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1565 Selva Marina Dr (vault) ADDRESS /5 65 ��" l *A.i.Aca‘ (614-,124--() BUILDING PERMIT NUMBER �-3Z5Y INSPECTIONS: FOOTING UNDER SLAB PLUMBING SLAB FRAMING - 1- 97 COVER-UP - 21 -97 3- '? 8 i7-INSULATION 9 FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # / INSPECTIONS ROUGH / °Z//9 7 FINAL MECHANICAL PERMIT # / 3 C J V -97 PLUMBING PERMIT # r 337 - a / 33 co c>2 /g-9 2 NOTES: (, 3371) 5'7 J_ ,s. - S7 L, City of Atlantic Beach "4.--_cr APPLICATION NUMBER rir y `f� To be assi ned b the Buildin De artment.J - Building Department *~ ,J ( g y g p ) �_.- : 800 Seminole Road •�"'/.) /, — 0o 72_,� ? Atlantic Beach, Florida 32233-5445 e 2^10 Phone (904) 247-5826 • Fax(904)247-5845 Date routed: 1 i,5149 a E-mail: building-dept @coab.us City web-site: http://www.coab.us ��,. 1/ APPLICATION REVIEW AND TRACKING FORM Property Address: /f .5 S�A74,—)224WA4L,Department review required Yes No p rl / B�,l� Applicant: A5r ,h li Tannins &Zoning Tree Administrator -u nl blir� s Project: :i 01 (� / Public Utilities Public Safety Fire Services nature Dept Si . Review fee $ P 9 Review or Receipt Date Other Agency Review or Permit Required 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. I 'Denied. (Circle one.) Comments: BUILDING ,— fiel(bAd- PLANNING &ZONING Reviewed by: !d7 � Date: �� /�d TREE ADMIN. Second Review: I 'Approved as revised. I 'Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ' 'Approved as revised. I 'Denied. Comments: Reviewed by: Date: Revised 05114109 lylJ lr/ r n BUILDING PERMIT APPLICATION - ",'. ' CITY OF ATLANTIC BEACH 14 �r =`o;i19r' 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: /0-1-P5 del ✓Q f-aadetra- k Permit Number: Legal Description Valuation of Work(Replacement Cost) $ g�ZZ • Class of Work(Circle one): Oleo Addition Alteration Repair . v • Use of existing/proposed structures)(Circle one): Commercial �--� • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No -% • Is approval of homeowner's association or other private entity required?(Circle one): Yes Describe in detail e type of work to be performed:---(.i-vh i 5-P., Od L+-�3{•a1( 3,21' p-P (e' h i 5(.1 )„ljlr(e .4`' .1 --II ‘-(e1 eAlce, 011--fn 1 I> 4' !,:%■CIC C-r1CL (1),..5, wsc'Q q6'}e . Property Owner Information J Name: et-i a 1 - ' � Address: 15 CP J`� ��C.,41(,,.f-(X-I c,-Th v, City 1.il s_., _ State-Zip 32233 Phone 10-3 - (P55- 1,59+ Contractor Information: Name of Company 3+ -f 'vi( C. l of i-n pG r)\( Qualifying Agent: �I• C,- C Lt Lj173 Address: 34c 4- aC Tvacr< ' City iTdCl Sh�i((e_ State jam_Zip 32259 Office Phone 2_6A • I(p DS 4. Job Site/Contact Number State Certification/Registration# ,V Ael_ 11 8 b Office Fax# 2,50. 2-720 Architect Name&Phone# Engineer's Name&Phone# 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 ofa permit and that all work will be erformed to meet the standards ofall 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 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. 1 hereby 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 prOvi3'ions of ny other federal, st•te, or local law regulating construction or the performance of construction. Signature of Property Owner: ��/� ,� `:) - ,��p` l'-� Signature of Contracto Sworn to and subscribed before me this.7o Day of 7-1�� v Sworn to and subscribed before me this L.t Day of Ali"�4;�F..... 1)Li Notary Pub lic `-:: -- // t✓.► �P _2�` Notary tic: A∎.,-%\'' .'� TAA�lN LONG n EXPIRES:October 12,2612 'i F_DWIN T.REID -,.,..4,.....-.:, Bonded Thru Notary Public Undeiwrllers REVISED 03.05.07 cornm'a10, mPuMillia My Comm. ., 31 Dec.2012 —° 1_ " n • NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): 154,5 sP i va- frOart.Y-,a-D1-. f 16-rth beru , -it. 32.2-33 2. General Description of improvements: L 3. Owner Information: • a)Name and Address: __4-i:-.4)(jc'?n 15(e5 &IWQr(1O-ti-C, t )l.-. • b)Interest in property: ` c)Name and address of simple titleholder(if other than owner): • 4. Contractor(Name and Address): 1P-c— e e,okavc x 4'a4�aCe-GC� d. :rae450r„),iJf fL. 32259 5. Surety Information: a)Name and Address: b)Phone Number: c)Fax Number: d)Amount of Bond: 6. Lender Information: a)Name and Address: b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be . served as provided by 713.12 (1) (a),Florida Statutes. a)Name and Address: b)Phone Number: c)Fax Number: 8. In addition to himself/herself, owner designates of • to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement(The expiration date is one (1)year from the date of Recording unless a different date is specified: 3 • • 44iZ7& .Signature o f Owner: - i2 __ Sworn and subscribed before me this day of J ih ,20(0 . Known Personally, ID Shown:.\j 1 , L • - Signature of Notary: -- - .. : 1A1-1--:--• V e ' ' / 4-`+-z'-'v 0 re/1u261- . My commission expires: I j-9'c'. zo i 2 �Wp weil T.REID 1 ati) IETebgege -EDIN d�3 12 1 Jioijio gr !►er penal perm i+ 5404 Race Track Rd Office (904) 268-1638 '' � , f t ( f `� Jacksonville, FL 32259 Fax (904) 230-2780 l 4 7 I L Lj � l.f.L f St. Augustine Fax (904) 827-9088 ,1 A C K S O 1 l�I L L E Lifetime Warranty on Vinyl&Aluminum Fence• TYPE: El Gate Op. ❑Chainlink t-Vinyl ❑Aluminum ❑Wood RESIDENT CONTRACT FENCE HEIGHT: ❑ 3' ❑ 4' ❑ 41/2'❑5' E6' ❑8' ❑Transitions O pl en) Customer: c ! WALK GATES:C/, ` �/'S I DRIVE GATES:/N�� Address: /574- efL44! / l/VA t POSTS: ❑5' ❑6'�,❑j7' ❑ 8' I ❑10' ❑12' /7- C e/¢C`j/ F(• 3 Z z 3 3 TERRAIN: ❑Even light teep CLEARING: CI Best Fence ustomer Community: OLD FENCE: kr<teFence ❑Customer Phone: GRADE: ❑T9 Level o11ow Grade (H) W) HOAJARB: Best Fence ❑Customer Q ,3" 6 53 7-5 ( ❑APPROVAL RECEIVED DATE: (E) Rd P&J e9,Z. o) V eA iz Ne-- .. ll VP I m ` Cep 7e A die 9i-A -/a e a� <- / l 0 --� J �/ I S6 1R5 L° JCL,57-'Lit e-X-444 s 1 t T 7$` 7a` ga I T i-i Ate-tt Igo T C�6+o►� d 0.5 6-- Notes: 3 A t jP L '/L h Zdk7�- i/tiyl 7F;AL ue A) Fu.ie loi 5k Y / 9 Dd,e, �. Cl e. - C . A...LI ?a s -11- ye- ,‘.e._ se_.--/- ix/ 0 e>l,g_Afre___4;e_ . Customer must assume responsibility for placement of fence unless all Total *Perty4 "-e appropriate survey pins(metal pipes)or concrete monuments are uncovered prior to installation.Best Fence Co.,Inc.will assist owner in Sub'I locating pins if provided copy of survey.All materials will remain Peril property of Best Fence Co.,Inc.until paid in full. -•signing,customer agrees to proposal including materials,prices,terms&limitations as OPTI, ned above.Any alteration or deviation from above specifications involving extra costs will �� (jays executed only upon written order,and will become an extra charge over and above the OPT estimate.All agreements contingent upon strikes,accidents,or delays beyond our control. I 4 Best Fence Co.,Inc,is not responsible for damage to underground obstructions such as Payl utilities,sprinkler lines,pipes,etc.Returned checks are subject to a$25.00 service fee. T Cancelled orders will be s bject to a 50%restocking fee. Best Job# X 0f 002. A ?) CM! \\co\ N\ /�I • � P ja%` Z FIELD) O* 5� rc 61 53. E»4.86 115 \� r t� »•59 z & A1 • 1•` ��`1 ,,,., _a . � AP � T 7Gwz 141°a ° _x -� _x_x �. A _x_x ; �n 1—x_x_x_,, �� Ai � l x_x - �4 � OJ N a\ ; =ja o 16.3 O, 0111 �' , N 1-� �9 3 j w LL ' -0 goW �lN O m � .- il yi r- 0 0 to ZSo } SjORY No M565�5 �Q • F"'" 1- N o, z l Zs 2 - 21 3 ^0 'K . ipE m 63 c9�D � Z}7 r 138 e 1,g�1LOM�RCS WNK osa `NV �Z / ZW :- 5.O0, N o VU `150} F�EI.0) ` o - N 1156 50 1�1 10416 PEW,�p416/ \��' - PAVED 15.12-00'52'______E.104,16' / SE.\ -- t ,O'tG�R DF \ERR,(DRW E V (_� 511;565%-' ( efr.e) IA i.a y A `-= NS, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept a,coab.us Application Number . . 07-00001483 Date 10/23/07 Property Address 1565 SELVA MARINA DR Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc PANEL & BREAKER CHANGE OUT Owner Contractor MOORHEAD, M.M. JONES ELECTRIC OF JAX, INC. 1565 SELVA MARINA DR. 11505 PORTSIDE DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 403-8952 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70 . 00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/20/08 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. 7 CITY OF ATLANTIC BEACH 07- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: ./� 2.IS THIS A SUB PERMIT: 3.DATE c1 OY ,n� 0 N f 5 6_ ❑YES PERMIT#: / Atlantic Beach, FL 32233 PROPERTY OWNER: 4.NAME 5 ADDRESS IF DIFFERENT FROM JOB ADDRESS 6.PHONE. fit, L-c, Al „ 6 8-S- Z/ S j ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: _ JJtI c� C I .� r; 01J�,A ; 13 GtS Tao-.i-5,-/e jv -.�,,-. Y /.77 5 2 -2 Z;; 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 1_pony `-i9 1y Li 03 ` 8.9s-2 64/5-S Tg 1 12.EMAIL ADDRESS: ) 13 OFFICE PHONE: 14. • -, /f. f'r..-. V hvv. 1IkPh 6145-5.5 k0 <�/✓cam (� /4. 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 work is commenced. CONTRACTORS SIGNATURE: , gc-„,„4: 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: 51 RESIDENTIAL 6itINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ❑ALTERATION ❑SIGN IaOLD ❑NEW 005 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA _❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20. TYPE OF SERVICE: ❑ OVERHEAD 0-UNDERGROUND 121-C7NDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: -4- f t-POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: 3JV AMPICITY: �oU ❑COPPER ❑ ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT& M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: n !� r,e. I 3 �DNCattr C king c buff Only COAB FORM BLDG02:REVISED 10/23/2007 r CITY OF ATLANTIC BEACH WSJ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 _.,..�r ;.i l tYr INSPECT ION EMAIL REQUEST: Building-deptnu,coab.us Application Number 07-00001483 Date 10/23/07 Property Address 1565 SELVA MARINA DR Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc PANEL & BREAKER CHANGE OUT Owner Contractor MOORHEAD, M.M. JONES ELECTRIC OF JAX, INC. 1565 SELVA MARINA DR. 11505 PORTSIDE DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 403-8952 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/20/08 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. HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Oct 23 2007 2:33PM Last Transaction Date Time Type Identification Duration Pages Result Oct 23 2:32PM Fax Sent 96657372 1:07 2 OK CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION ; Permit Number: 18496 Address: 1565 SELVA MARINA DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 1,950.00 _ OWNER INFORMATION Date Issued: 7/14/1999 Name: MCOREHEAD, MICHAEL Total Fees: 25.00 Address: 1565 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/14/1999 Phone: (000)000-0000 Work Desc: ONE-HALF REROOF CONTRACTOR(S) `. •. _ APPLICATION FEES SHORE ROOFING PERMIT 25.00 II Inspections Required II 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 OWN ER 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. 625.08 14 Date: 7/14/99 01 Receipt: 00714E9 -- L`'I ' aiiI ` ' CHECKS 6007 CITY 0 ATLAN C BEACH 00108003221800 CITY CF ATLANTIC EEACH ROOFING PERMIT APPLICATION SEL✓A- 07/92(1) 7r s JOB LOCATION:_ � ‘,s 5l Ivia �,ti i✓ir � OWNER OF PROPERTY: "„f-c- 17� CONTRACTOR: ,5 /anL aedr'J CONTRACTOR'S ADDRESS: r'J/L( 9 {k 4v c_ 50`^ � I STATE E LICENSE NFJMEER: Cry' nj-Li It' 1/ TELEP!-lCNE: ( -cf J'(( &_. DESCRIBE WORK 70 BE PERFORMED: /7_ iLivl' VALUATION OF PROPOSED CCNET RUCTION MATERIALS T O EE USED: f6 I R� /i K/HSl SIGNATURE CF OWNER: `i%[ SIGNATURE ONTRACTOR: /A( ..�CNA� UR...GF C� / �9 SWORN T O AND SUEECiIEEC BEFORE ME T;S T DAY OF � '° of, NOTARY PUBLIC '� Patricia Nnonette Liability Insurance Supplied t� ' ,. WCONNr COMMISSION 1130553W EXPIRE' August 27,2000 woo TIM TROV FAIN WANIANCE \iVcr<ers Ccmpensancn Insurance Suppliea u/ Ccntrac;cr License Inicrrnaticn Supplied L i Occupaticnal License Inrcrmabon Supplied_ i REC [ VE—D CITY OF ATLANTIC BEACH BI :.LDING R 'ZONING I NOTICE OF CO NCEMENT ■ MAR 0 1 2005 �� Tax Folio No. State of k D�'/ 0✓Q County of Da//A , BY: 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 OFSOMMENCE NT. L D Legal Description of property being improved: /5"-C,5" V�d Address of property being improved: /JJ(?S 5ekx ?14 #iQ te ) h4- /5f4C4 General description of improvements: /47 .` Owner:/fel/C A/ / O fl4f Ad) Address: / i55 5/g 140,4. xi c-71 zo Owner's interest in site of the improvement: 0 n 3 OQo�N Fee Simple Titleholder(if other than owner): o,-a,-0 S Z�o(2 o Name: �+ 0 m N °�' Contractor: .Asp//C f( C�i 4 ��e ' .-_ °0°l WST Pie l 2--z- a °T.o 0 (�JJ Address: 4lia ��"� / , �6 19 /l r N co ` Telephone No.:2 .-- � 2 Fax No: �-�'�° tJG�` 3 C u � /f u 0»' w (i /.. Surety(if any) =J o Address: Amount of Bond$ o co —I D n Telephone No: Fax No: C Co Name and address of any person making a loan for the construction of the improvements D 0 0 Name: c z Address: < Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER D Signed: Date: Before me this /St day of D PCL77► ,'26e.