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1601 Selva Marina Dr (vault) N gas R , CITY OF ATLANTIC BEACH A .A 800 SEMINOLE ROAD r} ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ry.ii19? , Application Number 09-00000622 Date 5/11/09 Property Address 1601 SELVA MARINA DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 850 Application desc ADD PIER UNDER BUILDING Owner Contractor , HEATON, RICHARD HYGEMA HOUSE MOVERS, INC 1601 SELVA MARINA DR PO BOX 2655 ATLANTIC BEACH FL 32233 JACKSONVILLE, FL (904) 241-7512 JACKSONVILLE FL 32203 (904) 764-9509 Permit BUILDING PERMIT Additional desc . 17 . 50 Permit Fee . . . 35 . 00 Plan Check Fee . Issue Date . . . Valuation . . . . 850 Expiration Date . 11/07/09 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ ' 05- ' 06 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .„...._ 04 09 09: 20a F• 1 ( ' ' , .„.... iiFig"iy ,,,,-,- ",,ii",,--;:).‘ CITY OF ATLANTIC BEACH 09- 1 ' 0,7 t:-=; .#7:>, :.,..'$,e, .SEMINV...,...ROAD.ATLANTIC BEACH,FL 32232 i 1 i 1 Pf !-c:, ft. OFFICE:(904)247-5828•FAX NO.:(904247,5P.A.5 W' ' BUILDING-DEPTQCOABUS J1 • BUILDING PERMIT APPLICATION DUVAL COUNTY :3.1.00.13-..•-J =^..,?''e.:'•••.-•...'.;'::-.:,..,:e.'•:::;,•:',',..,:' •.''... :::,:■'•'-,T.V..''.',..,''•:'••".,:"5 2.YAI,U.ATION:Of.'. '77.' ;.,...;";7'..:,:..: -;:,.igkfPii'•' :-.•• .--: ..•sr;.!..-:•'..''',', b°( SI ,(V.01/4.-. rtla r; / e,— Dr• . . 4 o, -.., .... . ,-7-,........,:tie„„tt:,..,..:......,-..,:.. .....:.......-.,7. ..-,.:.,:.......,..,:":...,.: ..:-......:..„....u.,...,.-woRk::,.:,: ,,,. ,:.u, o,smicrum, :,,; 4A-E- 0 Ib—A S-›.717:7777'41,,Ick.., tte in ev 0 NEW BUILDING ----131DIEMOLITION v RESIDENTIAL LOT .ELOCK SUB DIVSION ......a .• 0 ADDITION CI CONVERTING USE CI COMMERCIAL 0 ACCESSORY BLDG. ,13.:fiRE5PRINKLER: .. Tik_c_ r- Le v e / ii REPAIR CI POOL 1 seA DYES :-NIA Q■h Ciril Y a..<,id, frt 5 0 t.1OVE .9 9.7.11"1./ 0 RO .I.M.i'l!,..,1,1:::•:.:9,:,;PROPER OWNER.,,...:7r?::',..,:.'...+,..-7,J.-.::-;.,.. 7.,:.:'...:-..;'.:CORTRAOtOffk; .::...:,'.,:,.:..::":',..:,., ,....-;;;:,:,,..:;,,..-ARCIRTECT IER4RIEER: ha. r A Re.,71-6,„ I gglr, 15.COMPANY NAME: i er ekvt– 14 0 icli€ fil 0 tf er-6 23.COMPANY NANG: 24-LICENSEE NAMEAl fil ;(114 01 01 O ' P-t I e 4 N 11 ' 10..IDDRESS7 i 17.STATE OF FLORIDA LICENSE No.: 25.STATE OF FLORIDA CENSE NO.: ___(:)19.,:q D r 18.ADDRESS: 28.ADORES& ADDRESS:, ,@ o-x D to 3 S- .7., ;-■ -----hTitit g',Hotia: 12.FAX NO.: , sFerce PHONE •.FAX NO.: 27.OFF1C.E PHONE: 28.FAX NO.: • i I 17+ U(04' 13.3 ..L PHONr ...,.„. 29.CELL PHONE: ( q-// "4-/ kne4 14 EMAIL ADDRESS: 22 EMAILADDRESS: !64) G -fl oaf 30.EMAIL ADDRESS: :';'6.-‘;''...."',.•:,:!;.7',- ..:7:- 711. iiiiiipie'deiiaiPATti4;?>::f';':!r'..:':!":r.‘f''',..:-.4'.''.':. '''tioieraikaif:6461E.. r 31 'LAME 32.4DORESS: 32.NAME: 134.ADDRESS: 38.1,4,44E: W.ADDRESS: i--- LApptication is hereby Made 10 obtain a permit to do the work and installations as indicated. I certify that no work or instlation has commenced prior to The issuance of a permit and that at 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)monms at any tame after work is commenced. I understand that separate permits must be secured for Monica!Work,Plumbing,Signs,Wells,Pools,Furnaces,(loiters,Heaters,Tanks, Air Conditioners,etc. OWNERS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be 00111 in compliance with all applicable laws regulating constnrcticn and zoning.I wit not occupy or use the referenced building or any part thercf,until all inspections are linaled and priorto obtaining a certificate&occupancy or completion issued by the building official,as required by law. *-** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF ICOMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE I FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. .,.,,A..,.,:r.,:.....,.