1670 Selva Marina Dr (vault) f
FOR OFFICE USE ONLY
Date ///I 19 7
Permit # lee$..g ,- ,
CITY OF ATLANTIC BEACH Valuation $ 0�
- ,
FLORIDA House # /676 , s/.,
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the 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 November 12 , 19 74
Owner Carl Sampson Address 1803 Penman Rd. Telephone No246-0862
Architect Carl Burr Address 1163 Beach Blvd. Telephone No 249-3323
Contractor Builder Carl Sampson Address 1803 Penman Rd. Telephone No246-0862
Lot No.Co. 150' Lot 2 Block No. 9 Sub Division Selva Marina. Unit 5 Zone
Selva Marina Street West Side Between and Sts.
Valuation $403000 For what purpose will building be used Dwelling Type of construction Brick Veneer
Dimensions of Building 74.8 X 59.8 Dimensions of Lot 150 X 300 Size of Footings 8 X 20 8 X 24
Size of Piers$ X 16 C:B. Size of Sills 2 X 10 Greatest Sill Span in ft. 9 Type Roof Com.11,___$bi11g]e�
How will Building be Heated? Electric Will Building be on Solid or Filled Ground? Solid
Size of Ceiling Joists 2X6 2X8 , Distance on Centers 16" , Greatest Span- 18'
Size of Floor Joists 2X8 2X10 , Distance on Centers 16" , Greatest Span 13' 4" P.
Size of Rafters , Distance on Centers 16" , Greatest Span 18' "
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 S P1-,r,s W
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam. ::1 'I
4. When framing is completed. N s
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered. A A
7. Electrical inspection by City of Jacksonville. 07 53
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 attache 'plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City o �� c Be .
Signature of Builder,--.. ��✓.._._ Address 1803 Penman Road, Jacksonville Beach, Fla.
Signature of Owner. Address 1803 Penman Road, Jacksonville Beach, Fla.
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
PERMIT NO. 1197 DATE 11/15/74
LOCATION 1670 SElva Marina DrivgTREET
LOT NO. 2 BLOCK NO. 9
OWNER Carl Sampson
TYPE OF BUILDING Single family dwelling
wik-
MASTER PLU BER
INSPECTED 11 /6 BY 20/
BILLED
ACCOUNT NO. D-21
APPLICATION FOR WATER CUT-IN
TO THE CITY OF ATLANTIC BEACH:
Application is hereby made for 3/4t tap water cut-in
at the following address for one units.
Cut-In charge of $85.00 plus $2.00 construction water
Street NO. 1670 Selva Marina Drive
Lot 2 Block 9 Subdivision Selva Marina #:
Ordered by: Carl Sampson
OWNER: 6fAt
Mailing Address:
1803 Penman Road
Neptune Beach, Florida 32233
DATE:
ACCOUNT NO. D-21
METER NO. DATE INSTALLED:
12yr _e. // A( CD 01-7/. 740./e /7/0y
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
PERMIT NO. Date : 12 - q - 7Lt
LOCATION )6/70 SaLvli• /` e,r►Al i Pr. Stre&
LOT NO. BLOCK NO . S/D ,5444, p
OWNER 5 • s•
MASTER PLUMBER S /'• or. "`)
Bldg.
BUILDER OR CONTRACTOR o Joe( Permit_NA.
TYPE OF BUILDING eLL 1
I SINKS .2 LAVATORY`BATH TUBS URINALS 40 CLOSETS
FLOOR DRAINS 1 SHOWERS o2) WATER HEATERS__DISH4ASHERS
J DISPOSALS OTHER I v11 ,
TOTAL FIXTURES @1 .00
NO WORK. MUST BE DONE UNTIL. A EERRMIT HAS BEEN PROCURED
PLANS AND SPECIFICATIONS must show a and of the anant.size -and location of all the soil an d vent
pipes,
location of all fixtures, (in accordance with Ordinance ne. 188 of
the City of Atlantic Beach, Florida) must be ow on back of appli-
cation and be approved by the Plumbing Inspector.
DRAd PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK.
Approved by
Plumbing Inspector
Date
(FOR OFFICE USE ONLY) REMARKS 62/(
INSPECTED, /L-eQ -7y
FINAL INSPECTION: „2-- 172,4"' CERTIFICATE ISSUED:
E.
