1540 Selva marina Dr (vault) (2) • FOR OFFICE USE ONLY
Date .......... ................."..19 ...
Permit # ..Fee $-.--- -----------------
CITY OF ATLANTIC BEACH Valuation $
FLORIDAHouse #----- -----"---._.....--•--- ---------- --- -------------
..•------------•........ .................... ...................................................
APPLICATION FOR BUILDING PERMIT .........................................
T a 0 ...............
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the .City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. /6
---------
Address- .�.....D 996 - .... ..............
.� ��...
L 'L
Owner--<`-P�---...�-f-�• -r� •�----- ----•----------•----- - � �G ---•-----••---�--•- •--•---��4C..-----Telephone No.---• --•----Architect................. Address.------•--•----"- Tele ------------------
�+ •-- //(( qoqf'
A L
Contractor Builder. ft5 -5._-----_-----------------Address_/� id _ �.Ur 1 h NoP'eb�.:�._. ...
rcr a, 9
Q Q Urt a"'�'11ti /,� .................
Lot No----------------g--------------------- -------Block No--------v----- --------- --..Sub Divisiort�Q� ""'� / Zone
Street---------- - ------- Side Between--------------------------------_------ --------and.-------"---_---------i Stft.
Valuation $15�M ___.For what purpose will building be used... .. -------- of construction...__-_ � -- ••"•""
Dimensions of Building _.Dimensions of Lot.................................-----------------------Size of Footings.._.-...------------------------ -----
Size of Piers-------------------------- ----.Size of Sills---------. _.. - ...----------Greatest Sill Span in ft.----- -----•-------.....Type Roof.-_------------•---- -------------
How will Building be Heated?-------------------------------------- ----- ----""••Will Building be on Solid or Filled Ground?-------_----------------------_-------
Size of Ceiling Joists_.. ------------------------- ........... Distance on Centers.- ---•- --------------------------, Greatest Span-----------------_-------------------------
Size of Floor Joists---------------- Distance on Centers.. ....... .----. -------, Greatest Span....-_..-...__--..-------------------------
Size of Rafters.---------------- - .. . . .... Distance on Centers . ............................. Greatest Span--------"- ----•--------••-•-•--- ----------
This rectangle is to represent the lot.
APPROVED Locate the building or buildings in the
CITY O: f 1.%.NTIC BEACH right position. Give distance in feet from
EWL61NG OFFICE all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall 2 (��v
be submitted with application.
Inspections required. O,
1. When steel is in place and ready to pour footing. W W
2. When steel is in place and ready to pour colum d/or lintel. z x
a
a
3. When steel is in place and ready to pour beam.
4. When framing is completed. �7
5. When rough plumbing is completed,and ready to corer up. G] W
6. When septic tank drain field or sewer is laid but before it is covered. A A
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of pe ven for d ng the work as described in the above statement, we hereby agree to perform said
work in accordance wi a at and s cifications, which are a part hereof, and acco ante with the building
regulations of the City ntic e
//QQQQ
Signature of Builder -----------------•------". Address.././. a- Xet
Signatureof Owne .. . -- - ----------------- Address------ ----------------•-•--- - ------•-------------
1.1.1:C7 10 CAL: _
/, J BUJ I,DI NG )'I:IC-Il T 1•:UI:I:SHEET
bo
Iyer �q. ft. _ $
HEATED SQUARE FOOTAGE: _ _���� @ $ -
GARAGE (PRIVATE/SHED) : -- - -- - - ---- -- - - - -
per sq. ft. _ $- - - - - - -
CARPORT: - - - ----- --
@ $ - - per sq. ft. _ $ -- - -- -
PORCHES: --- - - -- - - - ------ - -
@ $ per sq. ft. _ $ -per sq. ft. _ $
PATIO: ----- - -- -
TOTAL VALUAIION: $---- - -
PERilIT FEES ll
�U
T
UTLL'AT I ON DATA 1st
R 'AI::DER VALUATION @ $ per thousand
or portion thereof
r
TOTAL BUILDING PERAIT FEE. . . . . . . . . . . . . . . • • • . • • • ---
PLUS z THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . ... . . . .$
TOTAL FEE DUE. . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . .
PLL.-BING PERMIT FEE: $_ - _ - MECHAONICAL PERMIT FEE: $ --
ELECIRICAL RESIDENTIAL: $_ - ELECTRICAL TEI;PORARY:
WATER METER SIZE: FEE: $-
—
SEWER CON';ECTI0N CFEE $'
LARGE: SQUARE FOOTAGE: _ ----- --
@ $10. 00 PER L-NIT: $
17
WATER COANECTION CHARGE: FIXTURE L'NITS
ACCOUNT NO. :
TOTAL BUILDING/PLAN FILING FEES:
.'.?PROVED BY:
APPROVED TOTAL WATER iETER CHARGE: $ __-
CITY 0.f ATIINc; O�'p1CF'lid BE�tCH
�t.lILbING TOTAL WATER CO=:NECTION CHARGE: $
_
q TOTAL SEWER CON:.ECTION CHARGE:
GR?ND TOTAL DUE: - -------
G1TY OF
Building Official
oilice of B 1N5PECTION
REQUEST POR Permit No.
District No,
111 A.M.
ate Z1 p'M Lpcality
p�Rmeived I � � MECp{ANICAL
eceJob Address Contractor PLUMBING �J Air.Cond'g
AI- CAS Heating ❑
OwnersELECTRIC ❑ Rou9h ❑ Fire Place
CRETE Rou9h Wlrin9 -Top out pre Fab
Name CON ❑ Te ❑' A.M.
mp pole
gU1LDINC' _ Footing �, P.M.
- siab ❑ TION `` Friday-
Framin9 �intet READY FOR INSPEC
Re Roofing -Thurs.
AM•
Wed P.M.
Tuesr Finalln
jection❑�- sP occupancy
Mon f occuP
de Certif Icate o
Inspection Ma
pate
Inspector
C/Ty Or
yq&2014- /3eac4
Office Of l� .!/J
are REQUEST Building Official
Rime —
Received FOR IIVSPECTI pN / e
�
P M. Permit No. �1
Own IObAtldre (,
er s
am / District No.
Ne
g
CON CRETLocality
Re Roofing ❑ Footing E Contractor
❑ EECTL
Slab ❑ RICA,
Lintel ❑ Rough Wiring ❑
E3 TemP Pole PLV MBIN(i
Mon. Rough
Tues. ToPOut MEC
ICoLInsPeq'on4ade � y FOR INS C7 Air.
Cd.&WHeating CON Fire placeInspector Thurs.
Pre Fab ❑
A.M. Friday
P.M. _A.M.
P.M.
Final InsPectio^❑
Certificate of
Occ
u
p
a
ncy
Date
CITY OF
&4",4-C 12eaC4Office
oBuilding
Official
Jate REQUEST FOR INSPECTION
Time Permit No.
Received A.M.
P.M.
Z,5-416'
' District No.
i
�
�Job Address
Owner's / Locality
Name )G:
BUILDING PLASTERING Contractor
Foundation mney .,,•❑ Wire ELECTRICAL PLUMBING
Frain ng ....••❑ Lath ❑ Rough Wiring ..❑ Rough HEATING
Final g "•"' ❑ Scratch .,..........❑ Finish Wiring ..❑ Final .•..' ❑ Rough ❑
Bro n ❑ Fixtures ❑ Sewers ❑ Final ❑
Footing ., ,.. Finish ❑ Tem EJ rPole , .'❑ Gas ..... Cl Water Heater
Slab ...❑ Wallboard . p ❑
❑ Cesspool
Lintel Beam .,.❑ ❑ Final Inspection. To out ❑
❑ t .. ...❑
READY FOR INSPECTIONater .... .....❑
Mon. Tues.
Wed. Thurs. A.M.
Inspection MadeFri. P M
A.M.
Inspector P.M.
1
DEPARTMENT OF BUILDING 515 4
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 10/31/ 19
Valuation$ 15 ,000- 00 Fee$ 73. 50 73,50 1
73.50CKT
This permit not valid until above fee has been paid to City Treasurer,and is 1A 2/14/8
subject to revocation for violation of applicable provisions of law.
This is to certify that SWIMCRAFT POOLS
1992 KX14GSLEY AVENUE ORANGE PARK FL
POOL AS PER PLANS a U
has permission to build 7L- ( I li40
100+
Classification^RESIDENTIAL Zone PUD
Owned by LEE WI STRODE
Lot 9 Block A S/D L�i1IT A
House No. 1540 SLLVA IIARI14A
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
-n AFTER DATE OF ISSUE
i 4 i O Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
= up and hauled away by either con-
�tracto w ner.