-o:"....... .5.i.4..:.;:.,::...pwilERorliGEtir..,,,........:,.,.,:-.-...::‘,....:7:.-4,::,,,,,..,,,,, ,..,...i;j:,......, :j.::,-.7.%•,..:N...f„c.ok—,„•l'OR ,3.• • • - '. • -- • -t ..tj'..,i,i.....y , . *Aiiiioei.*nailyOilotioaiditAi::•: 1:. i.::..'.1-::.;S:,:r.-:!•••,.....1-.....:i.,.:1,•:•:,••••••=:-.":.::':.'Atju.,i7e 4.,-- ‘'.. • .—, - • • si . Pr"— ned: ,,, , AL •. .... ..., .. _. bate: 41.51a q Signe d: Mill` r.4 ..,.. ‘.5 '' OA cl Belt=ins this ..-y of pl.- , 2009 in the county of Before me this. .. day of ...,.. ...6. _2009 in the county of Dural Slateof FIorida,has sr.__ .11 .1,4.. • , _ Duval. ..r.te of Flo !.: he eisonaf r,-–•..-.• ' EV110111111-tet0 i; sate of Florida 1 .6 , e , y.„01 Note';elf tgbf 7 irida 1 I; e egil* and•ecterati ono are herIntrue abynd hlaccrosueraifte/, .rsel,frelf • 'fir., my-,"om'n.i–. .r;Daad5deel'n'6°29993 are ..,,, 4 * m,sonu , iruL an ' -0.0*. E 5 WEE 13600013 i Or 6.0' Expires 05/29/2010 l Notary ' . •-- , - - ---i -7 - Notary Public at v.,56*.,1 C3 Personally KnOYAI 0 PrOdLatd teenu,..ge - - / 0 Per3onauy Krcw, I i _.... -- 0 Producad ioestf=tt / •• / C-- 0 / Ap• Millitr,'diallrir.411.- Notary Signature: Afire-LMAISIDAM!"1"-dir Notary Signature: —...1_5_._...--....L__. Fe App REVIEWED FOR CODE COMPLICE 2.1.1.!0•01 ss8 licatio Didg n ,tklISED.12/1812008 I Als/ CITY OF ATLANTIC BEACH REsQEEurREERmEmINTTs sFoA,RNDADcDoNDmo ;,. . niNALONs. 1 ' F IL E COPY ' t,,. .:. ,., : „:„ii,.._,aE„.4.7...„.....v,„..„.....,...- t ,REVIEWED BY: in DATE: 4 HYGEMA HOUSE MOVERS, INC. Richard Mark Boyles BONDED HOUSE MOVERS PHONES: President Where Skill and Experience Count (904) 764-9509 Albert J. Boyles, Jr. CALL US FOR FREE ESTIMATES (904) 282-4212 Secretary/Treasurer P.O. BOX 2655 • JACKSONVILLE, FLORIDA 32203 FAX (904) 282-0595 CB C056929 CRC049210 COVER PAGE May 5, 2009 SCOPE OF WORK ADD 1 PIER SUPPORT,JACK AND RELEVEL SAME AREA JOB ADDRESS 1601 SELVA MARINA DR. ATLANTIC BEACH, FL 32233 OCCUPANCY CLASS SINGLE FAMILY"GROUP R-3" APPLICABLE CODES 2006 FLORIDA BUILDING CODE (REPAIR PERMIT) INDEX PAGE 1—LAYOUT OF PROPOSED WORK LOCATION UNDER CRAWLSPACE PAGE 2—PIER DETAIL CONTRACTOR HYGEMA HOUSE MOVERS, INC. RICHARD MARK BOYLES CELL PHONE (904) 509- / ll,.��/, t=' 5909 $ ....t I I ,\ , < ,,..$• ,,f; IN,,r, , e.... .. r - v. t, Tr_-,:,-, 1.-.:'DIA< -‘,- :-,P, •-,. 1... -..---..---_---,.--------------„.- CN6 1 i i i i i ! . .. 1 i 1 1 1 i ; `• 1 i . , . I ..,..do. I : 1 I . ; 1 z-, .....‹. i . d ... I - i. : 4 •-' .C.- ..,'-'1--..--'''''- ,,'-"''''''-is 4 ''''''' '''''' EZ At 1 , :'''' 1 .; -A < *4tr=41=I= =ezejrr....<.--------- -.--.- si, c.. .! --''''''Fill' ' r'''' .. '. ' , .. ,..,-....• . 1 i li : -. ,, i I 1 v, "" a i ti il N 1 ■ i -I '... -vo <Cs-- a ' I- J ■ . I I -4,4 - L.-- ----...-.1 1_1— —......--17- a'_...74- ' ; I3 I k :4! 4 i 4 i I 1 1 / I ---4,---4 e I iI "-1. ,. .11 ....1 I I . 4 ... I I t* V. I 3- I 4 , 744* (>1 iff. n i.z. ?j: Z f k:-. c-- <---t r,i c: 4 ) i ,,./. 77` • to e.1 V VO* X i 11'5 -;11: ■1*-AlyVS N'cz—rk ILr C I,p6R, OP(c-i3 • • a? V i‘.; / !1 ' rn r4 pi ds1 S; I fl I/ \ $ Ti ;i• -- 14, )) • C 2.9:q01C6tc1) SCA CI, ;fp • ir - . • - - 4- • z1 q al 41 S It!KEe.64 tS1C-11 1.