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1505 SElva Marina Dr (vault) '�0�.:L`lf r /fy. �s �� CITY OF ATLANTIC BEACH SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 0,31!, Application Number 03-00026344 Date 6/24/03 Property Address 1505 SELVA MARINA DR Tenant nbr, name REPLACEMENT WINDOWS W/OSB Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 4399 Owner Contractor WILLIAMS, GREGORY A. AMERICAN WINDOW PRODUCTS 1505 SELVA MARINA DR. 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 249-6501 (904) 731-2247 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 55 . 00 Plan Check Fee . . 27 .50 Issue Date . . . Valuation . . . . 4399 Fee summary Charged Paid Credited Due Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL V t4 V ° 5 _.(D ro, ■ -^, CITY OF ATLANTIC BEACH CAii,r 800 SEMINOLE ROAD r ATLANTIC BEACH,FLORIDA 32233-5445 1 TELEPHONE: (904)247 5800 w l FAX:(904)247-5805 43 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us . >.„_ 14x.151” �' PLAN REVIEW. COMMENTS Permit Application # 03 - 2 i o.-mil Lt Applicant: A me i t c'c<n k%' n d Ci-A 7 Address: /5 - c , c- Project: replcarerne,-■ -( Li ),nd•7_/,� t:/ OSA cefOur application is approved Your perm • •• .••Lion has been reviewed and the f."owing ite $, - d 1t \- e �'' Gi 4013 nF F tL I3oq .L-t . 5-. Please re-submit your application when these items have been completed. Reviewed by ` _ • d Signed (44 [,fZ 33 4 '"c Date Contractor Notified Date i f RECEIVED �,'Y.l CITY OF ATLANTIC BEACH 0 •.,.F 'y BUILDING & ZONING \ - r1•8t�'; JUN 1 9 2003 ^`ter A.:';tY'9� BY: ____ City of Atlantic Beach • 800 Seminole Road • Atlantic Beach,Florida 2233-5445 Phone;(904)247-5800 • FAX(904)247-5845 • http://www/ci.atlantic-beaeh.(l.us PERMIT APPLICATION FOR REPLACEMENT OF WIY ROWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAiMttLY OR TWO-Fet.M LY (DUPLEX) CONSTRUCTION . Date D l I S`D3 Address where work is to be performed 1605 ,3ellU'a- Malu' .c, 1X. . Applicant 6/2e9Ctid 4 . t4/'//iarn.s /_ J Addr css � Phone: Q — C.LS / 77-6 tio--zS-26e fie)c / cue iic& Uru t w 2 wt- I P?IL- Legal Description: Block Number Lo't Number Zoning District Contractor State License Number 3 , l a0o pp I 0 AMERICAN WINDOW Address PRODUCTS,INC. Phone -731 - 224-7 2633 POWERS AN r... City JACKSONVILLE,,FL 322rate Zip Fax - ) - g B z'r" Describe Proposed Use and Work to be Done Present Use of Land or Building(s). IV Valuation of Proposed Construction 443:n Building Date: / « , / /f Mean Roof Height //-0 (ft) Building width/30 -0 (ft) Building Length y0 -O (ft) Roof Slope 4/Z "Window Elev, (ft) Window Height (ft) Window Width .(ft) • Mcasurement from corner of building to window (ft) .didll..IPPI•17. •o s. h C ctofi 0k• • O a♦ In addition to the Building Data the following information is required: - Manufactures Test Report - Installation Procedures - Window Description/Type - Garage Door Description/Type - Skylights Description/Type - Elevation View of Window Locations I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. l L. 1 � .'4 ..A. A slate 8 UJ Signature of Owner __.._-.-- ♦ �,�J ..... � 1 I HEREBY CERTIFY THAT I HA READ AND EXAMINED TIES APPLICATION AND KNOW THE SAME TO BE TRUE • " " ORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCE GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TI-CE 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 TI-US PERMIT IS CONTINGENT UPON THE ABOVE LNFORMAT[ON BEING TRUE AND CORRE' AND THAT THE PLANS AND SUPPORTING -DATA HAVE BEEN OR S . Brr. PRO APED AS REQUIRED. Signature of Contractor �i__,/ Date (4/8A0 Address and contact information • Person to receive all correspondence regarding this application (Please Print) Name Mailing Address Phone FAX E-mail Sworn and Subscribed Before me this Day of / State of Florida, County of Duval `�/(/`Z " , Be tty Felder Notary's Signature *�[*My Cornrnission CC881315 As to Owner.,�"'.d Expires October 20,2003 "Personally known 0 Produced identification Type of identification produced As to Contractor Personally known 0 Produced identification S" Betty Felder Type of identification produced * *My Commission CC881315 '+,,M,,�.+Expires October 20,2003 CiLt4 NOTICE OF COMMENCEMENT Book 11162 Page 1363 Permit No. State of Florida County of J L ICA-i The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (Include Street Address if available)I 1.3 `a��JCL k(CL(2-'t f L DZ . 265- 5CJ I;'L� Lr 0_a n(1_ uiu ' tr 2 Ltt I 1k ' General description of Improvements . 'HP" 1 / 1 i %�_ C`` Owner (1- C. L . \/ ) l i Gib 1S Address I_'r^`� " �4' _ L(t:u?-t Owners Interest in site of the Improvement Fee Simple Title holder(if other than owner) Name Address AMERICAN WW4VOW Contractor PRODUCT'S,INC. ;) �t�o16 X 160 2633 POWERS AVE. lr� i yy • -� ddress JACKSONVILLE.FL 32207 F;Icd 8 363 eJ Surety 06/1 /2003 01:3A�3i PM ZIA FULLER 0J Address Amount of bond $ cl VRk CIRCUIT COURT Any person making a loan for the construction of the Improvements: DUVAL COUNTY Name TRURECORDIING $ 5.00 Address COPY FEES $ 1.00 Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) 7, Florida Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of - g unless a different date is specified) / o' 1/0 jutektfrojil fil4/13 Signat re of•wner Printed Name of Owner rNotary Rubber Stamp Seal 1 I have relied upon the following identification of the Affiant J o3�," "� Betty Felder Sworn t,. subscrib before e this ay ofga.20 * *My Commission CC881315 /- ';,t/Expires October 20,2003 J Notary Signature e- �7 � Printed Name Duval County Property Appraiser - Parcel Summary Page 1 of 2 Parcel Summary - Current Ownership and Sale Information - Updated Weekly RE No.: 171935 0000 Owner's Name: WILLIAMS , GREGORY A Property Address: 1505 SELVA MARINA DR Unit No. ATLANTIC BEACH 132233 Mailing Address: 11505 SELVA MARINA DR ATLANTIC BEACH , FL 32233 Property Use: 0100 SINGLE FAMILY 'Legal description: 127-6 16-2S-26E SELVA MARINA UNIT NO 2 LOT 1 BLK 3 Neighborhood: 003128 SELVA MARINA UNIT 02 Sec-Twn-Range: 16-2S-29E OR BK& Page: 10992-2047 'Map Panel: 558 2 Sale Date: 3/3/2003 No. Buildings: 1 'Sale Price: 1$400,000.00 'Heated Area: 2613 Exterior Wall: BOARD & BATTEN Parcel Summary- Values & Taxes from the 2002 Certified Tax Roll 'Land Value: $142,718.00 'Class Value: $0.00 'Improvements: 1$154,292.00 1 Taxing Authority: USD3 'Market Value: $297,010.00 County Tax: $814.16 'Assessed Value: $143,436.00 School Tax: $990.01 'Exempt Value: $25,000.00 District Tax: $375.69 'Taxable Value: $118,436.00 Other Tax: $59.28 1Sr. Exempt: $0.00 Voted Tax: $68.71 1Sr. Taxable: $0.00 Total Tax: $2,307.85 This page displays values from the 2002 Certified Tax Roll with weekly updates of ownership & sales. Map-It maps & data are not updated as frequently as the Tax Roll data and may not reflect matching information. Please direct inquiries regarding the maps & data to Map-It Feedback (below). t4i? Malt Feedback 4717 "' -- Payment Feedback Home PRC New Map-IT Taxes Appraisal Feedback http://pawww.coj.net/pub/property/RENO.asp?RENUM=171935+0000 6/19/2003 , . R3 . 1' r — 9> w 6'qt- .�. x M ��7/1 3 w N W O , N - L I/ H — r rib r-. _ w W rz -- N 7 c , o tit , t1 . ._,......, -t R— us' . . ., •k (,/ Vl 3 Ca, ts • < r r x c\ y. yo-o' ' -----1. .,iF"rz '4 114f f:i ' s, yS. Fw'ffh:,"S'"i`11,,. r Fi,,:r� k '�'� �t. $. r i . :., ..,. ., ..... lv :t: V■ Z t. r$ A;. 1, W . T 9 =_S x r r C 1 N M �iF,� 3 w N. rr • T: F. x W p N N _ Z - Z 5 N Pft>`,7 W W rzy x I - --s N o .7F ...... Z.,1 y .2... . 4. W n t ,/. 1 • yo'o' I v 413c,._, , . ,: NATIONAL CERTIFIED TESTING LABORATORIES 1464 GEMINI BOULEVARD•ORLANDO, FLORIDA 32837 (....,,, ... ...._„) PHONE (407)240-1356• FAX(407)240-8882 www.nctlinc.com STRUCTURAL PERFORMANCE TEST REPORT Report No: NCTL-210-2883-5 Test Date: 01/22/03 Report Date: 04/14/03 Expiration Date: 01/22/07 Client: Bell-View, Incorporated P.O. Box 208 Wrightsville, GA 31096 Test Specimen: Bell-View Incorporated Series "Blue Chip" Single Hung Aluminum Prime •Window (H-C45 *52x72). • Test Specification: ANSI/AAMA/NWWDA 101/I.S.2-97, "Voluntary Specifications for Aluminum, Vinyl (PVC), and Wood Windows and Glass Doors." TEST SPECIMEN DESCRIPTION General: The test specimen was a one-over-one single hung aluminum prime window measuring 4'4"wide by 6'0"high overall. The active sash measured 4'2"wide by 3'0"high. The active sash was removable via a single balance system with locking tilt shoes at each interior jamb track. Frame and sash members were not thermally broken. One (1) metal cam-type sweep lock was located at 13-1/2" from each end of the active meeting rail. A sweep lock keeper was extruded onto the fixed meeting rail. One (1) metal slide bar limit/security lock was located at each end of the active meeting rail with the keepers punched into the jambs. One (1)plastic tilt latch was used at each end of the active meeting rail. An extruded aluminum sash stop was located at the top of each interior jamb track. One (1) metal pivot bar was located at each end of the active bottom rail. The fixed meeting rail was fastened to each jamb with two (2) (#8 x 3/4"pan head)screws. The frame and sash were of double screw (#8 x 3/4"pan head) coped corner construction. The frame was mounted to the test buck using fourteen (14) (#10 x 1-1/4"flat head) screws. Glazing: The active sash and fixed lite were interior glazed using DSB 1/8"thick annealed glass with an adhesive back-bedding and snap-in extruded aluminum glazing bead. Weatherseals: One (1) strip of center fin weatherstrip (0.200"high) was located at each active sash stile. One (1) strip of center fin weatherstrip (0.250"high) was located at each active sash stile and the sill. One (1)strip of single leaf vinyl weatherstrip was located at the fixed and active meeting rails. One (1) strip of bulb-vinyl weatherstrip was located at the sill. Weeps: One (1) weep hole measuring 3/4"x 3/16"was located at each end of the center vertical sill leg. One (1) weep notch measuring 1/4"x leg height was located at each end of the exterior vertical sill screen retainer leg. PROFESSIONALS IN THE SCIENCE OF TESTING 4 ) Bell-View Incorporated -2- NCTL-210-2883-5 Interior & Exterior Surface Finish: Mill finish aluminum. Sealant: The frame and active sash corners were sealed with a small joint sealant. Screen: An insect screen measuring 3'11-1/2"wide by 4'6-1/2"high was of mitered type corner construction with staked-in-place nylon corner keys. The screen employed fiberglass mesh cloth with a hollow vinyl spline, two (2)pull tabs and two (2)jam retainer springs. TEST RESULTS NOTE: The following primary performance test results are referenced from NCTL 210-2883-4, test date 1/22/03. Par. No. Title of Test & Method Measured Allowed 2.2.1.6.1 Operating Force 24 lbf(max) 30 lbf 2.1.2 Air Infiltration -ASTM E283 0.57 psf(15 mph) 0.03 cfm/ft2 1.57 psf(25 mph) 0.07cfm/ft2 0.30 cfm/ft2 2.1.3 * Water Resistance -ASTM E547 5.0gph/ft' WTP= 4.50 psf No Leakage No Leakage 2.1.4.2 ** Uniform Load Structural -ASTM E330 30.0 psf Exterior 0.010" 0.228" 30.0 psf Interior 0.030" 0.228" 2.2.1.6.2 Deglazing -ASTM E987 • Active Sash Meeting Rail (70 lbf) 5.6 % (0.028") <100% Bottom Rail (70 lbf) 3.4 % (0.017") <100% Left Hand Stile (50 lbf) 2.6 % (0.013") <100% Right Hand Stile (50 lbf) 3.0 % (0.015") <100% 2.1.8 Forced Entry Resistance -ASTM F588 Grade 10 (See Appendix A for test results) Meets As Stated • Bell-View Incorporated -3- NCTL-210-2883-5 OPTIONAL PERFORMANCE NOTE: The following tests results were conducted on the 52"x 72"specimen as described in this report. Par. No. Title of Test & Method Measured Allowed 4.3 Water Resistance -ASTM E547&ASTM E331 5.0 gph/ft2 WTP= 8.25 psf No Leakage No Leakage 4.4.2 ** Uniform Load Structural -ASTM E330 67.5 psf Exterior 0.030" 0.280" 67.5 psf Interior 0.032" 0.280" * Tested with and without screen ** No glass breakage or permanent damage causing the unit to be inoperable TEST COMPLETED 01/22/03 The tested specimen meets (or exceeds) the performance levels specified in Table 2.1 of ANSI/AAMA/ NWWDA 101/I.S.2-97 for air infiltration. The listed results were secured by using the designated test methods and indicate compliance with the performance requirements of the referenced specification paragraphs for the H-C45 52x72 product designation. Detailed drawings were available for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by NCTL for a period of four(4)years. The results obtained apply only to the specimen tested. No conclusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen may be drawn from this test. This report does not constitute certification of the product which may only be granted by a cer ' ' a ton progr. validator. NATIO AL CERTIFIED TESTING LABORATORIES MICHAEL E. LANE Division Manager , . le Bell-View Incorporated -4- NCTL-210-2883-5 NOTE: The following forced entry resistance test results are referenced from NCTL 210-2883-4, test date 1/22/03 APPENDIX A Forced Entry Resistance Test Results Test Method: ASTM F588-97, "Standard Test Method for Measuring the Forced Entry Resistance of Window Assemblies, Excluding Glazing Impact". TEST RESULTS Paragraph No. Loads Duration Measured Allowed 10.1-Lock Manipulation 5 Minutes No Entry No Entry 10.2.1.1-Test Al L1=200 lbf 1 Minute No Entry No Entry 10.2.1.2-Test A2 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf interior 10.2.1.3-Test A3 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf exterior 10.2.1.4-Test A4 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf interior 10.2.1.5-Test A5 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf exterior 10.2.1.7-Test A7 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf interior L3= 35 lbf interior 10.2.1.8 Lock Manipulation 5 Minutes No Entry No Entry 10.2.4.2 Fixed Lite 5 Minutes No Entry No Entry Glazing/Panel Manipulation .R t(): 1 2 6 m 1 4' T CD P OC —NC 44- t: ril `O c'4 _ ,, T . _ --* D z,-. cn + .t, Z I' m N 4' rg. o wt z 7 __i_. T T J T T . _..s, m o o p _,„ z 0 <.0 1,._ I —tc— 2 __,fr—..