Building Official.
FOR OFFICE PERMIT DATE 1- CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
�t � ECTION DiVISION[UI1ADI G AND Z01" I"�
CITY OF t:rLANTIC BEACH, FLORIDA
APPLICATION FOR MECHANICAL PERM!
ImnRTAMT-/Wl;0ant to comploto all itoms in stci*oOm 1- II- III, and IV. _
St. ead - St.
of i5�o , �-�. la � --- (►nf.r t;" Shvets)
F:::�
LOCTION (tlorth. So A, East-Weft)
6 oc! N Sub-d;.+s:oa Lot No al d•uription per d.ed in dsvpl.cate sf nectsiary)
r-U'(-DDih6 (Stat• portion of b1 i{ Iru than full lot-,Attad� 6g -- -
Il. Tl'if OF N'OPOSED 1.''ZCt.{, 11C/ll. WORK - f)1 t ,!icenh corn^ t• Forts A -
A. USE OF IUILDING t5_ Private (iad;rdwl, r-pr-portf;ra.
RESIDENTIAL ncnproftf ;rtstitvt;7rt.rte-1
I, x on. f.miy
I1. ❑ u0ity tl ❑ puj>%c (pedorsi. state or local pore---e*4)
1345•.s1. Gt-ery.
2. ❑ Th or rr.ore timiy- 12. other c1..:cetio:+a1 G {:.ATUf;E dF WORK
Enter rumbar of roo--ns
Nev Gd',Zaq
3_ ❑ Trans;*"t. hotel, morel. 13 13Stora. n,Kranf Ie
roomir.q house - 0t4-ar 11E. ❑ Exist ins 85/Yd:►q
Enter numbs of unite
14. ❑ OTHER-SPECIFY 14. ❑ ReF40z*.*"t of"ti;kq s7r~t+r*
{, ❑ Other residential i+sslsrrad)
20.� Ne. i-sta".etion (No.srsf'^'
21. ❑ Ettrn:;cr,or edd-on to c■ittirq ry:tem.
NON-RESIDENTIAL
S. ❑ Arrusemant, ncreat;onel 22. ❑ 04-
-$pK�fy
b. ❑ Cl u7m)k- other re;;q;out
7. ❑ industrial
1. ❑ Garege. sarv;c• stat;oa L TYae�OF eU"-rr"{+Q
4. ❑ Hospital, instiNtional 3& QY Number of
10. ❑ Office, banl. Professional 37. 0 WC-0d frame
F24.
ICAL E�UIPMBUNT TO IE INSTALLED
38.X' t�asen-y and •-Ad
omplete list of comPanenh on ba.cl of this form) 34. ❑ Re;niorced concrete
vrnece: ❑ SPaca ❑
R.cess.d
Central O R.+or sfl_ ❑ Sirucivral steel
Room � Central f /t - 41. ❑ Other
lir Conditioning: ❑ Thiele. rDuct System: Motora 40I..fas;,num up46ty
2d. Ra{rigarntion THIS .DACE FOR OH4Cft VSE O"Ly
27. ❑ C001*1nq to.rer: Cape
c;ty
q-las+- (aeoa�i••J)
21. ❑ Fre spr;ntlar: Number of h"
29. ❑ Eft,&ic r ❑ manl;lt ❑
E,;-etetor ___._(number)
30. ❑ C-Gla:ne porn
/ Q�.t/_ RaenaAs
31. ❑
32. ❑ LPG conte;-
Ere Nuel permit Approved E7
pa ta_
33. ❑ Unfired pmts
34. ❑ toile- ►►^mit fee_
35. ❑ 0 4,er
Ill. 6E3r�P.;�l (NrOR}•�I-�T1ON
T o{4.ce`;ng TEI �NSTFt'JCTIOM SEIRG DCrtE 0
A. yrs fuel. ING OR SITE?
42. L'Ktric
43. ❑ Natural ❑ Central UtilityVE MUsAeER OF COkSTAUCTION -
Gas LP ❑
--- -"
44. ❑ 03
4S. ❑ OtLcr - S;,ac,fy
- To be corn• atcd by np epprcants _
IY. 113�'I71yCAT10N , 5, � to rforT said �orit in .«�:
--- - rrnit ;.M for �'eq tf+e .rote •s �{_�,cn'bed is the r`.c•• s!o!e.ment .e F.e a •g' �
In cans;de si n of ra y ,ciF<af:-4 .r`�;ch are • r+rf hereof and ;e •cc:.��ance •;th tt+e City of Jeclson.ille wd;narces a+d spa•
v;ti tF.a r!tacMd pant d s
of ;Cod y'.c4;u I;sicd ttommn.