DEPARTMENT OF BUILDING 4 6 5 6
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
I April 3, 19
Date
Valuation$
Fence Fee $ 9.00
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 Carl Sa psof
1 has permission to Opi1`k install 4'
wond si,arinw fence. APPROVED 4/3/81
Classification_ RPsi_dentiai Owned by Zone
Carl Sampson
Lot Block__ S/D
P v `'� r i P a P`r i TP-
House No. 167Q S 1 2 n
k. According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE I -
f SPECTED BEFORE POURING. itp.
PERMIT VOID SIX MONTHS'41
-ft AFTER DATE OF ISSUE ;AM
r ∎ 0 XI
Building material, rubbish and delir&
--� Z from this work must not be placed in
k I -I public space, and must be cleared up
and hauled away by either contractor
or owner.
Y 4
Mr Bill M. Davis
Building Official.
t _
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
t
ip PLUMBING
i ELECTRICAL
SEWER
WATER
FOR OFFICE USE ONLY
Date 19
Permit # Fee$
CITY OF ATLANTIC BEACH Valuation $
FLORIDA House #
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the 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. , 19 '
V�
Date j .
Owner 1.:-,E4ie.-.G.t-____. ,k4-• -p-D- Address__JIv..722 S'2G(f,�¢-_-/ ,/)in!?.Telephone No
Architect Address Telephone No
Contractor Builder
Address Telephone No.
Lot No Block No Sub Division Zone
Street Side Between and Sts.
Valuation $ For what purpose will building be used Type of construction
Dimensions of Building Dimensions of Lot Size of Footings
Size of Piers Size of Sills 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 "
Size of Floor Joists ,Distance on Centers , Greatest Span It
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.
APPROVED REAR LOT LINE
Two copies of plans and specifications shall CITY OF T1.1N,IC BEAC!I
BUILDING OFFICE
be submitted with application. C
Inspections required. / • , _ 3 l' :1 ,. e, PL 4
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/�� j
r HI
3. When steel is in place and ready to pour beam. I, F
4. When framing is completed. $ S
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 Jacksor.ville.
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 City of Atlantic Bea
Signature of Builder Address
Signature of Owner L %u!L-z ''J Address
IIo
- 141111111112222"511"1118 "'–'2"-'----- ----'"'---- -;;PTH'117-3:970 WiNLII"–SURVEY7-0;"."'"'""'".'''''''''
TIIE 5OUTII 150 '0110T2 810CA' 9
____ 5EL VA MAR/NA MAR/NA UNIT NO. 5
_
11 Recorded in Plat Book 30 Page ?6,§ MI of Curreni Public Records of Duval Co., Fla.
for• COP/ 5a/np5 oil
LlirGEND
B. L. CROASDELL & COMPANY NOT INC.
o Denotes iron Date Rorch 17,/0)76,,
—x--x— Denotes Fence CIVIL ENGINEERING & SURVEYING •\.,
P R M Denotes Permanent
Reference Monument 429 East Adams Street • Jacksonville, Fla. Scale 1" = 40 °
, -
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5E L VA MA g I IvA °RIVE
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APPROVED
CITY OF ATLANTIC BEACH
BUILDING OFFICE -
I ' ... k.-
1 —
A. '' 3
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/ /
,
By , ll t.i '
• , ,,,a, 1
C A N A L
1
Pi 9'
C:1-t, S4,/,5001-r
CNNc2ONS€- CITY OF
0°-* 411a Beach-liwrida
Office of Building Official
REQUEST FOR INSPECTION
Date —)S / ��
Time Permit No. J
Received A.M.
P.M.
J1D .District No.Jo Address
Owner's /� Locality
Name i5 VC 4--- LM-15-3c)(11-1..
Contractor
BUILDING CONCRETE (eCTRICAL
PLUMBING MECHANIC L
Framing 0 Footing ❑ Rough Wiring '_ Rough ❑
Re Roofing ❑ Slab ❑ Temp Pole El Air.Heating
& ❑
Heating
Lintel ❑ Final
Top Out Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. A.M.
ur� Friday P.M.
Inspection Mace - 7
Inspector l . s� L... .
