1550 Selva Marina DR (vault) FOR OFFICE USE ONLY
Date -3—/a 195 '0
a �
Permit #4193/ Fee$'-. ' —'
TOWN OF ATLANTIC BEACH °0
Valuation $ 1/0/ 0 0 0
illaw FLORIDA House # D
M Y/a 4 r.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
cc ff /��Q Date , 19
Owner._S e/1 �°/ - Address__ �0� /7‘,42C),-Telephone No.�'X 29/7-T f
Architect Address Telephone No.
Contractor Builder Address ; �,, �/yj Telephone No.
`' Block No. �' Sub Division__.,S 4 ✓WAt ez.i -- Zone
Lot No. �-G�
,j j0g411tX, 94 _ Street //Cl Side Between and Sts.
Valuation $ For what purpose will building be used ,7-1-47- Type 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.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. W W
2. When steel is in place and ready to pour columns and/or lintel. z z a a
3. When steel is in place and ready to pour beam. Ei Eoo,
4. When framing is completed. 0 r�
5. When rough plumbing is completed,and ready to cover up. W W
6. When septic tank drain field is laid but before it is covered. A A
7. Electrical inspection by City of Jacksonville. ul En
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in- the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the Town of At Beach.
Signature of Buildfri ii% . ,a
Address 3,9,3-- /42.47 2,9_,
Signature of Owne Address
an OF ATLANTIC BEACII
'. - APPLICATION FOR BUILDING PERMIT (' !o y
Ownme _ t / Address ' T - 2 VG —
J�,7(� �U�- a�/A"7 ble zip 32 Z 33 Phone d X79
Archit-ct Address
Con ,gEA�Aes �oo/4''5j � zip Phone
Address iv zip,j22// Phone-1"M
Contractor's License Number Pt6a2 '96z J7'7 Expiration Date
Copy on File
Lot /, Block or Section # Subdivision 4rL ‘di Zoning
Street Between ' and
side
Valuation $ Type of Construction
Purpose of Building
Number of Units Fireplaces
Utility Service: Water Sewer
If the City if providing water or sewer service, do we need to make taps?
Dimensions: Building Lot
Size Footings
Sz. Piers Sz..Sz. Sills
--- Greatest Span Sills
Sz. Ceiling Joists Distance on Centers •Sz. Floor Joists Distance Greatest Span
stance on Centers Greatest Span
Sz. Rafters Distance on Centers
Method of Heating Greatest Span
g Solid-Filled Ground Roof
Flood Zone If located within a FLOOD HAZARD complete page 2
SUBMIT: TWo complete nets of plans, including a detailed site plan. •
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections ILequired:
1. When steel is in place and ready to pour footings.
2. When steel is in place and ready to pour columns/lintel.
3. When steel is in place and ready to pour beam.
4. When framing, nnechanical, plumbing, electrical, .fireplace, is completed and ready
to cover up.
5. Final inspection. ,
' SETBACKS
NO INSPECTION WILL BE MADE IF BUILDING CARD IS jr N POSTED ON JOB..
In case of rejection, reinspection MUST be called for after �. Rear Lot Line
corrections are made.
In consideration of permit given for doing the ,
work as described in the above statement, we
,hereby agree to perform said work in accordance • H. w
with the attached plans and specifications, 84 '°
which are a part hereof, and in accordance '
with the building regulations of Atlantic Beach. rt E
Sigtnature OHamer
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Si via tut e Cot ILL actor
i /J5'/lam/ t .
/
ron •E LInne
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71■01■AIN .-
4362
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
INFORMATION —-- ---- -- -- LUUATIUt4 IHFUhMATiuN --- --
Permit Number : 4362 Address: 1550 SELVA MARINA DRIVE
Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 3223'3
Class of Work: NEW - - LEGAL DESCRIPTION -
Constr. Type: CONCRETE Lot : Block: Section:
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings: 1 Code: 0 ubdivisiOfl : SELVA MARINA
Estimated Value: $0. 00
Improv. Cost : $0. 00
Total Fees : $25. 00
Amount Paid : $25. 00
Date Paid: 9/24/91
'w L1■1 k Desc. : P007' 7' W ' '1 (Ilk! TY RIGHT OF WAY
- ---- - - -- OWNER INFORMATION ---- - ---- APPLICATION FEES - -
Name: RUTH W. JACKSON PERMIT $25. 00
Address: 1550 SELVA MARINA DRIVE: WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA :3' 3 SEWER IMPACT FEE $0. 00
?hone: (904)2460479 WATER METER $0. 00
RADON GAS-H. R. S. $0. 00
CONTRACTOR INFORMATIGN RADON GAS - 5% $0. 00
Name: PROPERTY OWNER WATER TAP $0. 00
Address: SEWER TAP $0. 00
HYDRAULIC SHARE $0. 00
License: Type: i 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."
