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1500 Selva Marina Dr (vault) 1 CITY OF ATLANTIC BEACH, FLORIDA Approved by l APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: l 19 V IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ,� f ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN S-D �% ` -\44.-444.4.11/41,1 RFD BOX NAME ADDRESS: � � BLDG.SIZE _BETWEEN:_ £" i-1 RES.( 1 APT. ( 1 COMM.( 1 PUBLIC ( ) INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION {() TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SQ. FT. FEE SERVICE: NEW ( 1 INCREASE ( ) REPAIR ( ) CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE j( U AMPS PH 7W 1IOVOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS r CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. w-- SWITCHES -S INCANDESCENT • FLUORESCENT&M.V. FIXED 0-100 AMPS. ' OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES DIVISION i INSPECTION "� • AND ZONING FLORIDA o t' .1 Q BUILDING F ATLANTIC BEACH, Z ►TYG. PERMIT ELECTRICAL I co 6267 O Permit No.�� -J 24.40 m g�13-SS■Fee b p Dote MATINS Drive Q 150a Selvr� d and p c Location ,,, ro � cln&1$ E Between certify that ° This is to IOU Electrical (Master Electrician) a in NC# as described herein U (Electrical Contractor) Code and regulations Z to install Electrical Construction W 8 has p of the Electrical regulations on the ) permission rovisions � with the p subject to the information shown this I accordance villa and subj are made a part of 3 City of Jackson which C I of the N drawings and specifications 3 application, u; for y tee pet rli� a • permit. "�'t;Y'Y', p • u for M Room Addis° 1 h,3st,22Q volt 4 r Type of work: Sire 200 �s s 4 u SERVICE: Xist• Se ►. U ma w Feeders: 0 Outlets: O _ •- Receptacles: m Switches: Incandescent: t Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: I IS DONE UNDER ISSUED BY IF NO WORK Y SIX Electrical Inspection Supervisor THIS MONTHS PERMIT PERIOD, PERMIT MONT VOID. BECOMES _ >- . BU�'LDING AND ZONING INSPECTION DIVISION z CA c•Z .1. CITY OF ATLANTIC BEACH, FLORIDA c W ELECTRICAL PERMIT 4 ELECTR CO Date 943-U$ Fee $ 20-0 Permit No. 6267 3 J W 1500 Selva Karina Drive 00 Location — 0 Between _ and a a. This is to certify that o m Action Electrical o E (Master Electrician) (Electrical Contractor) a 0 has permission to install Electrical Construction as described herein in W accordance with the provisions of the Electrical Code and regulations Z w of the City of Jacksonville, and subject to the information shown on the W o �1 application, drawings and specifications which are made a part of this 3 permit. Terry Lee FMIte f CL or W r a Room Adld.ition o Type of work: — 0 2 SERVICE: txis Se rv, Sits sus, ;ph, v,�ZU volt 4 V N W Feeders: p Outlets: 0 W can c Receptacles: Switches: _ Incandescent: Fluorescent: Appliances: Air Conditioning: • Motors: t Transformers: I Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. CITY OF ,4t€a`ct& &ea 4-'hula Office of Building Official REQUEST FOR INSPECTION �OCJS�7 Permit No. �Q '7 Date A.M. District No. Time P.M. Received ,g . .L 'A L A. Locality Job Add s �//'`—� `, ..�, �• Contractor MECHANICAL Owner's y Q/ Name ELECTRICAL ❑ Air.Cond.