Loading...
1675 Selva Marina Dr (vault)___14, tit ....., . ,, ._ ,\J\.i:;,,.., • ,�J Afr I, CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD _ F__ j;•• 4 ATLANTIC BEACH,FL 32233 \ INSPECTION PHONE LINE 247-5826 _. 1::1'Olil Jf' Application Number . . . . . 05-00031786 Date 1/24/06 Property Address 1675 SELVA MARINA DR Tenant nbr, name 4 FT CHAIN LINK FENCE Application description . . FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 2825 Owner Contractor GIBBON, THOMAS AMERICAN FENCE CO 1675 SELVA MARINA DR. 225 SOUTH EDGEWOOD AVEUNE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 388-7752 Permit FENCE PERMIT Additional desc . Sub Contractor . HOME DEPOT INSTALLED SALES Permit Fee . . . 35 . 00 Plan Check Fee . . . 00 Issue Date . . . 12/16/05 Valuation . . . . 0 ( . Expiration Date . 6/15/06 Special Notes and Comments OWNER HAS CHOSEN HOME DEPOT INSTALLED SALES TO INSTALL FENCE. AMERICAN FENCE CO WILL NOT BE HELD LIABLE FOR ANY WORK UNDER THIS PERMIT APPLICATION NUMBER. 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. t 100% I�BUILD I1PICIAL s; \ CITY OF ATLANTIC BEACH `5i-A 800 SENIINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Uislf Application Number 06-00033051 Date 6/12/06 Property Address 1675 SELVA MARINA DR Tenant nbr, name SIDING/WINDOWS/DOORS Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 33000 Owner Contractor GIBBEN HERBENICKS CONTRACTING INC 1675 SELVA MARINA DR. 35 OAKWOOD ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 716-6398 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 195 . 00 Plan Check Fee . . 97 . 50 Issue Date . . . Valuation . . . . 33000 Fee summary Charged Paid Credited Due Permit Fee Total 195 . 00 195 . 00 . 00 . 00 Plan Check Total 97 . 50 97 . 50 . 00 . 00 Grand Total 292 . 50 292 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. al •8 8 0 di 't O• i z .� O LL Q -•q •'� 1-i p - N I u. Q 41 .--I •.a 1( 41 U c1 I W Z ut• 1•.f ...i C• r*- Q O Z ►= o I o '^i G (n 2 0 M ln N U a) w `''.t ltJ �-i cl t O (f L1. N D �/�1�y� Ct LIZ ._r� ,� ,8 ....� U Cr J 1 I! i~' _ yam. Z ) c� d cl OO> '� O} /� o _ c Q HZ + I ~ W 1— v wY I a Oz h Z JN g D Nd - QW ct LL Q ° �a w = °��, Y 0 J w V /) v 0 J LY N -, p O a d V I > us ...A w ° J W O zo a � z a o2 c ♦♦ 11 MJ 0U � W ZLu W a V Q y I- m Y c O O C M OO M re G a O a J V < o y 0 O w J J r a v a 1 it' o`er am p � a Q z ~ z � a I w a U m i t g 81 cc Yt7 '- ewx ° II - p 0 1" _P- a.Z�� = Lj 8 � w C I N O N I � � •� S. to N (n Z I '- O Z � C '2 W ►- w c g A I Io °1 Q z � 0 a0Y = o S N } I IQ a' W w I-' 11 00 a IIV 611_ham `� a c� M- 1 I f u A' 1 = W W G eg 0 V A i CU p J I IQ }' (X OW Ce LL' II QI m I OaJ c N ® U W a c 0 I 0 , W. I I W N U• a >. we b in OZ I 0 (1}'a O �N ow 0 °o U O o '4,' Cs cn O a� 2 a Q c I I '' C ►r- e+ � z a a N c� C Z N O0 Z I I � O W wO . 6 `�; M ' 0 I I 1 0 m ? zw 3x $ _ U N Y (.2 I W W Z Z I- O � �L' ZZ 6i0 I ° o o zU ° < o ° �� mC I I 0 0 of iny,� 0 J Ci■ s N � 2U> DQ Z I oiU j fi � W OZ O J ° C30 �Z 2 O i og � J 00 a �� 1 ins w � YO f- Z h I c 2 — c <,_ Qu) z0 & W W 5 WW __-.,. 114, •,•:. S. re — OU o -J H 00 Oa. yZ ce w � �nQ Uti �i ; J W u'AIa u0 wW `; = a �, e -I a I a a a. a ai ao 0J. ra Z 0 = Z N m V 1 0D 0 21 • DEPARTMENT OP FINANCIAL, SERVICES TOM GALLAGHER cgzx FarANcIAL OFFICER EXEMPTION APPLICATION RECEIPT This receipt O LY confirms that the applicant listed below has submitted an application for exemption from the provisions of the workers' compensation law to the Division of Workers' Compensation. THIS RECEIPT DOES NOT CONSTITUTE PROOF THAT AN EXEMPTION HAS BEEN ISSUED TO THE APPLICANT, AN EXEMPTION IS NOT VALID UNTIL ISSUED, DATE RECEIVED: c:01 ►\Ai O APPLICANT'S NAME: R t tw RRU HE�Be N cx BUSINESS NAME: tiC-Qt3EN ►c S Co01' QACTIu • 9,1C. Receipt completed by: "K-Ste The exemption exemption application was received at the following Division of Workers' C nipensat19yi office: Bureau of Compliance 921 N. Davis Street Building "6°' Suite X5o 3 DANOSNDVr Jacksonville, FL 32209 3�NtIl�di v oo M �d fi dfl8 Telephone (904) 798-5806 9002 Z OW, 0131131 I We' 0/° ) 0 sowaifil nki A9 03/130344 lmai — A9 03AO44ddv 9cc LLDtd�1.