-E---yr,-- :E_-4Po: 7)T2.1 D o r T . N o a 'N' c)5.. H----—---— N 1 2 FT, ihj>/° . cn HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Jun 20 2003 12:21pm Last Transaction Date Time Type Identification Duration Pages Result Jun 20 12:19pm Fax Sent 97318824 1:09 3 OK §1707.4.5 Mullions occurring between individual window and glass door assemblies. §1707.4.5.1 Mullions. Mullions shall be tested by an approved testing laboratory or be engineered in accordance with accepted engineering practice. Both methods shall use performance criteria cited in §1707.4.5.2, §1707.4.5.3 and §1707.4.5.4. §1707.4.5.2 Load Transfer. Mullions shall be designed to transfer the design pressure loads applied by the window and door assemblies to the rough opening substrate. §1707.4.5.3 Deflection. Mullions shall be capable of resisting the design pressure loads applied by the window and door assemblies to be supported without deflecting more than L/175, where L is the span of the mullion in inches. §1707.4.5.4 Structural Safety Factor. Mullions shall be capable of resisting a load of 1.5 times the design pressure loads applied by the window and door assemblies to be supported without exceeding the appropriate material stress levels. If tested by an approved laboratory, the 1.5 times the design pressure load shall be sustained for 10 seconds, and the permanent deformation shall not exceed 0.4% of the mullion span after the 1.5 times design pressure load is removed. 06/20/2003 14:25 9047318824 AMERICAN WINDOW PROD PAGE Ft2 NOTICE OF PRODUCT CERTIFICATION CERTIFICATION NO: NI004433/A_. DATE: 12/09/99 CERTIFICATION PROGRAM: Aluminum COMPANY: Bell-Vievy CODE: B-A531 The"Notice of Product Certification"is valid only when Administrator's Seal is applied to the upper left hand portion of this forth and a certification label is applied to the product. This certification seal represents product conformity to the applicable specification and that all certification criteria has been satisfied. The product described below is approved for listing in the next published issue of the Directory of Certified Products. Please review,and advise NAMT immediately if data.as shown,requires corrections. COMPANY NAME AND ADDRESS PRODUCT DESCRIPTION Bell-View,Inc. Series "Blue Chip" P.O. Box 208 APPROVED T IC BEACH CITY OF ATLANTIC Mulled Twin Aluminum Single Hung Prime BUILDING OFFICE Window Wrightsville, GA 31096 JUN 2 3 2003 SH/TLT/IG/DSB/FER BY: _._------ � „ � �� STP PSF. Frame: W-6'1" Sash: W-2 10 Int-67.5 H G1" H-311" Ext-67.5 SPECIFICATION PRODUCT RATING AAMA/NWWDA iO1/I.S.2-97 DH-HC45 AAMAJI 302-5-96 Product Tested By: Certified Testing Laboratories Report No: CTLA-426W-R(Structural/FER)CTLA-426W(Parent) Expiration Date: September 24,2003 Signature: Administrator's Si g NATIONAL ACCREDITATION AND MANAGEMENT INSTITUTE, INC. P.O. Box 366 Berkeley Springs, WV 25411 TEL: (304)258-5100 FAX: (304) 258-5111 06/20/2003 14:25 9047318824 AMERICAN WINDOW PROD PAGE 03 CERTJF1ED1TINc ABORATORIES E,, a Architectural Division• 7252 Narcoossee Rd. •Orlando,FL 32822 IIRR �'�, (407)-384-7744•Fax(407)-384-7751 ~eVl75_ Report Number: CTLA-426W-R —\- �'�i Report Date: September 24, 1999 STRUCTURAL PERFORMANCE TEST REPORT Client: BELL-VIEW, INC. P.O. BOX #208 WRIGHTSVILLE, GA 31096 Product Type and Series: SINGLE HUNG WINDOW DH Hc45(73'MULLED,TILT SASH, X 73') Test Specifications: AAMA �Dd -97"Voluntary S a ictions for Aluminum, Vinyl. (Pvc) wood N n Glass Doors" Frame: The extruded aluminum frame measured 73.125" x 73.125" overall_ Coped and butted corner construction. Each corner secured with two (2)#8 x .75"S.S., P.P.H., fasteners. The two (2)single hungs were mulled together with an aluminum "I"beam and screwed to the head with four(4)#8 x .75" S.S., P.P.H.,fasteners, and to the sill with two (2)#88 x755"S. meeting . P.P H., fasteners. The headand rails ill sill full length of window_ with two (2) window- Configuration: Twin mulled, single hung XX Ventilator: Operable sash on both single hung measured 341/2"x 361/a" high. Coped and butted corner construction. Each corner secured with two (2)#8 x .75"S.S., P.P.H., fastener. Weather Stripping: Location Quantity Description Four(4)strips Wool pile with integral fin .250" high Each sash stile Two (2) strips Wool pile with integral fin .250" high Frame sill rail Two(2) strips Wool pile with integral fin .250"high Sash me to kilt rail Two (2) strips Bulb vinyl .250 o.d. Hardware & Location: Location . Quantity Descri lon One (1) per frame jamb Four(4) Spiral balances Four(4) Nylon tilt latches Each end of interlock rail Four(4) Nylon security sash locks Mounted on each end of interlock rail face 4 Four(4) Nylon balance shoe sets Inside frame jambs end of lift rail Four(4) Aluminum bars measuring 3" Four(4) Extruded aluminum snap locks 3" long 4"from each end of lift rail Two(2) Cast aluminum sweep latches mid-span of each sash interlock rail locking into meeting Glazing: Insulated glass,two (2) lites of 118"annealed glass with 1/4" air space, interior glazed with adhesive back bedding compound and aluminum roll formed glazing bead. Sealant: Small joint sealant was used on all frame corners. 06/20/2003 14:25 9047318824 AMERICAN WINDOW PROD PAGE u4 Page 3 of 3 Bell View, Inc. Report No CTLA 426W-R Test Date: September 8. 1999 Test Completion Date: September s. 1999 Remarks: Detailed drawings were available for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by CTL for a period of four(4) years. The results obtained apply only to the specimen tested. This test report does not constitute certification of this product, but only that the above test results were obtained using the designated test methods and they indicate compliance with the performance requirements (paragraphs as listed) of the above referenced specifications. Certified Testing Laboratories assumes that all information provided by the client is accurate and that the physical and chemical properties of the components are as stated by the manufacturer. Certified Testing Laboratories, Inc. Chris opher Bennett Lab Manager Architectural Division 0c' cc_ Bell-View (2) NAMI (2) Ramesh Patel P.E. File 4 06/20/2003 14:25 90473113624 AMERICAN WINDOW PROD rraut UD Page 2 of 3 Bell View, Inc. Re.or No CTIA 426W-R Weep System: Each single hung had two (2) notches in screen retaining leg .375" x leg high 1" from each jamb. Reinforcement: Aluminum"I"beam between mulled units. Additional Description: Two(2) units were through bolted with three (3) #8 x3" mull bolts, located 7.5", 36", and 64" measuring from head to sill. Screen: Rolled formed aluminum frame with plastic corner keys, vinyl spline and fiberglass mesh. Two (2) plastic pull tabs and two (2) spring clips. Installation: Fourteen (14) #10 x 1'/:"S.S., flathead fasteners were used to secure the specimen to the wooden test Four ) in m sill measuring form left jamb to right jamb e 6", 30", 42 a nd 66". Three(3) each jamb measuring from to sill located 7.5" 36" and 64". Surface Finish: Mill Comment: Nominal 2 mil polyethylene film was used to seal against air leakage during structural loads. The film was used in a manner that did not influence the test results. Performance Test Results Method Measured Allowed Paragraph # Titleest 34 cfmlft; 2.1.2 Air Infiltration ASTM E283-91 .20 cfm/ft2 The tested specimen exceeds the performance levels specified in AAMA / NWWDA 101/1.S. 2-97 for Air Infiltration. Results recorded in two(2) decimals at the clients request. 2.1.3/4.3 Water Resistance ASTM E547-91 5.0 gph/ftz Four(4)five minute cycles No Entry No Entry WTP=6 ASTM E331-91 No Entry No Entry 4 Fifteen (15) minute duration ry Test conducted with and without screen. Def. Allowed Set Allowed 2.1.4.2/4.4.2 Uniform toad Structural ASTM E330-90 Permanent Deformation 30 Second Load Duration 359„ 410" 017" 287" �67.5 psf Positive 281• .410" .011" -287" @ 67.5 psi Negative 2.1.8 Forced Entry Resistance AAMA 1302-5-96 0" 1/2" Test A �� 112" Test B 0 0" 1/2" Test C 0" 1/2" Test D, E, F 0" 1/2" Test G 2.2.1.6.1 Operating Force AAMA/NWWDA 101/1.5. 2-97 22 lbs. 30 lbs Left sash 24 lbs 30 lbs Right sash 2.2.1.6.2 Deglazing ASTM E987-88 012 2.4%<100% _ _ Top Rail 70 lbs. 1 g 3.8<100% Bottom Rail 70 lbs. .019 6.2%<100%<10 Left Stile 50 lbs. 028 5.6%<100%Right Stile 50 lbs. f e ` ` CITY OF ATLANTIC BEACH A s 800 SEMINOLE ROAD J t' ATLANTIC BEACH, FL 32233 \' INSPECTION PHONE LINE 247-5826 Application Number 08-00001720 Date 12/17/08 Property Address 1505 SELVA MARINA DR Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 AHU 1 CU Owner Contractor WILLIAMS HARVEY' S FUEL OIL SERVICE, INC 1505 SELVA MARINA DR. P 0 BOX 8602 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32239 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 71 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/15/09 Fee summary Charged Paid Credited Due Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 11 CITY OF ATLANTIC BEACH ..-------i ,l 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I I I I Vv .y,. ,I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 .1 BUILDING-DEPT @COAB.US "= MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: El NO Atlantic Beach, FL 32233 YEES PERMIT#:08 GCS 0 G 13 (c- (Zi ( 7 'v PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE L,‘,, t i ‘l tit 1 5C) C �c L.-f1 v vi A i,c.A D's). MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: 5 2_2. % L 1-i.'1.(21,-.% 4 S ra%i2 C€„.,Y...)a 7 i DA.,I,w,C•:, 3o 7 5 - 7 LC vA.; I`Y-n JAL 1e Seifs 4,1 c c 2, f 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: CACG5- �. 11 ?so y - ,4a- 997'3 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 9o4. - c, if Z. - 997 2 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: _Ji�1.. . .4 • L , 9I, 15.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 18.CURRENT CODE: Iii NEW INSTALLATION ❑ NEW RESIDENTIAL ,Z1'06 FLORIDA BUILDING CODE- D.REPLACEMENT OF EXISTING SYSTEM tii EXISTING ❑ COMMERCIAL MECHANICAL 0 ALTERATION/ADDITION TO EXIST SYSTEM ❑ REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19. HEAT: ❑ SPACE ❑ RECESSED CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM E CENTRAL 21. DUCT SYSTEM: MATERIAL:c H1-1l a1 r 4CJF,Q;HICKNESS: , I MAX CAPACITY: -c.c cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23. COOLING TOWER: CAPACITY: gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26. COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ❑ PUMP ❑ WELL ❑ PIPING 29. GAS PIPING: #OF OUTLETS: ❑ GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING,REFRIGERATION EQUIPMENT,CONDENSORS.ETC. _ NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY / ;4 i a2. -,- .Li+-13ts;3 o.i c:. Cr7 M F .3 f2'i M f1 *C sr:c i . L.