-- ---- S
!' a of tleCse^ ul Co -
�,-`raCh.r
Y.r"! W SVS -- - i --- - ----- -- --
C r er (Print) -----
of
atv'e of O.ner R.-:S:!ect ur E,g;naer _
or A-. sad Agent _------ - --
V-51-I
r L
i
DUPARTMENT OF BUILDING J¢ �`
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. V
ion i
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 10 19 19$�
i
Valuation$ i'4ECHANICAL Fee$ M00 �S Qt:
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that IRICKYJAM
AIR SYSTEMS OF FLA 7727 ALTON AVE JLL FL 32211
I
has permission to:
Classification SINGLE FAIJILY Zone RS1
Owned by
Lot n Block S/D SELVA
House No. 1540 SELVA MARINA DRIVE
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
= AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
-n AFTER DATE OF ISSUE
r--0 O Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
= up an auled away by either con-
tract wner.
Building Official.
i
FOR OFFICE4 PERMIT DATE f% CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILDING 5 8 5 6
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 0 1
Valuation$ PLUMBING Fee$ 90.50
9n.5n
This permit not valid until above fee has been paid to City Treasurer,and is 90.4crl
subject to revocation for violation of applicable provisions of law. 407 ' A 61"
This is to certify that B & G PLUIMING 5UU
onji
has permission to �� INSTALL PLU:iBT 1G AS PEI; PLANS
Classification SINGLE FAMILY Zone RS 1
Owned by LEE E. WINTRODE
Lot Block�IS S/D SELVA MARINA
House No. 1540 'T Vtt ITARINA DRIVE �4 --
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
= AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
--� --
P. O Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
T
no-aibO.hauled away by either con-
tra o wnerr.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
I,
CI it L;
N?LJ G�TJ Y FCR P1.1 t_:3) I:
WO E-G- C1=-�3-- -- -- - - --
I C-_'TI Cry. 15410 - SRv_p
I:'.SI LR PI-LJ :3U2 C,CNE _C•
CI
S if.T t CL-k T I FI CATE
-J I_f-; R Ck CC•':Ti:.;Ci OR OQIC )544/5
.:'t OF �I LD1 i:J— -SINGLC
:1A.E RS
e�:,ti: 1u.J s / D S,'-',ERS
D
L�L • � =. O
•.�1 I.•.rS f
J _D1 �. -AL S
j-C SI-w is
oZ3 TC'A! F 1?�►i:?= C��iJAT
NS i r,!IJi t`I C.1 C; PLL:•: 1 l:.a AND )X-11.:--%'ES r JS T BE ) ,• h...,..-.R1:.f:t.c 1t 1 1 rl -PIA= r,'JS I -
r=C_t1T ED] T) ON C; T:= SOUL:=r,:. ST.:�:�.'.RD PLL"131 NIG C.:J-,
t �
DEPARTMENT OF BUILDING C
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. a
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 5/13/83 19
141 476.65 501 #00 T1.
Valuation$ Fee$ 501.00970) #UOGKT
,3!
This permit not valid until above fee has been paid to City Treasurer,and is I I A 5/12/6
i
subject to revocation for violation of applicable provisions of law. 53.J7 *OOCAC
6`
This is to certify that ELLIS H0.1FS 1000
1t3h(1 arra Stroot, Jam Bcaeli
has permission to build SINGLE F NTTLY HOME AS PRE PLANS SURTTTTTE'11)
Classification SINGLE FAMILY Zone RS 1
Owned by LEE E. WTNTRODE
Lot 9 Block 8 S/D SELVA MARINA
House No.