�+of S n3,"3H +6 � oN 1Nn000v (`l 011 d►v x O/ r�'��� 31V0 > `OS LN,IOWY Q L e'er ON VTR �J V C r�i�r • CITY OF ATLANTIC BEACH Cc: Js ! � eheffid BUILDING / ZONING DEPARTMENT 800 Seminole Road S. Doerr rr Atlantic Beach,Florida 32233 JSil�r (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 4 - 3 3 o 51 Property Address: 7 6 St/V Q- Applicant: e btu Pats ear TLAL 17 1 1/7 Project: op e c5-16-/-7)9 to ii ci S 7)OOei.S This permit application has been: Approved El Reviewed and the following items need attention: S °1O L ,, - _.._-;-� -- �� p (14th, to 6 lar-7r).efirr) It Please re-submit your application when these items have been completed. Reviewed By: 144 Date: Date Contractor Notified: RECEIVED.--,� F ATLANTIC BEACH ciry OF�T'�N?IC BEACH R �- CITY OF BuILDING ZONI T' BUILDING :RMIt T PPLICATION MAY 2006 MAY 1 rat ions &Additions) J;>1 ar 555) Date: -�/a`of Job Address: 5- S /dm l ; 'Ewa b; " —..- Owner of Property: G,/e! / Address: jd 7.5 52,4A-MfIX IPA Ate. /7, /ic-J(- Telephone: Legal Description: Block Number: Z. Lot Number: 9 Zoning District: Contractor: /1 C,/ ic State License Number: 1i - (rt7� ft'7o2 Contractor Address: 3 C-p if A •.<4 •fv+X b J-J P L Z es-0 Telephone: J/ - y/ - /'l C 4l Fax: Describe proposed use and work to be done: A- //7"i"5fr'e� 5/1.0 - 044, /2Cjo4* i1 uir Present use of land or building(s): 3/lira/, oU Valuation of proposed construction: Dimensions of the added space: NA feet x /tJ i feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? NO If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the orininal imnervintic area or the removal of any trees? aNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. LNO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 \it In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: ✓/`✓A Mailing Address: Telephone: Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. /� �• Signature of Owner)," �G. Date: J Gj` 0-6 AS TO OWNER: O 1Sworn to and subscribed before me this �- day of ,20 06. I State of Florida,County of Duval V Notary' Signature:aiT �`'N-• RESECCAC.COON. Personally known _ ,�!` / - mama ❑ Produced identification !! COomom Eelmsn Type of identification produced .1 f 001111/ 1 d/eZ/ Signature of Contractor: Z Date: `1 0 L AS TO CONTRACTOR: LAIL Sworn to and subscribed before me this day of ,20 C6. State of Florida,County of Duval Nota 's Signa - -' . I IIEIECCA C.COMM Personally known tiorVtik t le- dried& ❑ Produced identification Type of identification produced ( is Csmatellse EODI1311 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 Doc#2006170003,OR BK 13265 Page 841, OW Number Pages: 1 • . Filed&Recorded 05/16/2006 at 08:37 AM, -+ " JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 NOTICE OF COMMENCEMENT State of cZ- Tax Folio No. County of Oic -,14.- To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description olproperty beingimproved: Lvr 9 /36044- 6 Se.LI44- f,e,�G¢- ROOK 3a i4. . 1, /?4,ce . /b 9 /( .e,000 _ Address of property being improved: /G .7S ��CGS 1G1�f-.c,-u f- Z2.c ñ 77,"0-4 IA- r(3( 4 f L General description of improvements: /t/ 'O 4.7;n).' S .,+` 5-7.0/1 1 i Owner: orrc4.r L_ 7, s--'- Address: /6 �S S �v'. Yj14-.0 is"` j)4 e %'-i-,1,'c, lat'' -) f L 3 2,2-.7,3 Owner's interest in site of the improvement: /74p...-24..c_ Fee Simple Titleholder(if other than owner): Name: - Address: contractor: 1 e.e..-lze-YrrcI"r ( 1 t r17, - +4'-.i 1 c — Address: 35 ofF!«o:,c7 i24 4.4 y it i. e__. 