VALIDATION - '7 4/91
?, PM
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBii., ,TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By
•
BUILDING AND ZONING INSPECTION DIVISION •
CITY OF ATLANTIC BEACH // •
.
ATLANTIC BEACH, FLORIDA 32233 �J"
APPLICATION FOR MECHANICAL- PERMIT -CALL-IN NUMBER
IMPORTANT -- Applicant to complete all items in;sections I, II, III, and IV.
1.
LOCATION Street Address: / 5 0�!
OF Intersecting Streets• Between And
BUILDING nn l
Sub-division P Y�.
— — ---
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 a rye ce
with the attached plans and specifications which are a pert hereof and in accordance with the City of Jecksonv;l'e ordinances aeo s•a-ce•as
of good practice listed therein.
Name of Mechanical ,
Contractor (Print) /Q- -- Master
Name of Property Owner 74'1.14 Casa
Signature of Owner �� Signature of
or Authorized Agent ' �- Architect or Engineer
III. GENERAL INFORMATION
A' Type of heating fuel: 8.
IS OTHER CONSTRUCTION BEING DONE ON
❑ Electric THIS BUILDING OR SITE?
❑ Gas—❑ IP ❑ Natural ❑ Central Utility
IF YES. GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
'p, Other — Specify
U' ne rC �, /CDC-C-1
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) Li Residential or 1) Commercial
❑ Heat ❑ Space ❑ Recessed 0 Central 0 Flow L7 New Building
❑ Air Conditioning: ❑ Room ❑ Centre! Li Existing Building
❑ Duct System: Material Tlsickne« C7 Replacement of existing system
Maximum capacity e.f.m. ❑ New installation(No system previously installed)
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other — Specify --
❑ Cooling tower: Capacity 9-P.m-
' ❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Ree.lv+J)
❑ Tanks (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure veael
CI /oiler Permit Approved by Date
❑ Other — Specify Permit he
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capae'�
Number Unita Description Model Number Manufacturer (''one)' A my
■ J
HEATING = FURNACES, BOILERS, FIREPLACES
Capacity
Number Units Description Model Number Manufacturer (BTU))� Approving
TANKS
How Many Nominal Capacity Type Liquid Name o[ Serial Approving
and Dimensions Contained Manufacturer No. Agency J
: . i I ' 0-.."m" .41" .
K•-�•T• MAP SHOWING SURVEY OF
A LOT_ 10 BLOCK 8 AS SHOWN ON MAP OF
•• 5E.LV�A MARINA UNIT' N - 4
AS RECORDED ICI : -AT BOOK 30 PAGF . le OF PUBLIC RECORDS OF DUVAL CO.. FLA.
FOR JACK WALES
SE. ! `,./ •A• ?,it AR INA DRIVE.
$2.Se'TD 1d.LI 4 .OF P.153oPi1.• 4 I4-5 ' 4
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I HEREBY CERTIFY-THAT THE A.OV - L o Z______W„ SURVEYED SY
ME AND THAT -T NE RE510ErNICE IS LOCATED ON SAME ''
AS SHOWN AND THAT THERE ARE NO . •
MAX GARCIA & ASSOCIATES
ENCROACHMENTS UPON SAID LOT 355 EAST ADAMS STREET
JyCKSQNVILLE. FLORIDA
SIGNED 5 - 3 19 G I
SCALE: I " z 40' C G� -, . 12.,.. .,,
11piwTaca wwvi 'oR No. I ♦2.7.- 'i' ''
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