=fin the Co ty of uval, tate Of Florida,has personally appeared (flt hZe/' fr 0• ke&ci NOYP Notary Public at Large,State of Florida,County of Duval. �Gll1 i G,�, +F SUSAN E.SOLOMON My commission expires: sS-� -Z0 D� or y j MY COMMISSION# DD 145107 Personally Known: ✓ ��'Of 0.0 EXPIRES:August 28,2008 Produced Identification: /J/A- 1.8063-NOTARY FL Notary Service 8 Boating,Inc. CE) �� CITY OF ATLANTIC BEACH :a.., .f 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 `} t`` INSPECTION PHONE LINE 247-5826 t Jifv> Y Application Number 04-00029444 Date 1/07/05 Property Address 1565 SELVA MARINA DR Tenant nbr, name INSTALL SHAKE SHINGLES Application description . . SIDING Property Zoning TO BE UPDATED Application valuation . . . 22000 Owner Contractor MOORHEAD, MICHAEL THE DESIGN & BUILD GROUP, INC. 1565 SELVA MARINA DRIVE 394 9TH ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-3157 (904) 241-2228 Permit BUILDING PERMIT Additional desc . Permit Fee . 140 . 00 Plan Check Fee . . 70 . 00 Issue Date . . . Valuation . . . . 22000 Fee summary Charged Paid Credited Due Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total 70 . 00 70 . 00 . 00 . 00 Grand Total 210 . 00 210 . 00 . 00 . 00 NIN 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 PROVISIONS LAW CAN RESULT RC R OIPL PLANS WHICH ARE PART OF THIS PERMIT SUBJECT TO REVOCATION ON FIMPROVEMENTS" VIO AT N OFAPCCAB E F L W. BUIL G OFFICIAL '?.' lel CC: CITY OF ATLANTIC BEACH D.Ford <� G L.Higgins.J7 5'� BUILDING /ZONING DEPARTMENT f t -.'1S-) 800 SEMINOLE ROAD S.Doerr J -5 ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5845 j 1319 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# 0 y - 2.9 4 4 At Property Address: I s g 5 ' I/�► M), R I`N A p_g Applicant: 'Tis 1E 51 G P4 & D u -1) GROUP i r c . Project: 1Nsipsu. stiA Nt 51)11N►GLt; This permit application has been: ILloipproved ❑ Reviewed and the following items need attention: 1 Please re-submit your application when these items have been completed. / Reviewed by: 4" Date: c I S l d'D I a RECEIVED CITY OF ATLANTIC BEACH BUILDING &ZON NG z� 5 � e. CITY OF ATLANTIC BEA H p�� 2 8 2004 I a r, SIDING PERMIT APPLICATION,c, •-,01 !) L B,- Date: ,Z r Job Address: 1 S 5 /�,4 i�1,AuI ‘),,,e . -1 , Owner of Property:0 ,cht" , ,AMI Address: /S‘5-- 5€(4A A 0// A-a Telephone: Z419 '5/ 5-7 Legal Description: Block Number: 3 Lot Number: / / Zoning District: 1 A/A '1'2-- Siding Contractor: 7.- j£ DE.57 h ( i Lt 0/ 6 r<Dai lug Contractor's Address: 31 ?�[./`�Z cc) �-9.f �-Z-3 9 2-4i/ ODD ' Telephone:,�4)) 2 / ° Z1- 2-6 Fax: / / A M/L -/7' Describe proposed use and work to be done: /�f/J-7 1// 111,42-SW/41ot Present use of land or building(s): 5/A1/5.,___ - l 4,y ,�' � �' Valuation of proposed construction: OZ.- Is approval of Homeowner's Association or other private entity required? / ./© If yes,please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Provide detailed information of product being used and how it is to be attached,i.e.,fasteners,etc. 2. Provide completed Owner's Authorization Form if applicant is other than property owner. Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.usRevised 3/04/04 Page 1 I hereby certify that all information provided with this application is c ct. Signature of Owner: J�gd . ,* Date: c2/Z./ a y I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and co ect and that the plans and supporting data have been or shall be provided as required. of Contractor:flSignature Date: ...J 1 AS TO OWNER: Sworn to and subscribed before me this L'/ i day of ,'v1 ,20 0 State of Florida,County of Duval /C Notary's Signature: L� l� 1, 0'`---' personally known ,p�*9'�° , SUSAN E.SOLOMON ❑ y # MY COMMISSION# DD 145107 Produced Identification -to,woe EXPIRES:August 26,2006 1-800-3-NOTARY FL Notary Service&Bondfl0.Inc. Type of Identification Produced AS TO CONTRACTOR: ' / Sworn to and subscribed before me this / day of r^/�E� ,20 0 y . State of Florida,County of Duval `/� Notary's Signature: C'_ 1 +a` Py;:,. ELLEN LAVAKE i ::: MY COMMISSION#DD 342487 [] Personally known .. . ` EXPIRES:August 1,2008 t ••'-';F ` Bonded Thru Notary Public Underwriters Produced Identification Type of Identification Produced FL b L 1:‘,23-/123 - 13-0(s 2"- 0 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 • Ins calla rion Guidelines ROUGHSAWN CEDAR • s C _._. (� I _ • k Nailite International provides these instructions as inaallation guidelines. Nailite,however, neither installs the panels nor has any control over the installation. It is the responsibility of the contractor and/or the installer to ensure Nailite siding panels are installed in accordance with these instructions and any applicable building codes: Nailite assumes no liability for • either improper installation or personal injury resulting from improper use or installation. Nailite meets or exceeds the guidelines set forth by NES. See NES Report# •ER-580. IMO OEM UMW/ International The Natural Alternative www.nailite.com For more information on Nailite and its wide variety of stat -of-t Street,Mimi Florida call us at(305)620-6200; or fax to(305) 623-8227; or write: 1111 NW 4. Positive Stop Posts Note:Nailite provides positive stop posts 1/8"below the top edge of (Fig#7) installation fingers. When installing succeeding rows of panels do not force the panels beyond the stop posts. The stops are designed to prevent buckling due to changing temperatures. (Figure#7) The panel requires a minimum of eight fasteners per panel as shown. (Figure#8)The non-corrosive fastener must be installed into a solid substrate of no less than 7/16" thick. When attaching the fasteners be sure they only lightly A minimum of eight fasteners is required per panel as indicated with X's. touch the panel allowing it to move with varying (Fig#8) temperatures. The fastener must be installed flush with the panel,so as not to interfere with the succeeding row of panels. Note that the average spacing between shingle seams within a panel is approximately 1/4". If the temperature is about 30 degrees F,position the panels so the shingle seam between them is about 7/16" wide(blue spacing tool)to allow for expansion in warmer weather. If the temperature is about 60 degrees F,decrease the spacing to about 5/16" (yellow spacing tool)thereby allowing for both expansion and contraction as the temperature changes. If the temperature is about 90 degrees F, decrease the spacing further to about 3/16" (red spacing tool)to allow for contraction in colder weather. (See Figure#1 and table) Note,for installation around 30 degrees F,also allow an 1/8" spacing around all openings. Once the panel has been properly spaced,insert a fastener into the center hole of the panel. Repeat steps four through seven until you get to the last two panels at the right. Do not install the center hole fastener in these last two panels until you have inserted the end piece into a corner piece or J-channel. Then reposition the last two panels to the proper shingle seam spacing and install the two center fasteners. When completing a wall and a partial panel is used,remember to drill a new center hole and if face nailing is required,please refer to basic guideline#11. To create the most pleasing and authentic looking installation,the length of the starting panel of each successive row should be varied by cutting the panel RANDOMLY from the"A"cutting mark.Be sure the right end piece of the row is no less than 12"wide. Nailite J-channels may be used for inside corner treatments or you may Reverse Butting scribe and cut panels to fit into corner. It is recommended to sleave the corner with Rev Reveere Nailite vinyl or aluminum coil prior to installation of panels. Caulk corner after installation. r-Channel Channel (Figure#9 and#10) (Fig#9) (Fig#10) REMINDERS : Attaching Objects to Panels Some adjustment may need to be made at the vertical g overlap of two corners(as they are installed)in order to Never attach fixtures directly to Nailite siding. When attaching maintain the corner/panel horizontal alignment. There fixtures,first drill a hole slightlyiarger than the diameter of is approximately a 1/2"vertical adjustment available. the fasteners, allowing for expansion and contraction. Note: fasteners for fixtures must penetrate the solid substrate. Fitting panels between windows or around openings requires a cut-back spacing of approximately 1/8"to allow for product expansion. SITUATION ITEMS TO CHECK 1.Panels won't lock together side to side. The wall may not be level and flat. Check previous panels to 2.Bottom rail will not engage into fingers of previous row. ensure that Guidelines) and installation fingers are properly seated. (See Gu Make sure the nails are not restricting panel movement. Check 1.Panels are buckling on the wall. 2.Panels are not laying down flat. for proper spacing at side interlocks. Make sure all fingers are engaged into corresponding rails. .e- 888-582 6542 NAILITE INT'L ORDERS 213 P01 DEC 28 '04 10:11 I IIMIS ILL{1{[L1L11L11 l I S...11. 11LLL r ♦I`F'' 1 ,rr I., ailite Test Data est JOascription Hand-Split IIRoughSawn pe Cod Perfection-Plus Scal aped Shake Cedar -erfecton Cedar perfection anal verall 41 3/8"w x 591/4"w x 3 5/8"w x 36 1/8"w x 159 1l4'W x' !mansions 18 3/4"h 15'h 5 1/2'h 15"h 15-h , Exposed 401/8"wx 551/2"wx 48"wx 315/8'wx 55 1/2"wx 17 1/2"h 13"h 3 1/2"h 13"1 Thickness Wail 0.090" 0.090" {.090" 0.090" /0.090" (Thickness 5 colors p Available 11 14 • ASTM �Mnd Load 68.7 PSF '133.3 PSF 133.3 PSF 133.3 PSF B6.7 PSF D 5208-096 That (Approx.135 (Approx.190 Approx.190 (Approx.190 (Approx.13: mph at 20 ft.') 'mph at 20 ft.") 'h at 20 ft.') mph at 20 ft.') , nph al 2011, ASTM Impact Test 2.98 ft-ibs/In 1.0 ft-the/in 1.0 ft-Ibe/In 1.0 ft-Ib6An 1.0 11-65/In 0-258 ASTM TTenslle 3910 PSI 2900 PSI -900 PSI 2900 PSI 2900 PSI D-638 Strength Modulus of 1/4241.000 PSI 340,000 PSI 440.000 PSI 340.000 PSI )340,000 PSI Elasticity plongetion l 160;6 260% 00% 260'/o 260% Break ASTM petlectlon 144^F 202°F +02°F 202'F X202"F 0.848 Temp Under Flexural Load 5STM �1rtear 5/64"per 30"F 1/16"per 30•F 1/16"per 30•F 1/32"per 30°F 1/16"per 30 0.898 Thermal °i 'il.c' ',ii Expansion ' " "''°1t'i •.. ti'> ASTM Min,Self 809"F 609°F •I9°F 809°F '809°F 0-1929(6) Ignition Temp. MM.Flash 766°F 1786°F 788°F 788°F 1188°F Ignition Temp. ASTM Average Burn 2.82 minutes 12.62 minutes 2.62 minutes 2.82 minutes 2.82 minutes 0-835 me Average 4" 4" " 4" 4" Extent of Bum Average Bum 1.53 1.53 .53 1.63 k1.53 Rate inches/minute 'riches/minute nchee/minute Inches/minute `Inches/mintr ASTM Smoke 6.3% 9.4% •.4% 9.4% 9.4%o D 2843-93 Density Rating ASTM Flame Spread95 95 :5 95 95 E 84-84 Index Smoke 805 806 ;05 805 805 ,Density _ - 1 Wind speeds at other heights will be more or less; consult your engineer. NATIONAL TEST STANDARD:NftS,INER-880 Home Privacy Statement cpptpct Li§ L000te Dust rihutorlContractor Order Samp)es i L1Grature APPROVED CITr Or AiLANTIC BEACH BUILDING OFFICE 'JAN 03 2005 By: 1, 12/28/2004 http://www.nailiteinternational.com/test_data.html 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: 21148 Address: 1565 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER'1NFORMATION Date Issued: 12/15/2000 Name: MOOREHEAD Total Fees: 25.00 Address: 1565 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/15/2000 Phone: (904)249-5191 Work Desc: REPLACE SEWER LINE CONTRAC-3 R(S► - `' ,4r yAVP N FEES F.W. FAIR PLUMBING CO. PERMIT 25.00 -,-..t. - ``'r .T rspections Recut ... y, 17" FINAL 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._____ ( 0� c 25.88 14,�� J Date: 12/15/88 81 Receipt: 8819183 ATLANTIC BEACH BUILD! "� CHECKS 13391 ::188883221:,:: CITY OF ATLANTIC BEACH APPLICATION FO PLUMBING PERMIT 40 JOB LOCATION : /r6 ,-1/('},., , \OCvK'4GU OWNER OF PROPERTY : 14 D✓L�', ww/46w PLUMBING CONTRACTOR f91/ r 01(K) CONTRACTOR ' S ADDRESS : '6 a `� �" T 6?, STATE LICENSE NUMBER: /tic 6d "37 30 D TELEPHONE: 2Y/- r)/ 11 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS 3414WER PANS OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: #44: SIGNATURE OF CONTRACTOR : INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 3 ( t7 CITY OF ATLANTIC BEACH, FLORIDA • Approvwdby . APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ _ 192 1 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Ogti-Y1 fZt j) hil z(4 4,-,L ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME. . - _ . ADDRESS:_13" C L -ki '"` "t\---$ _ RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT.( ) COMM.( ) PUBLIC( ) INDUS. ( 1 NEW( I OLD( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( 1 SO. FT. SERVICE: NEW( ) INCREASE ( I REPAIR ( ) FEE CONDUCTOR SIZE .�/ d AMPS COPPER ( ) ALUM. ( ) 1 5 /0 SWITCH OR BREAKER 0' AMPS PH W -2-76VOLT RACEWAY S :..-," ;, EXIST.SERV.SIZE l S-•C' AMPS PH W ')ZO VOLT RACEWAY . FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS i 0 CONCEALED OPEN TOTAL RECEPTACLES / 0 _ CONCEALED OPEN TOTAL 0.30yAM S. 31•100 AMPS. SWITCHES I" - cJ_ INCANDESCENT `7 L C? C%-, FLUORESCENT&M.V. / FIXED ` 0.100 AMPS. OVER APPLIANCES . I BELL TRANSF. /( C- AIR N.P.RATING N.