1540 SELVA MARINA DRIVE r4
According to approved plans which are part of this permit
= NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
0. 4. 0 Building material, rubbish and debris
-Zi from this work must not be placed
in public space, and must be cleared
up :and hauled away by either n-
i�rac � owner. �
B7ng Official.
r`
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
ELECTRICAL: -�jte'►1_- _ - -
BUILDING PEI-C•SIT ',:URKSIIEET
HEATED SQUARE FOOTAGE: ��lo� _ @ $ _ 3q.6 per sq. ft. _ $ �owi7•(8)
GARAGE (PRIVATE/SHED) : g @ $ /of Z per sq. f t. = $ 0 )
CARPORT: ------ @ $ — -- - - ------ per sq. ft. = $— — --
PORCHES: @ $ -- --------- per sq. ft. _ $ - -- --
DECK: @ $ -- -- -- -- -- Per sq. ft. _ $ - ----
PATIO: — — @ $ — - -- Per s q. f t. _ $- ----- /--—
TOTAL VALUATION: $_ 1
PERMIT FEES
V/,J s, -
TOTAL VALUATION DATA lst $-0Dn_--
_�-/
RErAI 'DER VALUATION @ $ / •aS"P
er thousand
or p tion thereof ��QD
iRr-'E FiRr� �/�e M-s
TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . .
PLUS 31 THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . .
TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ - SO1,yO
------------------------------------------------------------------------------
PLUriBI'-vG PERMIT FEE: $ MECHANICAL PERMIT FEE: $
ELECTRICAL RESIDENTIAL: $ ELECTRICAL TE"1PORARY:
�� —
3 S0i
WATER METER SIZE: FEE: $ —
SEWER COMNECTION CHARGE: SQUARE FOOTAGE: FEE $ Z6300
WATER CONNECTION CHARGE: FIXTURE UNITS _ �j 3 @ $10.00 PER UNIT: $ 33y
ACCOUNT NO. : D V'ZU 25
APPROVED BY: TOTAL BUILDING/PLAN FILING FEES:
APPROVED TOTAL WATER METER CHARGE: $
ti i •:�i IC BEACH
puII-DING OFFICE TOTAL WATER CONNECTION CHARGE:
2 1083 TOTAL SEWER CONNECTION CHARGE:
GRAND TOTAL DUE: $
3 AL
1 VE - -- - - - - -----
7 1 ON
ADDRESS - - - ------ --
- - " -- - -- CITY ,- •.NTIC BEACH
--BUDDING OFFICES --- - - --- -- —
-- ] ease print 2 1993
()CCU?A7 I O::AL LICENSE 140. --- ------- ---- --- -- --- - -- - - - --- -
E (ER-j ) F)CA] E NO. ----- -- ----- - — ------ --- -- -- -- -
--- --- ------- - --- -
-D-7}: OR CO::-T r:_ACTOR --- -- - - ---
?_�,>.'.'.iURT -----� BATH ii;PS URI?:ALS -
71_UOF. BRAINS
hhI
D1 S}':'S_ALS
YC1_::SETS _ d� S:Cu -
i UTnER ;0TzL FI?:TUT•E COUNT
LLL, I U:: OF ?1�:'�I':G ;-J:D FINTIC ES 'fUST -- -
;:. CC. ?.�.=_•CE ;,lir 'TAE ?;US7 f:-rCENT EDITION --- - r- _ --- -- --- -- --- -
?1 L;iBI::G CCIDE S7 G:.AT i r.r O i is t'L ': R
e `. ..�-. -.•_ ' � - — i. is 7 j: ; is is jc i �: �
n �
-- ---- �fF; i�= =':D FOR �AC'r. I: EP. Fly"Ti =F- 1`:1T
c s�_ =-c- x , SHED AS Ti'.E U: - -- -
__ L — L- ,
_�� '- C'=�RGE 1 S r-�n_3 j--!)-_:'D Al
rI L ED ':D CC':.'•EC7ED TO THE Ci TY 1:1.7r P. S-;S, -
J'�'._' 1?::LFKE U;:1T co-!-EC1-D TO i r_F C11� :�1 tY� S`. S;=':. SEC_ 27-3 (c)
_1007-L=- �, - BtiTrTLrB
(!-.-/OR h10 CI ER 57 LI.L,
;;i;;)'_. C=:Ob CO' SI STING OF _
u_%� c-O.,.R) (2 U-ITS) 11 :'- Si7C (2 L
CLnc£T', 1_; 'S70P.1 b ELTB -
i rte,
TUB-OP, S--'C'=11ER STALL (6 LTN'ITS) B--_.�T (3 OMITS)
(2 V':1 TS)
CO`• INATI ON SIM b i RST T,_r;T ey 'LAVATORY
(3 UNITS) (1 UAIT) - K)TC E1: SINT-
_ CG::BI''A3 7 01: SINKb T;.AT W/ (2 U--NITS)t�1T OR C1'SPI-
FOOD DIS_ (4 L73NITS) - DOR (I UNIT) _- - WAST EIS S1!:}:
WASTEN
Gi.1::Dr1
DRINKING FOU::TAIN (!� 13N1T) _ D1S:--�:PSHER (2 U11-11TS)
F1,OOF DR4INS ,(I U-NIT) L�.VATORY (I UNIT)
t ;l'ATUrZ`_ SURGEONS (2 LTN1TS) Su0•„•ERS C :OiJP PIR 1- -AD (2 ON) TS)
SuRGL01S , SIT.`K (3 UNITS) (3 UIN'ITS)
POT, SCI” LER'
FLUS-AING -RIM. SIKK (8 UNITS) S=RVI CE S1D — SINK (4 11N T.
