Loading...
1665 Selva Marina Dr (vault) PSR-3844 13791 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- - - LOCATION INFORMATION Permit Number: 13791 Address : 1665 SELVA MARINA DRIVE Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 1223 ' lass ot Work :NEW - -- LEGAL DESCRIPTION --- Constr . Type :WOOD FRAME Block : Lot : Twp . Proposed Use: SINGLE FAMILY Section: 0 Subd: Rn-! Dwellings : 0 Subdivision: SELVA MARINA Est . Value: 0 .00 Improv . Cost : 2 , 400 .00 Total F 25 .00 Amount r . . _ - OWNER INFORMATION ---- -------- APPLICATION FEES Name: PAR BRA AND MTKE LEVINE PERMIT r Addr : ,SELV:a. MARINA DRIVE ATLANTI'.7 EEV7H . FLORIDA Phone : 904 ' 24 -2315 C,74siTRA:7,TOF INFORMATION - Name: SCHULTZ ROOFING Addr7 216 N 20TH STREET-SUITE A JA(!KSONVILLE BEACH . FL 32250 Lic : Exp : Type: 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 REVOCATIpN FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ;Lae 1, Date: 4/21/97 01 Receipt: 0051495 CASH 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ALANT I C BEACH ROOFING PERMIT APPLICATION Owner(s) : Le U i iv _ Address : / 66s S.,0 1/4. Phone: -2V/- DS2C Lot * , Block or Unit * X�K- ..5 Subdivision: ision: Contractor: .� Ci u ( 7 Al G Address : /(1d■CH"--- o City, State and Zip . ) -fib 6G 1 3 Z ?so Phone.2V 2J(S State License # C C - CO ,34 9 erg ,p Describe work to be performed: ke iet)d /i'A' Valuation of Proposed Construction: Materials to be used: .5'4/4.7�c s f S'i /� 97 Signature of Owner; Signature of Contractor: �-- Liability Insurance Supplied Workers Compensation Insurance Supplied License Information I PSR-3844 91.8 5 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION _ _- LOCATION INFORMATION --- emit Number : 9185 ldress : 1655 SELVA MARINA DRIVE Permit Type : BUILDING ATLANTIC BEACH . FLORIDA 32233 lass of Work : ADDITION LEGAL DESCRIPTION I C'?nstr . Type: WOOD FRAME .rat ! Block : Section: j Proposed Use: SINGLE FAMILY Township : RNG: 0 'gellings : 1 Code : 0 zbdivision: SELVA MARINA stmated Value: 54000 , x)0 IYiprov .. Co:-- 80 . 0 Total F $45 .00 .Pr, r roc no = .> - ,_ _ " _ T(.2 ;',. .THEN .:!_ ,W . L S(' FT UNL X h'!i ST , h(Jt i .. 1.12. ---- OWNER INFORMATION ------ -- -------- APPLICATION FEES Name' .JOHN PE'TE'R SAPIA PERMIT __ _ d.dress : 1F6 ". ELVA MARINA DRIVE WATER IMPACT FEE ATLANTIC BEACH , FLORID; 322 - SEWER IMPACT FEE Phe,n€ • "4042P. PP9n WATER METER/TAP RADON GAS-H .R. G . 50 .00 --- CONTRACTOR INFORMATION RADON CAB 5% $0 ,00 Name ! ANDREW c . MENDOLIA CAPITAL IMPROVI $0 .00 -?di ess : 695 AlA N . #335 SEWER TAP $0 . 00 PONTE '.'EDRA BEACH , FL 32082 CROSS CONNECTION $0 .00 -lease.' CBC0 67 7: Type : I SEC_, H IMPACT FEE $0 , 01, '. NST.SURCHARGE Sr' NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 $45.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 10/07/94 01 Rcpt: 0001464 :/ ' '� CHECKS 1078 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address M -S cE L ✓b , a- A r/0 A- a rz , Date / D . ? Y Heated Square Footage 4) @ $ per sq ft = $ Garage/Shed l� @ $ per sq ft = $ Carport/Porch o'__Y k ___@ $ per sq ft = $ Deck 1 @ $ per sq ft = $ cc Patio .