-14k1 4 • c7.7 : Yj� ‘,y;it, • City of Atlantic Beach APPLICATION NUMBER s , '° Building Department (To be assigned by the Building Department.) > :_: zJ 800 Seminole Road 09- e 2 Z 1-, '' '� Atlantic Beach, Florida 32233-5445 � - r Phone(904)247 5826 • Fax(904) 247 5845 -Carts>` E-mail: building-dept @coab.us Date routed: 3--- 6/775-4) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING PORN! De artment review required Yes o / T Building Property Address: j(�D / ,�6 IV OL,�7ari ha 6Y Planning &Zoning L Tree Administrator Applicant: PI a /'f� C 6li�L Public Works Public Utilities Project: 4-to b 147)7 t r -3 ` . Public Safety Fire Services 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: APPLI CATION STATUS Reviewing Department First Review: j Approved. I !Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: S G.v TREE ADMIN. PUBLIC WORKS Second Review: I !Approved as revised. I IDenied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: I !Approved as revised. I !Denied. Comments: Reviewed by: Date: I . (..„, !�L` �. . CITY OF ATLANTIC BEACH A IJ 800 SEMINOLE ROAD e ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 j'-LJ131>� INSPECTION EMAIL REQUEST: Building-dept @coab.us Application Number 07-00000960 Date 7/03/07 Property Address 1601 SELVA MARINA DR Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc HVAC HOOKUP Owner Contractor HEATON, RICHARD BILL THOMPSON ELECTRIC CO, INC 1601 SELVA MARINA DR 49 WEST 7TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-7512 (904) 249-5601 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 12/30/07 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. �S' '-'r'` CITY OF ATLANTIC BEACH SJ a 1 '- ? ELECTRICAL PERMIT APPLICATION �U;a9� Date: 7/7/07 Property Address: /607 Ceka ,C''rA a ,1/1 " Owner: A/'e-A,0 -4 1/-ed' Telephone #:2W—7372 iiik�anc h Co.INC Telephone #: V9--C-E;0/ Contractor: P.O.Bat MIS p Atlantic Beach,FL 32233 Fax #: Z 7G ��- Contractor Address: /6-7;4,7/77-7 .--..„ Contractor Signature: 2G / S ao 3 2/9 permit given for doing the w cribe /lie above statement, we hereby agree to perform said work in In consideration of p g g accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is being done on this building ❑ New LiVlesidence ❑ Temp. ❑ New Or site list the building /Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ❑ ALUMINUM ❑ Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service 2 RACE / Size AMPS 200 PH / W . VOLT 1 Z WAY Z Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN n 10 AMPS 31 inn AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT /, ,/ /d2 !� Motors 0-1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous ) l WV/I'e- / ' me A/ /felt la")- 3 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/04 �� . . �e>, CITY OF ATLANTIC BEACH r J 800 SEMINOLE ROAD -1 0 ATLANTIC BEACH, FLORIDA 32233 4 INSPECTION PHONE LINE 247-5826 tt Application Number 04-00028183 Date 5/03/04 Property Address 1601 SELVA MARINA DR Tenant nbr, name RE-ROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . • 2400 Owner Contractor HEATON, RICHARD DIBBLE ROOFING COMPANY 1601 SELVA MARINA DR 3525 MORTON STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 241-7512 (904) 731-2835 Permit ROOF PERMIT Additional desc . . 00 Permit Fee . . . 68 . 00 Plan Check Fee . Issue Date Valuation . . . . 2400 Fee summary Charged Paid Credited Due Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 0 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 WHICH RESULT PART PROPERTY S PERMIT AND SUBJECT TO REVOCATION ON FOR VIOLATION OF LAPP ICCABLEOPROVISIONS F LAW. PLANS c . 