& CONCRETE B�� Heating BUILDING Rough Wiring ❑Framing dj/ Footing Temp Pole ❑ Fire Place ❑ Slab Final Pre Fab Re Roofing ❑ Lintel A.M. READY FOR INSP 10 hurs. Friday — Wed. / Tues. A.M. Mon. ��— P.M. Inspection Made / Final Inspection LT Certificate of Occupancy Date Rt417C DEPARTMENT OF BUILDING '10057 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date -6- 19 88 7C7.25 TL l07.25CMTC 24,000.00 000,00 107.25 584 IA 9/05/8E Valuation$ Fee$ .O0CACG This permit not valid until above fee has been paid to City Treasurer,and is 5884 IA 9/06/f E subject to revocation for violation of applicable provisions of law. 1 0001 This is to certify that Terry Lee Paterson 1500 Selva Marina Drive, Atlantic Beach, F1.32233 has permission to build Enclose Patio Area Classification Residential Zone RSI Owned by Terry Lee Peterson 5 of S Selva Marina Lot_ Block S/D 1500 Selav Marina Dr. Unit 4 House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 11 O Building material, rubbish and debris -I from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER h .fir Address /1� /V'6Z. 6 — 'Heated Square Footage lz @ $ ylf) per sq ft = $ �� 13-?- Garagc/Stied 1 @ $ • per sgft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sgft = $ Patio @ $ per sgft = $ / TOTAL VALUATION: ., �Z £fT ttt Total Valuation $ 1st $ } $ 2 k „.2_,;2_a2 Remainder Valuation '$ . per thousand or S portion thereof Total Building Fee $ ADDITIONAL PERMITS and/or EMS REQUIRED + 1- Filing Fee $ �� Mechanical Fireplaces @ 15.00 $ Plumbing BUTTDING(PERMIT FEE $ /0 -9'" Electric/New Electric/Temp Septic Tank BUILDING PERMIT $ 7D? Well WATER METER CHARGE $ Swimming Pool SEWER IMPACT r $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS - $ l Z Sewer Connection c()0 /- � � �. ,e Water , $ Meter $ Elevation Certificate !�z GRAND TOTAL DUE $ 7 /2 CALCULATIONS and/or NOTES • • CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner / , Address /rS , ein Phone,"S1( Architect / >, ,� ‘Ap___, Address /76,2,0 S / X/,r?. j •S/ Phone-29K-/AZ, Contractor 5.e% Address Phone Contractors License/Certification Nuabers Expiration Date Property Address /cSp ) /t./A, rum'84 chK wing kks Lot # Blcok or Unit # Valuation of Construction $ s2SL,UcO Tye of Construction Describe Work to be Performed).c)cJ Si itA 1-1714 / A Materials to be Used 65-/iiics 4 Vvdi) d Present Use of Building We.. ,de,ve .e. Proposed Use of Building e g> Cl g/t/G Flood Zone Dimensions of New Area: HEATED /a:- X GARAGE OR STORAGE CARPORT OR PORCH DECK PATIO YES NO NUMBER Will there be an increase in number-of-units? Will there be a decrease in number of units? Any acirii tional plumbing fixtures? Any new fireplaces? SUBMIT TWO COMPLETE SETS OF PLANS IN,' UD 1 G SITE PLAN / �' Date 1✓' Signature OWNER , //.._ .� ' , ���„ Signature CONTRACTOR V� Lam ,/ ♦ Date ?4/gg • I zA t" 4 • '.'it 4i- l' ' ; i s _rT� 1.�! , '--. ±-�..1 1 i 11 i =_1 1 ..1_l i• ti„ i 11 5 P • I rl (hi t: ' ' ` r!' ...---1-----"' .7;F:, ------ 5 { I fI r.__..-�...�-- 1 . I 1 ry `,l� ; *) • ----rte.— _—'—, i. 1 f) I'� A... 4 � lt ____r_......._,..._____ —_____J , ,,•n I �, t � i Arc► 4 ` , I • pU i 4444444444444,44444 iti - .0 I ' .4.4.1.444 .. e 4e.444.4.... .Na.. ' ; 4.DATE........4N.::.... . 1 - /�• 7 G ,C • / 4• G , / 4 ,, • . i �r�^ /A4.e.‘.� 4..410,` g , . _ ..a , I 4 + - 4 1',1 r4.• /A',( f k'�r,z , • t , • • • ,i • :.r"-'c /7 n.; Al 4?.. ..,'7..) , N ti.,/A.,r {' i • • y -/, l I i rt 1-' •/ie PLANS REVIEW HECK LIST !!�� //``/'\\ 1p( ,, J `�/� �� 1 ,2 u Address /d- Uv _.C��PS,!1,LJa L1�:�!u[J1a Owner Legal Descriptionb 48LK ___Contractor ___ License Number License on File YES NO Section 24-101 * Zoning Regulations Zoning District___l_\____ Proposed Use Required Lot Size Actual Lot Size Setbacks Required Provided Section 24-17 front Ni CORNER LOT NTERIOR LO rear r_ ,`I Flood Zone side-1 N �� side-2 __,,`` .