Final Inspection o
Certificate of Occupancy
Date
BUILDING AND ZONING INSPECTION DIVISION c ,
Z CITY OF ATLANTIC BEACH, FLORIDA Z t,,,"
LL 2 CO
ELECTRICAL PERMIT a
l
14
Date 7 f 2X F7 Fee $ 20.00 Permit No. 5628 30
J
W
Location 1670 Selva Marina Drive o
Between and Q
This is to certify that o.
arostks 4 Lirtbaugh Electric Co. Christy Brooks o
(Electrical Contractor) (Master Electrician) H a
has permission to install Electrical Construction as described herein in W a
accordance with the provisions of the Electrical Code and regulations Z c
of the City of Jacksonville, and subject to the information shown on the = 2
application, drawings and specifications which are made a part of this Y
fX It
permit. Whitaker v
•
w •
a.
Type of work: Reisdential Ren►air o
SERVICE:existing 20Oastps 1ph 3w 24Oveit SEU raceway a Y
4 1
N U
W
Feeders: L'
Outlets: 0V
W
Receptacles: m
Switches: `n
Incandescent: ''
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
Signs:
Miscellaneous: changed out 200Eur Murray Panel with a new
1- E e L a't -71-1 : ecci a _ ..; 143.4' * ?
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor
MONTHS PERIOD, PERMIT
BECOMES VOID.
n
g� BUILDING AND ZONING INSPECTION DIVISION II d
Z CITY OF ATLANTIC BEACH, FLORIDA Z
o CO
ELECTRICAL PERMIT Q
14
Date 7/ $ ' 7 Fee $ 20.00 Permit No. 5628 0
J
W
Location 1670 Solve Marina ...rive co
o
Between, and a
This is to certify that
mok t_i fk >fslactrie ICS, _ Christy Brooks o E
(Electrical Contractor) (Master Electrician)
IM 0
has permission to install Electrical Construction as described herein in W a
accordance with the provisions of the Electrical Code and regulations Z c
of the City of Jacksonville, and subject to the information shown on the = 2
application, drawings and specifications which are made a part of this ?� Y
permit. Whitaker U c 2
for — U V.
•
a
Type of work: Rmisslantial Repair o
SERVICE:WaSting Mows l h 3w 24Ovolt SEU raceway i
a u
N
W
Feeders:
Outlets: O W
Receptacles: O0
v7
Switches: _
Incandescent: ~-
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
Signs:
Miscellaneous: Chantted out 200ArtF! Murray Panel with a new
, , .,z ,*.4. 4.4. 1 . 8 : :.s hLsmar R +1
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
Electrical Inspection Supervisor
MONTHS PERIOD, PERMIT
BECOMES VOID.
CITY OF ATLANTIC BEACH, FLORIDA C
ADProvod bV APPLICATION FOR ELECTRICAL PERMIT
I
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
l 19 �-�/
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR WITH ATTACHED PLANS AND SPECIF CATIONS,
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
.,, ,,,,//g.__,, ,,...--
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
NAME'/T I A R' ADDRESS: / 6 7 0 SN-V N/Aft- 1 A a
PPmoX
BETWEEN:
BLDG.1SIZE
RES.1?') APT. ( 1 COMM.( ) PUBLIC ( ) INDUS. ( 1 NEW ( 1 OLD ( 1 REIN. ( )
ADDITION ( ) TRAILER ( I TEMP. ( ) SIGNS ( I
SQ. FT.
FEE
SERVICE: NEW( 1 INCREASE ( ! REPAIR )
CONDUCTOR SIZE AMPS COPPER ( I ALUM. ( !
PH W VOLT RACEWAY
AMPS
SWITCH OR BREAKER /,
VOLT RACEWAY
EXIST.SERV.SIZE / O AMPS Vv
FEEDERS NO. SIZE
NO. SIZE NO. SIZE
LIGHTING OUTLETS
- CONCEALED OPEN TOTAL
CONCEALED OPEN TOTAL
RECEPTACLES
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. -
FIXED ' 0.100 AMPS. OVER BELL TRANSF.
APPLIANCES
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
IIIIIIIIIIIIIIIII
•� ® V
YJ U „D �► � 1�/lTt��f�i7l �, e
MISCELLANEOUS m m7 is ] .� ��� ply /
�rli'�'�/1'- .��L�liT .� 1
TRANSFORMERS: UNDER 600 V. III OVER 600 V.
NO.