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS _ MISCELLANEOUS . TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA _ NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER ' EACH SIGN _ FORWARDED -- TOTAL FEES 5 o -c., d 11e167 8/s 'C ' MAP SHOWING BOUNDARY SURVEY OF LOT 11, BLOCK 3, SELVA MARINA UNIT NO. 2. AS RECORDED IN PLAT BOOK 27, PAGES 6 AND 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. D v°i 1 of 1 k°1 I y I LK 1FO5 % �` $ ^' c � I Ygf pV ,{s. `a 1 __` M\ f - �mssI.'^ E 1 n P A F LJJ l 1� % (J.s' Y• \,\ /- Sr•RYF"`ZeME 'i I 0 RC�/OA°ivGE Ll o .scs �� G/•!./cNr W IN w (YS ° g/ Q' V 1 17' / �t' �, , cV ' \ve F 0...7'r. ..a� IIf 0'---/.....,,, /e✓.G' \ /`///'S6"$0"I'f'. //5 Lim' /r•...... f.r,..o 3r R..V j yfL V,4 M•0,I/4 ///�! O / V E 1,Q `'" •,e/5rl of ,"vi/ • ("WO Sr,,r vain,, Q`��G I BEARINGS ARE QNA ' �� •AS BEING N. THE PLAT BOOK 27. PACEL6T I1 `Q P �� 7'� AND 6A OF THE.CURRENT PUBLIC RECORDS OF DUVAL O`\�G \_ ' ' COUNTY, FLORIDA. p XTEr4 K �� c� .SLIS PROPERTY'APPEARS TO LIE IN FLOOD ZONE"K" aTIF i f_ _p �'', BY ILL [5 THE AREA OUTSIDE THE 300 PEAR FLOOD PLA[v �! V BY FLOOD uP5 REVISED NRIL 17. 1989. C0.LMtD ITY `� j , I PANEL NO. 120075 0001 0 Q( � fl N 47 IAN 2 RECD r 4, 4 Building and Zoning HEREBY CERTIFY TO /�w`G, ✓OONM MaG4 o x.7/3/N"C M Tr-5f swr../C'S,,r , p7ZS.vas.l>Or M..;...se/.f THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS.PURSUANT TO SECTION 472.027 . FLORIDA STATUTES AND CHAPTER 21 HH-6 FLORIDA ADMINISTRATION CODE. H. A. DURDEN Q 11\._ & ASSOCIATES INC ' 1 //I I. T.6•f.6P». uNO ..oHS �.i.r✓tee ovr.�sr,✓r SURVEYORS DATE fE/3•rda.-RY 5 19 9/ Pow Ol6c.eo.50670 1 163 S■Nn im,a SUO1 SCALE /"r 90 Pno.o •limn.liana.3]]50 RDU].RJT61 THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIG 4-`/ 44Y CITY OF • r*/a.ctie Vead - 96Vtiala 800 SEMINOLE ROAD =a� ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 004, �` FAX(904)247-5805• Chapter 489, Florida Statutes,Part I 'CONSTRUCTION CONTRACTING'requires Owner/Builder to acknowledge the law: DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the 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-family or two-faily residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own Lfig and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption. You may not hire an unlicensed person as you contractor. Your construction must be done according to 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 gn the job site at all times while work is in progress by unlicensed trades people." This does not allow use ofunlicensed contractors. Since owners may be liable for injuries to workers they hire,the Building Department suggests Worker's Compensation insurance be purchased unless the homeowners insurance policy clearly protects the Owner. Owners hiring workers become employers and should also observe IRS withholding tax and/or Form 1099 requirements on the workers they employ on their improvement work. T $ • .), ..y .,.. .4,11.• ;#41/•t* • • ,, ..•• ',X 1' . Owners being subject to$5,000 penalty under Florida Statute No.455.228(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 and understand all the above on this day of J k-i-i , 199? Rpm, ding Dept Employee Owner uilder 7'57 Se/2 a /t,( _v.-l 2 ,D`\ Addriess /��1 7' c �c�a c_4 , 2-2_57 NOTE: Phrases underlined above _ fro: z yr pis r-e emphasized by the Building Phone Department t" CITY OF / 4 U Micatik 13 'x--6 f337 Office of Buildi g 0 icial REQUEST FOR I ECTION /3 5 .. g-6 -G 7 Permit No. Date_- A Received Received 5 Lti, Ali, , I AL' Locality Job •ddress Owner's O0 An/ / ! Contractor LE RIC. UMBING r BUILDING CONCRETE .. ❑ IT Rough Wiring Rough `__ •) Footing Pole Top Out /` Heatin• aming Slab v Temp Fire Place ❑ Insulation Roofing E Final -L Sewer Pre Fab Insulation C Lintel READY FOR INSPECTION A.M/ 1! Wed. Thurs. Friday M Mon. Tues 2 / � _ _ A.M. Inspection Made _ Final Inspection c�--- Inspector Certificate of Occupancy //s%� Date //�� / /nCITY OF �j/,�,. 41 /S e�'T1""' Office of Building Official #= REQUEST FOR INSPECTION /, 3 3 7 D p/' _ as-_ q 7 Permit No. Date °` N ,,. Time A.M. Received G � Locality Job Address /�,/,� Owner's �/ /�� KL-j /"'`R61 �S i k /1r•6 I9_u Contractor /�L Name wry- UMBING MECHANICAL CONCRETE - - B Framing y .'` Rough E Air Cond. & ❑ iY Framing Footing g C Top Out, C Heating Re R fi ❑ Slab ❑ Temp Pole C Sewer r Fire Place ❑ *.. nsulation �c Lintel C Final Pre Fab READY FOR INSPECTION A.M Mon. Tues. Wed. A.M. /� A - P.M. (J Inspection Made Final Inspection T / lirri—C4-4(Inspector -y `� • Certificate-et:Occupa cy uh0,0 Date CITY OF 41.140.1ic Bearit `/ Office of Building cial / S 3 7 d ✓R1 REQUEST FOR INS ECTION % rr/ �l ' % Permit No. 7" Date > ( , A.M. Time P.M. ` Received •/. / / A" 5-65 ocalil ' Job Address Owner's OO Contractor ( Name ,/G Mgl MECHANICAL BUILDING ELECTRICAL CONCRETE Rough Air Cond. & � Footing C Rough Wiring ❑ g Heating I In sulation 0 Framing 0 ❑ Temp Pole Top Out Re Roofing Slab ❑ Sewer 0 Fire Place Insulation Lintel 0 Final Pre Fab READY FOR INSPECTION l A.M: Thurs. Friday�I Tues. Wed. /J Mon. A.M. `� P.M. Inspection Made .- �� Final Inspection u �� / .' /�1i Certificate of Occupancy 0 ■ Inspector ,, //�t Date r `1.- /nCITY OF � y ?Waalf -4 Office of Building Official REQUEST FOR INSPECTION -� S -9 7-- /Permit No. Date A.M. Received __ /me "/ .M. ) Received 'i�l,.&,`-/ / J__ -- - -/-44- Locality Job Address Owner's / Contractor r% Name CONCRETE ELECTRICAL •LUMBING MECHANICAL Framino CO BUILDING G Rough Wiring Rou• C Air Cond. & G Re Rco - Slab Pole Top Out ❑ Heating Slab L Temp _ u Fire Place ❑ Re P.co`ing Final Sewer Insulation -- Lintel Pre Fab READY FOR INSPECTION M. Tues. Wed. Thurs. Friday_----P.M Mon A.M. Inspecnor. Nitade Final Inspectiorir Certificate of Occupancy Date CITY OF telik dic /3eacI -4l&sda /3 q04, m Office of Building Offi ial /3 2 5•REQUEST FOR INSP CT N / 3(-,//7 L c 7 / 33 75' ' Date (/ Permit No. Time A..M Received �� X61' .‘ I?'.& it I Job s ,Locality o �� / Owner's Contractor Name _ CONCRETE EL RICAL LUMBIN� MECHANICAL �BUlLDING�, Air Cond. & ❑ Framing ❑ Footing ❑ Rough Wiring ❑ Rough = Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Hee ati Lintel ❑ Final ❑ Sewer Fire Place ❑ Insulation ❑ Pre Fab 1 READY FOR INSPECTION 0 Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made Final Inspection A.Inspector �. /7.41'N.........., Final i ic-e o v cu•ancy G Date I CITY OF� - 4I1c4ic 1 eft- )1o'tic Office of Building Official �/'�// REQUEST FOR INSPECTION L) Date / — t / Permit No. �v 9 Time _L-rirt • w District Received a, ' �, !14� _ dd I , _ _ +Locality Job Addre s i Owner's 0 0 & I - • Contractor Name _-ms, BUILDING • ECTRICAL PLUMBING MECHANICAL Foo 7 Rough Wiring ❑ Rough Air.Cond.& ❑ Framing CI m g To Out 7 Heating L Re Roofing El Slab Temp Pole L' p Fire Place CI Lintt el ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ,, A 1991 �' Thurs. Friday P.M. Inspection Maae ��"" L� F. A. KE,•._ .-,,_a Final Inspection.7 Inspector Certificate of Occupancy Date CITY OF Mantic Beacls-If/02u/a 7 Office of Building Official REQUEST FOR INSPECTION ' O 7 •Le.C Date 4i—i/ Permit No. 359=V- G PC- Time / : ' A.M. Received P.M. ` J t No. /5 6 ,_ 1/,./_�f• g, I/ -- J•b '.. ... i Locality 41, / e C i Owner's /y .r Name r BUILDING CONCRETE ■ i •LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring " Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pol ❑ Top Out Heating Lintel ❑ .,1_.-P / Fire Place ❑ K(G� 1 Pre Fab g((9_3!155) READY FO INS• __!' A.M. Mon. Tues. Wed. ; P.M. Inspection Made — -dram' Inspector .�� , fnspec on❑ Q/oEatJ c7 i re.N t.eel,. r v Certificate of Occupancy BE '/f ,• odder u- CITY OP e n A 4IIa .& js each—4ZIDiiic,a Office of Building Official Vie/ (/) 9 REQUEST FOR INSPECTION V Date 6 — Permit No. `� Time - v Qlstrict No. Received (/aiA /56 S • C Locality Job Address n O Owner's _ ..1��.' 6 0�( !l�(_[JL.c actor Name /_ ___ BUILDIN CONCRETE ErLECTRICAL� PLUMBING MECHANICAL g ❑ Rough ❑ Air.Cond.& ❑ naming ❑ Footing ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fee Place ❑ Lintel ❑ Pre Fab CthdoLji Tues. READY FOR INSPECTION W A.M.Fr da✓— P.M. A.M. / r�- 9-/ L P.M. Inspection Made Final Inspection C3 Inspector .-----.. Certificate of Occupancy Cot Pe `(� - Date CITY OF / fWan& BeccA-l,G'O a& Office of Building Official REQUEST FOR INSPECTION / / Permit No. Date ��JJ/ Time E./ ,jd P. D Received X56,—dIPAP / a Defo-. /L . Locality )o•Address Owner's �,/ii-, / Contractor �' "r`��D f A MECHANICAL I'ILDING CONCRETE ELECTRICAL PLUMBING El Air.Cond.& ❑ ❑ Fo 'ng ❑ Rough Wiring ❑ Rough Heating Re Roofing El ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab jS(icth � READY FOR INSPECTION A.M. Thury� `� Friday P•M• Mon. Tues. Wedgy} y-�� Inspection Made P.M. Inspector Final Inspection❑ �`.� - Certificate of Occupancy Date CITY OF 41Ia4rtic /3eacii- /3-'�- J � y/ Office of Building Official �� ._� 5 REQUEST FOR INSPECTION -_ Date r "6 Permit No. � Time A P.M. Distri�No. I n / Received / / i�� / ��vvvv NM"" L I ity ob Address / Owner's 40'44` / _ Contractor Name .-L PLUMBING MECHANICAL BUILDING CONCRETE EL Air.Cond.MECHANICAL ❑ Footing Rough Wiring ❑ Rough Framing ❑ g _ Top Out _ Heating Re Roofing ❑ Slab Temp Pole E: Fire Place ❑ Lintel Pre Fab READY FOR INSPECTION A.M. on. Tues. Wed. Thurs. P.M. A r 2_ '----2__ --) A.M. P.M. Inspection Made liphi ______ 1116.■ .I Inspection El Inspector _fir Certificate of Occupancy d vex Date 3713 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - - LOCATION INFORMATION --- _ __._ Permit Number : 3713 Address: 1565 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223.: Class of Work: ADDITION LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: SELVA MARINA Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $32. 50 Amount Paid : $32. 50 Date Paid : 4/29/91 Wor , : 1:. ' IIMBING FIXTUPV ------- OWNER INFORMATION - ---- APPLICATION FEES --- - - Name: MOOREHEAD PERMIT $31. "i ! Address: 1565 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 ATLAN'T'IC BEACH, FLORIDA 32 3 SEWER IMPACT FEE $0. 00 Phone: (904)249-5191 WATER METE $0. 00 RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION - RADON GAS - $0. 00 STEEG PLUMBING WATER TAP $0. 00 $ Address: 1601 MAIN STREET SEWER TAP $0. 00 ATLANTIC BEACH FLORIDA 32: HYDRAULIC SHARE $0. 00 License: CFC037196 Type: 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'ILDING IMPROVEMENTS."IN THE PROPERTY OWNER PAYING TWICE FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. y �{ ATLANTIC BEACH BUILDING DEPARTMENT By: \-(/),/,41/ CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT r , JOB LOCATION: /5a5 r ✓L- AtAzi;v- Az Pe PLUMBING CONTRACTOR: Pi, ( , -Y1.L /% / LICENSE NUMBER: C FC.v 3'7/9 OWNER: .724 le114-1- BUILDING CONTRACTOR: li/1 TYPE OF BUILDING: !>11../7): SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS I DISHWASHERS URINALS I DISPOSALS CLOSETS / WASHING MACHINE FLOOR DRAINS / OTHER/C4,4 TOTAL FIXTURE COUNT: + $15.00 = INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. PSA_3844 13 417 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- LOCATION INFORMATION Permit Number : 13417 Address : 1565 SELVA MARINA DRIVE Permit Type:ELECTRICAL ATLANTIC BEACH . FLORIDA 32233 Class of Work:ALTERATION LEGAL DESCRIPTION Constr. Type:WOOD FRAME Block : Lot : Twp: 0 Proposed Use: Section: 0 Subd: 0 Rng : 0 Dwellings : 1 Subdivision: SELVA MARINA Est . Value: 0 .00 Improv . Cost : 0 .00 Total Fees : ?9/PP $25.00 Amount P : '17/A0 $25.00 Work i AnTITTTC'N _. - _ _. _. _ _ OWNER, INFORMATION ----- - ---- APPLICATION FEES -- -- Name : MOOREHEAD PERMIT $25.00 15/gfri Addr: 1565 SELVA MARINA DRIVE ATLANTIC BEACH , FLORIDA 3223 Fhone: ( 904` 240-5191 ------ CONTRACTOR INFORMATION . Name: BIV:NS ELECTRIC CO. Addr : 1004 SOUTH SECOND STREET JACKSONVILLE . FL . 32250 Lic : 0009159 Exp : / Tyre: 1 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. $25.88 14 Dates 2/2667 01 Receipt: 88373339 CHECKS 5439 ATLANTIC BEACH BUILDING DEPARTMENT 88188883221888 By: r1� .. BEACH, FLORIDA ; LI CITY OF ATLANTIC �� Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT AIDDORK IN ACCORDANCE WITH T HE ATTACHED PLANS AND SPECIFICATIONS, HEREBY AGREE TO PERFORM SAID WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTItg i S L gicDCooANCES. 1004 South Second Jacksonvl Bch F132255 0 �� C ELECTRICAL FIRM: ER ELECTRICIAN SIGNATURE JOURNEYMAN c' NAME. oo !e,kca—cl. ADDRESS:. /5 6 S J 0--1Tl63�4-20-' RFD BOX BLDG.SIZE BETWEEN:. - RES.(✓r APT.( I COMM. ( 1 PUBLIC( 1 INDUS.( 1 NEW( I OLD ( -1' REW.( 1 ADDITION 14- TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SQ.FT. FEE SERVICE: NEW( 1 INCREASE C 1 REPAIR 1 1 CONDUCTOR SIZE AMPS COPPER C ALUM. ( ) SWITCH OR BREAKER AMPS PH 1 W VOLT RACEWAY I EXIST.SERV.SIZE /2 ( AMPS PH W,, VOLT RACEWAY FEEDERS NO. SIZE 'NO. SIZE NO. SIZE LIGHTING OUTLETS `" CONCEALED OPEN TOTAL 1 CONCEALED OPEN TOTAL RECEPTACLES A 0•30 AMPS 3* I 100 AMPS. • f . SWITCHES r INCANDESCENT FLUORESCENT&M.V. FIXED o.100 AMPS. 1 OVER I BELL TRANSF. APPLIANCES AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT I 0.1 - OVER _ MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS l -- o o M ad cry✓ _ _._ _..