�'C^^ __ Required Elevation 1v Max. Height Allowed Proposed Height 71 Section 24-82 * Minimum Lot Coverage Required Heated Area ccCC) Proposed Area Section 24-161 * Offstreet Parking Number Spaces Required_____ Spaces Provided Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by : Date Building Permit # ISSUED DENIED M BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I• 1SOO S •v 4c AA i./L-- - >fZ- LOCATION Street Address: OF Intersecting Streets: Between And BUILDING SAC 1A-- �.UP. Sub-division II. IDENTIFICATION — To be completed by all applicants in consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical ' Contractors (� Contractor (Print) ( C")Q Sv l\Master PA ' - 7 C> Name of Property Owner Signature of Owner Ai. Signature of or Authorized Agent v Architect or Engineer III. GENERAL Jai lON A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON �� kBectric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) X Residential or ❑ Commercial Heat ❑ Space ❑ Recessed Central 0 Boor ❑ New Building Air Conditioning: ❑ Room its, Central Existing Building Thickness ❑ Replacement of existing system Duct System: Materiel r New installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g•p•m. ' ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Msnlift ❑ Escalator (number/ THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (ReOeived) ❑ Tenkt (number) Remarks ❑ LPG containers_ (number) ❑ Unfired pressure vessel Deb Permit Approved by ❑ loiters ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ty App Number Unite Description Model Number Manufacturer 9) ALeary s 0 HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving Number Unita Description Model Number Manufacturer (BTU) Ag' y I A-ii-V '-t-MQO� Gke21�Cz Z4j� i1/L-- TANKS Now Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency DEPARTMENT OF BUILDING Na' d CITY OF ATLANTIC BEACH,FLORIDA PERMIT C7 "1 F PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9-20- 19 RR 38.00 ln.no Tl Valuation$ Fee$ 38.0OCKT 1 6334 IA 9/20/86 This permit not valid until above fee has been paid to City Treasurer,and is .00 r CAM subject to revocation for violation of applicable provisions of law. - 4 This is to certify that Ocean State Imo o has permission to)WAX Install Heat & Air Classification Residential Zone Terry Lee Peterson Owned by Lot Block, S/D House No. 1500 Selva Marina Drive According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4-- 0 o Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or ow�nQer�.. J N tiding fficial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER I *411e VI y , il"L'lrice CI - ' CITY OF ATLANTIC BEACH A _, ,.:: A s` 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 1-2)-.:-t, k INSPECTION PHONE LINE 247-5826 Application Number 03-00027276 Date 11/19/03 Property Address 1500 SELVA MARINA DR Tenant nbr, name RE-PIPE 23 FIXTURES Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PETERSON, TERRY K. F .W. FAIR PLUMBING CO. P. O. BOX 805 P .O. DRAWER 51558 ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-7191 Permit PLUMBING PERMIT Additional desc . . 00 Permit Fee . . . 196 . 00 Plan Check Fee . Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 196 . 00 196 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 196 . 00 196 . 00 . 00 . 