KVA Ill NO. KVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN /� 00
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL 247-5826-FAX 247-5877
PERMIT-INFORMATION LOCATION INFORMATION
Permit Number: 18876 Address: 1670 SELVA MARINA DRIVE
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: REPAIR Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision: SELVA MARINA
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 9/27/1999 Name: WHITAKER
Total Fees: 35.00 Address: 1670 SELVA MARINA DRIVE
Amount Paid: 35.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 9/27/1999 Phone: (904)777-5451
Work Desc: REPL COND 5 TON UL
CONTRACT-OR(S) APPLICATION FEES
ARLINGTON AIR CONDITIONING PERMIT 35.00
Inspectkats'Re #chred. _ .
ROUGH MECHANICAL FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
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.
$35.00 14
C ! Date: 9/27/99 01 Receipt: 089976
CHECKS
A NTIC BEAC BUIL G DEPT.
00188803221000
r.�
6327
..
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
_-_. PERMIT INFORMATION --- ------- LOCATION INFORMATIUI:
rm_i.t Number : 6327 ,.idresy : : XXXXXXXXXXXXXX SELVA MARINA DRIVE
lassroof Work : ALTERATION F�
G ALTERATION -- LEGAL DESCRIPTION
Constr . Type : WOOD FRAME Block : Section:
Pr oPosed Use: SINGLE FAMIL.`r Township: RNG: 0
,wellings 1 Code : 0 -aL'division: NORTH ATLANTIC BEACH
stimated Value : $0 .00
I mpr oV . C t $0 .00
r, r 1 ,""g, $2 .n0
3
A T PUtir• F r
OWNER -INFORMATIO'I _v---_ — --- APPLICATION FEES
Nano PERM T $, ,i
SELVA MARINA DRIVE
yddres XXXXXXXXXXXXXX ` � T .l
t E « ,rr,1
SEW M•A 'T
FE
!=hC,rte ' C4 )725'4402 WATER METER
GAS-H .1-,' .S . . i}$0 .0,
R INFORMATION RADON GA
RADON
!1 All CONI)I T IONIP� WATER T �@ }`�
►dd'Cs": 1 \itERSITY BOULEVARD t• {_EWERS TAP ` i r5r:t� +,,.
LE » FL 322l I HYDRAULIC:
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANUILDING IMPROVEMENTS."
THE PROPERTY OWNER PAYING TWICE FO R BUILDING
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC REACH. FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
( IMPORTANT -- Applicant to complete all items in sections I, U. Ill, and IV.
I. / 62 /2�� _� �.�__ __ _�._Ic�z _ __
LOCATION Sh•a/ Add,. --------------..
1 {
OF Intersecting Streets: Between CLl Gstn I-fy ( /u h 1,s--.) AndS e ,/-)a/e d_—__
IUILDING /
Sub•di.iuon ---- ----- — — --- --- -- — — —
II. IDENTIFICATION — To be completed by all applicants
In condderat■on of permit given for doing Ih• wont an described in the abrve state•nen► we hereby agree to pe•fc•"+ said wc•. a:::-Ja-•e
.iii the •ttuched plant and specifications which dins • part hereof and in accordance witn 11e City of JacInonv.l'e ord.na•ces a^a sea--e•_i
of gocd pr•cric• listed therein.
Nano .< 1.1•chanical Contractor►
Cedikaclor (Print) ; / MA l•r L
Netwo of
Property Own•r
Si4•afs.r• erg Owner / I Signature of
w Authorized Agent `'i / ') Architect or Engineer
III. 6rENHtAL INFORMATI
A. Typo-4f 6.46,1 fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
O poetic THIS BUILDING OR SITE/ ,1I0 —
❑ G•e—0 IP Q Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
Q Oif PERMIT
•
O O+f». — Specify
IV. Sg HANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK
(P.v.:d.complete SO of eomponentt on bock of this form) 14"---Residential or I I commercial
Q Heat ❑ Space ❑ Recessed 0 Centre' Roof O Ro Li New Building
Air Condrtionmq: ❑ Room (t3 Centwl I-1 txisling Building
bicka..a LJ'-Replacement of existing system
Q Dort System: Material T
❑ New Installation(No system previously installed)
Lt•unwwn eepeeify ark
❑ Extension or add-on to existing system
❑ Rel►.getifiow Li Other — Specify
❑ Coolnaq tower: Capacity st.p•m.