—■ TRANSFORMERS: UNDER 600 V. OVER 600\ NO. KVA 1 NO. ` ....��.----- NO.NEON TRANSF. INO. VA. I MA. MOTOR SIZE CH FLASHER EACH SIGN I I 1--- - FORWARDED S i iw , TOTAL FEES a N PSSi-3844 13406 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- LOCATION INFORMATION Permit Number: 13406 Address : 1565 SELVA MARINA DRIVE Permit Type :MECHANICAL ATLANTIC BEACH , FLORIDA 32233 Class of Work:ADDITION LEGAL DESCRIPTION Constr . Type :WOOD FRAME Block: Lot : Twp : 0 Proposed Use : Section: 0 Subd : 0 Rna: n � Dwellings : 1 Subdivision: SELVA MARINA Est . Value: 0 .00 Improv , Cost : 0 .00 Total Fees : 25 . 00 Work Des : : h L 2 SUPPLIES - - - -- -- - OWNER INFORMATION ---- --- - ---- APPLICATION FEES Name MOOREHEAD PERMIT 25 . 0C Addr : 1565 SELVA MARINA DRIVE ATLANTIC BEACH . FLORIDA 32 Phone : ( ?04)249-- 191 ------ CONTRACTOR INFORMATION ----- Name: HUXHAM HEATING & AIR Addr : 1078 NINTH STREET SOUTH JACKSONVILLE BEACH . FL 32250 RA00?43 ^ Fvr. : / / Te»,eI 3 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. DAP! P/P4/'�7 RI Riveipt: 81836918 CHECKS 1139 88188883221888 ATLANTIC BEACH BUILDING DEPARTMENT By: 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. S Sc(op )''iZ4 'p - 0, LOCATION Street Address: OF Intersecting Streets: Between And 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 Contractors Contractor (Print) Master D4(15—`)3■ Name of Owner wna7A v Signature of Owner /, / / Architect of or Authorized Agent • /i Lpfc Architect ct or Engineer III. GENERAL INFORMATIO A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON • EI•ctric THIS BUILDING OR SITE? ❑ Gas—0 LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed 0 Central 0 Floor ❑ New Building ❑ ❑ Air Conditioning: ❑ Room 0 Central ❑ Existing Building ❑ Thickness ❑ Replacement of existing system Duct System: Material ❑ New installation(No system previously installed) Maximum capacity c.f.m. Extension or add-on to existin system ❑ Refrigeation gay Set'S ❑ Other — Specify �✓ , ❑ Cooling tower: Capacity g.p.m. ' 0 Fin sprinklers: Number of heads ❑ Elevator ❑ Manlift 0 Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) ( ) ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Defy Permit Approved by ❑ toilers ❑ Permit Fee Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Units Description Model Number Manufacturer (Tons) Agency HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving Number Units Description Model Number Manufacturer (BTU) Agency TANKS Bow Many Nocrinal Capacity Type Liquid Name of serial Approving and Dimensions Contained Manufacturer No. Agency PSR3844 13378 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ----• LOCATION INFORMATION Permit Number : 13378 %ddress : 1565 SELVA MARINA DRIVE Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32233 :lass of Work:ALTERATION LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block: Lot : Twp: Section: 0 Subd: 0 Rncr Dwellings :Proposed Use : 1 Subdivision: SELVA MARINA Est . Value: 0 .00 Improv . Cost ' 0 .00 Total Fees : 25 .00 Amount Paid: 25 . 00 Work Dos, ')WNER INFORMATION ----- APPLICATION FEES !Name : MOOREHEAD PERMIT 25 .00 Addr : 1565 SELVA MARINA DRIVE ATLANTIC BEACH . FLORIDA 3223? Phone: ( 904)249-5191 CONTRACTOR I NFORMAT I nN Name: STEEG PLUMBING Rddr : 1601 MAIN STREET ATLANTIC BEACH FLORIDA 322.3 iic : CFC037196 Exp: ' 4 NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, AWAY DEBRIS FROM THIS WORK MUST EITHER CONTRACTOR OR OWNER BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED U P AND HAULED "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN IMPROVEMENTS." IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION 0 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date; 2/19/97 01 Receipt: 8835898 CHECKS 1328E 00180003221080 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 5d `5 �y�efh'A- "/14-i _. PLUMBING CONTRACTOR: /Zv,i P/2),g 6> c. LICENSE NUMBER: CFCb 7J7f OWNER: /4/One LPL BUILDING CONTRACTOR: /ET CAzio-X. - TYPE OF BUILDING: Ylimartga SINKS )11/11, � SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS X11 W rr1 ""OTHER TOTAL FIXTURE COUNT: + $15.00 = • INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. • SR-3844 13361 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- LOCATION INFORMATION ---- Permit Number: 13361 Address : 1565 SELVA MARINA DRIVE Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 321 Class of Work:ALTERATION LEGAL DESCRIPTION ----- Constr . Type:WOOD FRAME Block: Lot : Twp: Proposed Use: Section: 0 Subd: 0 Rng: Dwellings : 1 Subdivision: Est . Value: 0 .00 Improv . Cost : 2 ,000 .00 Total Fees ' 25 . 00 Amount Paid: 25 .00 Date raid: 2119 - w. Da4s,.r • 8FBIQCF ) F BUILDII1W BASE APi-D ER AQ-FII OWNER INFORMATION -- - -----v- -- APPLICATION FEES - Name: MICHAEL AND JOAN MOORHEAD PERMIT 25 .00 l`ddr : 1565 SELVA MARINA DRIVE ATLANTIC BEACH , FLORIDA 3 phone: ' 904 '249- {151 CONTRACTOR TNFORMATICN - Name: SHORE ROOFING Addr: 914 7TH AVENUE SOUTH JACKSONVILLE BEACH , FL 3225t, Lic: CCC0554911 Exp : / 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 TWICE FOR BUILDING IMPROVEMENTS." THE PROPERTY OWNER PAYING 1k ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB_, CO C REVOGAIION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 22100 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ALANTIC BEACH � ROOFING PERMIT APPLICATION /y Owner(s) : l'1(LS ,°1o02Cflcild Address: l S 5. SGI ( )r� Phone: 2 45 _3ya4/3X`31 Z Lot # , Block or Unit # Subdivision: Contractor: i7iv,os Address : `P `I ra‘ ()✓` VO. City , State and Zip Plx /•7eN _L E ( 3 2 ' 2 Phone 21/(_"y2- State License # CCCo fg/I Describe work to be performed: (1A-1i'l �GILool� Valuation of Proposed Construction: a,UUG' "f Materials to be used: 4/3/ j' Signature of Owner; Signature of Contractor: i2 "// Liability Insurance Supplied Workers Compensation Insurance Supplied License Information PS 3844 13254 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - - LOCATION INFORMATION ---- Permit Number: 13254 Address : 1565 SELVA MARINA DRIVE Permit Type:REMODELING ATLANTIC BEACH: FLORIDA 32233 _lass of Work:NEW LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block : Lot : Twp : 0 Proposed Use : Section: 0 Subd:0 Rng: 0 Dwellings : 1 Subdivision: Est . Value: 0 . 00 Improv . Cost : 3 . 500 . 00 Total Fees : 45 .00 Amount Paid: 45 .00 nAte F, ' I RT AND BT 'D.ET Y 8FJ1,W otc/i.ATU PER PLANS -- - OWNER INFORMATION ----- - -------- APPLICATION FEES Name MICHAEL AND JOAN MOORHEAD PERMIT 45 .00 Addr 1565 SELVA MARINA DRIVE ATLANTIC' BEACH, FLORIDA 32233 Phone: / 904)249-3157 ------ CONTRACTOR INFORMATION - - - Name : PROPERTY OWNER Addr : Lic: Exp . Tvr,e _ 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'ILDING IMPROVEMENTS." THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC TI00 14 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. fate_ 1L31/r7 U1 Rcre7,pt• 0@32408 CHECKS 3283 0010003221000 ATLANTIC BEACH BUILDING DEPARTMENT ,e By: A CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : i f fe %aGO/ ,, f �b__ l 1 ,"( • It O D O"`jea- Address: /66'.c 5e/ l a- -a_ hone: c©y> fiy1-3 57 Lot # I( Block or Unit # . y Subdivision: St-w2 /00-,-/01•�. 1),,,,-6-, Contractor: ,Sef—F• State License # Address: Phone No: ( 9 ) Z Yr -�- /�i Describe work to be done: FriG/O.Se eXAS7L/,t q !!llCCr,por/ e h1Le, -I- / ` OA c. dl,cfs 747 eXis�4q sfo/^a e ace a- 4ac/i.5/ ei/s7�iny roes /// c DE'c1rc / wiV-4 / 2 baH. Present use of building: 5f#i5/e i c't/P l//4" Valuation of Proposed Construction: 3/ 670' Proposed use: .Sf'1 /? �2`r/t,/y etivt2`/ y Is this an addition? AP) If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? 95 New fireplace?a0 New Heat/AC? 1)-CD 2/ SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS ONTRACTOR. Signature OWNER: �ii , Date: 2 3 Si-1 9/ Signature CONTRACTOR: Date: License Supplied: gE 4 Liability Insurance: �,yy►►[[ !$ Worker's Compensation Insurance: N 2 4 RE� U 4 Buildng and Zonir FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 3; Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Coda mey be demonstrated by the use of Form dOCC-93 for addlions of 600 squaw lest a less,tee-nssased cynponers of manufactured homes,and renovations to single and multifamily residences. MlamsOfve methods we provided for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: 4/c Aa&D/ ,/1700//1 t BUILDER: 5/w7e • • AND ADDRESS: /C'(, ( A-'e/v ,t2 pin Z Dr• PERMITTING CLIMATE • , 4 f/ah7'/r 5eacn,FL-52z.3�OFFlCE:/;T N7/ �L,j t' ONE: 1 2 3 7c. OWNER: /�1/G %2�/M• �OUr`l62d-J ABM NO-.1 I I I /1- 'I� 41 O Nn_ 746 i f .a .�I SMALL ADDITIONS TO EXISTING RESIDENCES(800 Square feat or less of conditioned use). Prescriptive requirements in Tables 8C-1,8C-2 and 6C-3 apply only to me components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efflciency 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%04 the assessed value of the budding, Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS C•vy me- installed components and features are covered by this form. PNaso Print C K ` 1. Renovation, Addition or Manufactured Home 1. Ae K ow a f, ,-v' 2. Single family detached or Multifamily attached 2. ,S'.H1h c 01 I/i 3. If Multifamily-No. of units covered by this submission 3. NXA • 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 6. Porch overhang length (ft.) 6. /I/4 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. l4' sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8. 9. Floor type and insulation: a. Slab on grade (R-value) 9a. R=_ 96 sq. ft. b. Wood, raised (R-value) 9b. R: 9'' sq. ft. c. Wood, common (R-value) 9c. R= sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 10a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R= // sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R:/1 Zfv sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 10c IVA 11. Ceiling type and insulation: il a. Under attic (Insulation R-value) 11a. R= '71__ sq. ft. b. Single assembly (Insulation R-value) 11b. R= sq. ft- 12. Cooling system' (Types:central, room unit,package terminal A.C.,none) 12. Type: C - •l . SEER/EER: 13. Heating system': 13. Type: `� (Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTAC,none) HSPF/COP/AFUE: 14. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 14a. ..1:_i _____ b. Ducts on marriage walls adequately sealed* (Yes/No) 14b. 15. Hot water system: 15. Type: 71\ (Types:elec.,natural gas, other,none) EF: . •Pertains to manufactured homes with site installed components. I hereby certify that the plans and and specific tions/overed by the calculation are in Review 01 plans and specifications covered by this calculation indicates corr>plance compliance with th londa En rgy Code with the Florida Energy Code. .: • :constn>ction a ed.ttxs burldxrg we be PREPARED BY' a�L,',t�Lf�l� DATe:/" Z`l 7? inspected for cortpltance 111...•. .. • 908. S. I hereby certify Ch I tiding in�rornplia witff!tfw Florida Energy Code. O atMDING o FILIAL: ( .-W -OWNERA6ENT: ! x_41 _ DATE: �Z y/ 7 DATE: ----_--- ti� � --�t� CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 15. S Sr-7-LOA- M 141-( 1Nra D(2_ C Rtr(oDE2 Date I -30 -'`= ? Heated Square Footage @ $ per sq ft = $ N Garage/Shed@ $ per sq ft = S Carport/Porch 4 ( la $ per sq ft = $ Deck f @ $ per sq ft - $ k%It PP. V pI {` Patio @ $ per sq ft = S DO en TOTAL VALUATION : S 3O 3500 /c.00 $ /5" Total Yaluation 1st $ /QUO S (1---- Remaining Value $S per thousand or portion thereof TOTAL BUILDING FEE $ 3c2......._ + 1/ 2 Filing Fee $ (0l Fireplaces @ $15 . 00 $ 0 BUILDING PERMIT FEE $! WATER IMPACT FEE $__ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S. 1 RADON (HRS ) . 0050 S SECTION H PAVING i ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE y 7 ' OC.) ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : ss2 e (ie---) CITY OF 5S31 8 (± ) &aaf fl'c f e c/s-llotsi 36 0 7 ,c Office of Building Official J 2__ ,3 REQUEST FOR INSPECTION 7/2 /7z— Permit No. `3° "�/7/ 3 2) e Date / 1, Time . Received P.M. District No. /.5 65 5 4.- /tomr7 Ata 2:71,f'le Job Address Locality �j Owner's �/f�� t C� Contractor – "C e A v�‘_ Name M __ BUILD! c• CONCRETE CTRICAL / ' - '�t .L ! ng ❑ Footing ❑ i. ' mg ❑ ❑ Heating L Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION .s��!1♦ Mon. Tues. Thurs. - Friday Inspection Made 9- M. Inspector C.\_.) — `(/� Final Inspection❑ Certificate of Occupancy (---- 0 o e r---- -6<-0 ) Date CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) : /c4V- P./ 4' _Jc)a1 A - go0,4ezd Address: / -6...5--5 J ' Z A(4r//1 2 12r 213/1-5/S-7 Lot #__/./___ Block or Unit #_,ZAv Subdivision:__ Contractor: Ow '? c-'f° Describe work to be done:_jckL.,5 21 _Q,eLS°_ja.2T4 yt� De-Le_57 `/ L a2-1"--_ ,^ 0014-7 _Cello Ll c � ,egtl�r e_ n_e 4/.A � S 1 Present use of building :____j D ryj e Valuation:____J5 O 7c Proposed use•____/1?w1 ' T Is this an addition?__ __ _ If yes, what are the dimensions of the added space: -------- ft. X --- ft. Will the added area be heated and cooled? - New electrical (or increase)1? 