3 z 1 S0 Phone No: S'•9/.. y/rL Fax No: „9-y7-,/.2.-/ Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: A.':iress: u g._. P'`,t.ine No: Fax No: Nave ,:if person within the State of Florida,other than himself, designated by owner upon I-4 k=notices or other doctia^nents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). ._ Name: ' Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Signed Date:•r't'—O‘ Before me this thk da y of in the County of P a val, State of ida,has personally ap eared o ary Public at Large, Statr • Florida,County of Duval. 1114,.;;��A,. y commission expire //• 11' 01 �' ersonally Known: or . NoWrPuble-SI Mal%M�1p nE 11, roduced Identification:it COMM Doc # 2006170003, OR BK 13265 Page 841, Number Pages: 1 , Filed & Recorded 05/16/2006 at 08:37 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING *10.00 NOTICE OF COMMENCEMENT State of cL County of 17 4., £ & Tax Folio No. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal descript(on roperty being improved: Lot 9 /3L�,t(i_ C Ss Lk:4-/ 9r°,44,�t. /9 vot- 3 0 / tiz. 1, P.4%Cp it sq/l be zy Address of property being improved: /L JS- Sc-(G f Mgt-..,xh 0„G n TG-�K/�-. �k� /-,, General description of improvements: ji1 t) ;ri6r f -5-7/..)//?”Owner: 71-0 44-..f-r L _ a, ‘ _ Address: /6 7S ,S�� .' v.E l'1.74.,,'0,1— : ,, !L'i,J.,',_ f__Tr' , 4. �L_ 3 2z 'J Owner's interest in site of the improvement: (5(0r Fee Simple Titleholder(if other than owner): Name: - Address: � ( ontractor: //e/t. ,c,A t 6 n 5��-.-- ' _7-,c- -3....;- %' Address: akH ,r :,.') ,24 j,q x L,, �, 1, GL c 2 2 5"� yy Phon e No: ..`)/_ y/s-c Fax No: .,_)-y 7 i/ Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: A_',cress: P•<sae No: Fax No: Narm;x;:if person within the State of Florida,other than himself, designated by owner upon cri<+4�m notices or other doc.ioents may be served: Name: Address: Phone No: Fax No: • In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in _. Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(I)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Signed � Date:S 1- ) Before me this day of : in the County of II'val, State ofF 119rida,has personally ap eared o ary Public at Large, State Florida,County of Duval. ,•; nf',, commission expires: ii 0• ,' ., ,..%. rP -Mari Flo ersonally Known: or Conn eon Nov it 2DOY roduced Identification: �,1`-„L�1 r ♦ �� r �, S = `S� CITY OF ATLANTIC BEACH j 800 0 800 SEMINOLE ROAD 731, � ATLANTIC BEACH, FL 32233 • INSPECTION PHONE LINE 247-5826 1)011, Application Number 09-00000460 Date 4/17/09 Property Address 1765 SELVA MARINA DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 1000 Application desc STORAGE IN GARAGE Owner Contractor CLINE MRL CONSTRUCTION 1765 SELVA MARINA DR. 913 23RD STREET N. ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 285-9854 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 35 . 00 Plan Check Fee . . 17 . 50 Issue Date . . . Valuation . . . . 1000 Expiration Date . 10/14/09 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ ' 05- ' 06 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1.4, , . . . . . 7 ..--trLir�� CITY OF ATLANTIC BEACH - [at)d'S 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0•7 9 l• ) OFFICE:(904)247-5826•FAX NO.:(904)247-5845 �% BUILDING-DEPTiCOAB.US ' ;,=i BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK 3.SQ.FT.UNDER ROOF /76s Si_.i.vA 7 /Q02/60,4 $/090 • 4.2,0 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION Grf• SIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7,DESCRIPTION OF WORK: I■kfTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: A /^/ Q.tt S ❑REPAIR ❑POOL/SPA ,❑Y_Eg ❑N/A QK-4i /L. .i ��A.Q.7 C+ ❑MOVE _❑OTHER I o NO PROYlERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: • 15.COMPANY NAME: 23.COMPANY NAME: C Nal 3i-op i C Li,0 M R C mruST�2 en'o 16.NAM F: 24.LICENSEE NAME: &LC{.FpeL JOB /4•∎ArJ 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: CZ 4, 5 5i4 vt4 4 tt i iv la / C :a s-09 4( 18.ADDRESS: 26.ADDRESS: 913 .1- 3_ J St 16 rpx 6ci-+ CL 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: e 8'5 -RI'5C1 .aye- H&c 13.CELL PHONE 21.CELL PHONE: 29.CELL PHONE: 9o4F 4134 -Lf44+6 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN ONMER) 31.NAME: 33.NAME: 35.NAME: `."