❑ Fire gninkl.ra: Number of Preach__ - — --
Q E1.wtoe 0 Ivtenlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
O 6.aof-..pum (lwmber) (Reeetveti I
O Teaks (number) Remarks —
Q LPG can$.i.wni (number) --
ID Vetoed promisee vetoes
Permit Approved by Daps
O liar,
O Orb+ — Specify Permit F..
LIST ALL EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT Gpu!
Number Units Deeeripgoa Model Number Manufacturer ('tbrsa)y Approving AgencY AC&-/ i M LNE1101M0 % e .' Ara Ai.' — c
- •
HEAT1riG 1 FURNACES, BOILERS, FIREPLACES I
Capacity Approving
_, Number Unita Description Model Number Manufacturer (BTU) Agency
-i
11
TANKS • • - i
Byer Many Martial Capacity Type• Liquid Name of Serial Approving
and Dimensions Contained Manufacturer No Agency I
---ii
— — - -- - - ——— -- -r
— — ------ ---.- — U�
. 9_\ '
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, Ill, and IV.
LOCATION � 70— , ce ar/'e. "L
LOCATION Street Address:
OF Intersecting Streets: Between And
BUILDING
Sub-division — ----
U. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Coma of M(Print) l /9 C 7i-/-/e,1 Contractors /7) 3
Contractor (Print) k /--,./-d,--, Master J � �/� / �J�j
Name of � 1 -j C4L v s & / / 3
Property Owner � � �fir- 2 ��� '
Signature of Owner �OV Signature of
or Authorized Agent ( Architect or Engineer
III. GENERAL INFOR ON `( (i- 763
B.
A. Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
❑ Electric THIS BUILDING OR SITE? /0`r
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) Residential or ❑ Commercial
❑
Heat ❑ Spece ❑ Recessed 0 Central ❑ Floor New Building
ISY Existing Building
'Air Conditioning: ❑ Room 0'.Central
Replacement of existing system
❑ Duct System: Meterial Thickness
❑ New installation(No system previously Installed)
Maximum capacity c.f.m.
❑ Extension or add-on to existing system
❑ Refrigeration
Li Other — Specify
❑ Cooling tower: Capacity g.p.m.
❑ Fin sprinklers: Number of heads
❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) ( )
❑ Tanks (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure vessel Permit Approved by Date._
❑ biters
Permit Fee
❑ Other — Specify
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT C. ,ctty Approving
Number Unita Description Model Number Manufacturer (Tons) AffencY I
—____. Can Ci C.e hi &O L/ao 3 � „,,, ,,-, u. , $ 11 C--
r
HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving
Number Unite Description Model Number Manufacturer (BTU) Agency
TANKS Serial Approving
Row Many Nominal Capacity Type Liquid Name of
and Dimenalons Contained Manufacturer No. Agency
//�C
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner(s) : rrke ; ow(*)
Address: / 7(2 S61i N/91- )vd Phone:
Lot # Block or Unit # Subdivision
Contractor: 6:45/C o,C-CS I Coto h2 C$(N O
Address: 753-y k)Y9 z NPJ/Ir9/s Phone: 7)'7 - 5- y,-V
State License No. y((
Describe work to be done: /f L eD0t)1vy �L S
Materials to be used: ,5%/;-17Grf.
Signature OWNER: /Date: /0- /e-1/
Signature CONTRACTOR: /1> 11
0
4465
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
_ _- F Ehh11 1 INFORMATION - - LOCATION INFORMATION - - -
'ermit Number: 4465 Address: 1670 SELVA MARINA DRIVE
Wor e: RE-ROOF ATLANTIC BEACH, FLORIDA 32233
Permit LEGAL DESCRIPTION
:lass of Work: NEW _.