1 New plumbing fixtures? ( New fireplace?- New Heat/AC? -r � - II SUBMIT THREE -COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: s'_ , Date:_.,c--,s--,1 fz_ Signature CONTRACTOR: Date: -P -\\-- oc- " N \1?c---Q1 P• P Q - � it,G \,,," . ` / � f . 0 BUil d iag (il if zonin 92 sm I rLA. 11147 LAWS MANGO POEM 4011 FS 713.13 Native of !tmunwntrnwut IN DUPLICA71111 u fill/0111 it may concern: : The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. p Description of property / S ��v 2 / a/ /`( � ,-1i�n7%C .0 C'd G4 General description of improvements. /.e .o.v2.._te. <17 DGC ArC- �z '. /L.11 . / d r8 w/ h $� .8y/hsfa/, One 8af�irootat de-i`�siaibv4f Oily' f4v-to41 j4 rem...le(I ptife$3fgcrcnwi Owner /Plij..l..c�A -.0,( At • 01.-(.�,�.. )' 17 esi.r1 Address //.? rill a. Dr- .... ».........»....»»....» Owner's interest in site of the improvement QW H 6::)V. Fee Simple Title holder (if other than owner) Name Address II Contrador . A Address. Surety (if any) Address. Amount of bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served Name p »»».•»� • Address- 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 Address - 111111 $PACZ PON RLCORO[R'e WIC ONLY 4 Owner Sworn to and subscribed before me this . .yof/ 19,7••. (.. _ r Pte.. .. �. .... .... E"»»» — Notary Public MY corr, pn c StMONc,: Ccmmtss;o„ aary 4UR ZFLoRto ti5Ro. • OWNER BUILDER PERMIT AFFIDAVIT--=='' State of Florida ) City of Atlantic Beach ) BEF RE ME, the yndersigned authority, personally appeared Afi AQ-e �GJ_�b(Oo ,6..e who upon first being duly sworn, deposes and says: I, f1 lc AQ-e e�-cl , and the legal owner of the following pr operty: Subdivision S // e/V a �'l°Vl"vfri a____ __ Y. --___ Block Ui1 L7�2 _ Lots_ _ T� AKA ,Jyj(�ss5:.ele7!7al"iii. ~Dr -tia 1 c 2�dc Fi I am applying for a building permit pursuant .o the Owner Builder exemption set forth in Florida Statute, Section 489. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: . DISCLOSURE STATEMENT 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 925, 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 more than one building you have built yourself within ono year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to 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. 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. Further, affiant sayeth not. �' / Property Owner Sworn to and subscribed NOTARY PTRICCA AMr°""E • / PUBLIC OF FLORIDA Deforq- this s1 daY My Coit�miasipn expves AuQ. 27, 1992 Of -��IIl'i 0.4 ..`� r 1 Cain Minion No a a 5 8 R 1 7 R • a RY PUBLIC - My Commission Expires: 140TARy 0TRIC/4 MY COmrnis o;IC, Srq aNETTE t16Hiittis. - eXAires OF FL D eA iyu p,100,;;111Z- 27,} X92 . — DEPARTMENT OF BUILDING 77®4 PERMIT NO._.�------ CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD 46.no T 4;00CKT THIS PERMIT MUST BE POSTED ON JOB 86 ��6R R1 410, May 14 I9_— 7704 '.00CA 1 I Date_.__ S/j41 ' Fee$ 46.00 4364 n 1 O0�00 �Valuation$ This permit not valid until above fee has been paid to City Treasurer,and is applicable rovisions of law. isubject to revocation for violation of app P McCall CAC Inc. HAR-622 This is to certify that Jacksonville, FL 32204 2690 Roselle St. , i has permission to install heat : .air \ ificationdenttZ0 Mrs. James Morehead I Owned by Block Lot 1565 Selva Marina Dr. House No. 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 � .41---4,.41---4, O Building material,rubbish and debris I 4------÷ F4 from this work must not be placed in public space, and must be cleared up and hauled away by either con- t\ t ractor or owner. Building Official. 1�1 I I CONTRACTOR PERMIT DATE FOR OFFICE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER IMINIMMINII■ WATER ••■• v 4 , . - CITY OF JACKSONVILLE BEACH APPLICATION FOR MECHANICAL PERMIT IApproved By flechanical Per ni LOCATION STREff Mme: 1565 Selva Marina Dr. CF USE CF BUILDING: 5 ; n5 / e , am ,. / 7 BUILDING BUILDING PERMIT I: NATURE OF WORK ❑ NEW BUILDIN3 a. REnAcEmEtar ❑ ALTERATION ❑ REPAIR ❑ ADDITION ❑ OTHER MECHANICAL WORK TO BE Dam PAP FEE EUJIPMENP 'ID BE INSTALLED Air Conditianing 4 tons 'units 1 TYPE UNITS: Trane Heat Pump Heat 4 ton BTU'S 45,500 # units 1 Pumps type horsepower - Wells Boilers BTU'S #boilers Tanks 0-600 gallons over 600 gallons Duct Systems: CFM # systems Automobile Lifts: I lifts Elevators/EScalatars: 'cars #floors Fire Sprinkler Systems: Meads Fire Standpipes: I standpipes Fire Hose Cabinets: # cabinets Fireplaces: Alteration or repair of boilers: - Solar Collection System: #collectors Oamiercial Moods: I hoods Heat exchanger or coil in ducts: Gas Piping Systems: I cutlets Gas Vented Wall Furnaces or Water Heaters: t units Misc. or other work: PERMIT ISSUING FEE:E: $ Tom. FEE: $ 46.00 PROPERTY OWNER'S NAME Mrs. James Moorhead 1565 Selva Marina Dr. lino 46-7714 (mamng aacress) MECHANICAL CONTRACTOR McCall C.A.C, Inc. 2690 Rooselle St. 8fio 3 (ma ling address) State Certification No. M-HAR-622 State Registration No. RA0015176 Duval County # Qualifying Agents R Battinelli ` DATE Mil( /`1/ / I'.S' SIGNATURE ��. This work described herein is to be accomplished in accordance with the provisions of the Standard Mechanical Code and the regulations of the City of Jacksonville Beach subject to the information shown on the application, approved drawings and specifications which are made part of this permit. If no work is done under this permit during a six month period permit becomes void. PERMIT BECOMES VALID WHEN CERTIFIED PAID. Subject to reinspection fee. �. `� FOR OFFICE USE ONLY 1 1 19 Date �t l / o l‘ Permit # Fee $. a 1 + CITY OF ATLANTIC BEACH valuation $ .�da FLORIDA House # /Y- 5-- S. /� APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. c= i O , 19 '•?�. Date Owner CO I.. Q, j c i2i --I---6 Address/5?6 s��44T )AL/4? •EIQTelephone No Architect S.-L-/ Address. Telephone No 4 / 7� Telephone No. Lr ��? Contractor Builder. ---/ 1}�i4L/lll E Address1li .. -4....5i r p Lot No. /.-.® Block No. 3 Sub Division.- .Al. f1/(,..4 1T Z Zone ,, ,pp and Sts. �y� �� For what purpose will building Between A �' Valuation $--�__-at p rp uilding be used.!-PE.5L��/GE--Type of construction �• ..��- Dimensions of Building___/lf�'._ .-- -c? Dimensions of Lot---f-.l- /ZS Size of Footings 8 nn // Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof...�l.561117-. How will Building be Heated?... /--j.C.E0 1114 - Oil Will Building be on Solid or Filled Ground? 5.0.4._/ 0 Size of Ceiling Joists Z AS , Distance on Centers /6z r° C_ , Greatest Span /G ' 0 " Size of Floor Joists 2 4' 8 , Distance on Centers /6 "Q.-..0 , Greatest Span l6 -0 " Size of Rafters 24---6, , Distance on Centers /G f r p C ' , Greatest Span /4 -0 / " This rectangle is to represent the lot. FLORIDA STATE REGISTRATION #: ( 45-(3 Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT-,LI Two copies of plans and specifications shall be submitted with application. v 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 EX s PA) Z 3. When steel is in place and ready to pour beam. HO 4. When framing is completed. E. 5. When rough plumbing is completed,and ready to cover up. W - 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. in rn 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of tlantic Be:ch. Signature of Builder, - ... . .-"-. ^ ,e2„- •Address- f fQ r h( �5 ` ' ® � a / figh Signature of Owner. af�� •--• • •-y Address.l�..6.r � //d.Na%1 A vj.fT �C/�-lC D _ ), • 5522 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- - PERMIT INFORMATION LOCATION INFORMATION Permit Number: 5522 Address: 1565 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 322x... Class of Work : REMODEL LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: SELVA MARINA Estimated Value: $0. 00 Improv. Cost: 90. 00 Total Fees: $25. 50 Amount Paid : $25. 50 t1,: ,- rain : 6/17/92 Work Deg- INSTALL PLUMBING IN kiwi .L uh RESIDENCE ,.,_ : tIRMATION ---- --- APPLICATION FEES --- ,�z'u< : MOORHEAD PERMIT $25. 50 !:_dr .cr s : 1565 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORII` F:i SEWER IMPACT FEE $0. 00 1 (rJ04 )?19-51' 1 WATER METER $0. 0u RADON GAS-H. R. S. $0. 00 _. _ - CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: STEEG PLUMBING WATER TAP $0. 00 Address: 1601 MAIN STREET SEWER TAP $0. 00 ATLANTIC BEACH FLORIDA 32; HYDRAULIC SHARE $0. 00 License: CFC037196 Type: 4 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." 4& LI;AU. 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: SjzZ CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: "5"-6 J5/da_ /V )4 ' UQ 4_ ‘?. PLUMBING CONTRACTOR: .5—krl p47 • • LICENSE NUMBER: (Y ft z' `57/ ‘, OWNER: l/jld,e`1 (� o BUILDING CONTRACTOR: 1Jr,2t TYPE OF BUILDING: eeji1Jb j SINKS / SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS I CLOSETS WASHING MACHINE FLOOR DRAINS OTHER 9z,5 -2x , TOTAL FIXTURE COUNT: + $15.00 ar -25 . v ----- INSTALL IokThP PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE OST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. a 5539 DEPARTMENT OF BUILDING I CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION - LOCATION INFORMATION ---- 'ermit Number: 5539 'address: 1565 SELVA MARINA DRIVE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 :lass of Work: REPLACMT PERMIT LEGAL DESCRIPTION [..ot : 11 Block : Section: Constr. Type: WOOD FRAME Township: RNG: 0 Proposed Use: SINGLE FAMILY )wellings: 1 Code: 0 :subdivision : SELVA MARINA UNIT 2 Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $5. 00 Amount Paid: $5. 00 PERMIT FO) -MIT #►;: MODEL -__ 04t h 11 r°u?-lATION --- ---- APPLICATION FEES PERMIT $5. 00 ; me: MICHAEL ANT! :JOAN MOORHEAD WATER IMPACT FEE $C1. UO :;�icira:,s�� : 1565 SELVA MARINA DRIVE :�EWF.R 7MAA :T FEE. $0. 00 ATLANTIC BEACH, FLORIDA :32, WATER METER $0. 00 Phone: t90 )249-3157 RADON GAS-H. R. S. $0. 00 - -.------- CONTRACTOR INFORMATIOe RADON GAS - 5% $0. 00 WATER TAP $0. 00 Name: F'RD1�'ERTY �3WN�'R SEWER TAP $0. 00 /�.rRdre 3s: HYDRAULIC SHARE $0. 00 License: TY1' RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: adj 1M 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." ,ALIDATION DATE: 06/23/32 i 1Mt: Ociun i.M ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ ��REVOCATIOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE '0O RECEIPT NUMBER. 0593400 ATLANTIC BEACH BUILDING DEPARTMENT By: ,�,� ,. 3592 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ___-- PERMIT INFORMATION ------ LOCATION INFORMATION -- .- - _._. Permit Number : 3592 Address: 1565 SELVA MARINA DRIVE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION -- LEGAL DESCRIPTION ---7-1--- Lot: Block: Section: Constr. Type: WOOD FRAME 'Township: RNG; 0 Proposed Use: SINGLE FAMILY Dwellings: 1 Code: 0 Subdivision: Estimated Value: $40000. 00 Improv. Cost : $0. 00 Total Fees: $315. 00 Amount Paid : $315. 00 Pate Paid : 4/ 7/91 Work I) :sKF'AST, DININu ROOM AND EXTEND ----- OWNER INFORMATION ---- APPLICATION FEES Name: MICHAEL AND JOAN MOORHEAD PERMIT $315. 00 Address: 1565 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 32 SEWER IMPACT FEE $0. O0 Phone : (904 )249-3157 WATER METER $0. RADON GAS-H. R. S. $0. 00 - CONTRACTOR INFORMATION RADON GAS -- 57. $0. 00 Name: PROPERTY OWNER WATER TAP $0. 00 Address: SEWER TAP $0.'00 HYDRAULIC SHARE $0. 00 License: Type: ! RE-INSPECT F`EE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER ' -- . 0 ' NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,HAULED AWAY AND DEBRIS FROM THIS WORK RK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED U P AND "FAILURE TO COMPLY WITH THE MECHANICS' LIEN WCAN 1RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING 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: SI S S r L V A- t1 V4 R I P (Z I /QF b`7 0 OF 1-)._ Address S � Heated Square Footage 0 @ $ per sq ft = $ Garage/Shed , 0 @ $ per sq ft = $ Carport/Porch ► L A @ $ per sq ft = $ @ $ per sgft = $ Patio J Cl 1 @ $ per sq ft = $ i t TOTAL VALUATION: $ //6) 000.0 0 1/6),_000.00 is 6C .$ /5� CO Total/V0(1 aluation 1st $ / 00 O o 0 S 0OO. 00 / 9,S O0 $ / 3 7 C 0 Remainder Valuation $S-.0 a per thousand or portion thereof Total Building Fee $ r9 / 0 , 0 d ADDITIONAL PERMITS and/or FEES REQUIRED + 1 Filing Fee $ /l? .S- 0 0 Mechanical 0 Fireplaces @ 15.00 $ BUILDING PERMIT FEE $ ,`. /ST 0 v Plumbing e Electric/New 17 Electric/Temp 3 ,S BUILDING PERMIT $ Septic Tank WATER METER CHARGE $ Well SEWER IMPACT FEE $ Swimming Pool WATER IMPACT FEE $ Sign MISCELLANEOUS $ Water Connection $ Sewer Connection $ Water Meter Elevation Certificate GRAND TOTAL DUE $ 3/ ST d v CALCULATIONS and/or NOTES 3 h6? 2 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) : Ai/c ao 1 A Toa el 4. Hoot - ea d Address: i r C 5 3 /v /yar,N a Phone: (9OO Z-y7 J�57 Lot # it/ Block or Unit # 2 Subdivision Se/va 4(f2.r/n a 0,411-2442- Contractor: 47/:. Pe2 t74- r Describe work to be done: Re/ v o(/s / we//s ar�/ ��on 5 as n 0 On, pi 30-1 p/akts, I?rea K-Fas-7 4- ©ia l ' r elf te"sio., a., I /hf-erw,. reN o v2/7o' ., .7S p vied O H p /a f y o pia • .