- L 32.HEATING EQUIPMENT: FURNACES,BOILERS,FIREPLACES,AIR HANDLERS ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 5 Al `rX i&Z°E' 33.TANKS: TYPE LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAB FORM BLDG04:REVISED:1/8/2008 v . Ns ,`S J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 J1115 Application Number 08-00001652 Date 12/02/08 Property Address 1505 SELVA MARINA DR Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 7 fixtures Owner Contractor WILLIAMS B & G PLUMBING 1505 SELVA MARINA DR. 13997 BEACH BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-3585 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 84 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 5/31/09 Fee summary Charged Paid Credited Due Permit Fee Total 84 . 00 84 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 84 . 00 84 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. DEC-02-2008 09 22 B and G Plumbing 904 2233750 P.01/01 CITY OF ATLANTIC BEACH '''V:1410 r: PLUMBING PERMIT APPLICATION ICATION Date: Property Address:__ _ 15 0 5_e.I ytq M jpe l,_,4 Owner: Telephone#: • Contractor: Q4..Q1LI L„J Cc Telephone#: -rob--3 3 s Contractor Address: 44.3 CadpaL S 9 t�tUci-. 'Fax#: 2-z..a —1-75-6 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached'plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practioe listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the buildin ermit number: o Re-Pipe o5 13 62 Number of Fixtures: • Bath Tubs I Showers a Closets Shower Pans Dishwashers I Sinks Disposals Urinals Floor Drains I Washing Machine a_ Lavatory Water Sewer Water Heaters • Other Fees Permit Issuing Fee: $35.00 Total Fixtures: 7 X$7.00 + $35.00= 4 SL(- d 800 Seminole Road •Atlantic Beach,Florida 32233-5445 ...... ..... ...... .. �... �..__ • •• TOTAL P.01 09/25/2008 08:56 9042683670 ENERGY DESIGN INC PAGE 1'8/11 ENERGY PERFORMANCE LEVEL (EEL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE*=85.0 The higher the score,the more efficient the home. MMIIIIIIIIIIIIIIIIIIMIIMIIIIIIMIIIMNNIIIENEIIIEEENEINNIEIIINENMM Mr. &Mrs. Greg Williams, 1505 Selva Marina Dr,Atlantic Beach, FL, 1. New construction or existing Addition _ 12_ Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:18.0 kitu/hr 3. Number of units,if multi-family 1 __ SEER: 13.00 4. Number of Bedrooms 1 _ h. N/A 5. Is this a worst case? No _ 6. .Conditioned floor area(ft') 745 ft _c. N/A 7. Glass type I and area:(Label egd.by 13-104.4.5 if not default) a. U-factor Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Tjble Default)143.0 if _ a. Electric Heat Pump Cap: 18.0 kBtu/hr _ b.SHGC: HSPF:7-70 (or Clear or Tint DEFAULT) 7b. (Clear)143.0 ft' _ b.N/A 8. Floor types a. Slab-On-Grade Edge Insulation R3.0,.110.2(p)ft _ c. N/A h.N/A '-- c. N/A 14. Hot water systems T 9. Wall types a. Electric Resistance Cap:50.0 gallons a. Face Brick.Wood,Exterior R=11.0.513.0 R' _ EF:0.92 b.Framc.Wood Adjacent R-11.0,176.0 fP _ b.N/A c.N/A d.N/A _ c. Conservation credits 1 c.N/A _ (HR-Heat recovery.Solar T 10. Ceiling types DM-Dedicated heat pump) a.Under Attic R=30.0,745.0 ft' _ 15. HVAC credits MZ-C.M2r11 b.N/A _ (CF-Ceiling fan.CV-Cross ventilation, c. N/A _ HF-Whole house fan, 11. Ducts PT-Programmable Thcrtnostat. a. Sup!Unc. Rev Unc. AH(Sealed):Garage Sup.R 5.0.67.0 ft _ MZ-C-Multizone cooling, b.N/A _ M7 14-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving (or exceeded) �'� gh rgy savin features which will be installed or exceeded ' 4 .T r8 . in this borne before final inspection.Otherwise,a new EPL Display Card will be completed ` �'D based on installed Code compliant features. s.,,1111."...,:� .�._,.,; Q..-- Builder Signature: Date: �^' - �`s � i1 � *Address of New None: City/F.L Zip: �l—. tom,- � ,. oWB *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Raring.If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStar"`'designation), your home may qual(for energy efficiency mortgage(.EEM,)incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.itcf edu for information and a list of certified Raters.For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. 1 1 Predominant glass type.For actual glass type and areas.sec Summer&Winter Qlass outp±ones 2&4. EnergyGauge6.(Version:FI. CSIS v4.5.2) 1 ? . n7/«/.eeu 118:56 9042683678 ENERGY DESIGN INC PAGE 111/11 I II +i+ wrightsot° Project Summary �: 9 /08 Entire House By: M.Ellis Energy Design Systems, Inc. Pro ect Information For. Mr. &Mrs. Greg Williams Addition 1505 Selva Manna Dr,Atlantic Beach, FL Notes: Desi n Information Weather. Jacksonville. Intl Airport. FL, US Winter Design Conditions Summer Design Conditions Outside db 32 °F Outside db 93 °F Inside db 72 °F Inside db 72 °F Design TD 40 °F Design TD 21 °F Daily range M Relative humidity 50 % Moisture difference 56 grub Heating Summary Sensible Cooling Equipment Load Sizing Structure 17345 Btuh Structure 10710 Btuh Ducts 1071 Btuh Central vent(0 cfm) �0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuti Blower 0 Btuh P' in Equipment load 18212 Btuh Use manufacturer's data n Rate/swing multiplier 0.98 Infiltration Equipment sensible load 11546 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 2362 Btuh Ducts 0 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft2) 745 745 Equipment latent load 2362 Btuh Volume Air changes/hour 1 20 0.50 Equipment total load 13908 Btuh Equiv. AVF(cfm) 119 50 Req.total capacity at 0.70 SHR 1.4 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond Coil Efficiency 0 HSPF Efficiency 0 EER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Q 47°F Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 564 cfm Actual air flow 564 cfm Air flow factor 0.031 cfm/Btuh Air flow factor 0.048 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat Load sensible heat ratio 0.83 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. ,,&. w Flight-Suite RealtleMI616.0.119 RSR29794 ^. .n E:160 rent aesidenual Manual Aar,&Mrs.Gn9 Wilms Addition,1535 Salve Marina Dr.Mart �� 4307 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - --- -_ . LOCA'I iUN INFORMATION �:,;;i1IT INF(1RMA'= Address: 1505 SELVA MAKYNA DRIVE PePert Number: Type: CE: FENC4307 ATLANTIC BEACH, FLORIDA 32233 Per __ LEGAL DESCRIPTION - Class of Work: NEW Lot : Block: Section: Constr. Type: WOOD FRAME Township: RNC,: 0 Proposed Use: SINGLE FAMILY ubdivisio SELVA MARINA Dwellings: 1 Code: 0 Estimated Value: $0. 00 Impray. Cost: $$0. 00 Total Fees: $10. 00 Amount Paid: 9/ 9/91 Date Paid : Work Desc• : rt;t �, i r'ENCE PER PLANS - N , :..:;. :. IUN FEES OWNER INFORMATION ------- PERMIT $10. 00 Name: CHARLIE MCKAY PERMI IMPACT FEE $0. 00 Address: 1505 SELVA MARINA DRIVE SEWER rMPAC;'f F'E) $0. UO ATLANTIC BEACH, FLORIDA Phone: (904)249-2044 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 $0. 00 RADON GAS -- 5% $0. 00 .__.____ CONTRACTOR INFORMATION WATER TAP Name: ARLINGTON FENCE WATER TAP $0. OO Address: 1419 WHITCOCK AVENUE SEWER TAP SHARE $0. 00 JACKSONVILLE, FLORIDA 3221 $0. 00 Type: 7 RE-INSPECT FEE $0. 00 License: SEC. H IMPACT FEE $0 00 OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK RK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR "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 BUILDINGG DEPART ENT ` // II BY. APPLICATION FOR FENCE PERMIT Owners name phoneL>2420512- Job address.../ -D,5516.44 Lot block and/or unit # subdivision Contractor if different from owner0 )/e6A-LeiMcd a /4i/g Aa-) _ , Valuation of fence $ Corner oorot Type construction ljevj Show location and height of fence as well as location of street(s) . Owner signature Date Date Contractor signatur, r ' -•• •• ■•i ARLINGTON FENCE CO., INC. o 262-9341 REMIT TO: 12677 Phillips Highway 1419 Whitlock Ave. Jacksonville, FL 32211 .\. .\. i %aA-.:=e4 743-1915 TRMS AVAILABL �/ \ • \\\��\\ \ CONTRACT # CUSTOMER �7EhGre c/� � � 1 ADDRESS/--Car.. S vi4 � i.u.4 211 DATE i/(r / INSTALL AT PHONE NUMBER C:9445'— 9 / ( WHEN SIGNED BY THE PURCHASER AND ACCEPTED BY THIS COMPANY THIS PROPOSAL BECOMES A CONTRACT - BINDING BOTH PURCHASER AND COMPANY. p 48 " 3/ Con ` TOTAL FEET /HI TOTAL COST :`T�� ‘Q .tfJ 01 t-+-1 1 Ai., . L (3 L') �,Ek(JA-...),'.jj T+.14'..-dt _ oat�- 1 TOTAL FEET HIGH DOWN PAYMENT S TOTAL FEET HIGH BALANCE DUE UPON COMPLETION '7"S 0 MATERIALS APPROXIMATE STARTING DATE A "k '< PAYMENTS NOT RECEIVED AS AGREED GATE POSTS 4� Lv O.D. ARE0SUBJECT TO 11/2% INTEREST PER MONTH. END POSTS C' /L X Ca O.D. ANY ADDITIONAL MATERIAL OR LABOR USED WILL '/- )) ! BE AT THE COST OF THE BUYER. CORNER POSTS z `A Ca O.D. -- --- ----- T � f c � �� fS © sp2,40 f K.. LINE POSTS I S' ? Xs" O.D. QRC, TOP RAIL l (8 O.D. 0A a 0 60 O TQ4E - . FABRIC 30 MESH GAUGE } GATE SIZES t — 4 QL 711(2_0 Z NOT RESPONSIBLE FOR DAMAGES TO UNDER- GROUND CABLES, PIPE, OR ANY OTHER UNMARKED OBJECTS. ,S <c_ ,4-, DO NOT SIGN BEFORE READING CONTRACT. THE PROPOSAL PRICE IS GIVEN WITH THE AGREEMENT THAT THE PURCHASER WILL CLEAR ALL LINES FOR CONSTRUCTION DATE ACCEPTED OF FENCE AND PROPERLY MARK WITH STAKES OR OTHERWISE. CUSTOMER AGREES TO PAY ALL COURT COSTS AND ATTORNEY'S FEES IF SUIT AND/OR COLLECTION BECOMES NECESSARY. i SIGNED d .,.•}d - - `' . (�C ...� - a :•�, SALESMAN ,._. �.•.s•af��s`�r� f�. r L P f {++r f+d aof f+f{@+f r}}-i@f}+ *`@ '. �a� d ++ : +Ylde f+ti}+}{sedd@ddi♦@.@}dd{dd,�++s<aA ,f+ +t{.+d d+ ! fiitP @@{i{{'@+} ♦+@ t •t�f•i.�}pe -ii ti�@fdf+1}f}i{�{f{@f{i{9}@tdifiRif^,f�JPd tit b +r iii#di P {a4 tt♦a+if tid@},d1+P+i.�t ° t +E f 1 }■II id a+F •ii+d t++d}a?f}i @ t t i,i- ✓•+ .A 1 a,�8 . . i 3 ..___. 1 1 . .0 0 0.. a _ till i .1 �' - Ri ■ I ......, __., . -...1 o b _�P4.i7:kai t 2g 13 t= a j-- - � o a bn°x o A J ( 74 i p • a 1- 1 a op•. I s. 4 :a., . .N 1 - 0iv c -___..3: i 4.- 1 pL o a di 1 I u U., 0 0 b _I.,.n .. l'•- g 11 5 o ; ea 4 . ti -° ;8 4 1 b i1I11ihithfflui11u' h1 z vi vs h 00 Oi 2 ..a - k 4 - ,... Wi. • 4 I a 1 111111111111111111111111111111 11111111111111111111111111111111111 1111111MillliiIIIIIIIIIIIII,P1 s H O i V .,4 . , 5 o a 04 i • o biliM4111 .1411i o ! itl !i till 1 “� �1 0 o a r: c-i c� .” %49 r irl o 1 i 0 ie,: vi !n, 'Z t,n, `.42 t; g PI li 1 I i „Iii it p o i i fl i i VI I 2 - I A i Z Pa , i g t - l . i i i • a I I si 1 .... i ca) i 4P4 c ,... . 0 ti 0 ti: i 1 PI 1 � � � •� g CS . i . � $ � 1$ Vl ,.. t..4 (. 4l' vi vi t� V r-4 ty to d' vl f'G r oo Ci ,..• .N+ ,--4 .-I 1 l`l ril Ej I '. 17 7:-11: .7.7 CITY OF ATLANTIC BEACH 08- I I I I I �;r\ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 li _ �� l OFFICE:(904)247-5826•FAX NO.:(904)247-5845 i,' f'l� BUILDING- DEPT @COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY I.JOB ADDRESS: q� 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF -SL,',. 'St(-A.,'" �t/t I�AtldntYc Beach, FL 32233 6 z,--t �{ Z-C) CC 1 /1,0-i- _ �0 5.c SS OF WORK: 6.US STRUCTURE: 4.LEGAL DESCRIPTION: [� ( _ +N BUILDING DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION S e--Lk Ntt�)' L� ITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑ ❑N/A : i 11 U/`i TI# Iv CbtZtNLa Q11- CAP-+ E- ❑MOVE 0 OTHER ENO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME:(kr_,..ot Je,Cr 15.COMPANY NAME: 23.COMPANY NAME: Ltit Z 1 NAME: 24.LICENSEE NAME: (. LIJ � 1�/t( -t f 10.ADDRESS:_ 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: is .S .S CL-LA & - L,'- 4 l�Z - C(-IL (�Iii .T,1 t ��/ U 18.ADDRESS: /3-b I4(L v3) t+ 30 Z. 26.ADDRESS: 4 ZZ3 3 1ourti t 4 - .,3 Zo�3 11.OFFICE PHONE: 12.FAX NO.: A�O�FFI PHONE: 20.FAX NO.: 27.OFFICE PHONE: 128.FAX NO.: ,-,11.OFFICE ■ 7v� 0 SS4S tol,s- -44 13.CELL PHONE 21.CELL PHONE: 29.CELL PHONE: .C9l -43,, 14.EMAIL ADDRE 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING OMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: i 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TOECORD NG YOUR OTICE OF COMIMENCEMENT. LENDER OR AN ATTORNEY BEFORE R CONTRACTOR OWNER or AGENT (Qualifier Only) (If Agent,Power of Attorney or Agency Letter Required) ■ ) 3�,_ G .6� :.de: �� Signed /� Date: Signed- L.1 �1 G Y ,20071;' :the county of Before me i VP day of ._'`A '/I �� 200n the county of Before me ,Hall a red Duval,State to .a,ha- • Y pp�Duval,State a,has personally appeared \..A-,J - ail Ll-� ,s - ‘-) ) .I. t-tA C1 iZ i ki herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. .../ and accurate. Notary Public at Large,State of - •County of , .e Notary Public at Large,State of 0, ,County of ersonally Known _ I�YerSOnalty Known ❑Produced Identification- ., ❑Produced Signature: . 11 Notary Signature: � �0 Notary Signature: ':-/,,,)n DD a10»04 xpires n-25/2010 PAUUNE H.BRIDGES Notary Public,,State of Florida My Comm.q�(��p; Expires May 23,2009 COAB FORM BLDG01:1�t�l►II I Ii�No,DD405814 F FL VA MARINA DRIVE (POSTED) SHERRY DRIVE (PLAT) a.K.A. COUNTY ROAD No. 551 3-1,1, H (100 R/W) N IINA S Q, - 11X rii 11101M " N 11'56'50"' IF 166.69' (R) _LWI l H N 1156'50• W 166.98' (Al) W 01°41, W-1 �CI)� (� O BEARING REFERENCE UNE • • - . " 1S �Q D E 13ZW— V QJ-S q' rF, - ! C7 O 0. '?11111-tect. X195NC x p _ !