`yraoq 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in 1"'" Cm • jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspender , © , I abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. i • OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicab•1 ° laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled a W prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. p WARNING TO OWNER: *** „ i YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR , I PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF .,. . -, . ° ' COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEII ,� OWNER or AGENT CONTRACTOR O (If Agent,Power of Attorney or Agency Letter Required) , (Qualifier Only) Signed:1 WWI / Date: Signe•: , �� �! gate: 1 V A.Before me this day of dl r,` 2009 in the county of Before me this :� day of .J1,94/2 2009 in the ••O c f O Duval,State of Florida,has person ly appeared Duval,State of Florida,has rsonaalll appeared • carbotr� C1 , r,t. � L /'/mQ�) CIA A herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and decla-�orrrFdrely Q a true and accurate. true and accurate. ///� 1:4 • Notary Public at Large,State of'Fl.-02.1C1 A,County of . ∎1.-V A∎-- Notary Public at Large,State of / , ,County of•010/4" ... ❑Personally Known P nally Known /,t� Q/ I ,,__,,// n -r / O ,{❑ rodoucedldentittcati•• �� i V - • I �• . I�Produced Identification-r L y SC l7 �. T� g W- �r �- -k�I Notary Signature:gt„s a. ,..9\c,52,-. tLASY1f�n�� Notary Signature: ■-� � ���� i AO bra vtir nrar' ,�•����, SHIR EY L. G'• M AO f, “k, SUSAN SPEAKS GORMAN '_°•�;`-; Notary Public-Stag of Florida V r" MY COMMISSION#D Assoc.Co. =�,, .•:My Commission Expires Feb 14,2010 s 11.11 ae- BLDGOt Permit Application Bldg:REVISED: 1 EXPIRES:February 25,201 I •-;,�i�o-°: Commission#DD 518533 1•&ID•3•NOTARY Fl.Notary Discount Assoc.C. -'•F OF F`Q.� Bonded By National Notary Assn. ■ M.R.L. Construction "Quality Beyond Measure" CBC#1250941 913 231 Street Norfh,Jacksonville Beach,FL 32250 Phone:(904)434.4400.Fax:(904)241.1165 April 9, 2009 To: Atlantic Beach Building Department Re: Christopher Cline residence 1765 Selva Marina Drive To Whom It May Concern: I have reviewed the plans & specs prepared by Charles Smith, CLS Designs for the above referenced property. These plans and specifications meet all 2007 Florida Building Code requirements. Michael Lohman President, MRL Construction %ENERAL DES14N CRITERIA : code:200y-Florida.Building Code,Residential,Existing Buildings,with Supplement and Appropriate Chapters with in,and ASCE7-05: ACI. ATIC, DS_ AWPA- APR. (Latest Edition).Singe F wuto Residential R 3, Building type 2.. 4ENERAL.NoT5s: I e It is the intent of the Designer that this work be in.conformance with all requirements of the • Authorities haviv g jurisdiction over this tjpe of construction and oecupan.cH. AU.contractors shall do their worse. ' 2®The contractor shall verifj aUU conditions and dimensions at the job site prior to commencing work. I OContractor shall su_ppl ,Locate . and build.into the work all inserts,anchors,angles,plates, openings,sleeves,hangers,slab depressions,and pitches as va.ak)be required to attach and accommodate . other work. Orhese documents,as instruv4nts of service are the properto of the Designer and moo not be used or reproduced without expressed written consent o f