�7 @ $ per sq ft = $ TO& VALUATION: $ /I 0 00.00 C/C, 0 J / c_cr-t) l Total Valuation 1st $ /CC Remaining Value $ \ per thousand or portion thereof TOTAL BUILDING FEE $ ?O - c%Z� + 1/2 Filing Fee $ / j _uL__) ( ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 7 S (") ) ADDITIONAL PERMITS OR FEES: Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: it MAP SHOWING SURVEY • °�' `' '�AL �� � � of • a. s- 777L6- LOT '7, FSLOCIC Co , SELVA MARINA UNIT NO. 5 . ( I o 5 SELVA MARINA I7QIVE)' according to plat recorded in Plot Book 3O , Page 2°), 29A of the current public records of OUVAL County,Florida. Examination of Flood Hazard Boundary Map, Community No. 1Z 00 , Panel 0001C dated 4 18.83 , Indicates that the property shown and described hereon lies within a Zone. 6 area. GOVERNMENT LOT Co 11° (v' SO'1 E. . I PO.U0'(PLAT)* 150. 19' (F.M.) 14,:4:4: _. :e wavy. _ . � 05_0 Y2'IQoni K Q\-Fs 4' ti. ti ON... 0 0 kr Wooc PEC O (` 5C2EENE.V c'9kC� N _O 1-'-' wo00 OE C k b 0' ' :1 fi v --, - N t-. Q o n 'JwoOC WALK v N, 4 d 3l0.2, a o-�-. 'N. "----1 185' b J loz' 415 tTIE, 11:7. 2171 41' iTiE �� �- O wuoo WALK „ I 51.0 O.'? gRICI'. - FkpME gTOKAGE . I� I,. R.51. . E O tl 1�}I+1 O 3 9. 5 0' / I U: ,.E ALA CM 05 --' J (T 'o' o',, -o 95' - O Qp9'.3 CONC , v AK'3'C 6.5' TIL 29 9' 4,5' -- 4 1,2l PRA E c .• YO SWEC Fpq '(�' �M (Tie)W , LU 4 3. A WC WELL 65' 7 6e_, 045'9RICK 7LAUTE25 2 Q I 4-4 / iT 14' tw �-`--CCUC WALK J O (ANC wALI( .\. It' /RANTER aj i- ( ,3 O O 1 - CO --- --- 2'-- — —I c / z4 C.' s 35. _Uj.o u"' gr2ICK — i^40' 13 r L — _ O (TIE) 9 513' 1••I) .'05' *se PLA''TE — O /� O = a m` 21' r, V r r w o GACRAGE P.iN' . G e90.._1 Z L el"e S N Q .‘ o .;, W °O Nr- o0..Z •4.104 0 i' O NAIL y2.2o Al,o) C./- 4OI5C 9„..7.- -1----- -,G30.0 (PLAT I�z lec,r. j�IQON� C.30 1U'(G M) 1 N. H° 5 C ' 50"W. 150.00I(PLAT) 150.15'(F.M•) C7L=LVA MARINA DRIVE coo' Rdw ) CLARK & SON . INC. Pi? LAND SURVEYORS- 2686 ST.JOHNS BLUFF RD.-JACKSONVILLE, FLORIDA-(904) 641 -670( F TEQ C. 4 JOAt. I. SAPIA LEGEND THIS IS TO CERTIFY to SECur21TY FIiZST FEDERAL 5AVING6 C LOAN CcIICGGO TITLE INSU1Z4KICE CO. that CONCRETE MONUMENT fj pU N DQ 2�/ • METAL STAKE SET this map is a true representation of an actual survey made under my 0 METAL STAKE FOuND supervision in accordance with the minimum technical standards as out- ® • CROSSCUT lined in Chapter 2IHH-6, F.A.C. pursuant to Section 472.027, F.S.) •that —X— FENCE there are no encroachments except as may be shown hereon) and that, to the best of :my knowledge and belief, said survey is correct. DATE' JOB NQ' Basis of bearings: PLAT PSOOK 30 , PAGE 29,29 A ' 8.11.8x3 8.0 _. . SCALE' FIELD BK NQ' I" = 301 24 /41 Signed 12 AUGUST 19 Bg Aq, ■ DRAWN BY' CHECKED BY' Note: This survey is not valid unless it is FL Registered Surveyor W -4'124 12.-PxvI2Pe OC/T8fC embossed with the surveyor's seal. TuURMAN 0. KING CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : JOAN (a PETER SAPIA Address : 1 655 SELVA MARINA DR. Phone : ( OFFICE ) 246-1200 Lot it Block or Unit I Subdivision: Contractor : ANDREW C. MENDOLIA 695 A-1 -A N. 35 P.V. 32002 285-8890 Address : Phone No: Describe work to be done: ADD 24 SOUARE FEET TO KITCHEN AND ADP ONE WINDOW. ADD 11 SOUA.RE FEET TO :.DOE uNDRE EXISTING ROOF LINE. Present use of building: .ESIDEN(jE Valuation of Proposed Construction: 3 4000. 