� c= _ 04 P1mr O --.0 L./) Z o � •' • 43. 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'� * ■ ?;nZccnn F 1 <ac [ 1S `G N o �, �c op 0 _1 r-T-ii --i_olx r wo .0 N.) .:. . , m 00 0C7O• 0 ?pz aC wee Off' `� . 5 m mmct . . m> B P° gl< `� �Q u > . 9T1 En v Tog zm • -1 �� 'L 'z N rnm '�� p w ` 37.1'� m o \ o D No 0 0 0 O_ C r ° > , 1 STORY FRAME, Ri Z m `� 0 BRICK & STONE I x o Cr)con Wi (,O ° _ `■ -- W/36"EAVES 0 m °w n"° N>Z� c°n Z `�. o NO.1505-71�DK Co ` 83 37.4' to 4. ``.. m N �'. 1"4 O N cmwVOO J XU• 0 Q' cn w NJ:- � �' r;<m no z „, m_ 3:_�r�t� �. 4:• o N N N N N N d dzet ml'�O �N— n§ LJi 60\ Fn6 pgV16§ E N- Qc $°Lo8 > 4:1. u+ P z.-,2-1 '2 clI6 0 .0 rriGZA_<ZIgcmorn,a ea 22 fn m ..... z m cn i m." �' -7 fc r 3:- i Ds3. 2 v F $ �� >v, Mrn m(fl o $� r" c'1151 O `� ;= yr > m V10 q-''�t � O `�to rno RZ25 c�� z # "• ` �C arm 71 co�m � �= Nmc2r$= \-:---cc5 O cn yv> 401cR c5' �� cp 0ti 29gcrusi, �m� z = _ p-7 '~-s• n x v >c�c»�v� O o N rT I bo®�z�°1;-��3 w C rn�C 0 IS 70 ., x.1 • PIP • • " iM0M--13> N §na N > 3 d tl Mi � �� 1Q Z_ 4 SS g o rm Z l �� • O>C L . ° -11 �o's 2 r 5 c3 N t�1n OgN 4 0 61) tc- 0 dame 2 -{ nN ��N N 2 z ->>S O v �Ix 0 rn a 0 -4 sin $ -0 o mN � N6 N C) DNi � r Ovy mZZO 0> � mC z -m S303 amm c Z In • • a>, .Itri, City of Atlantic Beach APPLICATION NUMBER d; -t\ Building Department (To be assigned by the Building Department.) g ,ti•s 800 Seminole Road !� q Atlantic Beach, Florida 32233-5445 "` �" t \s�, Vr Phone(904)247-5826 • Fax(904)247-5845 "!,,3i9 Email: building-dept @coab.us Date routed City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /$ �d a.- Q IJ )t 44_. Des - + ent review required Yes No Property Address: Buil•'.,__ Plannin• & •••• Applicant: ME Jr7I Co /n e_ -ublic or:•- Project: AfE a 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: APPLICATION STATUS Reviewing Department First Review: FlApproved. ligiDenied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date:/0-6-0 PUBLIC WORKS PUBLIC UTILITIES Second Review: Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: /of 20 J 0 a'' Third Review: I !Approved as revised. (Denied. Comments: Reviewed by: Date: __ _ . i-1 ' r- /5c25' Se k q lhilti" _Jr- f/ Ca y ?/9-ss ys ' ''‘o4 51.-e.,ci ;0,1 S:/ i/i0,Wit,¢__ a 111 OA pia/1 . I 9 II 1e H, G v e s 71 S„ > 7/e-- / 12 - 4,Q Fa no l f Pro 7•G 740c/. .iyLyr� City of Atlantic Beach Y APPLICATION NUMBER �s r 0� (To be assigned by the Building Department.) , � ;� Building Department � J' � ��j. ;; ;. `� 800 Seminole Road j r� Atlantic Beach, Florida 32233-5445 247-5845 ��6' � � / �Z. V Phone(904)247-5826 • Fax(904)247 j v�,al�r E-mail: building-dept @coab.us Date routed: City web-site: http://www.coab.us / APPLICATION REVIEW AND TRACKING FORM /Ca 5- J /ve_,LkaLi 2 r De+ • + ent review required ==Property Address: 4 Buil_+__ AllIMINIIIM �'lannin• 8., •i_ - _- Applicant: I iialery co ih is ��or:.. ,Project• ._::,. � " ®® 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: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ODenied. (Circle one.) Comments: .r5kQ- G.,)"- BUILDING PLANNING &ZONING /619/1 Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: WApproved as revised. ❑Denied. / PUBLIC SAFETY Comments: ` l �� 1,690/ W;� � 31 �1 � FIRE SERVICES /2. o,►n,�'J� (�E_ C 'b 4'a"•"'`"',t4 4A* kW' l•'` /`_ Reviewed by: Date: /d//741.- Third Review: El Approved as revised. ❑Denied. Comments: Reviewed by: Date: Pudic Works Plan Review Comments Initials:_(.7.111.4___ Date: /0 0108 Project Name/Address: 505 5 .s- 11 62. Application Permit#: p8-/3G Z heckxBox application Traeking Comments to. dd Comment Provide impervious surface calculations. L___. ! 1.,1 --T-14 4' ‘491'" 71)1444/ # 01A--, Provide erosion and sediment control plans with installation det•' s and maintenance schedule. )4" 0 Provide drainage plans showing site topography (flow arrows, etc.) Provide construction site management plan,lan, including Right-of-Way Permit if using . c� ri ght-of-wa for construction arkint. At survey prepared by a Florida Licensed ❑ Provide apre-construction topogr P Professional Land Surve or, showin_ 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculatio and on-site retention required 0 .er Section 24-66(b). (See attached info. Sheet) - A. 2249 , ?004A. s If on-site storage is required, a post construction topographic survey documenting ❑ .ro.er construction will be re.aired. ❑ ARight-of--Way Permit must be obtained for use . A Revocable Encroachment Permit must be obtained. 4.- its0. Dow- rt o/C e into vegetated Pool-VJellpoint(if used)must discharge etated area 10' minimum from ❑g street or dr....:e feature (swale, structure or 1._oon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from ❑ the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW (Commercial spa r d using COJ Standard Detail Case X and Any utility cuts in the road must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the .fans• roved list and cannot be placed on Roll off container company must be on City approved 0 City right-of-way. ■ ��(4) C 0 Ylr> )9-s 0 0 (-/-C (-/l, L\ W ( LL( A--"A S ig-0T- &tL\/, - 1n i.11U. - 1720 - V -- GiA-%. 717_,_ , v z Z 14-\S-, e z Ct z Z.3( t-R-L, Z I tzv O-_-- (1)•E-F-1- LC-1, 1 7 1 7 1 I 1 41LE:A 4- I tt sc' �L—L Z\ _ te--{1) T- e4 7 ' + &*3 (�- (-e l D C ,©�•, , re - . , -p_f_i \o_ou.c li(e4-1-z ,3, , , , , , lzuki3O 0,-F-,ciev .', _,_ ` ( N '__ '� i Hi ; �! bo43 � Z3 r ! 1 I— � 1 1-- 3-Z LW 4- - i i _12 st rpt \LE-v_omE-1/ 7- 7- kii\s, OFF \I 0 1,U(se' IQ ---1 WI ' Li CA-) __- __■, (1/ 76— S -(1--?-• -e' ) Z3, 1 Lo -E-0- - i - -Th 4 ("'r ,(CA. le I -6-kif-i I ! ! I 1 ' ! E l i L. It( 7 AT- i ibt—c a_c. m■ 6 . I i Z Z3 ' - (4_ - I__ 1 I . 13 Pt M 7,Lel z (Le v Pei �IM /J MIDI. h MEM - I iiLJi • 1NQ!iIiW HLIH i I 1 ' lki FLU ... v 1_ -�--!�, --- , i 1 il _ 1 1 i I i j I 1111111 NM 11011111111: i .'r. A rs �`Jr' CITY OF ATLANTIC BEACH Jt CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS WIWI ki. 800 Seminole Road 904-247-5800 .4-0.a lq? Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date L` ' I� PERMIT# Job Address /• I Y - 1 ptL V (i ISSUED BY THE CITY .. ( .c —c Lt / Permitee: \ \A-Li 1.11 t U_L/4 Telephone# �O. 'A� O l Permittee Address: Nv\ NC-E / t kkttiit- -(L t Requesting Permission to Construct: Y.i{U (.._ t4U� Location: (Reference to Cross-Street) ,X---MA Lc. - 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No (4 Date: Bell South Telephone Company Yes ( ) No (v1 Date: Ferrell Gas Yes ( ) No ( Date: Comcast Yes ( ) No (v) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach -or Florida Department of Transportation Standards and be performed under the supervision of L'' ' ' .. . IILit (Contractor's Project Superintendent) located at / `C-lTLt "I1 t,4 j n t. Telephone#: r l_ 43S i 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with ( days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. g. r oct,. Notary Public State of Florida OWNER Anna S Benitez 1 �( of Q // � • My Commission DD482472 Signed: ��V ate / ''ra no Expires 10/16/2009 Before me thi 1`°f 3 day of a r in the County of Duval, 1 State Of Florida, has personally appeare t etk-t will,6 i r15 Notary Public at Large,State of Florida,County of Duval. My commission expires: )01 1 Lel 2=._),-11 Personally Kn w Produced Identific • n: /] R.O.W. Permit Attachment of for R.O.W.Permit# issued , 2005 Atlantic Beach,FL 32233 Owner's Name: k 0- lt)[ti-tit-AS Property Address: f SCE Ltl t Yh#o4- ,�- 21: 11 Subdivision: SO3-4iA IMATC4.�4 Lot#/Block#: L-01-44-l L aJ R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this Vti 1 day of , 200My Atlantic Beach, Florida, a municipal corporation organized and existing un er a laws of the State of Florida, hereinafter referred to as "CITY" and ciktiCT Lt.)tut.01.14.c of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: C,O LI C - Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be iven by certified mail, return receipt requested, to the followin address: I 5VL k T\ . krAtliLL t The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER'S proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page l of 2 USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this /1/ day of d ,200 . •- / CITY OF ATLANTIC BEACH,FLORIDA, By: ___ 1a A _ _■ _L a municipal corporation: � �•wrier By: ' AO!, 7.1,f Hanso /rity Manager Attest: / U /7*Gf Rick Carper, ublic Works erector STATE OF FLORIDA COUNTY OF DUVAL On this /4/ day of tk 200 ersonally, appeared before me, a Notary ,stlyand for said County and State, /.('fl( 1W 7/f , the property owner of /va- N¢�^//).j- Dr" , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. BY: AV i , . Notary Public in for said Co and State Prope % 0 er (to be .ii,-d in presence of the Notary) ,r*'•,, Notary Public State of Florida . iz: Anna S Benitez e My Commission DD482472 'tor ro% Expires 10/1612009 4 Page 2 of 2 PREPARED 8/07/03, 7 :49:53 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 8/07/03 ADDRESS . : 1505 SELVA MARINA DR SUBDIV: TENANT, NBR: REPLACEMENT WINDOWS W/OSB CONTRACTOR : AMERICAN WINDOW PRODUCTS PHONE : (904) 731-2247 OWNER . . : WILLIAMS, GREGORY A. PHONE : (904) 249-6501 PARCEL . . : 171935-0000- - APPL NUMBER: 03-00026344 RESIDENTIAL ADD/RENOVATE/ALTER PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 16 01 8/07/03 LJH BD FINAL TIME: 13 :00 (4)1A IA vicky 731 2247 t,o1✓_k.tcJ' COMMENTS AND NOTES CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: /3-0 > � �/�' OWNER OF PROPERTY: (bRIA)/ /h1i , Keuj BUILDING CONTRACTOR: ^/A PLUMBING CONTRACTOR AND ADDRESS: TELEPHONE NUMBER: W' ) STATE LICENSE NO: /2-F00 37 s`6 ' TYPE OF BUILDING: J/F TYPE OF WORK: get/. ,% . �J , 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 - IWIeiee m- i,t - ( 10f ►`' 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 v— ••:OsED P � _cn_ ` \ S • G 0> I C.' :: \ p Si Z rTI m 0 .• m Ili. JO9xi `r Z. � \ .\:r. � t v: rn c_r_Fo. r- 0 \ 4:, il \`..W 0N 7J � <w z • ♦ O z w iJ O O •lc Z PI Imiv •. . z ?L7Z{n I « I RV) R ZCI 0 �� " � -i 000 �lb — < O m w u Q- �l m _ 000 z0tn I z 2� ` 4�r m ppp. 0 �� F N ° > >>>\. 0 o z� ` Co iF % vo Z m 0 C)0 , _4, m➢ x --n„ mm.% 1 �O`ti V. c rix>i z �� 'i� Inc v #xgcrn ` t , y9 cc MM \-CZO o raga ..< �� o m O _4_1_1 > • $ z N C� �� S Z z I rn rn m 7 rn-I 1-1C m z J° MI � 1. .♦ 37.1' ° D o 0 0 0 C r ° .♦ > 1 STORY FRAME, m z m ♦♦ ',sin. BRICK & STONE m Z o °'cc'v vnn0 0 W/36"EAVES O 1n w n o� N>-•'3 "0 n &- / r x.a B3 37.4' -3(if -13 N .. ,.‘. , p NO.1505 ■ VI p 6 ♦♦ O ■ ♦♦ 'I N 5-rnm�°Omsx.• O P SP :1' w NJ ♦ ♦ r T r-Ficp ,, ZC m m_<m-n— ). ♦♦ O N N I I N N N exzg�y };� m O�� Pn- n1' SJ� �'♦♦ 8 �► o m-i m mx�c �� r�� x, o i;° wm 8 w p _° zF Z�� ars _ D pr O C/1 53- „,,nor gE1�cR O' rg �iPmm � i _ -7 'A -1)(1 v >c�cvv•�-o C O dr,O D � rn . i -vmF 2 mru e 5�C X ,jnN z ! 1 !1"cillg 00 e *°e I , o � e -n o t i1 N N �� -u R ms < >QOZ �_ '3 w 5 93 L z omT m NA m _ o °zom > �� mm v -1 xi :< g�m >Ix nN N e �NI tztnm El , 81 2 z o C owl -4G 'Z > t me g i $r1°„ mZCW > Z FL VA MARINA DRIVE (POSTED) SHERRY DRIVE (PL4 T) a.K.A. COUNTY ROAD No. 551 H (100' R/W) H ri CJ N 11•56'50" li 166.69' (R) y N 11'5650' W 166.98' (Al) O BEARING REFERENCE UNE " D 4- . — N pp m 101 f r tn ,• 4° D Z .3 Z c Z t=:/ G�• ,4 __i� �5 o O H O 0 r � m ilc En 45.2' " C) Z 1-3 C7 /11.3' Q J .'1 ,.' , •.. 7 9 , o �Zy S 4.4' 35.9' . �a- OO H () O •L.no L. .9'- i.+ COVD CONC. a . .., 7; n W F.{ ,-.,,P:1 M t~-' P:, X W m -.1-. --�--r-T 25.4' 40.B f — v ` d rz] O� H tn V D ail 7' � ' � ►� .; ; * = yam 2 � C • i.N0.3' N1 ,per,:.. ,7 •7• •P.A. • ... H• y•'' u, . .� r' x D p 70 gat , . M \ ,..1P:1 1,1 4 C G• 0 o N H ofd � -, , •':' '• / H n to .,, ,,, ,. $ HzzC ZD m .�\ �'.a r; •� s 61 1..1 9 Sagr Z V - C• -3 • 09'6 mom, -I .\ • p = O C yy` � m ® mm C � -+ O (t� N z 11 W -I %.J \:a atutpa. N 51 ■ �7, 47.)1 Loot tots:bb 'dt142bt33670 ENERGY DESIGN INC PAGE !3/11 i e® FORM 600A-2004R EnergyGaug ?4.5.2 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Greg Williams Addition Builder: The Hagerty Comp-toy, I c. Address: 1505 Salve Marina Dr Permitting Office: Atlantic Beach City, State: Atlantic Beach,FL Permit Number: Owner: Mr.&Mrs.Greg Williams Jurisdiction Number 261100 Climate Zone: North 1. New construction or existing Additive _ 12_ Cooling systems 2. Single family or multi-family Single family — a. Central Unit Cap:18.0 kBtu/hr _ 3. Number of units.if multi-family 1 — SEER:13.00 — 4. Number of Bedrooms 1 — b.N/A — 5. Is this a worst case? No !