the Designer. OA1i details and sections shown on the drawings are intended to be tKpicaL and shall be construed to apply to ant, similar situation elsewhere in the work except where a different detail is shown. ®I f ground work in.needed in this contract the owner will provide contractor with a soil investigation report and an.aldsLs. ALL requirements for site preparation and soil compaction.specified in the soil report shall be followed unless additional more stringent rectuirentents are specified. Noti fM Designer if foundation conditions encountered differ from soil exploration information made available to the contractor. Olt is the contractor's sole resp4nsibilitlj to determine erection procedure and sequence toinsure the sa fet of the building and its component parts during erection. SO.Temporord bracing: Contractors shall be responsible-for all temporand bracing that is required during construction to keep structureisa fe avid plumb until the entire structure is in place. Bracing shown on structural drawings is for the completed structure only. tverif j all dimensions prior to fabrication and construction. Subsurface soil condition information is not available. Foundations are designed for a 20oops f soil bearing capacitti. Contractor shall report anti differing conditions to the Engineer of Record prior to commencing work. t FRAMrNCI: where Applicable ' 0 Appropriate chapters of the 2007-FRBC-excisti.ng Buildings building code shall be used -for all wood framing,except as modi-fled bd the plans and specifications. 2OAt.wood framing shall be fabricated and installed per AL.TC and TPI and National Design specifications for wood Construction. OAll framing anchors and connectors,noted or drawings bB Simpson or equal. ()All wood members exposed to weather or in contact with vuasonrb concrete or soil shalt be • pressure-treated. ©Contractor shall provide all fastening devices necessary and suited for each application. Fastening subjects to n oisture shall be hot-dip galvanized to ASTM153-80. OAtl metal connections avid fabrications shalt cow.pld with A.I.S.C.specifications. •Solid block ail joist and rapers at point of support. R.Prefabricated structural trusses shall compt5 with NFPA National Designspeciflsations for Wood Construction.IPI Design.Speci ficaitons for Metal Plate Connected Wood Trusses and AITC 100. All trusses shalt be designed and certified bj Truss Manufacturers registered Engineer. .Contractor shall correlate with truss manufacturer to ensure adequate bearing is provided i at end reactions of ail girder trusses. • ( .Truss manufacturer shall submit shop drawings and design notes with as.engineers seal For approval. Design notes to include the rated load capacity of the truss to truss cm. connectors,and man.ufacturer's license to fabricate trusses utilizing the connector sdstew. (7).__ _-5. proposed. The contractor shall approve fabrication.and installation drawings showing size, c-..-- o shape an.d!Admit. Brace trusses during erection and permanent installation to compLd with TPI BWT-7-6. l ` 0)All prefabricated wood trusses shall be securer fastened to their supporting walls or • beam with hurricane clips or anchors. . SO.At volume ceiling conditions,align.trusses to provide a smooth,unbroken interior wall surface from floor to ceiling. CLS DESIGNS, INC. I M_ .L.t;DnstncatEpn.COV►cppnu �°` 1969 GREEN HERON PT. l; • Clivt,e Rest evlce JAabsewv'LlleSeae11,PLs's5sa • JACKSONVILLE BEACH, FL 32250-2598 ;l SeLvc ma ri.litt DYII/e Phovie:,5o4-484-4440 ii . r . ,,,..7--) , — W p , • . II (*).-....'r I 71 c 4' I c 4' Ie 4' X 5`6"t- �r vj kKi3Ttur I isrlu srt i . 