- - ST'z':D (3 tt1i7 TS) L,P,,;.AL STALLURINAL, PT-D STAL, SYPHON JET __ __
RLC•::ODT (5 t tiI TS) ---- -- Li<I;:AL, '•.'°LL LIP L:tSHOUT (4 i
(4 tNITS)
-
- l 'SH
-
L•ic1 :ATT-OUGYEACH 2' •ti=SHING "_AGPINE RES 2 FAUCETS
S�C11ON (2 Lr ITS) (3 UNITS) ( 17:1TS)
ATR COSETS, VA XT
CLosiiS, TA-- -
v' EL
Gs=AA ED (4 N TS) l
TS /O.x� - '
ENERGY DATA SHEET
NAME �_ 21 DATE 4•__-2-1-
JOB ADDRESS E ^^
PI `t-,o -a
1 . Type Insulation In Walls R 1 �
2 . Type Insulation In Ceilings I � � '
R 3 O - c'
3. Type Insulation for Wood Floors _ q , R
4 . Concrete Slab Edge Insulation n —R
5 . Insulation Around Ductsa 1j 6C:ka_r,� In Condit. Space
6 . Type Heating System Ale � /A COP -7
7. Type Cooling System �- �� EER �l)
8. Type Hot Water Heater
9 . Type Glass In Windows and Doors :
Double Glazed Tinted
Single Glazed Tinted
10 . Type Exterior Doors �Od�
11. Fireplace? Z,-"'--W/inside Combustion Air
W/Outside Combustion Air
12 . Woodstove? /V"�.
1 1 mcnp t-he dimenci nns of all windows and doors__shown?y��_ . __ If not,
r '
CITY OF ATLANTIC BEACH
APPLICATION FUR SEWER OWI.4 TIONS
v
AooUUNT ND.
DATE
LOCATION
IAT NO. BLACK 140. - SUBDIVISION �''&7(
OWPER
TYPE OF BUILDING
' tC
��LiJ?•fi3ER
DATE
INSPECTED--- BY
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT-INS. . . .
APPLICATION IS HEREBY MADE FOR � WATER CUT-IN AT
THE FOLLOWING ADDRESS FOR i 3 `3 UNITS.
CUT-IN CHARGE OF
STREET N0. �� ry �G(.L�Z� �I //QUI G� � f✓�Z
LOT BLOCK SUBDIVISION
ACCOUNT NUMBER
'L
R
MAILING ADDRESS
DATE
METER NO. DATE INSTALLED
°`(HF STATE FLORIDA MODEL ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
FORM 902
BOB GRAHAM SECTION 9 9H POINTS METHOD CLIMATE ZONES
� GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 23
PROJECT NAME JURISDICTION
AND ADDRESS ZIP ZONE
BUILDER IC-: C L S PERMIT NO.
OWNER L! t �Ni y o C�P JURISDICTION NO.