( � Present use of building: �D/17 G��/ a anon: - 0 .'c,/ Proposed use: 1-4109/,1-5/d tic - Is this an addition? y65 If yes, what are the dimensions of 3/6 "X y c sy' D/ iaf 1I rea//11-4 ''ISie ':,-. 61 /�r�2• sf the added space: ft. X ft. Will the added area be heated and cooled? Ye). New electrical (or increase)? 76-5 New plumbing fixtures? p5 New fireplace? /) New Heat/AC? /00 SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADDITIONN TO THE EXISTING STRUCTURE. Signature OWNER: V- '%� V,tf' Date: 3-27- —3j Signature CONTRACTOR: Date: • MAR 2 2 1991 Building and Zoning • • OWNER BUILDER PERMIT AFFIDAVIT State of Florida ) City of Atlantic Beach ) ders ned authority, personally appeared EFOR ,ME, „ the h who upon first being duly �;�� • oo sworn, deposes.and says: �/ /ac k. ��D/Aje� and the legal I, (� JJJ"'�� owner of the following property : Setvz Alai-2n 2 6)4 /174- /(fv 2 Subdivision Lots // Block 1 .. -_54'.jlla � /12's�__Dir ef�a.� f�c eeec-4j, /” -X . AKA -� I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 489. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT 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. may not be built for sale or lease. If you sell or lease more than one 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 a violation of this exemption. construction must be done according to building codes _ _w� It is your responsibility to JOB ADDRESS / 75 .5e/at Z4 TYPE WORK Ge!fit e c_e1e PROPERTY OWNER (11" h e r s o,. TELEPHONE :9 7—5/7 9_6 61\14-A c r_ T�� oy.47f- 7 /.26 7 CONTRACTOR //1m �s TELEPHONE 5 PERMIT NUMBER / 96 74 DATE Ve-7 /o I1'+1SPECTIONS• FOOT-PIG SLAB 1 'BEAM NAILING/SHEATHING FRAMING/COVER UP INSULATION FINAL BUILDING CERTIFC4TE OF OCCUPANCY ELECTRICAL PERiII INSPECTIONS ROUGH FINAL MECILAMC IL PER ITT EVSPEL,7IONS ROUGH FINAL PLUMBING PERMI 'h INSPECTIONS RO(JGHT] `ID R SLAB TOPOUT WATER/SEWER J FINAL .S- 2N -too ea_P12 7r-rLei 1_A_ O I,- S p-e `!-7- /Z 6 -7 NOTES: Aid A-/Jsui t-r. rcrce ro 01' e/ - Gu4ITin)Cr Fv/7 c e7'-' 6,4 A...? -nu,,a4t•-, CITY OF ATLANTIC BEACH BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 904-247-5826 Application Number 02-00024764 Date 9/09/02 Property Address 1575 SELVA MARINA DR Application description Property Zoning B UTPrTD..., ,e„,., x ‘, _,..f-.2..,..".,- Application valu .= on 4 -,,� Owner "'Contra for ROBERSON, „ . E. ,_ *-^S 4-' ROMANO ROOFING SERVICES 1575 SE ,1A� INL >, .- �` P.O. BOX 33037 JAX BEL 'H * L. 32250 ATLANTIC BEACH` FL 32233 .,., -144, , , -1= ' -,� (904) 246-5.649 Structure Information R $4P.1 Permit BUILDING PERMIT Additional desc - . RE-ROOF •Permit Fee ,_,.. . s.. x,3,5 . 00 Plan Check Fee'-' 1.1... . - ,-.. 17 .50 Issue Date , °"..'- Valuation 4900 Fee summary Charged .�' Paid Credited • e s- . Permit Fee Total , 35 .'00-- 35.00 . 00' .00 Plan Check Total 17 .50 17 .50 .00 . 00 Grand Total d: 52 . 50 52 . 50 . 00n ° . 00 g _ F n ( .1„ rt , . ,w, . .,... 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. L \ L____\ (-Ay-7 0 -,,c_.,--- BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address 1 S —f "a-211`1°1— Date ' Co ' C' -7--- Heated Square Footage @ $ per sq ft = $ Garage/Shed __`_ " @ $ per sq ft = $ Carport/Porch @ $--��''V + per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ • ACCC . rte. $ 1 . Total Valuation 1st $ t O. oc 3c10D," $ cP-O, . Remaining Value $5: °c'per thousand or portion thereof TOTAL BUILDING FEE $ S + 1/2 Filing Fee $ l - G� ( ) Fireplaces @ $15 . 00 $. BUILDING PERMIT FEE $ 67-2„ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT, $ SEWER TAP $ ( ) RADON (HRS) .0050. $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ f.D 6 GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: 4 J i e iv `bi .._....6 ..'('°' , 0".1% -5-m �p - ^ s V' „FD 4 ,nn City of Atlantic Beach• 800 Seminole Road •Atlantic Beach, l r#`/ of Atlantic Beach Phone: (904)247-5800 •FAX c�a � �aning (904)247-5805 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR ROOFING JOB LOCATION S 7 S{/V r7 OWNER OF PROPERTY o" /-� -- cL, (,� ,p PHONE# 2 (1 7— /29.--y CONTRACTOR Ie•, .f= sl ru,tlS CONTRACTOR ADDRESS 30 W 14( / --- m"."'"' "'qa ZIP CONTRACTORS LICENSE NO CC-- °(---oSg/c,3 PHONE# 7 Y 4S6 Y 1 SCOPE OF WORK III C4" 0 DECK SLOPE GREATER THAN 2 ; 12 ne �o LESS THAN 2 : 12 /lam ACTUAL VALUATION OF WORK $ r/9D PRODUCT N• I &MATERIAL TO BE USE I• -6 • r 1' C � 'i ,"_.r ASTM DESIGNATION(S) 3( REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED AROVE D YES NO CITY OF PPATLANTIC BEACH WORKERS COMP.POLICY SUPPLIED BUILDING OFFICE YES NO SEP 0 5 2002 CONTRACTOR LICENSE SUPPLIED ---YES NO OCCUPATIONAL LICENSE SUPP. IED `YES NO By. 1, SIGNATURE OF OWNER '�. +AIL.,�1111111_.w,sgli\'-,A .a Ilk SIGNATURE OF CONTRACTOR SWORN TO& SUB" .I: - • ; rP DAY OF 200)t i4��` ��GLORIAI.CAS7ERLINE-McIAUGHLIN �" , MY COMMISSION#CC 976739 AS TO OWNER 140Fite EXPIRES:Dexmber �.8003_NOTARY Nota,v serMOS a eo ,T'4•Y PUBLIC I/ - / / �/r YP / e o GLORIA J.CASTERLINE-McLAUGHLIN AS TO CO if% MY COMMISSION#CC 976739 1 OTARY PUBLIC 1-800-3-NOTARY yO�F,�TIP� EXPIRES.December 8,2004 �� — /�' -a 3-NOTARY !-' Notary 3erVjFg a BorWm6,Inc. C�C!�i��2 ROOK LPD U-10.5I `rte 5 MIN. RETURN PHONE # atitg'J5i4'9 • NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. �, State of • County of f)ut4 t 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. rl r /� I Legal description of property being improved: / IS 7C St(✓`� '�`�a r11 �:J�-�; j 2? S; rh� Address of property being improved: / S 5f J� /�'(•1, 4-14 �1 3zz.53 General description of improvements: 1Qc(b, u ' Lie j Art. Owner ARIA Address -'- Address IS75 S.t✓k. "11.'k rs. Dry AN eth .(! • Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) • Name Address // ( - _ Contractor �� 0 "G v-i0 g.o O rt-/ S e•/ (r$ Address 30 PSI fI4 5C7"- 4I /364: ? Z 2 V Phone No. 2 "r ' -- Lfp. Fax No. Surety(if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address • Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other • documents may be served: Name Address �, 1 Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address • Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY 1 OWNER Sign- .an. a► I. .'Gilt..r .. - •ate: >�_3. il‘,7_ . Before me this OL 3 day .f jj �4�° in the County of Duval, State of Florida, ha 'personally appeared Book a 00247562 Page: 55 Notary Publi at Large, State of Florida, County of Duval • Filed I Recorded My commission expires: � ° -49 2/'' 09/04/2002 03:03:40 PM y JIM FILLER Personally Known x or CLERK CIRCUIT COURT .v_ .. .. ...,._..... DUVAL Produced Identification ) ��+� GL0RIAJ.CA",TCRLINGM.tA TRUST F $• 1.00 MY COMMISSION#CC976739 COPY FEE : 1.00 Alto EXPIRES:December 8,2004 CERTIFY is 1.00 j NOTARY R.Fic tery service&Bonding,Inc RECOR9IM6 f 5.00 — - — CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24140 Address: 1575 SELVA MARINA DRIVE Permit Type: IRRIGATION/SPRINKLER ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION 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: 5/23/2002 Name: HUTCHERSON, NORMA J. Total Fees: 25.00 . -Addr, ss: 1575 SELVA MARINA DRIVE Amount Paid: 25.00 ,.- "*--ATLANTIC BEACH, FL 32233 Date Paid: 5/23/2002 ,. .,1 Phone_ (00 Q00-0000 Work Desc: SPRINKLER ` 'e" N, ' �,., l'''''' - � CONTRACTC (S) fi ,,,,,,,,tam,,,„ ,, TI APPLICAON FEES PROPERTY OWNER ` # PER MI "-,,, , ' ,i.i 25.00 a �x ' � � �� mow. ma! P i. y}atl M:d �h ji 4 vim.i ✓ d V ;" " � Spections.Required. . '' .. Q. 1 ��, j ---- NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS.PRIOR TO INr PECTION BUILDING MATERIAL, RUBBISH AND DE,BRIS FROM THIS WORK MUST N2 BE PLACED t4 PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULECAWA Y EITHER CONTRACT OR OWNER "FAILURE TO COMPLY WITH THE CONS,TRLIC, TTtON LIEN LAW CAN.:RESULT IN THE PROPERTY OWNER PAYING TWIQFOR BUILDINlG IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHI `PA OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Oper: DSIIITM Type: OC Drawer: 1 Date: 5/23/02 01 Receipt na: 60323 14 PERMITS-11ILDING 1 $25.1 (... .."—.., r 00100003221000 ATLANTIC BEACH BUILD DEPT. 1575 SELVA MURIRA DR CI CMECLS 551 $75-00 Trams date: 5102 Time 12:33:25 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: ( 5 X75 MC &'i)'? " OWNER OF PROPERTY: < ( ap TELEPHONE NO. 110 f PLUMBING CONTRACTOR N / CONTRACTOR' S ADDRESS : A/JA STATE LICENSE NUMBER: A/ l/; TELEPHONE: 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) 44(1„_ _l. OTHER TOTAL FIXTURES: x $3 . 52_+_$„1.5 .00 MINIMUM PERMIT E $25 90 L' SIGNATURE OF OWNER: ` r ' ..ma f_° I,�,(��y, ar 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 MAP SHOWING BOUNDARY SURVEY OF: LOT 10, BLOCK 3, SELVA MARINA UNIT NO. 2, AS RECORDED IN PLAT BOOK 27, PAGES 6 AND 6A OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. -or-Wqy BY PLAT '��> NTR I aUS. gr- COU (Former/y IG,h_$7REE ) --- 9e/ Vz%renPi•el-)w /3^LbkTrre On - , as GG45) ! True Corner -- ,/ 5 Witness _ Found %z"/ronPipc p A p c /42.74 Corner v.s x N •! e 10 iron Pipe > z/' /ppr/ru -30.00 /3774 /ron v Se/ /z'"lranP%Pe N 95,°52'/4"E• s w ssCorncr chord-44:16' Arc:50.01 �,. De/Ilo'95 38 N m v P/of i ``i 3o" gui/ding Rem Iron L/�e— —�� `1 i C ', t. 4 �: LOi S o n �" e I co ._e. O`� iQ•1 .�. N �� %\\1.6 , ^Nb 'V b` N d Q �� /a' 4, O40'I=-4� fir ,� 1z, Conc Pafio,steps . x R . -. , / SP.— ov 0ENcC .h 0 z •et g Q , ' • • Corvo�t v>1 v to,ZL O ,• Qo� C . . • ' . • 4O romC v o conc.1 P Q Wcr1 E flop / Zw gousc 5t41/2r,"1[45)PiaJ ` 1 oc4 Z m �W. I 75 po l`B� ,/z^/ro nom' Z ' - 5 78003'10 e pp pNo/D) riHp • .t, Fund;,r , �n Pi Pc Lv r ll n \ � � `t � ›.' (No /,, �`O � ' \())/'°3 LL1� ` 1 NOTES : • BEARINGS ARE BASED ON THE EASTERLY RIGHT-OF-WAY LINE 1 OF SELVA MARINA DRIVE AS BEING N.II.56"50"W.BY PLAT. r, •THERE MAY BE RESTRICTION LINES OR EAStMENTS THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. • THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS REVISED 4/17/89, COMMUNITY PANEL NO.120075 0001 D. PREPARED FOR THE BENEFIT OF: NORMA J. HUTCHERSON, AS TRUSTEE ; ATTORNEYS' TITLE INSURANCE FUND, INC. WILLIAM G. NOE, JR. / DURDEN LAND / I \ SURVEYORS INC. .////','. ,, LB 6645 H. BRUCE DURDEN, SR. PROFESSIONAL LAND SURVEYOR NO 1674 FLORIDA 1103 SOUTH THIRD STREET DATE: SEPTEMBER 7, 1999 JACKSONVILLE BEACH, FLORIDA 32250 SCALE: 1 =30' (904) 249-7261 FAX (904) 241-1252 THIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 ----PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23271 Address: 1575 SELVA MARINA DRIVE Permit Type: FENCE ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 250.00 1 OWNEgiNFORMATIOttt:.:- --- Date Issued: 1/04/2002 I Name: HUTCHERSON, NORMA j. Total Fees: 10.00 Address: 1575 SELVA MARINA DRIVE - Amount Paid: 10.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/04/2002 - 000)000-0000 Work Desc: CONSTRUCT BLA 1"1"-E e1-1.-; ..„..11,1&:_ , -F:-:_, . -: 7 HIGH —I CONTE:Met i'7'L'''''' -:-*..V- ari-Ifink:tL,._ ATION FEES PROPERTY OWNER --='-'-.:-j.-=‘ 7 I Z:_-_-.::-1,.,-, -- 1'5'AvA4r.' : I' ? y...:',.7 ::.'-a.;:i -•-. 10.00 -::.1, Ar---t-*4°' * -:-M!'7- :•5§f7,;-, ,i4.; „-;- 4-x 40 , . ., ., ..,...,....v.1„., ,...,. _ . ,..:-, , , ;..„. . .L,„„:„..„-:,-,;$:=.„.=.-----:;- ..,i,...4r4i',1-r '..”, -,, .-S,W...-W,. -- ''..;",4tFt ik:- 11=4 "c'-::..4r.-:.-: ,i,-,-,- - ;iiNV.-' 21VAltrz, A-r- iiP,-.L. --... -,=4.1; ..,`-' • ,_":::-..-:-.---Y.,"----- . 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L'' - 1 . *:.-,_, _ .- Isf:A:--.. ,•:,*.=---- ISSUED ACCORDING TO APPROVED PLA ''''i, -'-'- * t --: PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF aVVT- - 0 $1111.98 14 ATLANTIC BEACH BUILDIN T. Date: 144/02 81 Receipt: 8824855 LASH 0814011113221888 RECEIVED JAN 2 2002 CITY OF ATLANTIC BEACH City 6110 rand Zoning APPLICATION FOR FENCE PERMIT Owners a _ ■M Allkaii Phone 7-/90}( Address r7�; I •• ►; •• ct � ..c Lot ( , Block �� ,� Subdivision Contractor if Different From Owner Valuation of Fence $ ��01 Corner or Interior Lot Type of Construction -no k (VJ 14 Attach Survey Showing location and height of fence as well as location of street(s). a--77/LA-eA-A-----, ,E.f.--,--vv )---k.e.„./x,t SivA /7k,/ti\A /„.0„- f.,14fAA-, -It. (3/ '1 ', gO- City of Atlantic Beach Planning and Zoning Department This approval verifies compliance with applicabnled zoning, subdivisionns and local constaue development regulations, Compliance approval for the ding Codeoand all other applicable with Florida Bull ding requirement ts r local, State and Feseraaturer of the City of Atlanc Owners Signature •�r� `��MAL L , m each BU ell ngtOii al prior tot ,: issuance of a Approved By: b'J :i 'eve opment Director Contractors Signature Date: __ ~ MAP SHOWING BUUNDAR Y SURVEY DE: LOT 10, BLOCK 3, SELVA MARINA UNIT NO. 2, AS RECORDED IN PLAT BOOK 27, PAGES 6 AND 6A OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. £ TY(/,/�UNTR • �o R C F,rmerly sef��a ;T�,�T�e�' a 5. 55 74 co n, < - d i2..iron P;P� 0 142 2. folio 83 4/'l8' f.• Z.r' A 1 se %zininPIPc (Np /D) / /.3 7..7.4 Iron !Pe/o/ron Pc • c ,,,,,,, /D) 1 ¢ 5�y/71c5. or�cr Radius= 30.E, N. ?44.46' f 1 Are:SD.o ",�, .. Della'` B Hal7`�_ v ,ri=-- 4i 30' guild ng�cslrf L , c_k___-------.