Lot a Block:: Section
Constr. Type: WOOD FRAME Township: RNG: 0
fwegiaigs Use SINGLE :F'AI0ILX Subdivision: SELVA MARINA
Estimated Value: Cade $0. 00
Improv. Cost : $0. 00
Total Fees: $22. 50
Amount Paid : $22. 50
Date Paid : 10/18/91
Desc r ., "T1 NEW
OWNER INFORMATION --- - - - ----_ APPLICATION FEES --
Address: 1670 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 32 SEWER IMPACT FEE $0. 00
Phone: (904 )777-'i451 WATER METER $0. 00
RADON GAS-H. R. S. $0. 00
- - ----- CONTRACTOR INFORMATION . RADON GAS _ 5% $0. 00
Name: EAST COAST CONTRACTING WATER TAP $0. 00
Address: 8554 WAGENHALS ROAD SEWER TAP $0. 00
JACKSONVILLE, FL HYDRAULIC SHARE $0. 00
License: RC0059868 Type: U RE--INSPECT FEE 90. 00
SEC. H IMPACT FEE $0. 00
OTHER 90. 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AWAY AND DEBRIS FROM THIS WORK RK MUST NOT MUST PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN MSULT IN
NG
THE PROPERTY OWNER PAYING TWICE FOR BUILDING VALIDATION DATE: 10/18/91
TINE: 08:53 AN
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ REVOCATItaf R TENDERED
VIOLATION OF APPLICABLE PROVISIONS OF LAW. RECEIPT NUMBER: 03 9610
ATLANTIC BEACH BUILDING DEPARTMENT
By:
e . .r ',A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
o tir : = ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
'.0. 31-)r INSPECTION EMAIL REQUEST:
Building-dept@coab.us
Application Number 07-00000952 Date 7/09/07
Property Address 1670 SELVA MARINA DR
Application type description WELL PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
well
Owner Contractor
WHITAKER, I . B. WILLIAMS WELL DRILLING INC
1670 SELVA MARINA DR. P. O. BOX 330567
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-8489
Permit WELL PERMIT
Additional desc .
Permit Fee . . . 35 . 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/05/08
Special Notes and Comments
A reduced pressure zone backflow preventer must be
installed if irrigation will be provided or if there is a
private well on the property. Backflow preventer must be
tested by a certified tester and a copy of the results sent
to Public Utilities.
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
PERMIT IS APPROVED.ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,. r11'41% CITY OF ATLANTIC BEACH PERMIT
u .'
Y IP BUILDING / ZONING DEPARTMENT APPLICATION #
0,410 800 Seminole Road 9 1/ Atlantic Beach,Florida 32233 `
(904)247-5800
"�Ji1J` (904)247-5845 Fax
www.coab.us
CEIVED
JUL 0 3 2007
APPLICATION TRACKING FORM BY:
REQUIRED _ DEPT:
// ith/i.. Y N PLANNING
�J Property Address• (p!Q —Ma A110— Zr z Y N BUILDING
G N PUBLIC WORKS
Applicant: D 1v 7 L V/N PUBLIC UTILITIES
��] Y N FIRE DEPT.
Project: vV i. 1/ Y N PUBLIC SAFETY
w
APPROVAL
REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
w cc Y N D.E.P HUFSTETLER
¢a Y N
CG
_fx Y N
O Y N ' al Z.
CIRCLE ONE: I INIT •L: DATE:
(2/// _ 40 7-( --43--7
S
: . .:,
PLANNING
BUILDING I
- - 1,-KS
PUB p IES
F"1E DEPT.
I PUBLIC SAFETY
® 0 3RD REV
I
Return this form to the Building Department once you have entered your comments into the AS400.
r -,o_ A7
. ' . if 1* ,---4,,?A
5 _ ,„ ,,i ,, ...,4
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Aii:
,J0J�
CITY OF ATLANTIC BEACH
WELL PERMIT APPLICATION
Date 7 Z 7
Owner's Name: le/i <<cy ta/ rR i(ir Address: /6 70 -S�/t' dia/`Af �..
Well Address (if different than above):
Well Location on Property(i.e. northeast corner, etc.) -5-0.4H alts? co f N`r
Well Installation Contractor:2_ . /U 64//a s
Contractor License No.: /yl 7 Phone:2W- re? FAX:
Contractor Address: P V. ,F /s K 33 D 5-6 7, 41/0..,'6 e---/3,. , 37zy3
Check Use of Well: Domestic Irrigation t Other
Estimated- Well Depth:/0 Casing Depth: /2 Screen Interval from/2 Sto//P
Well Diameter: 7 Casing Material /t"
Is address currently connected to the City water system? g<05
Is address currently connected to the City sewer system? It
Has a Well Permit been obtained from the City of Jacksonville? i/i Permit#
Does the well require a permit from the St. Johns River Water Management District?
(Not required for wells under 2-inches diameter installed by resident or wells under 6-
inches diameter if installed by licensed well contractor). 47
If permit is required,note Permit Number and attach a copy.