6Et flw, raiSt1►u _ 0 D D I r K • rn 0 e 1 e- . Wz 0i) 4 1 a- o z a 6-) i 9 c.. ' -1 la N s ----� / � J MOM Sri L. © ® Q ege 9 C 07 Cpl a _, s:, z 3 („ co (n _.._, 6 n n ° 4. Z µ m m a m m m ci < fn N n oo`.L ? . F p � �• o Ns �' ''' x r ° r C9 4 rt o r(7r rt o I�+ R 5 5 F F F 5 • n S S C�9J A re x) 6 (0 99 r O r 0 O n` rt l� vi' t9 I— r� A Z a- LE,— S T S r, co A r- ce ce rt n IJ • --I--, o a p 6 °h a II c°, o A F O n `v-7, 9 N A S. 4 rt N o sL O 4. n ' in I i •` o a v+ F- 0' h� }J 'N o R' 90 n Fr S1 A o C S V Sl O S C9 • ce o x rr r0Y-d co 0 C9 0` rt• (n o. A d ce b A a o o rt C9 rt Sl o 6- " F A 0 c- S- S- c° ce o c S]- C Ort A A ¶ Or D O N (, C9 'i s- N z rt C9 LD SNS — , F r T W r- 6 N , rf- ( I '� -h N •P Pb LO t•` ); (S T Jv N, o CS A A 7 S N O Fy A A 6 � 1��' �'c n rt n o C� L • 9 N r- 0 r 1, 71; • eve B-1 beam,2-2x12 added to existing il'i.r.yerha^USer 2 Pcs of 1 1/2" x 11 1/4" 1.6E Solid Sawn Southern Pine #2 TJ-Beam®6.30 Serial Number: User:2 3130/2009 11:09:09 AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Paged Engine Version:6.30.14 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope:0112 Roof Slope0i12 2 6 20'8" d All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:2'8" Primary Load Group-Roof(psf): 20.0 Live at 125%duration, 10.0 Dead SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 1.50" 551 /366/0/917 By Others-Rim: Rim Board 1 Ply 1 3/4"x 11 1/4"1.9E Microllam®LVL 2 Stud wall 3.50" 1.50" 551 /366/0/917 By Others-Rim: Rim Board 1 Ply 1 3/4"x 11 1/4"1.9E Microllam®LVL -See iLevel®Specifier's/Builder's Guide for detail(s): By Others-Rim: Rim Board DESIGN CONTROLS: Maximum Design Control Result Location 4 Shear(lbs) 902 -808 4922 Passed(16%) Rt.end Span 1 under Roof loading Moment(Ft-Lbs) 4587 4587 6427 Passed(71%) MID Span 1 under Roof loading Live Load Defl(in) 0.360 0.678 Passed(U677) MID Span 1 under Roof loading Total Load Defl(in) 0.599 1.017 Passed(0407) MID Span 1 under Roof loading -Deflection Criteria:STANDARD(LL:U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 14'4"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The allowable shear stress(Fv)has not been increased due to the potential of splits,checks and shakes. See NDS for applicability of increase. -Analysis based on vertical loads only and assumes structural supports as noted in the input. Axial loads are not considered in this analysis. -Analysis assumes continuous member. Lap joints,splices and finger joints significantly reduce member performance and have not been considered. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel®warrants the sizing of its products by this software will be accomplished in accordance with iLevel®product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel®Associate. -Not all products are readily available. Check with your supplier or iLevel®technical representative for product availability. -THIS ANALYSIS FOR iLevel®PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology. -Allowable Stress Design methodology was used for Building Code SBCC analyzing the solid sawn lumber material listed above. -Note:See iLevel®Specifier's/Builder's Guide for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: Cline Charles Smith Selva Marine Drive CLS Designs, Inc. MRL Construction Co. 1969 Green Heron Pt. Jacksonville Beach, FL 32250-2598 Phone:904-241-3452 Fax :904 241-6193 clsdgn @aol.com Copyright c 2007 by iLeveln, Federal Way, WA. • • eve B-1 beam,2-2x12 added to existing 11W.Awermakser 2 Pcs of 1 1/2" x 11 1/4" 1.6E Solid Sawn Southern Pine #2 TJ-Beam®6.30 Serial Number: User:2 0/2009 11:09-.09AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 2 Engine Version:6.30.14 CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 20' 4.00" Max. Vertical Reaction Total (lbs) 917 917 Max. Vertical Reaction Live (lbs) 551 551 Required Bearing Length in 1.50(W) ' 1.50(W) Max. Unbraced Length (in) 1172 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 322 -322 Max