-----T- tly 4 ‘\--7., ...,-----Lo7-9, �C ,!.,. �• h U 6'a 3e, tj C - o o '/roc n c'7 CO `z .O•I -Z �N N •v , cog O o N • • c '` 40 I' —,� 10'�� ,w Ry •. .•.Pa, o,51rpS • o A E \ /.gfo�DENC 0 LUZ N° �� •••••...gQ •. ' • • CorP°rt Z\ .. . \ ,e.2' CIC Q*T� pri✓c •• Q. l9 • : Cancre. ' 40 • Frame/LmP �'•1 Qv Q I 8Q 5Io,P 6' Q Douse � "■) i/'Iron Pipe N 2� S �Z�y, b 1 o 00 rLB� A ) �,_o j75. � Qo /800O row, pipe(No +� ` 0- 3 _ \ -�& •` •J t o ` (. and ' No D) /31-o r, NOTES : \ . ` • BEARINGS ARE BASED ON THE EASTERLY RIGHT-OF-WAY LINE 1 OF SELVA MARINA DRIVE AS BEING N.II•56'50"W.BY PLAT. •THERE MAY BE RESTRICTION LINES OR EASEMENTS THAT —\ AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. • THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS REVISED 4/17/89, COMMUNITY PANEL NO. 120075 0001 D. >% PREPARED FOR THE BENEFIT OF : \ . / DUN FID NORMA J HUTCHERSON, AS TPUSTEE ; ATTORNEYS' TITLE INSURANCE FUND, INC.; WILLIAM G.NOE, JR, SURVEYORS INC. alf/ 7461-6(117 LB 6645 H. BRUCE DURDEN, SR. PROFESSIONAL LAND SURVEYOR NO 1674 FLORIDA 1103 SOUTH THIRD STREET DATE: SEPTEMBER 7, 1999 JACKSONVILLE BEACH, FLORIDA 32250 SCALE: H30 (904) 249-7261 FAX (904) 241-1252 THIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR. M CITY O F • � • t 4eE4 e VLVd - 300 SEiv[t POLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 1a TET•FPHONE(904)247-5800 - '.. 8805 SNCOM FAY(904) II 852.5300 247 CHAPTER 489, FLORIDA STATUTES, PART I "CONINUCTICN CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. I 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY UCE.MSED 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 CO 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 OP $25,000.00 OR I .SS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. CT 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. 0E-DfNANCES 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. T}+E ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THE.WSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE .1OB 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 WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE CWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITI-4HOLDINO 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 $S,CCO PENALTY UNDER FLORIDA STATUTE NQ, 455-223(11. AN OCCUPATI QNA1,, L CCNSE" IS NQT 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 t247- 5826) IF IN DOUBT. 1 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 PERRMIT. GEORGIA/A.HORN I...aI L.r 41` COMMISSION#DD 030526 PROP - OWN T ALDER • "'I EXPIRES:June 3,2005 •.��: of � Bonded 7hru Notary Public Undenvritel5 • �) tL 7--/90 ADOR TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS +A OF , 41,01, u 0a. � � _ 1 ( NOTARY .. BLI), ,e _0 NOTE: PHRASES UNDERLINED ABOVE MY CO ISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. CITY OF ATLANTIC BEACH 1 • DEPARTMENT OF BUILDING i 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIt-INFORMATION -:.. . :;;. .,.:: LOCATION INFORMATION- Permit Number: 23694 Address: 1575 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWN INFORMATION ..:. Date Issued: 3/21/2002 Name: HUTCHERSON, NORMA J. Total Fees: 25.00 Address: 1575 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 3/21/2002 Phone: (000)000-0000 Work Desc: WATER HEATER __ - CONTRACTS - - 'l'MON FEES - J -CHRISTY FIRST COAST PLUMBI •; " ' ,_ y; 25.00 ,, . :..:.:,...,::-,,v, -: :- ...,.::-.:.--,i_.,,,,-...-7.„,„,..„4,,,,,,„„„-- ,,,;„:::,7„--- ...„'„;-:, -, ,,„,,,,,„...,...-,,,,...... ..:. „tr.:.:1- 4,71-",*,:i;,si-1,:-..::-•,---:::- 'AI.V..- -,i,..A.,-..,,,,:-4,,,..,77 .-..,.-411:1=.;...:- .:.4-3., ,,- 5" ':::.;fi x N �.2 m 2 a y 'c" Imo, e ¢ 6 Y ';'.7:!,.-:3 'f.-07:4:111,-,r1-,f's;: f‘PitV".Z4.., .'f' . !P.::-..%V4".57.,Y.: ::,:'.',,44si4.**.p.A05:::: ":.r.*-jt: .z 1-;.,,ii.:. ,,...2'.7.-.,;--,:. 7-,,-.:::::-'•:-.„,f, ...7.744*- 7,:,.k .....X,,:,,3 ---:,,,,-*,...,„,,,.,.-..,40-asoC..7,„t-.. --,.,&.':-.... ..:-,...-:5 --•.1-.:„.5r to . ,. ;, .-.._:,.., :1,0„,,,''- i.,:C-"i .4. ■,,,.. .''''''': .',S'' - ...' " ''' ...-2-'0, ,‘3""4"'''',''''.-- -..:-'t 1.-~...."4".? .2.,'-,'F. ,=;'-:,-, �+ s''". . , +,` -4 � ...-..r..'+t.- — - 3'-,u:cY=°.em.„ 4 '.mail, , -' _ NOTICE- IN'S' C� >} �t ^A.1 ' �., i!1::1-Z"4.0 1 z. ',rig TO■ i x PECTION � a� .s BUILDING MATERIAL, SH A JEBRI WORK MU ba ED IN PUBLIC SPACE, AND MUST BERG. ° •,. Af m.A A B'Y IT. 7-4Ki o 7aR OR OWNER "FAILURE TO COMPLY W ' 4 L i rail L '�- R ULT IN THE - PROPERTY OWNER PAYING • ,I, 4 ., . 5' ' - - ISSUED ACCORDING TO APPROVED PLANS ' S PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.: 7—`) { ( ._.,. Welt � j Z Oper: CHERYLE Type: OC Drawer: 1 I ' ? ` / f Date: 3/21/02 81 Receipt no: 44372 14 PERMITS-BUILDING 1 $25.00 AT • TIC BXCH BUILDING DEPT. Trans number: 798681 _L.,/ ---- -- - -- _ CK-CHECKS_-- __----___7E90.-_ $25.88 1 Trans date: 3/21/82 Time: 15:57:17 CITY or army= BRACE APPr ICtilfza► Mt PUISIM MOM' JOB LOCAT ION: /� S 7s- sc/,, , ` 2&I'f I)4 Dr/ OWNER OF PROPERTY: lc 1 � s O r TELEPHONE NO. dV 7-/901 PLUMBING CONTRACTOR a-,S Pc 1-5)- Co as 1/'4.4,y,, CONTRACTOR'S ADDRESS: ,c) 60)e S-0 C/c,(_, 3a)61 STATE LICENSE NUMBER: Cr-Los 6 V 7 TELEPHONE: aV7-��/ SOW aillN! ON 11111 FOLLOWING 1113121=8 IMsTALLZD SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS _ WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REP IPE ' piny Ito) OTHER 57) TOTAL FIXTURES: x $3.50 + $15.00 —� MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: RL„r, 0, cLil 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 Ci i i OF ATLANTIC IC BEACH DEPARTMENT OF BUILDING - BOO SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT`'INFORMATION:° 1 LOCATION INFORMATION Permit Permit N iibevr: 196 74 Address: 1575 SELVA MARINA DRIVE Permit Type: REMODELING i ATLANTIC BEACH, FL 32233 Class of Work: REMODEL ++ Township: Range:. Book: Proposed Use: SINGLE FAMILY i Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: improv. Cost: 10,000.00 (. - OWNER INFORMATION - Date Issued: 3/07/2000 ; Name: HUTCHERSON, NORMA J. Total Fees: 90.00 Address: 1575 SELVA MARINA DRIVE Amount Paid: 90.00 ATLANTIC BEACH; FL 32233 Date Paid: 3/07/2000 J Phone: (000)000-0000 � i Work Desc: REMODEL KITCHEN , REPLACE D OORS, WINDOWS, GARAGE DOOR•_ Co T r , '_ 7) - AOPLICATION FEES PROPERTY OWNER PERMIT 90.00 I i COVER UP I FRAMING FINAL BUILDING INSULATION r ' 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" I ) ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 ! n 1 eca an 14 Date: 3/27/00 81 Receipt: 0045143 CHECKS A NTIC AC B . DI QEPT I81 32216I�8 A 1 L°11'i i ii.� C7i�1'1i.ifii Gi3iLi,Jii4li�i.I�i`i. BiVtl • Book 9550 Page 890 • NOTICE OF COMMENCEMENT 5 MIN. RETURN TO WHOM IT MAY CONCERN: PHONE# ,�(/7 42o 7 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of Property i5"77 '—VA l-4AI2 iniA pt2 - A S it.IC) F160-"-'-1 pZeS 1 Oe'Nc General Description of Improvements N n1 1c:i TC,i1etJ ,, N e by ��—�10�- 1��5 4 'W ‘NOOWS , 2. itJt5H FLC fl- I -Qrti1+T Owner )O r7-M A J , i4uTC i-ttV2.5oW Address: i515 S IA 1-i/42-i wA l7 2 , ATL +rrt P,e-"C tt-1 , PL. Owner's interest in site of improvements: 100 /o Boole 24:W0040673 Paye: 8.94 Fee Simple Title Holder (if other than owner) Filed & Recorded 02/23/00 02:08:34 PM Name HENRY R COOK Address CLERK CIRCUIT CART DUVAL COUNT f / , , Contractor OW Z RECORDING $ s.0 / / Address �`// Surety (if any) N0 I' Address Amount of Bond $ PfL�Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name W I1AANM A i3 AT7 Address 12)1- "3 Tim-ICI Le W000 12CAO -J AY,- 9, ri, 'Ft, 327,5O In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name Address: Al2,- 111Gt A a, /1��ISY J Owner Sworn to and subscribed before me this /C '` day of Al/ <<°-t y , °�e' e) tit VICTORIA HOPE BUNNELL Notary Public k •s Notary Public,State of Florida ,;:A'',' n My cone.expires Aug.23,2003 Conn.No.CC 865249 CITY OF ATLANTIC BEACH PERMIT CALCULATION S E T �/tOoF� of�((f�lj Address if� _S F L V A- ri V1-/2 r p i�►- Da , 0,A,, p00 g_, Date 3 - '©3 Heated Square Footage t@ $ per sq ft = $ Garage/Shed �11 @ $ per sq ft = $ Carport/Porch ' @ $ per sq ft = $ Deck S per sq ft = $ Patio � \ @ $ (° @ $ per sq ft = $ TOTAL VALUATION : S / 0/0 0 /0 da `A) Tot � uation 1st $/dg o yr $ I) Remaining Value Si-7' thousand or portion thereof TOTAL BUILDING FEE $ G d + 1/2 Filing Fee $ 3 U ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ C SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ 01° ADDITIONAL PERMITS OR FEES : Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : RECEIVED FEB 2 o 2000 CITY OF ATLANTIC BEACH City of Atlantic Beach PER= APPLICATION R fODEL, ADDITIONS, Oiki-lilATZTERATZONgS MOVING, DEMOLITIONS Owner(s) : �rO � �uTGN12.=0t•�► Job Address: 15-6 OVA MAhJA 02 Phone: '24, - 47 c13 Lot 4 Block or Unit T Subdivision: 'Contractor: OV./NE12, State License 4 — Address: Phone No: till - 4193 City ary' VV State Z_ Code Describe wc_k ce : NeIN (GITCN' , 12-t-PL. l TE 24O - caliS VU iV•1 "� l■iev\, Cr NI/ME DC Q,S "t0 Y 451:3 ,P Ch.D -- ?resent use tf building:_ 1?.C->10k Valuation = -reposed Cons-rucc_,n: ' 4 (0 0O0 ?reposed use: Res le, c-6 is this an addition? 1■10 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? N New plumbing fixtures? `1'I New .-�_^.1 ace?4 New Heati?-C? N .L 1OK- t)ISH Vvfr tt"12. SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) CCMPLETE SITS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMM?TC:LENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: '.bite[0 `► ■IL/IlL'.,li t. 4,46. Date: 2 Signature CONTRACTOR: 6-- ext4.4 1& Date: _ I AS TO OWNER: c (1 Sworn to and subscribed before me this //is py day of /44A-6=V-cif 'iJ vD NOTARY PUBLIC AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 19_ e VICTORIA HOPE BUNNELL NOTARY PUBLIC • Notary Public,State of Florida My corm.expires Aug.23,2003 Comm.No.CC 8E5249 \1 • ��- • CITY OF I %deur-az Eead - .�r I 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 4 FAX(904)247-5805 c4 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. I 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONS'RUCTION 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 IJKEWISE 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. 455-228( I). 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 — w IREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. VICTORIA HOPE BUNNELL ` :. Notary Public,State of Florida 0/6dNr\. . My Comm.expires Aug.23 2003 Tr10. n Comm.No.CC 885249 PROPERTY OW E"/BUIL•ER 1.575 116hot o w cto Ig.kt`7- '7X13 ADDRESS Q � c'&44 � , TEL PHONE /-17C14/-1-'t , 00O, SWORN TO AND SUBSCRIBED BEFORE ME THIS ,L)- DAY OF tI/'y , 1,49_ • /•Gtr NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: 4- 012-3 ,2.117 ---5' ARE EMPHASIZED BY THE BUILDING DEPARTMENT. • „...• Sent By: AEFA; 904 249 4081 ; Feb-8-00 16:43; Page 1 /1 In v.%sus K 1 nco , l t d FE GU{.- I NVO I CE INVOICE NUMBER; PO E'4 0 x 6,4;72'74 ' INVOICE DATE: (7)1 f7C 1.-'0(..) :lac I;sonsi 1 1 le , R... 7.-ePT.T,E..-6429 ORDER NUMBER: •14:37;7770 SALESMAN: FORET JR . DAVID W. 1,3?Les4vIsUZsitti:/4- TERMS: 194:47- 14-- ,:,)55 Ic(11? Tick0,t4 : CUSI P.O.. .-- So I d To :._1(440,,L1')() 1 0 1 :c._ -.4 . 1 -'L-,I 1• • -o -”L. ' Lituiltv : DOVAI.... NORM HUTCHERSON ! HUTCHERON NUI-(HA i 5f..30 PARK T ERR , 4 ., 3 I ; it'7! i5 Ski.VA MAR I NA Ect.AI . A TL.ANT I C F‘F_ACH . FL .:3c!"). -giiii9,, ! I -71-::. .,) 741-- 71 CALIF DPW. rr).4•7--4 7 :7 i .. . _.; _ 1', - 4 ,._• r ;--,! _•1 I P *.N..— ., .!!.. •."!_.'!.. ' Y.. r '„ .I,..J,,'.1.e•.;,..' ..,;;: .,...,..L. • 7 -. ••'•,• •i--'.--4. •,7. 7-77 ' '-:'.:-. 7' 7. 77-„- E L . .1 . , . . -----7- -- PRICE ... ED 1 4 I wi. :' -.1-• : ■ ,Vt-. ' ..''. CA..' L 2 4 TW I :T. 9 1W1 -- ',E-, : - 41-, . 11 CI_/L E AN 'J.,. 1.1i-. t 1 4 '74 TW1 t 7; 1.-W 1 ,'..' ". ,.-A : -. 1 41- '1' 1-',. i ' ' (-:-.'N WH -ir-741 t.q-in 6 7 2 I ! ik. ' . ' v.F ' ' 1 WH Cl ..1.F-7 CI ,•I E AN '3, 16 !I --7----— 1 WI • - ,•L,„ .. W1--I . i / 1 WH CL it.k,".. (..i.. -•1...e. AN 4:ii 1 ki. ••-• 7 4 ! TW1 ':.'-' 7,N WH • ..... L .,,,,...-4,j 7, _ . - •-■ 11 r IF WH LE ,2.L 916 AN 4-- r'--. -I 4 1714.., i x 4+ ; ,,t;'f. • :' 1 A ; ' 14 ! i-!' I '''1,,). ... -- 14--.:-.-ct d 4h i, W WH / 24 V 0 5(21'62,4.41 --", I MU.., -- 1'..-1--E,I ,-7.1 !..h i W WH • / ---, ,-,, ... - IWtd 2b1 W WH 14!-4 7 0 X: ))4""`ilif-V ntifc g.., _•s, , is 1 1 1 r•17.7.x HI- t--;!,:,r! !,:‘,II. ;:',11.-A -7E-i" X t .4•4 ' !: L OE ( 1 . • F.X T Ti--,f-,i7'.!- !1.r., /:." "-."-_1,1 i -406,77 WH • l' ("-- I i EX T TPA,•7 E(..) 1 1 .1-7.„ ,1-.o,• I-;.7.1../ 1( l !:-‘1”-:73 4 1 , . "1„ — . . I I M:XHF Ir--.. i,40E- - .0'.... " x U- WH UX, CL., LOE 1 I I L-11•_.‘ ?:11„..4ti E• r I IP ......L A . 2r 1 1 vo-, ' ■ , 0 tO. 1 ff :' ,..,, ..,„ 4,* '4434:1„,, ,.. . 2 3 1 11:::' Au G;.,t 'flit' 1/ ,L; C ,i.tf ---:ir- I- ,, 44-3, ,_ , .. ,..,. 8-7 !'. 1 Gsri-CHAPI_ IF f. - : 1..-P ; ' ,-„! , 28 7 apri: f(LIL ( 1_6 F.HHFUE !..,y-.-! 00, i!..i.' • '''-':- 89 '4 , i__--1=i r-r-ii L' .