00 i 1 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. 4tc...)iC>. C. 1.17LX"‘"--- BUILDING OFFICIAL 1-�r,,. CITY OF ATLANTIC BEACH 's ' - 's: PLUMBING PERMIT APPLICATION v Date: ii I (R f Or; Property Address: I-Oo J‹:.LV/ AV t-1 A-----Da- Owner: 01(2-S -- -P 2s=�-1. Telephone#: 'ZL-I (— ``D3`)' Contractor: .127\,._ , t-Ala-Pl v, i r-1 C CO. Telephone#:"Z4 1 ---7 19i ( Contractor Address: D. c C1 C-<`d aU.. Fax#:24 1 `Z?Z3 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. 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 building permit number: A Re-Pipe Number of Fixtures: Bath Tubs Showers 3 Closets Shower Pans I Dishwashers 5 Sinks Disposals Urinals IFloor Drains Washing Machine 5 Lavatory `3 Water 14 3seTQ)se Sewer ) Water Heaters Other �(0ET)UI DR..' 1 v3 Fees Permit Issuing Fee: $35.00 Total Fixtures: 7 X $7.00 + $35.00= 1T 6 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845• http://www.ci.atlantic-beach.fl.us ' CITY OF ATLANTIC BEACH MECHANICAL PERMIT i 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 .. _ PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22033 Address: 1500 SELVA MARINA DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: SELVA MARINA Est. Value: ; Parcel Number: Improv. Cost: r - - - , . . . OWNER INFORMATION Date Issued: 5/25/2001 , Name: TERRY PETERSON Total Fees: 37.00 Address: 275 SAILFISH DRIVE Amount Paid: 37.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/25/2001 Phone: (904)246-0300 Work Desc: HVAC CONTRACTOR(S) .,.-- „,, , _ . APPLICATION FEES HUXHAM HEATING & AIR z.PERMIT „,,,,,, 'N,„ 37.00 ,.. , n-1,4 ,, .47 r. ,.. '... . .*- ---, -‘ . ,,.-4. . .- . . * ' —74.":&•4- , ....; ...... -- , 1 ''''' '''''';`,,,„-.4.--..-2,-." '., ,..,644:!?,"`.' ,-+ ' 2:?,kr• t.- tir ''l ••• ''' '',,,•,;74 ',.#,Y:"-*-;:=-',,:" ''- . ,'' '.,*..'It'1 \ .3: ,11-,-7 - ..0---: -4,04,. (':.:.—•`,— ,,T ,41% \ ' t , 7 ii,t,$:.—.• AK:: .. 1OUGH MECHANICAL Ai .. .r'IN',.1,-= .-2dAL '1,-.)-4*-'.- :.*:'.,4f,k,----,,t,-,-,.:, :::•i.'' f ...-'---..,,,,,s --?.---t..- ._.,, ..,--,-, , 40—.--'T-N.-,A,444,-..;-x4c.-- t,'• - .'` .-,-. .,, .,..,...,,—•• 't- ..-•:-%-lf;.._ • 4,,.;:-.34:::'',It'- "1.414,11: -!'-'..- -'---- :;:T4=,1 , g - ,--- .,kt•,,;4,..,41'...:4% — •- - .—', "• — s• r,''''-:'5,1* -.— '-' '''' ''''''' r _ . ,...,..„,0,..ii7 —;*. 1 lift" 1 , ' t 7: ---- INSPECTION , NOTICE--'INSPECTIONS ST BE REQUESTED AT LEAST 24 HOURS PRIOR TO BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BEOLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER , "FAILURE TO COMPLY WITH THE,CONSIBP_CTION IrtF,NALAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOII,BUILIVO IMPROVEMENTS"' ISSUED ACCORDING TO APPROVEDTtANSVV141C,JAR F4T,„10E-THIsjIEF4AIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF . - -‘ - '`4 AT ' TIC B A CH BUILDING DEPT. $37.18 14 Date: 5/25/81 81 Receipt: 8168617 CHECKS 6286 81118883221888 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC(“AC)n,PLORI DA all]] APPLICATION FOR MECHANICAL PERMIT CALGIN NUMBER IMPORTANT—Applicant to complete ail items in sections I, II, III, and IV. I. . LOCATION 5he.t Addle": / ,50G Ste'✓✓l. 01 rN )..a .Pe.... OF Int.n.<ting Slr..h: e•h•••n IUILDING And sahal.l.h. II. IDENTIFICATION —To be completed by all applicants. In c n.id.nlien of p•.mil given for doing Ih• ww1 •. d•.crib.d ;n the •b0.• II•f•m•nf.. with the •ft•cked plans nd Ip•cdlc•1(on. which •r• •et h•.•of •.d • k. C I.qr.. to p..