00 Proposed use: KITCHEN Is this an addition? YES If yes , what are the dimensions of the added space: 2 ° 0 ft . X 5 ° 6" ft . Will the added area be heated and cooled? YE New electrical (or increase)? **ye s New plumbing fixtures? No New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: �� �' � Date: //A /W Signature CONTRACTOR: 1 '( Date: /6)/5/? y 10.100c' ii,7 (1,1711T-0 " WYB .1119, 994 Blinding and Zo / Wing A.C. MENDOLIA CONSTRUCTION 285-8890 CB CO46772 - - -- 131 - ;-- — -- ,_ GARAGE / r-------- KITCHEN - CO 1 I (N M N- 0) T1 CO CO d- in REMOVE NON BEARING WALL / 1, I i in / ADDITION N N ADD 3rd WINDOW I) M 5'10 7'3 - I I 1 JOAN & PETER SAPIA 1655 SELVA MARINA DR. ATLANTIC BEACH FLA. (904) 246-1200 0 c,G�FF 0 l'..C.0 -'' i 'i lr 0Rovso s., Cill OF_kiln 051-1c.E: ■CT .7 Ih< . . ... . . .., ,••. ..-- ..... .... .... c /- .•-• _..,./......„.„.„,____. \ a I col , \ 1, 4 x11 , ;i.,.2,... 3 0 L. 13 I- 4.. ,. __.'...;...,i•-•.: si , \ 04 •. n )11, 4--- 14( - - • •., 1)p. 13/2,-1 4- 4 I,.. '• 1 \ - H . I . .-- I-,t . h -4 . ) \\. 1( \I .., _.3 , • tr/ / . I APPROVED CID OF AI LAN I le BEACH BUILDING OFFICE OCT ° 7 1994 ,a • klIV 'tad A.C. MENDOLIA CONSTRUCTION 285-8890 CB C046772 13'1 -- - - -=-i GARAGE 1 ' ;t - :. ,_ 7.- KITCHEN - co tV � r M �, � 1, Co III el REMOVE NON BEARING WALL, li I , N 1 ADDITION `n (V b __ W—t—t--AI l—__ _ ADD 3rd WINDOW IIIII M N- 5'10 —,,2- 7'3 - ' — , JOAN & PETER SAPIA 1655 SELVA MARINA DR. ATLANTIC BEACH FLA. (904) 246-1200 APPROVED -0 CITY OF A i lAOt i it; BE Awl J ci ; etltL INC4 OF rice P 0(7) FF�6 CT C 1994 r,Q\�CO�'�� g, i I /,, i_ ., 111 ,,S___ _. „, _,, „,,, ii/ell , f.. -- sF/E- / .i `Ml R 0 G 0 c e°�-,I 10. X, C"- °/ ....... 1"f"----- tz U 14 1 A., Zi a di • k,/ 2- .°- 1--; I6 " APPROVED CiTB�LDIN LAN OFFIBEACH 0 CT 0 7 1994 , DEPARTMENT OF BUILDING 3 0 9 8 Clnit OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 6-4-76 19 Valuation$ Fee $ 3.00 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 Williams has permission to build Mig 2" well• approx. 150' depth Classification s/F Res. Zone Owned by Jerry R. Strayve Lot Block_ 6 S/D SM Un. 5 House No 1665 Selva Marina Dr. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS ,I AFTER DATE OF ISSUE 4- ► 0 Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. R. C. Vogel (cry) Building Official. 1 FOR OFFICE PERMIT DATE CONTRACTOR FC USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER — - 4 S i DEPARTMENT OF BUILDING ' FOR OFFICE USE ONLY CITY OF ATLANTIC BE1:CH, H'LORIbA Date 19 3� Fee $ 3,00 Permit #= ; Application for Permit 1 Valuation $ O fdr Misc. Alterations , House # /666-- , 7 (yu, 4, and Repairs 1 DESCRIBE: (state if to repair, alter, add to or move building, erect awnings r or signs, etc. ) Hlk No. G� Sub.Div., - /` ` -� Building on: Lot lo. Address /J----�'-o-�� °- `- r Valuation $ y > e e7 Y-C r ,C Owner' s Name jam. - - 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 ground, toof, wall, projecting banner) Material of Construction . Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on 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. Souther Standard B , d 'ng Code) Builder. or Owne: _1!L ,-�- � J- L Signature of � �,, Address /' Y? z ..