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
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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.,
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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
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JJ��' CITY OF ATLANTIC BEACH
F J 800 SEMINOLE ROAD
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. . ATLANTIC BEACH, FLORIDA 32233
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INSPECTION PHONE LINE 247-5826
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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
,
•
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
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BUILDING OFFICIAL
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-i � � CITY OF ATLANTIC BEACH
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'' WELL PERMIT APPLICATION
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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
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Contractor's Address: 4g V I 1 cI'(J I a 0 `
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Telephone: c"I -6466 Fax: ` g I I
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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