(e. ..Id nr.k end cl f•nd.rm of toad.pr•crIc• lid•d 1lh.rein, p n .cca.d•n<. –ilh Ih• Cily o!J.clmn.il(. wd(n•nc.. G•rr•.l.r (Print) CP-00,5` ^, 5 N•m• •( I ►rep•rty Owner �.f4LPs�lc^-- Slge•tan a(Ow... (( �/} w Aothwiud Age I Archil•ct or of / A child or Engine. III. CENEA If ORA4AT1ON r A. Typo of he. fuel: a. Bea-trio IS OTHER CONSTRUCTION BEING GONE ON ,� THIS 9UILOINC OR SITE T ❑ 6u /—❑ LP ❑ N.lan1 p Censr•i Utility . CI Oil IF YE], GIVE NUMEER OF CONSTRUCTION PERMIT ❑ Other— specify IV. 1.111C)•1ANICAL SQUVMl1(T TO II INSTALLED NATURE OF WORK !Provide complete lid of compoa.et an bad of this fors.( ❑ Residential or ❑ Commercial 'lamroNed ❑ Sp.. Q I.es..4 IVGstrel 0 gamy ❑ New Building I:21--Alr Gnddteelnq: ❑ loom [r Gn1.e1 ❑ EAlalinq Building ❑ Deal System: M•I.ri.t Dtic)ne.. ❑ Replacement of exldtna system Mu{mam c.pe<Ify Um. ❑ New Inelulatldn(No syet.m previously Installed) • w ❑ Extension or add-on to existing system ❑ Refrlq.nN ❑ Coaling tows: Capacity ❑ Other—9peUfy q.P-.• ❑ R.. q•.(•lt.rs, Hawk.. of heeds ❑ Eie•.te. ❑ Mantis ❑ Escalate. (•ambw) THIS STAC7 *CM OFFICE USE ONLY ❑.Gesd4e pampa (Wombed (Rodeo d( ❑.• Tee1s (namb.r( • • Remarks ❑ LPG ceetelee.s _(samisen ❑ Unfired pommy reossi CI Sefton P.m.i) Approved by 0.1. • ❑ Ott...—'Sp.aif7 Permit F.. LIST ALL EQUIPMENT AM COND[ITONTNG AND REFR)GERATTO)4 CQUTPME.NIT Ntmfber Unita Description Yodel Number l`.p..t)r Jpp ta=r Xaaufaetsenr I ) �S.ea� C'0 k.ID %L✓2030 vie a.S , )EATING • FURNACES, BOILERS, FIREPLACES 7 =Number Unita 7.earip Xo4.1 Number Yeaufaahunr (HL ,4� ��i, �tn • ��£o 3 o p2A�.. 3O,cab TANKS Bow Han? No@Qsal Capacity '1'.pe Llqutd Named Serial Appro.init and a Contained Manufacturer No. mcT c • FEE $10.00 • a APPLICATION FOR WELL PERMIT CITY OF ATLANTIC BEACH PROPERTY •' IDI Nam: /I7P O 4.1 Day Phone Z /.10- 300 Address c /5-0 0 � / /Q Zip 3 2.2 APPLICANT, IF OILIER THAN OWNER Name: , , % Day Phone , (k Address: S-K© ,7 "`L Wl t /Q 4}Tel L GC Zip 3 JOB Address or Location.; ir 6'0 S �G, y M q 0 4- Legal Description: k(ii" a f J' 1 4`C\`Nk. Is well to be used for drinking purposes? /LSO Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report fruut the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: • I agree to comply with regulations stated herein: S tore Date DEPARTMENT OF BUILDING 9001 PERMIT NO. CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD 10.00 THIS PERMIT MUST BE POSTED ON JOB 10.0OCKT'l � Date August 11 19 87 3939 1 A 0/11/H 9L�a 1 .CUCA Fee$ 1.. 3939 i ! 0/11 Valuation$ 1000 ■ This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Lawrence Willaims install shallow well not for drin:kin: has permission to x Ur.OSeS. Ridential Zone Classification es Owned by Peterson Block A S/D Selva Marina Lot 5 Unit V House No. 1500 Selva Marina Drive According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS t AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ,-----.■ . Z Building material, rubbish and debris -I from this work must not be placed %in ,ublic space, and must be cleared up -nd hauled away by either con- \ . ,r owner. \ Building Official. DATE CONTRACTOR FOR OFFICE _ USE ONLY PLUMBING IIIIIIIII-------AllIllIll ELECTRICAL IIIIIIIIIIIIIIIIII SEWER WATER 1 APPLICATION FOR WATER CUT-IN TO THE CITY OF ATLANTIC BEACH: Application is hereby made for 1" tap water cut-in at the following address for Orie units. Cut-In charge of 145 .00 plus 6 .00 construction water Street No. 1500 Selva Marina Drive Lot 5 Block 8 Subdivision S/M Ordered by: Dave Plummber Construction Co. OWNER: Mailing Address o R213 2/k 5-t2-(. 