— ••• 6_ Conditioned floor area(ftz) 745 ft2 — c. WA ■ 7. Glass typcl and area:(Label rend.by 13-104.4.5 if not default) I a."kJ-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble Default)143.0 ft2 — a_ Electric Heat Pump Cap: I R.0 kBtu/hr, b.SHGC: HSPF:7.70 (or Clear or Tint DEFAULT) 7b. (Clear)143.0 ft" b.N/A 8. Floor types a. Slab-On-Grade Edge Insulation RA.0,110.2(p)ft _ c. N/A ;--• • b.N/A — • c.N/A — 14. Hot water systems 9. Wall types a. Electric Resistance Cap:50.0 gallons a. Face Brick Wood,Exterior R=11.0,513.0 ft2 __ EF:0.92 li b.Frame.Wood,Adjacent R=11.0.176.0 ft' — b. N/A e. N/A _ — d.N/A — c. Conservation credits C.N/A (HR-Heat recovery,Solar 10. Ceiling types — 1314P-Dedicated heat pump) a. Under Attic R=30.0.745.0 ft2 15. HVAC credits MZ-C,MZ-H b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A — 1-IF-Whole n F-Whole house fa 11. Ducts — PT-Programmable Thermostat, - a. Sup:Unc. Ret:Unc. AH(Sealed):Garagc Sup.R=6.0.67.0 ft MZ-C-Mult17,one cooling, b.N/A — M7_-H-Multizone heating) Total as-built points: 9708 PASS Glass/Floor Area 0.19 Total base points: 9821 PASS I hereby certify that the plans and specifications covered by Review of the plans and •'fly sr"• . this calculation are in compliance with the orida Energy specifications covered by this yd A Code calculation indicates compliance :-g4i ' � ,l • �" with the Florida En Code. Mar'"•k loco►ID PREPARED BY: • •J. r_ =III i ef9Y z---__ �, II 1 I Before construction is completed �'-r= -= DATE: -•a this building will be inspected for ':o us ,..t IL I hereby certify that thi •ned,is in compliance compliance with Section 553.908 • ; Florida Statutes. with the Florida Energy • - ' OWNER/AG ,,_ 111174061 I BUILDING OFFICIAL: DATE: ' " DATE; :`. �i /� t Predominant glass type.For-1... I glass type and areas,see Summer d Winter Glass output on pages 284. EnergyGauge®(Version:FLRCSB v4.5.2) I I erJi'lb/2008 E18:56 9842683670 ENERGY DESIGN INC PAGE 4/11 I FORM 600A-2004R EnergyGauge® 1.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1505 Selva Marina Dr,Atlantic Beach,FL, PERMIT#: BASE • AS-BUILT IGLASS TYPES . .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF=Pints .18 746.0 18.59 2493.0 1.Double,Clear N 9.8 8.0 30.0 19.20 0.68 90.0 2.Double,Clear N 9.8 8.0 10.0 19.20 0.68 30.0 3.Double,Clear N 5.2 8.0 30.0 19.20 0.78 50.0 4.Double,Clear N 5.2 8.0 10.0 19.20 0.78 50.0 8.Double,Clear S 1.3 6.0 4.0 35.87 0.89 127.0 5.Double,Clear S 1.3 8.0 10.0 35.87 0.95 0.0 7.Dcuble,Clear SW 1.3 8.0 10.0 40.16 0.97 7.0 8.Double,Clear S 1.3 8.0 14.0 35.87 0.95 76.0 9.Double,Clear SE 1.3 8.0 10.0 42.75 0.97 12.0 10.Doubie,Clear E 1.3 8.0 15.0 42.06 0.97 13.0 1 As-Built Total: 143.0 3475.04 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = P. Its Adjacent 176.0 0.70 123.2 1,Face Brick.Wood, Exterior 11.0 513.0 0.40 ,-,2 Exterior 513.0 1.70 872.1 2.Frame,Wood,Adjacent 11.0 176.0 0.70 23.2 IBase Total: 689.0 996.3 As-Built Total: 889.0 ,..4 DOOR TYPES Area X BSPM = Points Type Area X SPM ae - tS o Adjacent 0.0 0.00 0.0 1,ExteriorWood 10.0 6.10 61.0 Exterior 50.0 6,10 305.0 2.Exterior Wood 10.0 8.10 61.0 3.Exterior Wood 20.0 6.10 122.0 4,Exterlor Wood 10.0 6.10 161.0 I Base Total: 50.0 305.0 As-Built Total: 50.0 5.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM= Poi is Under Attic 745.0 1.73 1288.8 1.Under Attic 30.0 745.0 1.73 X 1.00 1 88.8 Base Total: 745.0 1288.8 As-Built Total: 745.0 1288.8 r FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Poi lts Slab 110.2(p) -37.0 -4077.4 1.Slab-On-Grade Edge Insulation 0.0 110.2(p -41.20 -4540.2 Raised 0.0 0.00 0.0 Base Total: -4077.4 As-Bullt Total: 110.2 I INFILTRATION Area X BSPM = Points Area X SPM = Points 745.0 10.21 7606.5 745.0 10.21 7606.5 EnergyGaugett DCA Form 600A-2004R EnergyGaugeVFIaRES'2004R FLRCSB v4.5.2 1 ny' ieeU WU:55 9042683670 ENERGY DESIGN INC PAGE 05111 FORM 600A-2004R EnergyGauge® .5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1505 Salve Marina Dr,Atlantic Beach,FL, • PERMIT#: j BASE AS-BUILT Summer Base Points: 8611.2 Summer As-Built Points: 8463.5 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Pants) (DM x DSM x AMU) (aya 1:Central Unit 1800011uh.SEER/EFF(13.0)Duds:Unc(S),Unc(R),Gar(AH),R8.0(IN5) 8483 1.00 (1.09 x 1.147 x 0.95) 0.280 0.950 2482.9 8611.2 0.3250 2798.6 8463.5 1.00 1.188 0.260 0.950 2482.9 EnerslyGeugem DCA Form 000A-20048 EnergyGaugee/FtaRES'2004R FLRCSB v4.5.2 o ,cW[n 1 ;Db '3042blj3570 ENERGY DESIGN INC PAGE 86/11 FORM 600A-2004R EnergyGauge®4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details IADDRESS: 1545 Solve Marina Dr,Atlantic Beach, FL, PERMIT#: BASE I AS-BUILT 11 GLASS TYPES I ' .18 X Conditioned X BWPM = Points Overhang I Floor Area Type/SC Ornt Len ligt Area X WPM X WOF=roin .18 745.0 20.17 2705.0 1.Double,Clear N 9.8 6.0 30.0 24.58 1.02 752.0 2.Doubie,Clear N 9.8 8.0 10.0 24.58 1.02 150.0 3,Double,Clear N 5.2 8.0 30.0 24.58 1.01 746.0 4.Double,Clear N 5.2 8.0 10.0 24.58 1.01 248.0 5.0ouble,Clear S 1.3 6.0 4.0 13.30 1.08 57.0 8.Double,Clear S 1.3 8.0 10.0 13.30 1.02 135.0 7.Double,Clear SW 1,3 6.0 10.0 18.74 1,02 170.0 8.Double,Clear S 1.3 8.0 14.0 13.30 1.02 190.0 9.Double,Clear SE 1.3 8.0 10.0 14.71 1.03 152.0 10,Double,Clear E 1.3 8.0 15.0 18.79 1.01 286.0 As-Built Total: 143.0 2986.04 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Paints Adjacent 176.0 3.60 633.6 1.Face Brick,Wood.Exterior 11.0 513.0 3.50 1795.5 Exterior 513.0 3.70 1898.1 2.Frame,Wood,Adjacent 11.0 176.0 3.60 633.6 Base Total: 689.0 2531.7 As-Bulk Total: 889.0 2429..•/ 1 I DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Wood 10.0 12.30 123.0 Exterior 50.0 12.30 615.0 2.Exterior Wood 10.0 12.30 123,0 3.Extarlor Wood 20.0 12.30 246.0 4.Exterior Wood 10.0 12,30 123.0 Bass Total: 50.0 615.0 I As-Built Total: 60.0 616.0 1 CEILING TYPES Area X BWPM t.-- Points Type R-Value Area X WPM X WCM= Points 1 Under Attic 745.0 2.05 1527.3 1.Under Attic 30.0 745.0 2.05 X 1.00 1527.3 Base Total: 745.0 1627.3 As-Built Total: 746.0 1627.3 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 110.2(p) 8.9 980.8 1.Slab-On-Grade Edge insulation 0.0 110.2(p 18.80 2071.8 Raised 0.0 0.00 0.0 Base Total: 980.8 As-Built Total: 110.2 2021.8 INFILTRATION Area X BWPM = Points Area X WPM = Points 745.0 -0.59 -439.5 745,0 -0.59 -439.5 Ii EnergyGaug®®DCA Form 800A-2004R EnergyGauge®/FI9RES'2004R FLRCSB v4,5,2 Y /25/2008 08:56 9042683670 ENERGY DESIGN INC PAGE 07/11 FORM 600A-2004R EnergyGauge®4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1505 SeIva Marina Dr,Atlantic Beach, FL, PERMIT#: BASE AS-BUILT tat. Winter Base Points: 7920.2 Winter As-Built Points: 9189.6 Total Winter X System = Heating Total X Cap X Duct X System X Credit Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) s (sys 1:Electric Heat Pump 18000 btuh.EFF(7.7)Duc s:Unc(S).Unc(R),Gar(AH),R6.0 9189.8 1.000 (1.069 x 1.169 x 0.95)0.443 0.950 4589.8 7920.2 0.5540 4387.8 9189.6 1.00 1.187 0.443 0.950 4589.8 • • { i - It EnergyGaugeTM DCA Four BOOA-2004R EnergYGnuge83/FIeRES'2004R FLRCSB v4,5.2 ti u7,zDi Lonc uts:jb '3842683670 ENERGY DESIGN INC* PAGE 88/11 FORM 600A-2004R EnergyGauge®4.5.2 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 1505 Selva Marina Dr,Atlantic Beach,FL, PERMIT*: I BASE AS-BUILT I WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = T al Bedrooms Volume Bedrooms Ratio Multiplier 1 2635,00 2835.0 50.0 0,92 1 1,00 2635.00 1"00 Z635.0 Aa-Built Total: 2835.0 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 2799 4388 2635 9821 2483 4590 2635 978 i PASS I i 1 1 i ./4,..‹WA".., t-± n I •. cod, 1, 1' 1 If i • 1 I1 1 1 i i I EnorgyGauge' DCA Form 600A-2004R EnergyGauge®IFIaRES'2004R FLRCSB v4.5.2 09/25/2008 08:56 9042683670 ENERGY DESIGN INC PAGE 69/11 FORM 600A-2004R EnergyGauged)4.5.2 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 1505 Selva Marina Dr,Atlantic Beach,FL, PERMIT it: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE ._ CHECK. Exterior Windows&Doors 606.1 ABC.1.1 Maximum:.3 cfm/sq.ft.window area;.5 cfm/sq.ft.door area. Exterior&Adjacent Walls 806.1,ABC.1,2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding waR; foundation&well sole or sill plate;joints between exterior wall panels at corners:utiNty penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION: Frame wails where a continuous infiltration barrier is installed that extends / from,and is sealed to the foundation to the top_plate. �/ Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION;Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter penetrations and seams. Ceilings ;606.1.ABC.1.2.3 Between wells&ceilings:penetrations of ceiling plane of top floor;around shafts.chases, soffits.chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION:Frame celNngs where a continuous Infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a / sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 drn from V/ conditioned space,tested. Multi-story Houses 606.1.ABC.1,2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration regts 606.1 ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. GA-22 OTHER PRESCRIPTIVE MEASURES(must be met or oxceeded by all residences.) COMPONENTS SECTION REQUIREMENTS ,CHECK Water Heaters 812.1 Comply with efficiency requirements In Table 612.1 ABC.3.2.Switch or clearly marked cir / breaker(electric)or cutoff(gas)must be provided.External or built-In heat trap required. , �/ Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&_pool heaters must have a minimum thermal el9clency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 1 610.1 All duds,fittings,mechanical equipment and plenum chambers shah be mechanically attached.sealed.insulated,end installed In accordance with the criteria of Section 610. ✓ Ducts in unoonditioned attics:R-6 min.insulation__—,__ HVAC Controls J607.1 _ Separate readily accessible manual or automatic thermostat for each system. 47_ Insulation 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGauge'"DCA Forn 600A-2004R EnergyGaugetal/FIaRES'2004R FLRCSB v4.5.2 H n o o ', a ,j i 0 , ta a. . a 1 eir et Pd i` 4,) . : 1 r- 8, g: g gi 8 cr Z P ' g p n g 64. 1 { I I. f Pt . Cr ta. H A -- ' 1 oacL ;. iot 0 01 4 b tv 1 8 ''-' t'l R. r. .. .-.. .ci .r) z) td G 2 • . ,� z» 4\ rTh 0 co —4\- 1---., cg g' 0 fi 0'� 3 4 R‘. gu gull 1: '-g 0 Ft,- li z ,... . bk 10.-- N' N-:::— F ([1 p '-4 °� 0 le'F:/)": 1 1 \ r:.ir I C� ^ A 4:1 r4 I at Pt. 81 r4 - A 41 a 111• S ` CITY OF ATLANTIC BEACH is\ 800 SEMINOLE ROAD r� r� ATLANTIC BEACH,FL 32233 „`. INSPECTION PHONE LINE 247-5826 'r,-Ji319� Application Number 08-00001362 Date 10/21/08 Property Address 1505 SELVA MARINA DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning TO BE UPDATED Application valuation . . . • 241620 Application desc ADDITION AND NEW GARAGE Owner Contractor WILLIAMS THE HAGERTY CO. 1505 SELVA MARINA DR. 3749 QUINBY ISLAND CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224(904) 819-5545 Structure Information 000 000 Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 886 . 00 241620 Issue Date . . . . Valuation . . . Expiration Date . . 4/19/09 Special Notes and Comments * Construction site management plan required. New guest suite to be arc fualt protected. * *2004 FLROIDA BUILDING CODE W/ ' 05- ' 06 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and cannot be placed on the City right-of-way. Driveway maximum width 20 ' through right-of-way, with 3 ' flare . Must use City franchised rollof+f- provider. i1 PERMIT 1S AYPRDVEII UNLY IN AtCORIYANCE WITH ALL'CITY 6F ATL"4N'TI�-BE C'I ZAWES AND THE FLORIDA 3 5 BUILDING CODES. CITY OF ATLANTIC BEACH g4 _Air. ,.;, ;SJ 800 SEMINOLE ROAD 15 V s s ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 jJ31>1' Page 2 Application Number 08-00001362 Date 10/21/08 Other Fees ST CONSTRUCTION SURCHARGE 6 . 33 AB CONSTRUCTION SURCHARGE . 70 STATE RADON SURCHARGE 6 . 68 WATER IMPACT FEE 360 . 00 Fee summary Charged Paid Credited Due Permit Fee Total 886 . 00 886 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 374 . 06 374 . 06 . 00 . 00 Grand Total 1260 . 06 1260 . 