1.....k BUILDING OFFICIAL J t iii, ,,,,,,_ ,`� CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date •I ' 3o .o cr Address l 6& \ SE`Lt \i■-i i- rtL_ Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ t,f,t b $35.00 1st $1000.00 $ $35.00 Total Valuation $ (4 $ S� Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 4Sr- ZONING: + 1/2 Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ — IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ 6e5 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE $ ‘ ma ; Cc: �Sr,,,,�J CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT Hi99ins �s , S. Doerr It -.: 800 Seminole Road ! Atlantic Beach,Florida 32233 J (904)247-5800 �,J31,� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # O'-(- 02818 3 Property Address: l(p C l 5el Je ryky r I VAL( l • Applicant: D i ).-,h1>o -R nc.1•r,,_5 Co . Project: le -roi 1' This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: I Please re-submit your application when these items have been completed. Reviewed By: L44 Date: `1 i °loci p.2 RECEIVED CITY OF ATLANTIC BEACH '' BUILDING &ZONING ::571:, APR 3 0 2004 ir BY. __ City of Atlantic Beach• 800 Seminole Road•Atlantic Stack Florida 32233 Phone:(904)247-5800•FAX (904)247-5805•http://www/clatiantic-beach.fl.us PERMIT APPLICATION FOR ROOFING JOB LOCATION &CV JCS4�/.9 /379/--.44- a . OWNER OF PROPERTY_ e 9 /0' PHONE# .7%/ 7J'/ - coNTRACTOR D5'b b/e e o o(%� �o . CONTRACTOR ADDRESS 3.tea /i'70--t 7104. Si 1 -• ' zip 3aa 7 - CONTRACTORS LICENSE NO. CCC- Of7/6 9 PHONE # 73/ SCOPE OF WORK _e -(00 14 /4- /-% ,,,f/- �i DECK SLOPE 31,E h GREA . THAN 2 : I. /./V--- . LESS THAN 2 : 12 41'9 2-ACTUAL VALUATION OF WORK 6?4/00, PRODUCT NAME MA E ; TO BE USED t� Ge ASTM DESiGNATION(S) RS-7%n p3' I REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO WORKERS COMP.POLICY SUPPLIED V/ YES NO CONTRACTOR LICENSE SUPPLIED v YES NO OCCUPATIONAL LICENSE SUPPLIED Y YES NO SIGNATURE OF OWNER oek.c,L4.f _- A A, • SIGNATURE OF CONTRACTOR - v' �'1..'N`� --LINDA KAY B®0.. �ssioN*DoO47166 SWORN TO& SUBSCRIBED BE:�• ME THIS O DAY OF • „ , EXPIRES: I2,2005 .!yh N� BadedTtwBud�tNota79•rbec AS TO OWNER NOTARY PUBLIC AS TO CONTRACTOR NOTARY PUBLIC W_ _�.. ... • "Mr - - LIPDA KAY BEDO ;, MY COMMISSION t DO 047186 EXPIRE&August I;1y�6,. J74,E� o' Bonded TMUBUdpN�SU Ary i Trr /fit/ CITY OF • ACtieu c Feat% - 96 800 SEMINOLE ROAD :-y) ----- -_------- ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX(904)247-5805 April 6 , 1994 Mr . Walter J . Parks , Jr . 1601 Selva Marina Drive Atlantic Beach, FL 32233 Dear Mr . Parks : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 1601 Selva Marina Drive a/k/a Lot 1 , Block 6 , Selva Marina Unit #5 RE#171965-0000-4 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 12-1-3 (high weeds and grass ) . The property was posted on April 6 , 1994 . You are hereby notified that unless the condition above described is remedied within fifteen ( 15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30 ) days after receipt of billing , the invoice amount plus advertising costs , will be posted as a lien on the property . Within fifteen ( 15) days from the date hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body , for the purpose of showing that the above listed condition does not constitute a public 4 nuisance . Sincerely , ��ic��% Karl Gru ewald Code Enforcement Officer KG/pa cc: City Manager Don Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED 5 I CITY OF f 4I1c is Beach-4Io Office of Building Official _ 1 REQUEST FOR INSPECTION /yam { Date 7 O� ��/� _ Permit No. O 3 I Time /7/1 A.M Received CJ C/V PM. • Job s ''C�'f �� 2/2-e -1 r Loca ity Owner's /J gr-- 1 Name `-Cr y--e.." --) Contractor Am. I f BUILDING CONCRETE ELECTRICAL PLU'BtF - MECHANICAL Framing Footing I Rough Wiring Rough_____...