NOTE: WHEN A WELL IS INSTALLED ON YOUR PROPERTY, YOU MUST
INSTALL A REDUCED PRESSURE ZONE TYPE BACKFLOW PREVENTER ON
THE CITY WATER SERVICE, ON THE CUSTOMER'S SIDE OF THE METER.
THE BACKFLOW PREVENTER MUST BE TESTED BYA CERTIFIED TESTER
AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES
DEPARTMENT.
• c�' . CITY OF ATLANTIC BEACH
7R �t� PERMIT
BUILDING /ZONING DEPARTMENT APPLICATION #
-,
,, 800 Seminole Road r �r3
/ Atlantic Beach,Florida 32233 1 (J'7
<) (904)247-5800
. �' }, (904)247-5845 Fax
www.coab.us RECEIVED
JUL 0 3 2007
APPLICATION TRACKING FORM BY:
REQUIRED DEPT:
Jt'' a 'y,,, Y N PLANNING
Property Address: /0 Jef YQi /714ri'r! �i* Z Y N BUILDING
8 f" N PUBLIC WORKS
Applicant: Q W r z Z Y N PUBLIC UTILITIES
Y N FIRE DEPT.
Project: ,E ii Y N PUBLIC SAFETY
co APPROVAL
w
U o REQUIRED AGENCY: RkEIVED BY: INITIAL: DATE:
w cc Y N D.E.P HUFSTETLER
<C7 Y N S.J.R.W.M. CARPER
_ Et Y N ARMY CORPS of ENG CARPER
I-
0 Y N HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP REVIEWE' BY: L: DATE:
11 ❑ 1ST REV 0 0 Z 6„(L) '7--('6-7 iff______
PLANNING
0 BUILDING
0 2ND REV
PUB 4i !'KS
`UB IC IL IES
F : DEPT.
PUBLIC SAFETY
0 0 3RD REV 0 0
Return this form to the Building Department once you have entered your comments into the AS400.
r 4,0. A9
(1:0-.A. ley
St1
r
�J131 =Li
CITY OF ATLANTIC BEACH
WELL PERMIT APPLICATION
Date 7 " 2 _a 7
Owner's Name:AO$Qk7 54 r Address: /‘. ' O
Well Address(if different than above):
Well Location on Property(i.e. northeast corner, etc.) p-t/ w,s r N<v
Well Installation Contractor: • Al itil/7Q.s
Contractor License No.: /Y(7 Phone: 8l8rs FAX:
Contractor Address:/ 1/4- 3 3°3 '7,4-714 /e—
Check Use of Well: Domestic Irrigation G/ Other
Estimated-Well Depth:/6 D Casing Depth:ass Screen Interval from"Cs to�`�
Well Diameter: Casing Material
Is address currently connected to the City water system? li 5
Is address currently connected to the City sewer system? ye.'
Has a Well Permit been obtained from the City of Jacksonville? A b Permit#
Does the well require a permit from the St. Johns River Water Management District?
(Not required for wells under 2-inches diameter installed by resident or wells under 6-
inches diameter if installed by licensed well contractor). /(V
If permit is required,note Permit Number and attach a copy.
NOTE: WHENA WELL IS INSTALLED ON YOUR PROPERTY, YOU MUST
INSTALL A REDUCED PRESSURE ZONE TYPE BAC%FLOW PREVENTER ON
THE CITY WATER SERVICE, ON THE CUSTOMER'S SIDE OF THE METER.
THE BAC%FLOW PREVENTER MUST BE TESTED BYA CERTIFIED TESTER
AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES
DEPARTMENT.