STATISTICS
IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE
El RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM
ADDITION (SEPARATE CALCULATIONS REQUIRED I I I]SGL[j GL[]
MULTI-FAMILY FOR EACH WORST CASE UNIT a � ❑
TYPE.) SEC. H901.1 1 3-73 IDBL DBL
GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL, ASSEMBLY
R= .®•® R= �•�
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
CENTRAL E7NONE F-1LJ STRIP ❑ GAS NONE RESISTANCE HGAS SOLAR
L_jUNITARY OIL a SOLAR D HEAT RECOVERY
EER-SEER = HEAT PUMP: COP = ®,a F--I DED. HEAT PUMP: COP =
OTHER: ❑OTHER,
MAX. E.P.I. ALLOWED (from 9A): EIXLE CALCULATED E.P.I. U
CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)*
CERTIFIED BY:
DATE FORM COMPLETION DATE(owner/agent) I CHECKED BY: (building official
THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT.
9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW)
CONDITIONED 901- 1101- 1301- 1501- 1701- 1901- 2101- 2301-
FLOOR AREA 0-900 1100 1300 ; 1500 1 1700 1900 2100 2300 I ABOVE '
BASE E P I 120 115 110 105 r 100 95 90 85 80
A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) las of October 1, 1982) -10.0
DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5
IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0
TOTAL DEDUCTIONS
BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED
COMPUTE MAX. p
E.P.I. ALLOWED b — p v
*RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE
APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE
LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE
PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 96. THE E.P.I. FOR A HOUSE COMPLYING
UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR
THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE
COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT.
8' PE #PY' �iEASI##i sc�>cxs tsz t
INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5
WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION _ 903.6
SWIMMING POOLS 903.3 HVAC CONTROLS 903.7
SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8
CEILING INSULATION 903.10
( FORM 902 CLIMATE ZONES 123'
9 f WINTER OVERHANG FACTOR (WOF) 9 fSUMMER OVERHANG FACTOR (SOF)
FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW
---- ------- ---- ---- ---- ---- ---- ---- ---- ----
0-0.9 1.00 0.98 0.99 0. 74 0.71 0.82 0.93 1.00 0-0.9 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00
2-2.9 1 .00 0. 98 0.99 0.77 0. 76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98
3-3.9 1.00 0. 98 0.99 0.81 0. 79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95
4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91
5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0. 76 0.79 0.88
6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85
7-7.9 1.00 0. 99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0. 72 0.70 0.77 0.70 0. 72 0.83
8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0. 70 0.81
9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0. 76 0.67 0.68 0. 79
10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77
11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76
12 UP 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75
N.
9G HEATING SYSTEM MULTIPLIER (HSM)
HEAT PUMP COP k.2-2.3 2.4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 3.2-3.3 3.4 & UP
HSM 0.45 0.42 0.38 0.36 0.33 0.31 j 0.29
SOLAR HEATING SYSTEM (BACKUP SYSTEM ACTION) x (BACKUP SYSTEM HSM)
ELECTRIC STRIP HEAT 1.00
NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS)
OIL 1.0 (SEE TABLE 9D FOR CREDITS)
`9H COOLING SYSTEM MULTIPLIER (CSM)
EER/ 6.8-6.9 7.0-7.4 7.5-7.918.0-8.418.5-8.919.0-9.419.5-9.9 10.0-10A 10.5-10.911.0--11.9 12.0-UP
ELEC. SEER
CSM 1.00 0.93 0.87 k 0.81 0.76 0.72 0.68 0.65 0.62 0.59 0.54
COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP
GAS - - -
CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89
*ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEERlEER FOR
STRAIGHT COOL OR 7.5 FOR HEAT PUMPS.
NOTE: EER = COOLING MODE COP z 3.413= ARI RATED COOLING OUTPUT IN BTUH = TOTAL WATTS CONSUMED
"911 HOT WATER CREDIT POINTS (HWCP) 77D
ELECTRIC RESISTANCE WATER HEATER 0
GAS WATER HEATER 10
INSTANTANEOUS WATER ELECTRIC BACKUP 4.5
HEATER GAS BACKUP 12.6
HRU (A/C) WATER HEATER ELECTRIC BACKUP 6.7---
GAS BACKUP 13.9
HRU (HP) WATER HEATER ELECTRIC BACKUP _ 9.7
GAS BACKUP 14.5
HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00
(DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4
SOLAR OVERALL SOLAR FRACTION' 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0
F- v. ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0
HOT WATER 6 z
¢ o GAS BACKUP 11.4 12.8 "14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0.