-/ f Air Cond. & i l Re Roofing Slab Temp Pole Top Out f- Heating I Insulation Lintel Final Sewer ` Fire Place I ' / Pre Fab READY FOR INSPECTION A Mon Tues Wc,'. Thurs. Friday _ PM 7 � 7 y Inspection Ma,' �v A� M. / inallnspection tnspecbr f Certificate of Occupancy I 1 ��� ` CITY OF Offi �sa_/-Is ce of Building Official Date REQUEST FOR INSPECTION Tune �G -, ECT10N Received t /i �� :. Permit No. 3 Job address a -,/ / Owner's &1_,,,,;_e ..1/ Name BUlL•l �► N Locality Framing CONCRETE Contractor Re Rooting Footing _ ELECTRICAL _ I' , Insulation L_. Slab PLUMBING 7. Lintel C Rough Wiring i Temp Pole Rough MECHANICAL READY Sewer Air Cond. & Tues. Heating FOR INSPECTION Fire Place Inspection Made Wed. Pre Fab Inspector l`—-9,5.". Thurs. q M. Friday q M. P.M. - Final Inspection - Certificate of Occupancy - Date 't_ PSR-3844 8839 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION - ----- LOCATION INFORMATION ----- Permit Number : 8839 Address : 1601 SELVA MARINA DRIVE Permit Type ; BUILDING ATLANTIC BEACH , FLORIDA 3223 lass of Work : REPAIR LEGAL DESCRIPTION --- ------ - Constr . Type : WOOD FRAME Lo . Block : Section : Proposed Use : SINGLE FAMILY Township: RN0: 0 I, 1 Dwellings : 1 Code : 0 :. .ivision: SELVA MARINA 1 Estimated Value: S2250 .00 rrprov . Cost : S0 . 00 Total .Fees : 837 . 50 Amcunt.:Pad}:a, S17 . 5/7: ------ II°f MAT1 N --- APPLICATION FEES . ti , .0 , PERMIT S-1,7 _ . ; =°` ; A MARINA DRI 7t WATER, IMPACT FEE4d $0 . ERA;1,#PA+'*l' FEE =0 � �C'1i , FIsORIi. � e ,SSE Al)>'h 159 ,� .°„` °WA M`E” T ," ,'-so r:J � ��° �_ �,��� RADON GAS-H .R. S . T O „jNFORMAT,'''" RADON CAB 5% SC~ Name : WC tea ' ONf RUi TIOh CAPITAL IMPROVE . :*,-3.i res.-s-: 1.3°r?9; --STREET Nr.:"R*12 SEWER TAP ?A{"F . V I LLE BEACH , Ft., ..',2- CROSS CONNE'C'TION Laaen E90%4, ; Type: n SE' H IMPACT FEE CONST . SURCHARGE NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER • "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. 000000000 000000000 $37.50 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 7/26/94 01 Rcpt: 0070149 CHECKS 3264 By: , CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : /7f 7hhn em /o,i�'n -;c Rea a Address : )( ) I 5y10 1 /11Bt;Ir, !)r ; 0P Phone : 75-12_, Lot #_ Block or Unit # Subdivision: Contractor : 1 WO 4 .112 " to D4<f1 .) f x`01 Address : Rog 744 S-- 1)e lax eeA Phone No: AY/ - /5`2 f+ Describe work to be done : ez, 74. 4 F 4e 4e 45 S 1 S T" J-,c," r , // .2 u 1?r ,`(-' ,& We // m Present use of building: 5 (wo h Pot to J. Valuation of Proposed Construction: / G, 23-2) Proposed use : Se-/eel- Pit 4- e A Is this an addition? 012 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)? r✓ a New plumbing fixtures? /)c, New fireplace? AnNew Heat/AC? Al d `SUBMIT THREE COMPLETE SETS OF PLANS , Ti-CL.IJDI ITEM-PAN, 5CI`R7, ENERGY-4:0442111 S, COMMENCEMENT,—AND OWNER/CONTRACTOR AFFIDAVIT, i-r--QW- - ONTRACTOR . Signature OWNER: Date: Signature CONTRACTOR: /" _,i. 2!,..c Date : .10/7 ,2 ‘ V r:44T, ry t.6 _ 21994 ((��Jj __ Building and Zoning .0 , MAP SHOWING SURVEY OF 1,oT 1 , BLOCK 6, SELVA MARINA UNIT NO. 2 , AS RECORDED IN PI,AT ROOK 27 , PAGES 6 AND 6A TOGETHER WITH LOT 3, BLOCK 6, SELVA :APIT:A UNIT NO. 5, AS RECORDED IN PLAT BOOK 30 , PAGES 29 AND 29A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA . . : i .. . r':( .•,'.:. },1.:;'i!ll•TII)!i.'. TIIAT APPLY " . : !I I•:l: I N 1.111r. SURVEY II'i t FAY BE I cNNU .. . . . : i F. i'i: 'II' 1••i.'11,I'I'IES nF '11115 C'I`UNTY. PB 21 P4 (. LoAZ SEL`/A MARIBA UNIT ►10 2 Feuuo 'I' LOT 1 IROU PIPES (SLOC6L Co ti 1 1 5L So' ,.1 • Co1.411 . _ 1 1J. Olo• 1e' 42.