`'S ` `} CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-�'' ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
0.219 f' INSPECTION EMAIL REQUEST:
Buildin<z-deptncoab.us
Application Number 07-00001163 Date 8/16/07
Property Address 1670 SELVA MARINA DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 9800
Application desc
REROOF P.A.# FL183
Owner Contractor
WHITAKER, I . B. WHITES ROOFING COMPANY INC
1670 SELVA MARINA DR. 14262 PLEASANT POINT LANE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 220-5546
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 80 . 00 Plan Check Fee . . . 00
Issue Date Valuation . . . . 9800
Expiration Date . . 2/12/08
Fee summary Charged Paid Credited Due
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 80 . 00 80 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
LBUILDING PERMIT APPLICATION
‘,.„,„,..„, ,
�_ ,:t4..-",-,,_ : CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
" �°�3��� (904)247-5826 • Fax: (904)247-5845
Office: (904) ( )
3 /233
Job Address: 1670 Selva Marina Dr. Atlantic Bch, FlPermitNumber:
Legal Description 1 670 Selva Marina Dr. Atlantic Bch, Fl 3,2eq33
Valuation of Work(Replacement Cost) $ 9, 8 0 0 .0 0
• Class of Work(Circle one): New Addition Alteration Repair Move
• Use of existing/proposed structure(s) (Circle one): - Commercial Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• Is approval of homeowner's association or other private entity required? (Circle one): Yes No
Describe in detail the type of work to be performed: r ��
Remove existing roof, install new roof. Fl. ! b 8-i
Property Owner Information
Name:
Brisco Whitaker Address: 1 670 Selva Marina Dr. 3 aa33
City Atlantic Beach Staten- Zip Phone 249-7631
Contractor Information:
Name of Company hite' s Roofing Co. Inc Qualifying Agent: Tim White
Address: City 4262 Pleasant Point Ln City Jax State Fl Zip -D;�a5
9 0 4-2 2 0-5 5 4 6 JO Site/Contact Number
Office Phone CCC05801
State Certification/Registration# Office Fax# (1 0 W-
14 3 3 l, "77
Architect Name &Phone#
Engineer's Name&Phone#
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 workwill be performed to meet the standards of all
laws regulating construction in this jurisdiction, This permit becomes null and void work is not commenced within six(6)
months, or_i f'construction or work is suspended or abandoned for a period of six_f6) months at any time er work is
commenced. I understand that separate ppermits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools,
Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTENT? TO OBTAIN FINANCING, S OF CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NO
thereby certify thatlhave read and examined this application and know the same to be true and correct. All provisiogns fof
laws and ordinances governing this type of work will be complied with whether specified other fn or
rnot.state grant in omma
permit does not presume to give authority provisions
regulating construction or the performance of construction.
Signature of Property Owner; ./.,:10, \ Signature of Contract. • .Jl�:a_ _! ■��
Sworn to and subscribed before me Sworn to and subscribed before me
this 1JQ__Day of(6,ep.�t, i n this —Day of 0i.c .4 2nAl
r r�t A
DEBBIE J.RITTER '�� fi1lRTI"
Notary Public �� i �__ I!-:•° Notary Public: b :BIE J.RITTER
.• �. •� 'emu 114;agr EXPIRES: Dec.12,2009 ` MY COMMISSION#DD498844
(407)998-0153 Florlde Notary BaMoa.aom 'oro EXPIRES:Dec 12 2009
REVISED 03.05.07 (407)9-0'53 Raide P1ot"l'Sinfixt
NOTICE OF COMMENCEMENT
Florida Tax Folio No.
State of Duval
County of
To Whom It May Concern:
The undersigned hereby informs you improvements that ' rovements 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:
1670 Selva Marina Dr. Atlantic Beach, Fl 37x33
1 670 Selva Marina Dr. Atlantic Bch, Fl 3 ;1D. 33
Address of property being improved:
General description of improvements:
Remove existing roof, install new roof.
Brisco Whitaker Address:
1670 Selva Marina Dr. 3 ..x.33
Owner. Atlantic Beach, Fl.
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner):
Name:
Contractor: White' s Roofing Co. Inc. (Tim White)
Q(“) Address: 14262 Pleasant Point Ln Jax. Fl. 32225
Vj
Telephone No 904-220-5546.: Fax No:
V
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: (1)
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
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER ^/ — _dZ
`j' - _r Date:
1��+� , o a 1 in the County of Duval,State
Doc#2007265040,OR BK 14141 Page 516, :efore me this /6 day of
Number Pages:1 1f Florida,has personally appeared `.
Filed&Recorded 08/16/2007 at 11:15 AM, lotary Public at Large,State of Florida,County of Duval.
RECORDING FULLER CLERK CIRCUIT COURT DUVAL COUNTY 4y commission expires: or
RECORDING 310.00 ersonally Known: ' _ ��
roduced Identification: l": ••
eW EXPIRES: Dec.12.2009
411171 00/1.1114A Flowhs alniono Arians Anna