3zzs-n DATE; ACCOUNT NO. METER NO. DATE INSTALLED: L FOR OF FICE USE ONLY/ Date L 0/9 19 75 00 Permit # Fee $..../.71------ ` CITY OF ATLANTIC BEACH Valuation $ r O9 FLORIDA House #-..I. OD 5 . ,b.s.P et 3 SD ad APPLICATION FOR BUILDING PERMIT / , l e/4- ,jl4:-.. g5 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date .j-21.49c.2. .9 , 197,5 Owner-//led/ d lei/01-C AddressEad. X •.M3 `- 4/Telephone No. g's• ` - 7.6 M�=212/7 Araut/act.2.424k0/1.4-1..ZA t- - //1.e Address-.ThekL VLL.-G t . C:A-".Telephone No. Jam-/177 ; i Contractor Builder�N�L '- !1"11/22672. Addressll/L-5 65;t---7g -AL./tTelephone No. 74- Lot No Block No. a Sub Division -1714= (1,4.--i!''/.epez,v4 Zone 5 r "StreetA�./t�c 4 Side Between doesc LE?�115 - and....C-7lt�"�--'0/9 cli Sts. Valuation $-.S'2 000 For what purpose will building be used ?a'Sti.14.A1Cr Type of construction-- /QS/011 4' AO O 2,p0 Size of Footings.-.��-b.14../.Le/� Dimensions of Building.-c1G-�C-/iL. Dimensions of Lot....-/4 _�S. , Size of Piers Size of Sills Greatest Sill Span in ft. Type RoofAW-41. SX11/ How will Building be Heated?..474e./21� 1z[R AG. Will Building be on Solid or Filled Ground? -sOLl' �7/ a Size of Ceiling Joists_---/.QL�.3£$ , Distance on Centers ZI�� , Greatest Span / " Size of Floor Joists �1..Q� , Distance on Centers .. .N/14 , Greatest Span /� " �' 2./I u Size of Rafters !/G�SS.-S , Distance on Centers _. _ _ k , 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/69,5,/ Two copies of plans and specifications shall 0 0 be submitted with application. O` a' Inspections required. 1; 4 y 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 7 a 3. When steel is in place and ready to pour beam. F•+ F 4. When framing is completed. S 5. When rough plumbing is completed,and ready to cover up. W e ��B�/ ��� W 6. When septic tank drain field or sewer is laid but before it is covered. A N7-� 7. Electrical inspection by City of Jacksonville. • 8. Final inspection. O 0 Note: In case of any rejection,re-inspection MUST be called for after r. corrections are made. . FRONT OF LOT/7441 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 ecifications, which are a part hereof, and in accordance with the building regulations of the City of At is yllt i Z % �/_ / Signature of Builder ^~r�^"` Address/Tr IVY '� O' -- -�4G`lSdYI ft L� �C-II AddressW4 -�Q7r- Z" .SIN-C-�"5012�4 '«. �!� Signature of Owner 1 CITY OF ATLANTIC BEACH APILICATION FOR SEWER CONNECTIONS PERMIT NO. /v22-0 DATE /O -/O off ' LOCAT IONS S _� _�3, a-r--t'c0S ' LOT ITO. S BLOCK NO. OWNER_�lpiz� / TYPE OF BUILDING .Ad. -- Am. . _ . MASTER PLUMBER INSPECTED BY BILLED ACCOUNT NO. �575-449 — -� ■ f\ t a s %•L‘'rje' �� �, : , CITY OF ATLANTIC EACH `� S 800 SEMINOLE ROAD r mi s ATLANTIC BEACH,FLORIDA 32233 ti INSPECTION PHONE LINE 247-5826 03-00027267 Date 11/19/03 Application Number Property Address 386 SARGO RD ROOF ON SHINGLES Tenant nbr, name ROOF Application description • . • TO BE UPDATED property Zoning 3400 Application valuation . • - Contractor Owner ROMANO ROOFING SERVICES HUERTA, LUIS P.O. BOX 33037 ATLANTIC FL 32233 SARGO E FL 32233 ATLANTIC BEACH ATLANTIC BEAACH CH (904) 246-5649 (904) 246-5649 Permit ROOF PERMIT Additional desc . 75 . 00 Plan Check Fee . 00 Iss 3400 Permit Fee . • • • Valuation . • • ssue Date Due Fee summary Charged Paid Credited . 00 . 00 75 . 00 75 . 00 00 . 00 Permit Fee Total . 