06 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s tnsi 4 C f✓ il p G L 66 4- A iso MAP SHOWING BOUNDARY SURVEY OF ''n� LOT 1 BLOCK 3, ACCORDING TO THE PLAT OF Tftiti�0/00 SEILVIA MA SIN UNLT NO 2 pi- AS RECORDED IN PLAT BOOK 27, PAGE(S) 6 & 6A OF THE CURRENT CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: GREGORY A. WILLIAMS, JANET WILLIAMS, STEWART TITLE OF JACKSONVILLE, INC. , WATSON & OSBORNE TITLE SERVICES, INC. AND 1ST NATIONWIDE MORTGAGE CORPORATION. LOT 16 4ce i d�'�ve, ar/74 ► BLOCK 3 ;(i N 78°03'10" E 76.03' (R) N 78'1529' E 75.71•' (M) • M' 3/4 4.5' 4.7' CONC. I CONC. • 1/2' N to BRICK. �. \ A- 39.0' 33.8' •. \ O 7:- - 'mak 1:74 - fi' 3 • ''.u. � i LOT 1 \� vei LOT 2 to N BLOCK 3 5.1° ,`N BLOCK 3 � 'O w 13' '" \ m Z iL i' O 6 Lr CONC. f•-_ cr, tt w ,. CO N 0, o _ POOL • 5 'Li N ik 3 m 1 ''' I = (DIRT FILLED) ... R h Z Ec- 6k k , < O m : METAL 3' _ •. , ..i POST 0 Z'-/3LAW_ R �. ; /'114. F I STONE 0.4' 3.8' 1- '" _•CONC.�- 1.Z' •Z' . '. STEPS 5.1' 7.5` m `'3 - rte._ ' J 0.5' W. ki I.^ vi. ") :GONG A '•Q '? 0.0.3'r -. ...... 48' 63' / • 0b 1 4 .; 38.9' fa 88. TOOYD E '3 , � (14 16 Li w / c M Z to /' u) * 1 s v 0.7 to Q 0 `', .' 0�' 1/2- 0.3'BR1CK >- ' ' PLNTER` c0 0 '. TYP. nO-U\Z /, t P.T. 27.4' .,..e-. QA �, �3 Co"� �## 9�. Pb 6 9 IN �. / Y •P.R.C. 5 5 4 tri� . `kl) V2" iya i 00 10.c4 r 011 g° "0 � '� ry \-- P s d- � J � r N' ��J 6, -g,,:,., -]--b a 41 - 51 LI c Boyd, Nancy From: Hall, Erika Sent: Friday, October 17, 2008 11:30 AM To: Boyd, Nancy Subject: RE: 1505 Selva Marina Dr/tree removal I did speak with him Wednesday afternoon,I believe. He indicated that they could proceed with the proposed addition without removing the trees at this time,and it is his intention to do so,unless the owner directs him to go ahead and get the trees removed. I will keep the application open/pending until I hear otherwise. Thanks. From: Boyd, Nancy Sent: Friday, October 17, 2008 11:27 AM To: Hall, Erika Subject: RE: 1505 Selva Marina Dr/tree removal Erika,the contractor called regarding this permit app. He mentioned that the tree issue is o.k.? I transferred him to your phone. Did you speak to him by chance? From: Hall, Erika Sent: Thursday, October 09, 2008 11:53 AM To: Doerr, Sonya; Griffin, Michael; Carper, Rick Cc: Graham Shirley; Boyd, Nancy Subject: 1505 Selva Marina Dr/tree removal Tree Removal Permit(TREE 08-00100051) application for 1505 Selva Marina Drive has been deferred by the Tree Conservation Board on the basis that the application was incomplete/insufficient for review,and a representative of the application did not appear at the Board meeting to respond to questions/concerns of the Board. Additionally,the site was not prepared according to application instructions. The Board has requested that the applicant revise the submittal so that it complies with the instructions and appear before the Board when the item is again placed on the agenda. The next meeting of the Tree Board is October 22,and the submittal deadline is October 13 at 5:00pm. In mean time,it is requested that Building Permit RAAR 08-00001362,for proposed renovations/additions also for 1505 Selva Marina Drive,not be released,nor such work be allowed to commence until the applicant complies with Tree Removal permitting requirements,including proper barricading of on-site trees to be preserved,as well as submission and approval of a sufficient application and issuance of a Tree Removal permit. Thank you, Erika Hall Principal Planner City of Atlantic Beach 800 Seminole Road Atlantic Beach,FL 32233 (T) 904.270.1605 ehall @coab.us 1 Ly\ rS r�J,. AA s; CITY OF ATLANTIC BEACH v~ PERMIT CALCULATION SHEET AJ;il i Date 10/2/08 Address: 1505 Selva Marina Dr. Permit Application No: 08-1362 Notes: Water impact fees for additional WATER IMPACT FEE $ 360.00 fixture units. SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ CROSS CONNECTION $ OTHER $ GRAND TOTAL $ 360.00 irLy f City of Atlantic Beach APPLICATION NUMBER ��r lire . 'ti Building Department (To be assigned by the Building Department.) s 800 Seminole Road 0 /�/- ,- Atlantic Beach, Florida 32233-5445 (p \ _ _ v Phone(904)247-5826 • Fax(904)247-5845 ,;319 r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /.:1 fE/va7at7)1 ,,De• - + ent review required Yes No Property Address: ■ Buil •_ tannin• & •+:-:. Applicant: /�(L ��1'TS/ co in � -u• is rror:•- Project: + /1/E 414-1'6 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: APPLIC TION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: BUIL ING CANNING &ZONING IL...4A_ Date:A0/41 PU BLIC WORKS Reviewed by: PUBLIC UTILITIES Second Review: ❑Approved as revised. (Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: (Approved as revised. ['Denied. Comments: Reviewed by: Date: Boyd, Nancy From: Hall, Erika Sent: Friday, October 17, 2008 11:30 AM To: Boyd, Nancy Subject: RE: 1505 Selva Marina Dr/tree removal I did speak with him Wednesday afternoon,I believe. He indicated that they could proceed with the proposed addition without removing the trees at this time,and it is his intention to do so,unless the owner directs him to go ahead and get the trees removed. I will keep the application open/pending until I hear otherwise. Thanks. From: Boyd, Nancy Sent: Friday, October 17, 2008 11:27 AM To: Hall, Erika Subject: RE: 1505 Selva Marina Dr/tree removal Erika,the contractor called regarding this permit app. He mentioned that the tree issue is o.k.? I transferred him to your phone. Did you speak to him by chance? From: Hall, Erika Sent: Thursday, October 09, 2008 11:53 AM To: Doerr, Sonya; Griffin, Michael; Carper, Rick Cc: Graham Shirley; Boyd, Nancy Subject: 1505 Selva Marina Dr/tree removal Tree Removal Permit(TREE 08-00100051)application for 1505 Selva Marina Drive has been deferred by the Tree Conservation Board on the basis that the application was incomplete/insufficient for review,and a representative of the application did not appear at the Board meeting to respond to questions/concerns of the Board. Additionally,the site was not prepared according to application instructions. The Board has requested that the applicant revise the submittal so that it complies with the instructions and appear before the Board when the item is again placed on the agenda. The next meeting of the Tree Board is October 22,and the submittal deadline is October 13 at 5:00pm. In mean time,it is requested that Building Permit RAAR 08-00001362,for proposed renovations/additions also for 1505 Selva Marina Drive,not be released,nor such work be allowed to commence until the applicant complies with Tree Removal permitting requirements,including proper barricading of on-site trees to be preserved,as well as submission and approval of a sufficient application and issuance of a Tree Removal permit. Thank you, Erika Hall Principal Planner City of Atlantic Beach 800 Seminole Road Atlantic Beach,FL 32233 (T) 904.270.1605 ehall @coab.us 1 /'•_ ' ;, CITY OF ATLANTIC BEACH 08� I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 is i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J + BUILDING-DEPT @COAB.US --' BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT;UNDER ROOF i\I/ >�/ jZ--t to ' Z-zt t ( 7_-(9 O() l 40'7-- �o� . w . . t i�At nt Beach, FL 32233 t I 4.LEGAL DESCRIPTION:, ¢ j� / 5. SS OF RK: 6.US STRUCTURE:. LOT 4 BLOCK SUB DIVISION S u" I L 4 J !{ AW BUILDING DEMOLITION "RESIDENTIAL - ITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: L4'ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: 1- ❑REPAIR ❑POOL/SPA ❑14 ❑N/A T(37 Cr )f J rLtl,oJt;Lt�'.�cV- \,evc, w d T-o `L�-I❑MOVE ❑OTHER I ErNO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME:(j, of_Jrtklvc - 15.COMPANY NAME: 23.COMPANY NAME: Lut u-c T�ziS Tug ACC-of (om Y l,vC- 1 NAME: 24.LICENSEE NAME: Ui k .) . A-L C7F-i 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: /tSO5 SE-VA VP"T?-t/LJA 0:2 - C.(i L r) i L.c , I . 1 `c 1)1Uk/ FL 18.ADDRESS:a F.4(L1 FAl t- bZ 26.ADDRESS: gz.z_33 To 1=t ?4 3 . r� -3 zoos 11 OFFICE PHONE: 12.FAX NO.: J$.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: c0ir f(4 (tl� SS-4',' P (c(.Ss41 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: S-°1( -i 3,_\ -- 14.EMAIL ADDRE- 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: f1>v. .6 j t-fra-�"rltvu r7Yl 0 ,, )00;u tit FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: // 36.ADDRESS: / Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT /' CONTRACTOR (If Agent,Power ower of Attorney or Agency Letter Required) (Qualifier Only) Signed'�Ac- '0 )y_ c. e: g'../. 1/---- ' Signed- .fr�a_i Date: Before me . p day of \ .�..r l 1�,20( n the county of Before Me Is da •f L t'- ,200-1 ;the county of Duval,State. ='da,has personally appeared Duval, tate •f •"da,ha-pe,-onally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of 1i -g, Notary Public at Large,State of rc - ,County of d-Peltonally Known ,ersonally Known -- ❑Produced Identification- ❑Produced Identification': e i Notary Signature: % ► � ,:_a : Notary Signature: s ' '' c'! , ..".'. a„cdn O C5"!1J.;A � k �Fl��-`' �xpaRs,,. 1517Q10 PAULINE H. BRIDGES _ ..,_r.:2S/ ---- . Notary Public,State of Florida My Comm. Expir9s May 23,2009 COAB FORM BLDG01:RfXitiy! i I NO DD405814 NOTICE OF COMMENCEMENT Stat e of rix 6 A- Tax Folio No. t 4-1 el, 0000 County of Po V A--L_ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 3 S v N _ t 0A- - G -w c-( _ Address of property being improved: /6( S L VA-- jMAcP ru DR U General description of improvements: /A-6 o[ T i O') FE /'l( ) b tZ£'u + / 1-1--) A1-4l CLe Owner: CA- q ,J )-E-7- V)A 1 A 4A S Address: !/,S T .c-E-kit WA Ft-nit OR_ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor. k �C �(�-( C� k/U`-, /41C- - ` LJ Address: `S-0 f-E.((-f) 1O Ft ti 30 z -P U �3(�* L3 ci EL 3 ZUC/I `, Fax No:�U i- Lq �4 ° V� Telephone No.: qtR G t9 9 cr,-�S Surety(if any) Amount of Bond$ Address: Telephone 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: 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): c THIS SPACE FOR RECORDER'S USE ONLY OWNER i 1/01-b-- 4141--- Date: %� _`'7 Signeibis ?` i n the County of Duval,State -- ---- —`3efore me day of ,`S-(`',• _ personally > Nuc#2008249004,s:I OR t� 14uo2 Page 2436, g tsry Pa,h P State of Florida,County of Duval. 'LIC1 :. 71. =- Number Pages:1 lotary Public at Large, �� -, Recorded 09/30i2008 at 09.20 AM, VIy commission expires: , ` ..1R`.- or JIM FULLER CLERK CIRCUIT COURT DUVAL l ,Known: �r ;_II COUNTY produced Identification 1 y -,,�t i . 1 ,1 , -1'1 RECORDING$10.00 Commission No. p0405814 YIL�,y 1, City of Atlantic Beach APPLICATION NUMBER. Building Department be assigned by the Building Department.) ; \` 800 Seminole Road / y`� . a Atlantic Beach, Florida 32233-5445 -k �� /��Z / Phone (904)247-5826 • Fax (904)247 5845`T \''--1-0;119'r E-mail: building-dept @coab.us �Y 1 ?Q© �/ Date routed: 9 R1 City web-site: http://www.coab.us 8 APPLICATION REVIEW AND ACKING FORM /6 5 ,f l d Ll.- a Li ' De' • • ent review required Yes No Property Address: Buil._.•_ 'tannins & ••••. Applicant: ME ry C' /n e., -ublic Wo?�s ‹ 'ublic Uti i i . ...,., Project: / 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: APPLICATION STATUS Reviewing Department First Review: Approved. (Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Review by: Date: f 0' _ PUBL_WORK PUBLII U�1_a- , 1E% econd Review: I 'Approved as revised. I 'Denied. Comments: PUBLI 11 FETY FIRE SERVICES Reviewed by: Date: Third Review: I 'Approved as revised. I (Denied. Comments: Reviewed by: Date: City of Atlantic Beach -Water Impact Fee Worksheet Address: Permit App. No. Date: 1505 Selva Marina Drive 08-1362 10/2/2008 No. Total Fixture Fixture Type Value as Load Fixtures Units Automatic Clothes Washer,Commercial 3 0 Automatic Clothes Washer, Residential 2 1 2 Bathroom Group-consisting of water closet, lavratory, bidet, and bathtub or shower 6 0 Bathtub(with or without overhead shower or whirlpool attachments) 2 0 Bidet 2 0 Combination Sink&Tray 2 0 Dental Lavratory 1 0 Dishwashing machine,domestic 2 0 Drinking fountainllcemaker 0.5 0 Floor Drains 2 0 Hose Bib 1 0 Kitchen Sink,domestic 2 0 Kitchen Sink,domestic with food waste grinder and/or dishwasher 2 0 Laundry Tray(1 or 2 compartment) 2 0 Lavratory 1 2 2 Shower Compartment, Domestic 2 1 2 Sink 2 2 4 Urinal 4 0 Urinal, 1 gallon per flush or less 2 0 Wash Sink(circular or multiple),each set of faucets 2 0 Water Closet,flushometer tank, public or private 4 0 Water Closet, Private Installation 4 2 8 Water Closet, Public Installation 6 0 Total Number of Units 18 Multiplied by$20/Unit $360.00 Total Impact Fee $360.00 7 ' „„ CITY OF ATLANTIC BEACH 08� I I I F' ;t1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 � BUILDING-DEPT @COAB.US --ztrgt 1D=f' BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: p� q., �!nT 2.VALUATION OF WORK:f / 3.