•w . . a,A, ' I S3.IZ • l l5E1 i r7 \ ,l2o1,i PIPE - '_OT 3 v 0 � K4410 3L0C.L Lo M r, O• SEL,/A MACIIJA s s 0 J►..,T Lio Lol 1 Q Q L oc IL Lc ELVA Y1AelLA IIIJIT r.lo.2 11); wI W`;:i P T Q W 2 9,, , pQiLK -, I.A . (P_ 1 q 1 H 1 N /�� T Q 3 C Oh.0 , W a r w&S.r 7 SGeeE..4 v T Pot,.. J 49 3 I _J. V n rr • I 44.5• a r a Q A1� % 1 STo¢-/ 6¢ICK N e u. G 2E5 k it .T O I' • .2. /C oI 111 W r T c.4ZAL.E 3' 3 m }�. d J o t Po¢cN O — ! r O7 �- 1., ZS 5 00 - _ �� 34.1 4 5.2 — .2 v, o D .2 J I • M(b Q ill 4' cotic. G — — — —W•Lt. — —' — v \ V N 4o a ItesT a.icTlo►..I FovuD �li LIU6 Iso,J PIPG • n"a..'2 se <- 1ZS.11 (AcTVAL-) ...4,5- - - 3o �• 121.11 (P(.AT) 5.54.08 03•' E • • • O. ORD' 40 .241• _ Fouuo'ii S. Ski 50 E \ ■55.1 1 Fo..NO 'la e. 134 zz zT AEC' 44 lb z . c z Ifou PIPE Mows'.ET ,. Mows P1vE Q' 30.00 gEA21►.K. ReFerzfi4,LF "E 5ELVA MAR.i LiA DIVE w r4 lr, SUEee'f DQ1JE C3Y P.a . 21 Pc.. L.: �A) :i,: s :rvey... ( 1 oci e w • . • ..'- K :ts best ascertained fran Ficxxi Insurance (Tl".::.: pine1 n0.12c.o15 •000lollated 4.11.1,9 .. .. I..1:.''.. C)rl E•LY Qlw LIN% or si LVA MARINA 2,4E aeluL. 5.11' Su So••16 • I HEREBY CERTIFY TO• Q1LN All D L. r1ARY LEG -1E ATOI,l , FI¢sT of AMP tCA NIOtTLALE' COHPAw,1Y OLO a PU1SLI(. 4AT IO1.I AL TITLE I►Jiv¢gUcE cotpALI-/ • 15A R.044 L. 6AILTLETT , P.A . THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Niarvi . ' . Ban j•: i• TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21HH-6 FLORIDA ADMINISTRATION CODE. .. _ ______22 :Ale________. 4.f__-_L_ 2866 MANGROVE AVE. FLORIDA REGISERED suRVEvoR NO 4470 JACKSONVILLE, FLORIDA 32246 Marvin R. Banks (904) 641-2520 SIGNED MAY 7 S 19 94 • SCALE: I • 3 o. THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED a Y •' - . .. ..1... 1:4 ti ....... 4[4 = L. ...... ca 4 C" 1.-..z-,, 01 T---4 ....., V --, G\I co r1/47p --c _.. ._ lit -t.. ....... -„ .1.1 .4 .L......--- --- ,... ..2 -z.... --.- , cA. '0 .---- J Y J A... ,,,,,„ 04,-- %) •^4 —43 <NA ---41 \, 71 --., -<s4 11011 Imi A Izi -----...,, 1 IV ■ ., „„ 1 --■:"ti:)1 b V • V----._ , ei (4 c ..1 11/4 4 V.) la/ .1" OfIt' '..4* ..... `........ --C. .Z1 sf "1 vN — ,-.....q..,_ A — 6..., e)no Im st -- V% ...1( Oa. ... , 1 PC Vil 4- ±-, er —IS c.) 1 tv •--- \\*.s.- A -t- --Z C" 1 , ---, . , Q1) • . 0 , ....., v., ct s: ■..c.- rj 411 4 r= -4 "•,'..:, 01 r-,4 cf., "-:':----- I— -c -1......3 A -t• % CI ........ (g) _I t133 116.. -.... -n. .... - ' = C.... ...,„,3 03 c.k. I (..4% J y ..... Ir-3 , • '• A .0.■ I cicte -.43 ea '43 ,-. 1 klitiii 1 1-.. r !I -..., `. . a." 0 A ti •If A G% , • '' V I . '1 Nos v) -...,, \.) ■ • --0 * Fni --e I _ I . ,---cit A -It ■ '• -....C• 0 ICI 4- •'1 .. .4... ?... 31n .."( .- we. , ,( '--- , • ;.cro 4- ., ...1/4, ---,el 4. . _ ,• c--. i \\Nti' • C.-- 114' 7. .• -.... % L ty IA A, . i ...... PSR-3844 8833 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - ---- PERMIT INFORMATION ------ _. _-- _-__ .. L ::AT1' N INFORMATION -_.. Permit Number : 8333 Address : 1601 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 322 Class of Work : ALTERATION LEGAL DESCRIPTION Cons mot,_ Type! WOOD FRAME Lot ' Block: Section: Proposed Use SINGLE FAMILY Township : RN f : 0 Dwellings ' 1 Code: 0 "ubdivision' SELVA MARINA R!.fiirated Value : Sn . Oc rmprov . Cost : {;O . Total Fees : S Amount ,paid:, 52c D1tc! +;<.' '7 /25/ a4 4, ,Ir , HATION ---- APPLICATION FEES -- - - - �: PERMIT $25 MARINA LL i.i WATER IMPACT FEE SO `H A FLORIr_ SE IMPACT FEE $0 W � `� ,i TAP m, '1 .nr `RF:DT'Itt_ `'A§: .R. S , I -- NFORMATZON ---- - RADON ...AF fit% •17.U Name' --". All -z, GUS PLUMB IV- CAPITAL IMPROVE , S%� SEWER TAP SO ,'�:Ia erg. 9 4". LATI �,&L�1'�:- ,_ .3A ,'V I LLE . FL 322,::5 CROSS CONNECTION ---) SEC H IMPACT FEE CCN ST . SU RCH A RGE =0 SCR RGE/ 9 l I _SCR _ $0,v_,, 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 REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. , ATLANTIC BEACH BUILDING DEPARTMENT 000000000 400600000 $25,00 14 Date: 7/25/94 01 Rcpt: 006,793 CHECKS 2125 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: / 6(.1 Se% /MrY.c/G' v� OWNER OF PROPERTY: /11'e /1/471c7/0 BUILDING CONTRACTOR: PLUMBING CONTRACTOR A6/4':-7 AND ADDRESS: 9'37g /aez't'S / ti/ g)i6 /8C �AX c -3 7: TELEPHONE NUMBER: '72 -2 2 / U STATE LICENSE NO: er-C Oz/9-4'38' 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 SHOWER PANS OTHER 5ei.w ev- Kelacc erne./IL 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 CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5834 PSR-3844 8476 6 1 I* DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- LOCATION INFORMATION Permit Number : 8476 Address : 1601 SELVA MARINA DRIVE Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 3223_ Class of Work: ALTERATION 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 : $45 . 00 Amour.* ai cl : S45 . 0 n_ "! 4/ 94 Wor '1DENSER AND AIR COIL - --- --- - - --- OWNER INFORMATION ---- APPLICATION FEES Name : HEAT,;N PERMIT $45 . 00 Addy - 1601 SELVA MARINA DRIVE WATER IMPACT FEE S0 .00 ATLFN- BEACH_. FLORIDA 32233 SEWER IMPACT FEE $0 , 00 Pi-ion,:. ! j - WATER METER/TAP $0 , RADON GAS-H .R. S . $0 . 00 CONTRACTOR INFORMATION RADON CAB 5% $0 . 00 Name : HUXHAM HEATING & AIR CAPITAL IMPROVE. $0 .00 Address : 2006 BEACH BOULEVARD SEWER TAP $0 .00 JACKSONVILLE BEACH . FL 322 CROSS CONNECTION $0 .00 License : RA0024352 Type: 3 SEC H IMPACT FEE $0 . 00 CONST . SURCHARGE SO . r?' SCHARGE/ATL .BCH. $0 . U,_ 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 MECHANUILDING IMPROVEMENTS."N THE PROPERTY OWNER PAYING TWICE FO R BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 $45.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 6/14/94 01 Rcpt: 0059764 CHECKS 1124 By: (J'7-_, BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 92233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT/— Applicant to complete all items in sections I, H. Ill, and IV. I. Street Address: / 6'0/ Si11/// / -v 2 E 2/# LOCATION 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. None of Mechanical Contractors Cealrector (Print) r --- �/7 7 Master /?' Neese of CC Property Owner ,r // � /Z./ Signature of Owner ' / / / Signature of Sr Authorized Agent'' � �40••■•- / s.<0 Architect or Engineer III. GENERAL INFORMATION . A Type of hoofing fuel: 6. IS OTHER CONSTRUCTION BEING DONE ON ( ') fa Electric THIS BUILDING OR SITE7 `410 ❑ Gas—❑ LP ❑ Natural pi, Centel Utitly IF YES, GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO U INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) ,14 Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed O Centeel 0 Floor ❑ New Building Air Ar Conditioning• ❑ Room Centel IQ Existing Building (( Matee:ai Thickness g Replacement of existing system ❑ WO. System: ❑ New installation(No system previously installed) MesimYm capacity c f m O Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify Q Cooling tower: Capacity 9-P-m- O ire sprinklers: Number of heeds__ 1 Q Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q Gasoline pumps (number) (Received) Q Teals_ (number) Remarks Q LPG containers_ (number) Q Llrsfited preuure vela. Permit Approved by Doh ❑ balers p Other — Specify Permit Fee.— LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unit. Description �Mold Number Manufacturer ( )ty A= . -[ / A Ce).'L 7 f /%-4_ C HEATING - FURNACES, BOILERS, FIREPLACES Number Units Description Model Number BTU)Y j TANKS , How Many Ncrinal Capacity Type Liquid Name of Serial Approving n and Dimensio Contained Manufacturer No. Agency [ U671 r DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date C- / 19 7/ Permit #/419b Fee $ G-0-0 Valuation $ 3ZJ-0-0 Application for Permit for HOUSE # .! n i J-1 emu Miscellaneous Alterations, and Repairs - /- 7/ DESCRIBE: Cl/f0 r[ tJ (State if to repair, alter, add to or move building, erect' awings, signs, etc. ) [� (, �iJ1�'� 1 \-D Building on: Lot �'o. , �� Blk 410. Sub.Di � . l� Address /to &/., "'- Valuation $ /i-.4 Owner s Name ' f k . . • BUILDINGS AND OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot Size No. of stories now after altered Material of roof Material of Present Building Material of Extension NECESSARY PLANS 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: gal. capacity tank (s) made by of gagge metal ground. (Name of Manufacturer) +Uro•, or. Above) (Under or Above) of building. For (Inside or Outside) (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size Classification (State whether ground, roof, wall, projecting,banner) Material of Construction Illuminated? Type of illumination (State whether Lamps or Neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reveIe side) COMPLETED 29 97 ( IMPORTANT NOTICE: 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 regu 40 ions f the City of Atlantic Beach. (Souther Standard Building/• ••e) Signature of Builder or Owner CV .?�> Address VrIft-- Phone No. ).-�p-.S 71 FOR OFFICE USE ONLY t, Date Z — S��y t 19 Permit #_T.9--7. -..Fee$_i 63 '1 ° TOWN OF ATLANTIC BEACH Valuation $.....,.-- d Q - (kw FLORIDA House #k 1-- ���y�� / APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses//c``an be verified. 1--{- - a-.a--f , 19__C� L. Date t / Address Telephone No. Owner--_-1„/N - Architect 11-4-"0 Address Telephone No. Address Telephone No Contractor Builder - Sub Division_--- _ 6,-.1 / Zone Lot No $lock -'- ' - -- / / 6/ Side Between and -� Type of construction Valuation $ -_3t- - Via--'For what purpose will building be used ;� e�� _ ,���, i•d_Is.a.--1.... Dimensions of Building Cl _X l Lt Dimensions of Lot__1i- � fF' ,,S--' Size of Footings__ Size of Piers �S�ize of Sills___ Greatest Sill Span in ft. Type Roof How will Building be Heated '11'444.4-0-4- Will Building be on Solid or Filled Ground? Distance on Centers , Greatest Span » Size of Ceiling Joists , f,Size of Floor Joists Distance on Centers , Greatest Span Size of Rafters Distance on Centers , Greatest Span This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. W 1. When steel is in place and ready to pour footing. Z z 2. When steel is in place and ready to pour columns and/or lintel. a j 3. When steel is in place and ready to pour beam. F, H 4. When framing is completed. s 5. When rough plumbing is completed,and ready to cover up. W W A A 6. When septic tank drain field is laid but before it is covered. q 7. Electrical inspection by City of Jacksonville. 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 o a with the given tached plans and specifications, which the above statement, we hereby in accordance witht heobuilding work in accordant regulations of the Town of Atlantic Beach. Signature of Builder--.. --- ---- •-- --- Address Signature of Owner • Address