPONSIBLE •- DAMAGES TO UNDER- GROUND CABLES, -• PIPE, •- ANY • - UNMARKED OBJECTS. DO NOT SIGN BEFORE READING CONTRACT. THE PROPOSAL PRICE IS GIVEN WITH THE AGREEMENT THAT THE PURCHASER WILL CLEAR ALL LINES FOR CONSTRUCTION DATE ACCEPTED OF FENCE AND PROPERLY MARK WITH STAKES OR OTHERWISE. CUSTOMER AGREES TO PAY ALL COURT COSTS AND ATTORNEY'S FEES IF SUIT AND/OR COLLECTION BECOMES NECESSARY. SIGNED SALESMAN 4333 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number: 4333 Address: 1530 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32232 Class of Work: ADDITION LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot: . Block; Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: I C6det 0 Subdivision : SELVA MARINA Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees : $18. 50 Amount Paid : $18. 50 Date Paid: 9/17/91 ALL WATER HEATER OWNER INFORMATION ------ -. ---- APPLICATION FEES ----- Name: BURDETTE PERMIT $18. 50 Address: 1530 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 32. s SEWER IMPACT FEE $0. 00 Phone: ( 904)223-3585 WATER METER 140. 00 RADON GAS-H. R. S. $0. 00 ------ CONTRACTOR INFORMATION RADON GAS - 5% 1$0. 00 Name: B & G PLUMBING WATER TAP $0. 00 Address: 13997 BEACH BLVE SEWER TAP $0. 00 JACKSONVILLE, FL 32224 HYDRAULIC SHARE $0. 00 Li r7ense: CFCO2259-3 Type: G RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEAD APPLICATION FOR PLUMBING PERMIT JOB LOCATION l S3C fwt� a' PLUMBING CONTRACTOR ,` ��/ '4T, LICENSE NUMBERS v-# y3� OWNER BUILDING CONTRACTOR TYPE OF BUILDING SFS/��Y, SHOWERS SINKS WATER HEATERS LAVATORY BATH TUBS DISHWASHERS _ —�— _URINALS __ DISPOSALS ' CLOSETS WASHING MACHINE FLOOR DRAINS OTHER _TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMING CODE.