$Q.FT.UNDER ROOF r '0� Jt v'� �l'L I��At]. nt C Bea h, FL 32233 if � - t( V0 ( ' O 4.LEGAL DESCRIPTION: � 5. SS OF RK: 6.US STRUCTURE: / _ I,}� ,,,.L7 N W BUILDING DEMOLITION RESIDENTIAL LOT L BLOCK'.) SUB DIVISION S A- �L' l j� 1' L^vA,De ION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ALTERATION ❑ACCESSORY BLDG. 8. - _ t FIRE SPRINKLER: _r ❑REPAIR ❑POOL/SPA ❑X4 N! A jVJi L)s)/ I -( OL-tA' J(V-- kJevo /unT -l_Lt-- I❑MOVE ❑OTHER i Q'NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME:(x o4,.J,ct�tt 15.COMPANY NAME: l/ 23.COMPANY NAME: L( C To 1S 7�4 ACN I-M`( (ONI - NC. - 1g.NAME: 24.LICENSEE NAME: ( xv)ti) .), . 1 �4-1�.�F--i h( 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: .-�' f IS�s- S LAA VP LtruA 0,7 - (1-1C l� I q,S ,� l Aiii TtL Ae ( FL 18.ADDRESS: /3'7) /4(LDS h Z 26.ADDRESS: 7-2-3 3 ToLi-El. ?/1- 1364, rt✓ -3 ?-08) OFFICE PHONE: 12.FAX NO.: }8,OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: cll.p , c A (;i SS-ii-J'_ (G1' SS44 13.CELL PHONE:/ 21.CELL PHONE: r 29.CELL PHONE: S°li -�r3s2( 14.EMAIL ADDRE 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 7 32.ADDRESS: 34.ADDRESS: / 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDER RECORDING FINANCING CONSULT NOTICE OF COMMENCEMENT. OWNER LENDER OR AN ATTORNEY BEFORE CONTRACTOR OWNER Or AGENT (Qualifier Only) (If Agent,yower of Attorney or Agency Letter Required) o�p ��I � 1�_ s e: Signed-�,t��I_/ dam_ Date: 17/°l/( Signed r- _- Q 1 r (/,20Q7 In the county of Before The da •f t: t'Y ,200i�F�the county of Before me A I day of \ :,,/ i tY da,ha-pe-ovally appeared Duval,State. _ 'da,has personally appeared Duval, tate.4f C7A'AJG '` GUi`GI/�S GL v . 4_ K i t-t° herin by himself I herself and affirms that all statements and declarations are herin by himself!herself and affirms that all statements and declarations are true and accurate. true and accurate. f__ County of Notary Public at Large,State of ` ,County of `-r No ry Public at Large,State of �( tY P elly Known ersonally Known _ ❑Produ ced Identification ❑Produced Identification- v n p + __. ,.G-3 Notary Signature: �/ Q Notary Signature: c' ��- e - - • " . 'e.�Dr,'Py74 k ' OF`.°. h_xplr?5 ft"2512010 PAUUNE H.BRIDGES Notary Public,State of Florida My Comm. EYpir9s May 23,2009 COAB FORM BLDG01:1tQ( i PNo. Di0405814 NOTICE OF COMMENCEMENT State of Tax Folio No. l 4-(ct 3 0000 �u�z�� County of P b A-1-- To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 170 V C - .wc-( 4 3 S V/ Address of property being improved: /c13 S CI--L4- IAA AJ7i- DR( U du) "zr lul() btZLivC „. 4-- A)-LLD General description of improvements: [ 0/ T/0 I Owner: CA-rk q cl f T L/31 IS---E' [ail S Address: /ST-LS- SZ S-EL\A A i,4/1 t#U OR_ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor. t{-t€ l ?�Clt CO M /'JC - ` ' Address: C 5 C.) f-.1 t-6 E!0 (F.0 30 z -P �, V f-n(-7 - a C. �L Z66 I `, Fax No: "L O �t t i Lq :��4'� �� Telephone No.: q(R G tq -�s Surety(if any) Amount of Bond$ Address: Telephone 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: 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: unless a different date is Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording specified): C THIS SPACE FOR RECORDER'S USE ONLY OWNER u` ` -�y� ' d i �' — Date: Signed: if el-1 0 C;gfi the County of Duval,State ____-- 3efore me the day of C �, L'� /J/C ��`� Doc#2008249004,OR 8K 14652 Page 2436, ?f Florida,his personally appeared > lotary Public at Large,State of Florida,County of Duval. •i.'�c c _.7;�1- Number Pages:1 -j i i, '= -- �� 11.- -. JIM Recorded 09/30/2008 at 09:20 AM, Ay commission expires: - or JIM FULLER CLERK CIRCUIT COURT DUVAL ' nallyKnown: �— . , s. COUNTY 'reduced Identification: "'ill . {i t ,± ` , --1'* RECORDING$10.00 I Commission No.DD405814 HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Oct 13 2008 2:38pm Last Fax Date Time Type Identification Duration Pages Result Oct 13 2:37pm Sent 98195544 0:38 1 OK Result: OK - black and white fax City of Atlantic Beach APPLICATION NUMBER rL�ri,. (To be assigned by the Building Department.) �3 r '.� Building Department r J 800 Seminole Road 61 — /34, 2- �� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 '�oaf>r E-mail: building-dept @coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Address: Lill 5. .J/Yt_�a L �m De. . ' ent review required Yes Property Addre Buil•_.__ 1 tannin• & •! == Applicant: ��(L � �y C� �rl :._ Project' •� rn /dL ) 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: APPLICATION STATUS Reviewing Department First Review: nApproved. Den.-.- (Circle one.) Comments: AA: f>s ,n Sy cf e i- F LU RE I En CBUILDINQ-) • PLANNING &ZONING Reviewed by: m Date:/0-6--0 PUBLIC WORKS 9ó- _&.L PUBLIC UTILITIES Second Review: Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: - Third Review: nApproved as revised. (Denied. Comments: I Reviewed by: Date: r SLA414-. CITY OF ATLANTIC BEACH PERMIT .. '' BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road /� �� 15_1 r Atlantic Beach,Florida 32233 (/ i 904 247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT:� y�� A-, Y N PLANNING Property Address: /m"5' gill !/ h-i-d. z_ Y �uiLD_ING F- Y N PUBLIC WORK Applicant: (, S �� • -.: - . -tT1€Ce A L /� Y N FIRE DEPT. A'D Project: Niii D J/4 tv/i vv` / ��41 Y N PUBLIC SAFETY ?RD APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: co Cr w Y ti. D.E.P HUFSTETLER J w i5 0 w Y S.J.R.W.M.D. CARPER A / �7 O Q Y i ARMY CORPS of ENG CARPER /� OP-, Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS _ CIRCLE ONE: SITE BUILDING DA AP INITIAL i DATE: 0 ❑ 1ST REV 0 A 0/6 7 (0 1./0/231 _ OP L'). PLANNING BUILDING 0 ❑ 2ND REV 0 0 PUBLIC WORKS 1 PUBLIC UTILITIES FIRE DEPT. ❑ ❑ 3RD REV ❑ 0 PUBLIC SAFETY RECEIVE JUL 3 1 2007 Return this form to the Building Department once you have entered your comments into the AS400. v RECEIV L.., 11-sy '-)F r. c CH F5!,!L. J NC ZONING _ JUL 3 0 2007 I �S:„.'- CITY OF ATLANTIC BEACH J •=.i�ti;;�,l CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS/v 904-247-58 Seminole Road Fax 904-247-5845 �,ns� Atlantic Beach,Florida 32233-5445 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date ri• go " D il PERMIT# 15 P5 Se/iQ D� ISSUED BY THE CITY Job Address �1 � �/� ) /Vial-if-la Pe rm itee: ��aJl-e%7 (fv h al Telephone# �� Permittee Address: /SC S- Se` a, 4/?a l'iv_ Of Requesting Permission to Construct /- (1.rA in)/ 704d._ - `Side. `izta/— Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Yes ( ) No ( ) Date: Ferrell Gas Comcast Yes ( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5- All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days.. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director o4 Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. — —■— — — — , — 9. The Director of Public Works shall be notified twenty-four (24) hail rs,.wicr,,,to startir�gSr fff1 again immediately upon completion. r,• 6:<!"_ Notary Public•State of Florida : .> . My Commission Expires Feb 9,2009 OWNER ' %EO��P` Commission#DD 394893 ' (� b, i,d4`� 7" 60-£"7 Signed:- q ate: Before met ' 441 day of -.,•,--E-,- in the County of Duval,• State Of Flo'd- has personally appeared 14,v L -I , I I ,'^-S Notary Public at Large,State of Florida,County of Duval. Pecs nal 112124-4 .L My commission expires: �1`1 Produced Identification: I It n_ iii t d 9689-L17Z-b06 swe}sics uoltewaofuI CIZCI 0 L0 0e Inf sR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -.-- PERMIT INFORMATION -- - -- - LOCATION INFORMATION - - - Permit Number : 8964 Addtes : 1505 SELVA MARINA DRIVE permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32232 ;lass ot Work: REMODEL - LEGAL DESCRIPTION _. Cow.tr . Type: WOOD FRAMI ' -,t : Block : Section: Proposed Use: SINGLE FAMILY Township: ENG: 0 Dwellings : 1 Code: 0 ..:,,ubdivision; Estimated Value: Improv . Cost : SO . 00 Total n 0114A?1.2"-' IER-JNIMMATION -- --- APPLICATION FEES ---- PERMIT A;-: Addre...- -14.3. ...t,NAIR, MARINA DRIVE filt“--.7-,...v: ',,, W NITS IMPACT FEE-v y , $ , , til,. Bimv.li , FLOE T r A '„4-1;v` ft-f'. •°: . , , . m,•,, , : '''''--; -'`,:-'',S Orggh_„-X1P VI' FEE ;'' -- W Atb: 14 'ft:4,o TAP $6 RADON GAS-H .R. S . - --- QONTR4CTOR INFORMAT—T; - RADON CAB 5% $0 . CAPITAL IMPROVE. SO SEWER TAP SO y Et CROSS CO'NNECTION $0 SE(' H IMPACT FEE : $0 i7oNgT, T413'gliMg4_,A0 ,,, . , , ., .0 :r7—TTAF-1F 'ATL B, H —ft r 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: BP251I03 CITY OF ATLANTIC BEACH 10/13/08 Application Tracking Action Log Inquiry 15 : 16: 58 Application • 08 00001362 Address • 1505 SELVA MARINA DR Application type • RESIDENTIAL ADDITION/ALTERATION Revision/Path/Step/Seq/Agency: A 01 00 BD BUILDING DEPT. Action date • 10/06/08 Action type • FR DISSAPPROVED - 1ST REVIEW Action by • MJ MIKE JONES Time spent . 00 Date/Time/User added • 10/06/08 8 : 31 : 18 MJONES Comments Print * Construction site management plan required. New guest Y suite to be arc fualt protected. * Y Bottom Press Enter to continue. F3=Exit F8=In/Out Status F12=Cancel 1 .' Js rte.- 'j'�� CITY OF ATLANTIC BEACH f \I. 800 SEMINOLE ROAD ;'•• ,_._ ,_`_ . w r, ATLANTIC BEACH, FLORIDA 32233 \� / , INSPECTION PHONE LINE 247-5826 JS31.)`' 03-00025700 Date 3/17/03 Application Number 1505 SELVA MARINA DR Property Address INSTALL 16 FIXTURES Tenant nbr, name pLLTMBING ONLY Application description . . TO BE UPDATED Property Zoning 0 Application valuation . . . Contractor Owner STYLES SMITH PLUMBING WILLIAMS 1505 SELVA MARINA DR. 1537 PENMAN ROAD Jp,X BEACH FL 32250 ATLANTIC BEACH FL 32233 (904) 241-4131 Permit W/W/O PLUMBING PERMIT Additional desc . Plan Check Fee 00 Permit Fee . . . . 294 . 00 0 Valuation Issue Date - arged Paid Credited Due 294 . 00 294 . 00 . 00 . 00 . 00 . 00 .00 . 00 294 . 00 294 . 00 . 00 IaflB 4RIMM BItle m City of Atlantic Beach *** CUSTOMER RECEIPT *** Oper: DSMITH Type: OC Drawer: 1 Date: 3/17/033 01 Receipt no: 43141 Description Qty Aeount 2003 25700 BP BUILDING PERMITS 1 $294.00 Tender detail CK nd CHECKS 5240 $294.00 Total tendered $294.00 DM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED Total payeent 1294.00 )R OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN ICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS Trans date: 3/17/03 Tine: 15:02:57 r TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. R TIT TANG OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: /5D S Se/z/2;1 714 v'i'�-a OWNER OF PROPERTY: Gr/. 'l�r'X' TEL. 9 PLUMBING CONTRACTOR: 1,r;,� ice. /. f/. CONTRACTOR'S ADDRESS: /S' 3 7 STATE LICENSE NUMBER: C'/-'� a 5'/ 8" a 3 TEL. -7 HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW / SINKS " SHOWERS 4/ LAVATORY 2 WATER HEATERS • BATH TUBS ( DISHWASHERS URINALS DISPOSALS 3 CLOSETS / WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER / WATER f RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X$7.00 +$35.00= MINIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: A i ,tat _ 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. ,,, ,..„,,,„ ,�� s, CITY OF ATLANTIC BEACH r. A J 800 SEMINOLE ROAD .) ATLANTIC BEACH,FL 32233 '. �RR Xx INSPECTION PHONE LINE 247-5826 Y' ,�tA ( C 'l.r.)3319r' (s,-p N,*,,+-c SZ Application Number 08-00001614 Date 12/19/08 Property Address 1505 SELVA MARINA DR Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 300 amp panel for addition bldg #08-1362 Owner Contractor WILLIAMS TRI COUNTY ELECTRICAL 1505 SELVA MARINA DR. 11637 E. COLUMBIA PRK. DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 260-9669 Permit ELECTRICAL PERMIT Additional desc . 300 AMP SERVICE FOR ADDITION Permit Fee . 125 . 00 Plan Check Fee . . . 00 Issue Date . . . 11/24/08 Valuation . . . . 0 Expiration Date . 6/16/09 Fee summary Charged Paid Credited Due Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 125 . 00 125 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. irl y � ~- J CITY OF ATLANTIC BEACH ri -2 800 SEMINOLE ROAD , r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r)it �� Application Number 08-00001614 Date 11/24/08 Property Address 1505 SELVA MARINA DR A ELECTRIC ONLY Application type description pp YP Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 2 150 amp panels for addition bldg #08-1362 Owner Contractor WILLIAMS TRI COUNTY ELECTRICAL 1505 SELVA MARINA DR. 11637 E. COLUMBIA PRK. DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 260-9669 Permit ELECTRICAL PERMIT Additional desc 2 150 AMP SERVICE FOR ADDITION Permit Fee . . . . 125 . 00 Plan Check Fee . . . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/23/09 Fee summary Charged Paid Credited Due Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 125 . 00 125 . 00 . 00 . 00 - C--(4,41f p V- - W -ril PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I./23/2008 23:28 9042609688 TRICOUNTV PAGE 01/01 t° �' CITY OF ATLANTIC BEACH ' .�_ Al, ` ELECTRICAL PERMIT APPLICATION Date: Y-U E • . , Property Address: a 5 0s : , 5 Q.t V a, rr1 art x1 a I r Owner: kit-) 1 1. 1 t s- 0.1 S Telephone#: Contractor: —1—`rt 'C.:-D V IN--y . Telephone#: )60 rc!"l fo 9 Contractor Address: .I j&3 7 G`~ Gv/' '4 i 'A, Prg. adl Fax#: (P-e'O-, In consideration of permit given for doing the work as described in the above Statement, we hereby ace to perform said work in accordance with the attached plans and specifications which are a pant hereof and•in accordance with.the City of Atlantic Beach , ordinance end atandardss of good practice listed therein: Building: Building Type:. a Trailer 1115V If other construction is ❑ New )21cResidence 0. : Temp. - •ew. bethln done oe this twudiug Old ❑ Commercial a Signs . . a Increase , ..Perron rebuilding ' O Rt;-wire X Addition Sq.Ft. CI Repair -/3 6 Conductor Size: AMPS: COPPER • ALUI INUM n Switch or RACE Breaker AMPS PH AV VOLT WAY ExEx sisting. Service .: . RACE Size AMPS . ',,r PH 1 w• ' • VOLT d(-fa WAY 3 , 44Feeders: NO SIZE . NO ' SIZE NC) SIZE _ Lighting Outlets CONCEALED ' OPEN. . ' Receptacles CONCEALED . .. . • • OPEN ' . nin AMPS .. 'r .411pn_AVM Switches i _ . Incandescent Fluorescent & • • M.V. • Fixed 0,100 AMPS OVER •BELL , pliances TItANSPER., . Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning. COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH I •NO. OVER 1 H.P. PHS irnmaR6OOV OVERb00V _ 'Transformers 'NO. . KVA • NO. KVA No.Neon_Transf. Ea. Sign _ Miscellaneous '4 300 Art P ,c3/14: a y✓:"c �� L. W i ■ -77../0 . 1,'0 . e Paste. 800 Sebninole Road•Atlantic Belch,Florida.32233-5445 Phone:.(904)247-5800• Fax: (904)247-5845. http://www.cLatInatic-beack.fLus. A .. . A ,, , :7,,, CITY OF ATLANTIC BEACH o 0 '�"� "' ELECTRICAL PERMIT APPLICATION 6•r: -r Date: 1 f -d--y-0 Property Address: 1 5 03 5Q__ l V a M a r, rl a J) Owner: L i 1 1 i A— ✓n S Telephone#: Contractor: "r; .�©v i 4V (-1211'(--• Telephone#: .)l D 91(0 6 9 Contractor Address: 1 I&3 7 L 62)/✓m b i ,dk. prx 1)-i Fax#: �t2 991 Cf In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with.the City of Atlantic Beach ordinance and standards`of good practice listed therein. Building: Building Type: ❑ Trailer de, If other construction is ❑ New .Residence ❑. Temp. - ew being done on this building rmit number: X,Old ❑ Commercial ❑ Signs ❑ Increase Pe I building e-wire X Addition Sq.Ft. ❑ Repair OG „/3 Conductor Size: AMPS: COPPER ❑ • ALUMINUM (E Switch or / RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS 3r) ) PH / W 3 VOLT ' f0 WAY 3 - Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN • Receptacles CONCEALED • OPEN OIfl AMPS 91.100 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 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 3 O ) 14-M P t�if1 S O4A./, cy d'IP.cc w' �W C 150 .%i-r►-le Pei- 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845 • http://www.ci,atlantic-beach.tl.us_ ,s 1'�i- CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD r � ATLANTIC BEACH,FL 32233 `�A v INSPECTION PHONE LINE 247-5826 o r.)j Application Number 09-00001905 Date 11/18/09 Property Address 1505 SELVA MARINA DR Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 5 fixtures Owner Contractor WILLIAMS STEEG PLUMBING 1505 SELVA MARINA DR. Q/A:STEEG, JAMES ATLANTIC BEACH FL 32233 1601 MAIN ST ATLANTIC BEACH FL 32233 (904) 249-5191 Permit PLUMBING PERMIT Additional desc . . 00 Permit Fee . . . 90 . 00 Plan Check Fee . Issue Date . . . Valuation . . . . 0 Expiration Date . 5/17/10 Fee summary Charged Paid Credited Due Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 • iJf . 's CITY OF ATLANTIC BEACH ¢; sd .ate f.0 ' PLUMBING PERMIT APPLICATION ___! / Date: /l/Y-02- Property Address: '� 5 l yG /Vil4(4,K' /1" Owner: . '7�/-- , iik44 s Telephone#: Contractor: 5teei ?i4 i 4 c Telephone hone#: 2q`J/9 Contractor Address: O740 j /i74 i ' WI Fax#: Vi'"0?39 Contractor Signature: • Ate, In consideration of permit given for sy ,g the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: ge- • �Q s /`'C 0'`' c!/ If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs / Showers ( Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures* Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845. http:l/www.ci.atlantic-beach.fl.us Revised 9/06 rajy1-1mfr,; CITY OF ATLANTIC BEACH -1 SA l 800 SEMINOLE ROAD +j- Zr: ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ' -01319x' Application Number 09-00001921 Date 11/23/09 Property Address 1505 SELVA MARINA DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 10000 Application desc REMODEL MASTER BATH Owner Contractor WILLIAMS OWNER 1505 SELVA MARINA DR. ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . MASTER BATH REMODEL Permit Fee . . . 100 . 00 Plan Check Fee . . 27 . 50 Issue Date . . . Valuation . . . . 10000 Expiration Date . 5/22/10 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ ' 05- ' 06 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Fee summary Charged Paid Credited Due Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 127 . 50 127 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. d p (0 ilki�i 1,tt' 0- 1-'- ..1. W ht n-p-►'c-I 3 � A, City of Atlantic Beach �r it APPLICATION NUMBER OFF' Building Department (To be assigned by he Building Department:) 4 it 800 Seminole Road q '� Atlantic Beach, Florida 32233 5445 /� 7 Phone (904)247 5826 Fax(904)247-5845 -1_ s � Email: building dept @coab.us Date routed: ZQ 0'. . City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM b Address: _ f 1 � D t review required Vie Na roperty �.dd�e� � _ ;� Buildin ■pplicant: /i o- a_ Manning &Zoning Tree Administrator Project: 1 /�: -TE PJ .- h,/_ E L Public Works (��v l�Ti Public Utilities ^ fety ces MECATIN ‘,,j \ \ b- §:.'V.M-F54.77-ZFRV":A Other Agency Rev r Date Florida Dept of Envirc p i 1A Florida Dept.of Trans St.Johns River Water i Army Corps of Enginee Division of Hotels and F �� Division of Alcoholic Bet Other: deviewing Department First Review ,___,.F,pioved. 'Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: in Date: %/' ' ? -9' TREE ADMIN. Second Review: Approved as revised. Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I !Approved as revised. 1 IDenied. Comments: Reviewed by: Date: evised 051/4/09 CITY OF ATLANTIC BEACH oA I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 17 .:'I _ .i OFFICE:(904)247-5826••FAX NO.:(904)247-5845 / ;' BUILDING-DEPT@COAB.US - -` BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS:.. 2.VALUATION OF WORK 3.SQ.FT.UNDER ROOF i /;mod g Sell/a /ti ri/7 et n, 1 °, °PCB LEGAL DESCRIPTION: 5.CLASS OF WORK U E OF STRUCTURE LI ❑NEW BUILDING ❑DEMOTION ,ARESIDENTAL I LOT BLOCK El SUB DIVISION ❑ADDITION ❑CONVERTING USE COMMERCIAL 7.DES RIPTION OFWORIL ❑ALTERATION ❑ACCESSORY BLDG_ 8.FIRE SPRIN R' F ��,I / y�0� /Pi // ❑REPAIR 0 POOL/SPA ❑YES /A 7. L4/ 64, L/ / e / i T ❑MOVE El OTHER ❑NO PROPERTY dJ R:( ,^ CONTRACTOR: ARCHITECT/ENGINEER: 9.NA(� _ j/ �)c.L ;//J 4 15.COMPANY NAME 23.COMPANY NAME r l /� I 1 6 '� 16.NAME 24.LICENSEE NAME 10.AD[ Z S' STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: /o 35 ESei is '-t /l'(eey'i ii- --, - � �h. 6 �� ,p� 18.ADDRESS: 26.ADDRESS: af L N Iv 12027 y � 19.OFFICE PHONE 20.FAX NO: 27.OFFICE PHONE 28.FAX NO: 13.CELL PHONE 2 g�� 2J r g_, 21.CELL PHONE: 29.CELL PHONE 1 IDDZ/4. a . `' ice- 7' 41,5- , G�/ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) ' / // /' .� il� Signed: I .:.r Date: Signed: Date: Before me(thi- ..0 day of A2) ,2009 in the county of Before me this day of ,2009 in the county of Duval,State of Florida,ha personally appeared Duval,State of Florida,has personally appeared -,-- -Arti (,oma � herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. (... true and accurate. Notary Public at Large,State of r/L ,County al,\1CL, Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known Iduced Ida ' on- I L I ■ ❑Produced Identification- Notary Sign- ure: NIIIINgrallr Notary Signature: - - ' � s,"T',, , ' • M REVIEWED FOR CODE COMPLIANCE *; za,�: -.,.a blic-State of Florida i •tl •_My Commission Expires eb 14,20 ' CITY OF ATLANTIC BEACH „ Comm io � 5 , ..... a , ,x .. SEE PERMITS FOR ADDITIONAL p �81��Bonded uyy� attiiioonal Not rry Assn REQUIREMENTS AND CONDITIONS. FILE COPY : . REVIEWED BY:.MiE.,_____ DATE: ii�3-07 1. ,' ,-- sp. J • t A !. `I� r ,. . . �I . . . . . . .. _.... -r---3-\/.. \., . ...,.. . . :. , . . .\ . . . . . .. . . . . . . . _, . . . . . . . ,.. . . .. . . . . . , ti . . . . . .. • . ... ... . .. . • . : I . • . . • . . .. • . . . . . • . ..... • ... . . f , . -1- .. r . . H. i 1 - 9 ,zz ./.'917 ,ti'9t7 0 j E LI leg aalse wooJpee wooipag 6ulu!a uayollN 831.440,0'9Z �ao� . 8'££ � woapee JalseW glee woapeg ,9'9 ,E'Z17 0'£4 6u!n!� id ,17'9 , 'S oiled 43e9 ,0'9b ,9'4 4 ,4'Z ,5'L ,V'SZ .17'94 yoiod noa e6ebpoini ewOH ellea mug lenna uno0 pees ollueRV EEZZE aPoO dIZ !� alelS enpa euueyi enles 9091. ssaappy nlaadoid leuer'g Ajobeio'sweW!M luapopamonog (I. — abed) 11310)1S bulplln8 CITY OF ATLANTIC BEACH ✓/ ` OWNER / BUILDER AFFIDAVIT I. FLORIDA TRACTING'REQUIRES RES OWNER BUIL CONSTRUCTION BUILDER TO ACKNOWLEDGE THE LAW 1 CON 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 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- MAKE- EMPLOYED HAVE LICENSES BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; 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 TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. 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. V.STATEMENT AND THAT ;I ICOMP Y WITH ALL TDHEEREQUIREMEN SREAD OR THE ABOVE ISSUANCE OF AN DISCLOSURE OWNER-BUILDER PERMIT.�/ A/4/ /�)}^ ,(J[�[/ /, / V 0 S 5 .a- �r n.i�L ,F�/ /1 / l� �� / PHONE NUMBER ADDRESS / / 4—MS PRINT NAME ta,( i, 11 -a/ 3-0 9 ' / / DATE IG TU Before rfie this day of 20_ in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of ,County of ❑Personally Known ❑Produced Identification- Notary Signature: F:BLDG/Owner-Builder Affadavit;REVISED:4/16/2009 FOR OFFICE US E ONL Y Date -/ '''' /_/ 1 b ' Permit �- ! Fee $_7 TOWN OF ATLANTIC BEACH °o Valuation $ 'Yra FLORIDA House # APPLICATION FOR BUILDING PERMIT 3 .e .�, 't�A' . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. / / ")./ 19 d �/ Owner_ , l &lCe Address Telephone No Architect Address Telephone No. //date/ Telephone No. Contractor Builder__ a��- --�� Address .�/ Lot No. / Block No 0 Sub Division v Zone 'f --- and Sts. / -bJ---Sh.�/✓V Street Side Between Valuation $_`Y b-0-.— For what purpose will building be used Type of construction Dimensions of Building(// rnf aA� of Lot_._ .._ �a Size of Footings Size of Piers Size of Sill Greatest Sill Span in ft. Type Roof How will Building be Heated? Will Building be on Solid or Filled Ground? Size of Ceiling Joists , Distance on Centers , Greatest Span If Size of Floor Joists ,Distance on Centers , Greatest Span If Size of Rafters ,Distance on Centers , Greatest Span " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. z z a a 3. When steel is in place and ready to pour beam. E-, FO 4. When framing is completed. 0, r� 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. A A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance -'th the attached plans and sp cifications, which are a part hereof, and in accordance with the bui ing regulations of the I o , of Atlantic Be /J Signature of Build , -: , _ Address__hyJ- -- --- /� Signature of 0 ..` Address DEPARTMENT OF BUILDING FOR OFFICE USE ONLY 61 OF ATLANTIC BEACH, FLORIDA Date Lf/.-2 19-7& Permit #30 fo& Fee $ J) Application for Permit Valuation $ (.0,-7 5� cT7 fclr Misc. Alterations House # and Repairs ', • DESCRIBE; /� 2 / (state if to repair, alter, add tO or move building, erect awnings or signs, etc. ) Building on: Lot no. / Bik No. Sub.Div. g v � Address /5 Valuation $ C C/4- ��i .C G� c Owner' Name /7i— f" t BUILDINGS & OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether grouund, roof, wall, projecting 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 reserve side) 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 regulations of the City of Atlantic Beach. Southern 'tandard Building Cod Signature of Builder or Ow er � � c. �/ � ' 4 . , Phone - ' c Address / � , �,