U d
"PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM : 100 = OVERALL SOLAR FRACTION
4
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: June 15, 1983
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.
Donaldson Electric Co. , Inc.
ELECTRICAL FIRM: MASTER EL 4ANSIGNATURE JOURNEYMAN
NAME Mr' Wintrode ADDRESS: 1540 Selva Marina Drive RFD-BOX-
BLDG.
FDBOXBLDG.SIZE 4000 sq. ft. BETWEEN:
RES. (xi APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW kx) OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS 1 ) SQ. FT.
SERVICE: NEW(X* INCREASE ( 1 REPAIR ( ► FEE
CONDUCTOR SIZE 400 AMPS 500MCM COPPER (X* ALUM. ( ) $55-00
SWITCH OR BREAKER 400 AMPS 1 PH 3 W 40 VOLT PIPE RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS 31 CONCEALED OPEN TOTAL
RECEPTACLES 96 CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES 31
INCANDESCENT _
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES 10 BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS !CEIL HEAT: KW-HEAT
O.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS issuing kee
Swimming Pool and qpp -
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
$65.00
TOTAL FEES
CITY OF ATLANTIC BEACH, FLORIDA
F—A pprov
od by APPLICATION FOR ELECTRICAL. PERMIT /0
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: June 15, 19 83
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.
DONALDSON ELECTRIC CO. , INC.
ELECTRICAL FIRM: MASTER ELECT N SIGNATURE JOURNEYMAN
NAME Mr. Wintrode ADDRESS: 1540 Selva Marina Drive RFD-BOX-
BLDG.
FDBOXBLDG.SIZE 4000 sq. ft. BETWEEN:
RES. " APT. ( ) comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW (x:k OLD ( 1 REW. ( 1
ADDITION ( ) TRAILER ( ► TEMP. ( 1 SIGNS ( ) SO. FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS C- COPPER ( ► ALUM.
SWITCH OR BREAKER AMPS PH 3 W �`/,-�VOLT / RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED I OPEN I TOTAL
RECEPTACLES _ CONCEALED OPEN I TOTAL
0-30
S. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. _
FIXED 0-100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
ver ead temporary pole 10.00
Issuing fee 10.00
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
NO.NEON TRANSF. NO. VA. MA. I MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
$
TOTAL FEES 20.00
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
7rij- 11>
>f. INSPECTION EMAIL REQUEST:
Euildina-ddepV&cLiab.us
Application Number . . . . . 07-00000630 Date 5/09/07
Property Address . . . . . . 1540 SELVA MARINA DR
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------------------
Application desc
1 condenser
----------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
WINTRODE, LEE SNYDER HEATING & AIR
1540 SELVA MARINA DR. P.O. BOX 16826
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
(904) 641-0600
-----------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc .
Permit Fee 59 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 11/05/07
----------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- -------
Permit Fee Total 59 . 00 59 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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
MECHANICAL PERMIT APPLICATION
Date:
Property Address: 1 S`'t ` e-Ay c-, VAc.r i Ac, —kL-)r-
Owner: Q',k-r-o c��-, Telephone#:
Contractor: w. ,o. Telephone#: C. q
Contractor Address: "Sw 3�Jaz#:
Contractor Signature:
In consideration of permit given for doing the work as des&ib6d in the above statement,we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good practice listed therein.
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—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
—Heat _Space _Recessed X Central _Floor /01 Residential
,--Air Conditioning: Room Lc Central
❑ Duct System: Material Thickness ❑ Commercial
Maximum capacityc1m
L3 Refrigeration ❑ New Building
❑ Cooling Tower.Capacity gPm Existing Building
❑ Fire Sprinklers:Number of Heads
❑ Elevator. __ Manlift Escalator (Number) ❑ Replacement of Existing System
❑ Gasoline Pumps (Number)
❑ Tanks (Number) ❑ New Installation
❑ LPG Containers _(Number) (No system previously installed)
❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System
❑ Boilers
❑ Gas Piping ❑ Other-Specify
❑ Other–Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
TANKS Nominal Capacity Type Liquid Serial Approving
How Many &Dimensions Contained Manufacturer No. Agency
800 C 1 Read ♦tIontie Reseh,
Merida
922a3-5445
Phone: (904)247-5800• Fax: (904)247-5845• littp:/hN,%N,w.ci.atiantic-bcach.tl.us Revised 1/04