----------------------------- \ t ' " DEPARTMENT OF BUILDING 3042 PERMIT NO. CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD t THIS PERMIT MUST BE POSTED ON JOB Date 3123p" 19 Valuation$ P— ulna Fee $ ____ 1 This permit not valid until above fee has been paid to City Treasurer, and is i applicable provisions of law. I ,abject to revocation for violation of aPP� i This is to certify tha MarCUS PrinAle �I install 1 sink 2 l a v a t o r i e s e1 heaterub I has permission to buil I 2 closets 1 floor drain 1 shower water . is was er iSPOSa 7nne 1 Classificatio Owned by 3, R. Stra Ve Lot 1665 Selva S/M #5 Block �—=SAD Marina Drive House No ermit I According to approved plans which are part of this p NOTICE—ALL CONCRETE FORMS . 4 AND FOOTINGS MUST BE \ SPECTED BEFORE POURING. IN PERMIT VOID SIR MONTHS 7 AFTER DATE OF ISSUE ♦� Z Building material, rubbish and debris � from this work must not be P in public space, and must be cleared np and hauled away by either contractor or owner. 4 R _e Building Official. I E t CONTRACTOR PERMIT DATE FOR OFFICE NUMBER USE ONLY I tt t PLUMBING ELECTRICAL E i M. E SEWER . -------iwlli.N1 f WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. DATE : .3 --23° I4 LOCATION_ LOT NO. BLOCK NO. S/D MASTER PLUMBER ^; Qjll Ie:2-yyt� ,;BLDG. BUILDER OR CONTRACTOR D , r►aea PERMIT NO. TYPE OF BUILDING___________ / SINKS Z LAVATORY J BATH TUBS URINALS Z CLOSETS l FLOOR DRAINS J SHOWERS WATER HEATERS / DISHWASHERS l DISPOSALS OTHER TOTAL FIXTURES __ /Q @1 .00 NO WORK MUST BE DONE UNITL A PERMIT HAS BEEM PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the site and location of all the soil and vent pipes , and the number and location of all fixtures , (In accordance with Ordinance No. 188 of the City of Atlantic Beach, Florida) must be shown on back of application and be approved by the Plumbing inspector . • DRAW ELAND SPECIFICATION OF ABOVE PLUMBING ON BACK Approved by Plumbing Inspector Date 4 (FOR OFFICE USE ONLY) Rough-In Inspected REMARKS Final Inspected CERTIFICATE ISSUED: • CITY OF ATLANTIC BEACH AP?LICATION FOR SEWER CONNECTIONS PERMIT NO. /„2, DATE 5/577 LOCATION/6145 S! THE LOT ITO. BLOCK NO. a OWNER •_ .dr / • - TYPE OF BUILDING _ MASTER PLUMBER j/17k2/0. INSPECTED BY BILLED ACCOUNT NO. �,-5 APPLICATION FOR WATER CUT-IN TO THE CITY OF ATLANTIC BEACH: Application is hereby made for r/ water cut-in at the following address for :ig...,�a. units. j� Cut-In charge of Y-577-0-77 �--- ol_s CSl) y(.,�=�(.c-cti Street NJo. `& 6 3 • - / ,t %/�_ _�_ , i%�_._- Lot 4 2' Block = p Subdivision c l')'7 ,S Ordered by: 4 - 4 ,s ,_,, ,,__, _.. - / OWNER: AO A/.d, Mailing dress s ,y/ //, /._:!. .4 . L 0/. . _ // � ,, / DATE: ' i1 ��/L ACCOUNT NO. 10-5--- METER NO. DATE INSTALL! D: 1 CITX OF ATLANTIC BEACH AP?LICATION FOR SEWER CONNECTIONS f DATE_ / Ia r — PERMIT NO. , � / :er cut-in LOCATION _��!� - BLOCK NO./ OWNER / — _ ...,/,__ 4 TYPE OF BU ILD1NG I , If -./Al , .II ./.di . / .2G1 -;:ed..... 4` MASTER PLUMB i; .1 Gi / � I INSPECTED BY ca■Z BILLED ACCOUNT NO.-4.1-_:C----_— . k 4 F T�-- r ' ""-- "'" -47 "dy-7.40 4/.41. ..e_oe,_,ed,,e....es..z.ec?r.......______ ,- F 1 ■ t i f , 1,, CITY; OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. --- DATE : .3 --23- 24 LOCATION_ ._. a-24,11eA.. LOT NO. BLOCK NO... (P SAD / � m_ MASTnR PLUMBER_____2712f-.7.64.--4.