- I tN-. c'i• 'i., '-• , t tAl--47i- _.-- -...• . , , 1 Subtotal • i , Note : I ii4,.., 2 ,32S 4:.''..; --- - - ciF..,posi t . TOTAL CONTRACT 1 LESS DEPOSIT 1,0'..!.4!!° '7..,!.!'!/•.' !..''.,!IY: •:,I.Vi!!'.; .33 IMPORTANT! SEE. REVERSE SIDE FOR CONDITIONS PSR-3844 12238 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION - - LOCATION INFORMATION Permit Number: 12238 2ddress : 1575 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233 'lass of Work:ALTERATION ---- ---- LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block: Lot : Twp: Proposed Use: Section: 0 Subd:0 Rng' Dwellings : 1 ri'bdivision: SELVA MARINA Est . Value: 0 ,00 Improv. Cost : 0 . 00 Total Fees; s 25 .00 Amount 25 . 00 PAN *,M TION -- . _ -'-- APPLICATION FEES IT 25 .00 Addr f RINA DRIVE B FLORIDA rho ( :. 4..6 1 ,FORMAT •Name: A. RA. P1444,, UM:'NO C a JACKSON , FL 32245 Lic• :„ '1 ° Exp : T=fig 3 rw :n NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE mso BUILDINE MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEAR:3 Uf,VDAND HAULED AWAY BY EITHER CONTRACTOR OR OWNER m "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS" yy ISSUED ACg,ORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT/ �}SU, Tiji0 RE P OR VIOLATION SMAPPLICABLE PROVISIONS OF LAW. CHECKS 5348 .�. ONINI8A3231868 ATLANTIC BEACH BUILDING DEPARTMENT By: YL; C..ie 16250 0 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - -" PERMIT INFORMATION -- ---- - LOCATION INFORMATION Permit Number: 16250 Address 1575 SELVA MARINA DRIVE Permit Type:RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of • Work:NEW, LEGAL DESCRIPTION ---- Constr . Type:WOOD FRAME Block: Lot : Twp: • Proposed Use : Section : 0 Subd : 0 Rng: Dwellings - 1 Subdivision : SELVA MARINA Est . Value: 0 . 00 Improv . Cost : 5 , 780 .00 Total Fees : 25 . 00 Amount Paid ' 25 .00 Date .P..:?. ' 1 • ' ' ' '1998 work Des,c :REROOF - ---- --- OWNER INFORMATION ---- - - - ---- - APPLICATION FEES - -- -- Name ! FETE ROBERSON PERMIT 25 .00 Acidr! 1575 SELVA MARINA DRIVE ATLANTIC BEACH , FLORIDA 32233 Phc,.ne: ( 904744-1791 CONTRACTOR INFORMATIN - - Name: ARLINGTON BEACHES ROOFT4 7 Addr: 1441 CESERY TERRACE 1ACKSONVILLE , FL 32211 LiCY Exp : I NOTES: 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 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 BEACH ROOFING PERMIT APPLICATION JOB LOCATION: /5 S`SELC .4 OWNER OF PROPERTY: ,/ //t: 1)066.--Esoici- CONTRACTOR: ARLINGTON BEACHES ROOFING, INC. CONTRACTOR'S ADDRESS: 1441 CESERY TERRACE JACKSONVILLE, FLORIDA zip: 32211 STATE LICENSE NUMBER: RC 0023962 TELEPHONE: 744-8888 DESCRIBE WORK TO BE PERFORMED: RE-ROOF: 02‘,2 3/-I /s 3 S Ss�� VALUATION OF PROPOSED CONSTRUCTION 3 / O vv -4 MATERIALS TO BE USED: SIGNATURE OF OWNER: V SIGNATURE OF CONTRACTOR: '- l�C SWORN TO AND SUBSCRIBED BEFORE ME THIS (l, — DAY OF , 19 94 e J/ NOT RY PUBLIC eb ; KIMBERLY H.GODWIN Liability Insurance Supplied ;,,,A*:A `_c MY COMMISSION#CC 713745 �•,,q�it4 EXPIRES:March 13,20021 Workers Compensation Insurance Supplied 14300-3-NOnwY Fla.Notary S e&Bonang Co. Contractor License Information Supplied Occupational License Information Supplied RINA1NCIPA.1.ts11111 N•1 I comb, t. • Book 8908 Pg 171 5 MIN, RETURN PHONE #/734-ni1 Ilotice of f ommencemellt IN DU►UCATI) To whom It may concern: The undersigned hereby Informs you that improvements will be made to certain real properly, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE . OF COMMENCEMENT. Description of property ____L'= /e:/2L-Dz_ c (?z. s RE—ROOF: LS ,SS 3 S ----- -• General description of improvements - - --- Owner ' .41— Address /'J —" L'/-_-`f- /e Owner's interest In site of the Improvement ____._ • Fee Simple Title holder (if other than owner) Name .. Address Contractor ARLINGTON BEACHES ROOFING, INC, 1441 CESERY TERRACE JACKSONVILLE, FLORIDA 32211 Address • Surety (if any) Amount of bond $ Address - --- ----- Name and aJJress of any person making a loan For the commit-tint, of the improvements. Name Address Name of person within the State of 1`lorida, other than I' self, designated by owner upon whom notices or other documents may be served: Name Address In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided In Section 713.08 (2) (bJ, Florida Statutes. (Fill In at Owner's option). Name Address - • 11110 SPACE POR 11[COnDSR'• Us[ONLY �� Bk.: 8908 ...._-.. Owner Pg: 171 Doc# 98082668 Filed & Recorded 04/09/98 08:49:07 A.M. Sworn to and subscribed before me this Q CLERY W. COOP. da of ___r/ _ L 19_9Q CLERIC CIRCUIT COURT _ DUVAL COUNTY, FL REC. $ 6.00 G/ ot.ery Public • iYd''k KIMBERLY H.GODWIN ai M Y COMMISSION k CC 713745 .*•.poi 51,.** EXPIRES:March 13,20021 F -Wi0 3-NO'OF v Fla.Notary Serviced Bonding Co. CITY HALL ATL BCH TEL No . 247580S No— 14 : 12 No 002 P .01 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 308 LOCATION:1 aQiez.f rn ,a r^ , n r NERf OF PROPERTY: P • .,41 ,,.., (Y(00'l CONTRACTOR: _ JAAI PLUMBING CONTRACTOR ' . ` t/. P 04 ♦ AND ADDRESS: TELEPHONE NUMBER: 3 Lt G / a c 6 ._. STATE LICENSE NO: ' .F_c- . C) .S c (. .59 _ TYPE OF BUILDING: TYPE OF WORK: - �► - HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS ---LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS I ,SHOWER PANS OTHER, TOTAL FIXTURE COUNT: x $3.50 + $15.00 = INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -- (904) 247-5826 SEWER CONECTIONS MUST SE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP -- (904) 247-5831 CITY OF 1 •• /Wad f 4�d t Office of Building Official REQUEST FOR INSPECTION l�8 � Permit No 9 Date/ - � _� A.M. Received /1 / P.M. ,A Received � Locality ob Add / Name 0 r- E r7� D ___---Contractor MECHANICAL Name PLUMBIN e CONCRETE � Rough Air Cond. & BUILDING E Rough Wiring Top Out _ Heating Footing Temp Pole Fire Place Framing = Slab Ti Sewer Pre Fab Insulation Roofing = Ti Final Insulation Lintel A.M. READY FOR INSPECTION Friday---P'�� Thurs.Wed. Mon. A.M. s/ .M. Inspection Made Final Inspection Certificate of Occupancy inspector_ —�Date � _ _ Q r DATE:_Le_ t Y_ PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: y575 1aema 42/.1. Enclosed are the blue copies of the permits. SINCERELY, BU DING INSPECTION DIVISION cc:FILE PSR-3844 9103 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERME' INFORMATION ---- - - -- --- -- LOCATION INFORMATION Permit. Number : 9103 ",:ldress : 1575 SELVA MARINA DRIVE Permit Type: MECHANICAL ATLANTIC BEACH . FLORIDA 32253 "lass of work : ALTERATION LEGAL DESCRIPTION Constr . Type : WOOD FRAME Lot : Block : Section: Proposed Use : SINGLE FAMILY Township : RNG: 0 ' Dwellings : 1 Code: SELVA MARINA stimated Value: $0 . 00 Improv. Cost : $0 .00 Total Fees : $37 .00 Amount Pad: $37 .00 71+e P `▪ , "• "1 /" /94 INSTALL CENTRAL HEAT AN- - - --- APPLICATION FEES ▪ prtrRsoN; _%ERMIT $37 .00 cldx. 'A MARINA DRIVE WATER IMPACT FEE $0 .00 ATL i BEACH , FLOR/r7 SEWEP IMPACT FEE tn Ehon€ (9.04)1 NATER METE /TAP RADON GAS-H.R. S . CCN'PRACTOR INFORMATION - RADON CAB 5$. $0 . 00 Name : JThC `"- EAf t C & AIR CONDITT T CAPITAL IMPROVE . S0 . 00 COMMERCE STREET SEWER TAI' _ $0 .00 NV-I LLE . FL 32: CROSS CONNECTION $0 .00 I Type . SEC H IMPACT FEE SO 00 CON ST . SURCHARGE SO . SCHARCE/ATL.ECH. SO '= 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 CIT't' HALL ATL BCH TEL No . 2475805 Sep 20 , 94 8 :27 No . 001 P . 01 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATC.AMTIC *AGM. rLOAICA aaaa. APPLICATION FOR MECHANICAL PERMIT CALL401 NWARER IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV. I. 1575 ISe/Ufa. /yQ fr n a 4r. LOCATION Of Iateraalies sl �1 s.tw..e S � Z a . (fs4.vary CI u /vt, «uiw+NG wl•divi.i.o e /u(L Mu tilt f t, II. IDENTIFICATION — To be completed by all applicants• la consideration of p.rmil given far doles 14 work os d•tttih.d in the above statement we h.r.bv .sr.s to perform mid week ♦w occoedance wiN, Me •nucted plans and sp.cilicatiens which are o part hared and In accordant. with 111. City of Jacksonville erdistaiie.r and standards of toed Peattica listed Marais. Idoaa of rlsbaaisal . Coekaat.n c..l.«t« (Mali ._I m c alai h �A ,ncd hf.a.. 0g �� hoorr+v Ova., — �� e A �I'f rS cp el - - siOoa* . d Owa.t Slynatw. .I o Art/wised Ayan1 A+.hit..$ of I.sl.aor III. iIININAL INFORMATION A, Two.t l.aHn4 Intl: 11. I0 OTMfIII f70wsTINCT1oM SEWS 0W 0 }� / , amok ' THIS SUWON.'ON SITE 7 /VC) 0 is 0 N. o1 p C..twl DIlI IP TIM OWE MOMS 01 COOST111fCT101t O of PESINIT O awe — s..c1Iv IV. lr11vruwlcu IQUIPSNKT TO N INSTALLS/ NATl/M OF WPM tt+nr.iti.a.mpit1s k'i.•et u- pm..nl.ea boa of IN.his) Residential tit 0 Comm.clal 'eL 140 O lofts O R...wtf * C..IM i D P... 0 Now LWkdlno Ain CM/4iswlq: 0 Rom t,' C.M+.I tzWing Rtdlding O Duct Shale.: Wiwi./ IWIsoel+l++•+M of axlNkto tyMatlt .!w 0 Nw MstaIi&ioo(NO.ytytsrn p.wtou.ly wt&s4 O Q Extinilon Or ad0•on to WOW.slrsi.lt p C. lower C.p.dry 0 Other— &, 4•alh Cl Rae grcdl.s: Number of O bower O Ml•apl, O 6..b+.. - - .Itw.dl.ri MI SPAN NOR coma use coa r G swam,w lnw+M.) III...A.di O UNA. a us (« +►i - Q N.t+.d pww woo ow O Meow P.ma Appwa.d O O+la. — ss+dfy , - Nob f.. ........ Lin AIL ZQUIPMENT A� CONDIT1ONDSG AND REARIGL'AAT1ON RrQf 4T - Itobb.r VA AA DalocilpUse Wad Number Ihnisets0avat CVZ, R1 r - - a ISEATENG • FUltl'IACf3. BOILERS. P1AIn.ACti RPtilt.r u t. DomerwtMs IOW IPwow SOT ..ffari e S J D a . I ' I IL eew% :O T>o .1711 11111' I',. - �I - - .1 ♦ ,t) 1 L -- TANKS IT ' No. 9/68 CITY OF ATLANTIC BEACH, FLORIDA fApproved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: f)7- 4 19 97 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. 4 L L s�i/L U e L� k(- �7/z1,----- c44/0-a 7'Gj,iv S . ELECTRICAL FIRM: ER ELECTRICIAN SIGNATURE JOURNEYMAN NAME 126 6E(2"7--50/\) ADDRESS: /S-75- Set V/v 07'1e/4'4 °rc RFD BOX BLDG.SIZE BETWEEN: C '4 iY CCiWe Lhl RES. i APT.( ) COMM.( 1 PUBLIC 1 1 INDUS.( ) NEW( ) OLD ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS 1 1 SQ FT. SERVICE: NEW( ) INCREASE REPAIR ( ) FEE CONDUCTOR SIZE WO A11411 O6 COPPER ( ) ALUM.( 1 '/.5"'- C d i SWITCH OR BREAKER .,.:r Pa I v2 5U • S i . • EXIST.SERV.SIZE / J 0 AMPS / PH 3 w tyo VOLT S. v RACEWAY ' S-• p FEEDERS NO. SIZE l NO. SIZE l NO. SIZE LIGHTING OUTLETS CONCEALED I OPEN I i TOTAL RECEPTACLES CONCEALED OPEN TOTAL 1 0.30 AMPS. 1 31.100 AMSWITCHES PS. INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I ovnR APPLIANCE! I BELL TRANSF. 1 AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS EIL HEAT: KW-HEAT I 3 9.a 0.1 MOTORS H.P. VOLTAGE 1 PHS I NO. 1 N P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER BOO V. NO. KVA • NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE• EACH SIGN I I -- FORWARDED ` . - TOTAL FEES �/� Cam& • DEPARTMENT OF BUILDING FOR wpm USE ONLY Date_____ _ ...3.1_____, 196_ TOWN OF ATLANTIC BEACH, FLORIDA Permit No 73V Fee Valuation $ 1)._-3 Application for Permit for House No. Miscellaneous Alterations, --...... and Repairs To the Supervisor of Building: The undersigned hereby applies for permit_ vtle/ 4/2A7/2/1- f.., 0.--_ _ (State if to repair, alter,add to oSornove building; erect awning, sign, etc.; install boiler elev tor, etc.) Building on Lot No. /ifi B1 ck No. ..3. _ .Sub. Div..s..-NA_ (State fractional part) ,..-- At Side No..A.5- I ,.) -- S 111 -1,... St. Between _and_ _........_____Sts. cry.) Valuation $.49...._34__Ckra ..-- __ _ (State cost of improvement) BUILDINGS AND OCCUPANCY What is present use of building—Residential or Business? _ If residential, what type—Dwelling, Garage Apartment, Apartments or Rooming House? How many families accommodated now? How many when altered? If business, what type? Will food be prepared for sale on premises? What plumbing work to be done 9 Size of present building . Size of extension _Size of lot Number of stories now after altered.... - Material of roof_ Material of present building Material of extension - NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump . ___ _______________.._____ Type or ModeL........ Name and Address of Manufacturer In connection herewith, application is also made to install gallon capacity tank (s) (How many) made by of guage metal__....__________......._... _____ground (Name of Manufacturer) (Under or above) of building. For (Inside or outside) (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS —. Classification. — (State whether ground, roof, wall, projecting, banner, special, eto.) Weight----- ... Material of construction Illuminated?__....._. Type illumination (State whether Lamps or Neon) Will sign be over public property?_______. SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) ._.... — —- -- - LP' IMPORTANT ;;TiCE: In consideration of per i given for doin - work as described in the above statement, we hereby agree to perform said work in accordanc 'f the attae ,d • ans and specifications, which are a part hereof, and in accordance with the building regulations of i .wn :a At : 1 Bea . e „, , , ii, Signature of Builder 41' , .___ l_t _____ Address Phone No—______ Signature of Owner__ *. • . 1 .. .. ,1111'. . ' ......... Address . . _ Phone No.....................-