00 . 00 . 00 Plan Check Total 75 . 00 . 00 Grand Total 75 . 00 OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION NS APPROVED PLANS BUILDING MATERIAL,RUBBISH AND DEBRIS FROORM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER PAYTRACT RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED WHICH ARg PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL sj7C3\ 9g\ns oe� 1C otACSEST CG � L 'Fl„ 1310I� 8N m n Flo 2X 33 wiic 9ch,15,6 J s0 pt �0 " �ax r (9°4)241- TS ;- VI CO <<, 1N�� PLAN 11E811 ApplicatiOD # P.d permit _.r - • property rr Address: As Applicant: . •• Oa a • • Project: r I been: prof cation has This permit app CZ Approved cation 0 Reviewed and the following items need attention: Please re-submit your application when thes3 have been ComP,et Reviewed By: L � ed. Date: CT '� OF .„.s.,ITYC B.:CE --------'------- - ' ' • :• . . .. • se • •. . IT .. ,eT3LAT IONS T : . . 'I • :F,ddress • • • • gate l f�7 $ ner ft .._ $ Heated 5auare Fanag' der .ssa a fc = .$ Gat ag e/Shed - ` L �j ner sq ft.= $ Carport/Parch 4l @ oer sc. f t - $ Deck . ,. .Patio - @ $ ner . sq ft = $ . TOTAL VALUATION: , S . .Total Valuation 1st S 16)6)") —9. 0c> $ l .�,.,. . . .. ..Remaining Value . $S. per thousand :'.or ;partiari thereof • • • • •. :..TOTAL BUIL?INC FEE $ S O • . . • . • +•.1/ 2 Fil.ilg, Fee •• $ 2 S .•. . .;. . ). F....• ,ces . @ . $15AG r • • . ,:•BUILDING. PIRMIT FLEE •• WATER IMEiA�T :FEE .$ 2 S. SEWED IMPi��T:.FEE $ . • . •.•: WAT E R METE/TAP . . .:$$. • CAP I TAL •IMROVEMENT • . • .•SEWER .TAP.- •_• -SECTION R b.VING ' 4050: ..::S___________7------------- . $ • ..( ) RADOE (HRS� S. • . . . • . HYDRA.UL.IC .�RRES • $ . CROSS CONNErzau ( • ) SURCZ4GE • QOS0 $ • .• • '.0TifER - - $ •• • GRAL'iD .TOTAL DUE ;$ ADDITIONAL pc S• Electric/New LR — OR .. EES :.,Me c , . , D Septic Tank -�—_Eiectric/Tem Survey �; Wei i . P ` ..Pi ;. oter. �1, Si— gA_ �mrrZ4. ,o 1Z4�17,C e� LCUL aT I0 Fill QQ I�`�j` ' DVS ad/Qr �YpT^ ��` i NQ \ f t IC �'� 5 y if , OF ATLANT 4 .� #0 CITY IT AppLIC XIION-' ROOFIN G PERM f f 4X/o — a ; , :, ` Date: -1"1.osi19 g6 / O 0 , Job Address: ✓Q/ -{ q / Telephone: /6? Owner of Property. b G r /b_ (-(, 0 .� 1 o0 /ti S e/L'tCs State License Number: 2 `� �J Address: C S A r6 1,7 Contractor D 1/` � � � ob� 0 Contractor's Address: Fax: Telephone: A/C K :2(Y' vt A. �� X115• Scope of Work: /v l Z Greater than 2:12 Less than 2:12 Deck Slope: L 0 0 Valuation of work: �� �l � Product Name(Example:Timberline):--_� T Manufacturer (Example: GAF): I N 0 ASTM Designation(s): 3 / Required Inspection S• at> g and r in,al - �� /'1 / Signature of Owner. /A A L-% Dat Signature of Contractor: ate' a1 AS TO OWNER: / i Sworn to and subscribed before me this As day of State of F • i az s I Duval i _ •x,20 Notary's Signature. 4 SYl' GLORIA].CASTERLINE-McLAUGHUN / ', e,� MY COMMISSION#CC 976739 ❑ ersonally known �x�—.Aer` ��-N EXPIRES: MC &Br ding,Inc Produced identification OQ ,_..4 ... 1-806&NOTARY FL Notary SeMCe fl BOndirg,I . � _ Type of identification producedk AS TO CONTRACTOR: /J p Sworn to and subscribed before me this ,,5 day of 1J)/-' State • - . .I . Ili . a , a''-' ,4, te, --191-e:g,e 1*pYPa Notary's Signature GLORIAJ.CASTERUNE-MCLAUGHLIN¢ MY COMMISSION#CC'n76-7, *tor O.' EXPIIt—;• Oecemberil,. -1 Personally known (3'� �=` 1-800-3-NOTARY FE Notary Service&B^-u+. ❑ Produced identification Type of identification produced yi 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beat- Page 1