- X BUILDER OR CONTRA C' BLDG. TOk k,��� � PERMIT NO. TYPE U ? BUILDING C _��SINKS 2 LAVATORY f BATH TUBS URINALS Z CLOSETS l FLOOR DRAINS I SHOWERS / WATER HEATERS / DISHWASHERS / DISPOSALS _ ,��OTHEIt� TOTAL FIXTURES fQ @1 .00 NO WORK MUST BE DONE UNITL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the site and location of all the soil and vent pipes , and the number and location of all fixtures , Ordinance No. 188 of the City of Atlantic aBeach,tnFlorida) must be shown on back of application and be approved by the Plumbing Inspector . DRAW FLAND SPECIFICATION OF ABOVE PLUMBING ON BACK j Approved by .. _ Plumbing Inspector Date • (FOR OFFICE USE ONLY) ?tough-In Inspected REMARKS Final Inspected CERTIFICATE ISSUED: i _ . , /.. ': . H.L' . if. FOR OFFICE USE ONLY \)1 J� Date / 197A 00 Permit # Fee 1.1.177 CITY OF ATLANTIC BEACH Valuation $...f71�f DOD_ FLORIDA Hou8e # X665 "' D o .2),S,��3 ��'o. APPLICATION FOR BUILDING PERMIT d ,.77 -07 irs• ‘17e) 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. ,� cc Date-�1..1�G�1Li g , 1976 Owner .R' I A(1/C Address Telephone NooL4 P`0 Sri" Architect Address Telephone No e�, `/' 1' Telephone No. .7-.V6--7,7-7 7 Contractor Builder V"�"� v-��'�' Address �y 7 � f �Lot No Block No. Sub Division /41 Zone,ll' Street Side Between and Sts' ► o Valuation $ For what purpose will building be used � O Type of construction fr/tiovrrc4.-- W i Dimensions of Building Dimensions of Lot Size of Footings �0 ire- Greatest Sill Span in ft. Type Roof...._.t ...,. Size of Piers 1Ya.A C- Size of S��ill--g--_�� P .t How will Building be Heated?.1 Will Building be on Solid or Filled Ground?_.e Size of Ceiling Joists , Distance on Centers O , Greatest Span „ Size of Floor Joists IYP.I✓e ,Distance on Centers , Greatest Span " Size of Rafters f-il er,f'9 ,Distance on Centers , Greatest Span tf 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 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Cityy Atlantic tlantic Beach. ern._ Signature of Builder4�€ Address / ' q i44C kifMeite6 Signature of Owner 4.-e.._ Address S!..:L`I f.. JJ��' CITY OF ATLANTIC BEACH F J 800 SEMINOLE ROAD -*'a ,,, i4 - r) . . ATLANTIC BEACH, FLORIDA 32233 i INSPECTION PHONE LINE 247-5826 Jj1y9'• Application Number 05-00030805 Date 7/21/05 Property Address 1665 SELVA MARINA DR Tenant nbr, name SHALLOW WELL Application description . . WELL PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor LEVINE, MIKE AMERICAN WELL & IRRIGATION INC 1665 SELVA MARINA DR. 49 ARDELLA RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5400 Permit WELL PERMIT Additional desc . Permit Fee . . . 35 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 , • % r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Oa ir 421111L BUILDING OFFICIAL r r JS fj+rLlrl,'. -i � � CITY OF ATLANTIC BEACH � )�Ky.Fl`s v� '' WELL PERMIT APPLICATION tJ13 T..)'� Date: 1 2- 11 OS Job Address: 1 UV) I U a. marina br' Owner of Property: Ph UV I n t Owner's Telephone: 2'-1 1 ` n 2U Contractor: A'1VLPX1 (`An , 0C I n Contractor's Address: 4g V I 1 cI'(J I a 0 ` I Telephone: c"I -6466 Fax: ` g I I P �"1 Is well to be used for drinking purposes? \D ➢ 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 from 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. ➢ A reduced pressure zone backflow preventer must be installed on the City water service on the customer side of the meter. A certified tester must test the backflow preventer and a copy of the results sent to Public Utilities. 4 Department Notes: I agree to comply with regulations stated herein: i. a. e Date 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800•Fax: (904)247-5845• htto://www.ci.atlantic-beach.fl.us Revised 6/25/04