Shear at Support (lbs) 360 -360 Member Reaction (lbs) 360 360 Support Reaction (lbs) 366 366 Moment (Ft-Lbs) 1831 Loading on all spans, LDF = 1.25 , 1.0 Dead + 1.0 Floor + 1.0 Roof Shear at Support (lbs) 808 -808 Max Shear at Support (lbs) 902 -902 Member Reaction (lbs) 902 902 Support Reaction (lbs) 917 917 Moment (Ft-Lbs) 4587 Live Deflection (in) 0.360 Total Deflection (in) 0.599 PROJECT INFORMATION: OPERATOR INFORMATION: Cline Charles Smith Selva Marine Drive CLS Designs, Inc. MRL Construction Co. 1969 Green Heron Pt. Jacksonville Beach, FL 32250-2598 Phone:904-241-3452 Fax :904 241-6193 clsdgn @aol.com Copyright 0 2007 by iLevel®, Federal Way, WA. ;;;l`--;-\11 City of Atlantic Beach APPLICATION NUMBER S _ Building Department (To be assigned by the Building Department.) 800 Seminole Road l 1 , Atlantic Beach, Florida 32233-5445 r v Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept @coab.us Date routed:� 0/0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM D pa ent review required Yes No -72� Building Pro erty Address: / d�`U Planning &Zoning p Tree Administrator Applicant: M L 0 Public Works Public Utilities Project: /-7) 9Q4‘11 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco i — Other: APPLICATION STATUS Reviewing Department First Review: loved. I (Denied. (Circle one.) Comments: BU DING PLANNING &ZONING TREE ADMIN. Reviewed by: IA Date: V/VO, PUBLIC WORKS Second Review: ❑Approved as revised. I (Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: I 'Approved as revised. I (Denied. Comments: Reviewed by: Date: FOR OFFICE USE ONLY s Date ! 15 19770 CITY OF ATLANTIC BEACH Permit #.._ /5 Fee $/e/ . Valuation $ ' /7`,/41110 f/ ." 0 r i FLORIDA House #/'7S -1,-moo 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. Dat `/ - , 19th Owner Q Address/�7.c..�+%�[��-A2 k.1��i��e one No Architect Address. Telephone No Contractor Buildere-Q-,L ti es g.), Address_//ft7. Ate-viba'Pt/_ v. Telephone No.7 /—/a &g/ Lot No. 9 Block No Q Division.. 1 ( ) 741'5 Zone Street Side Between and ��St. Valuation $_ . =' For what purpose will building be used `i'ype of construction kv. ,L' /SJ �v Dimensions of Building__ ti( A-0 Dimensions of Lot._/ 9e .xi S V Size of Footings cS-X is- Size of Piers Size of Sills Greatest Sill Span in ft P Type Roof_....,,_.. How will Building be Heated? X4 -1 Will Building be on Solid or Filled Ground? f�-�-�-� Size of Ceiling Joists /— it L-7E- g , Distance on Centers oZ , Greatest Span » Size of Floor Joists ' - X / 0 1 // // /' U .� , Distance on Centers_..._..._ , Greatest Span �o ,, Size of Rafters v� X /O y m-c.a-1 - , Distance on Centers / 6 , Greatest Span :7 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 I 1 h2 t be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. a (' j I W\ z 3. When steel is in place and ready to pour beam. E-`4`4 j 4. When framing is completed. El 4. 5. When rough plumbing is completed,and ready to cover up. \� .7\ 6. When septic tank drain field or sewer is laid but before it is covered. A W 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 tit 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 specifica io s, whit ar a part hereof, and in accordance wite building regulations of the City of Atlantic Bed 7� d'`-.1 Signature of Builder.. . Address 1 J • Signature of Owner Address r 1 44 7i/ i) i Courtesy of • • • MST w,s tAIMICZAAAYUADIXASSOMMSO X , &tta A4 X i X Property Address: Legal Descp.: LOT 9 BLOCK 6- . iIortgagor: Lot Size: Contractors Address: 11474 gTOaROARn OR Contractor: i FE HOMF tic JACKSONVILLE 1. Foundations: Footings:8"x 16" ; Concrete Mix: 25QQ es i ; Reinforcing: 2_1" pc-mg Lintels: (F ormed-Poured/Lintel Blocks); piers: Span f�. (Sketch layout on back of this form.). Soil Treatment/Termite Shields: PRETREAT; Moisture protection, describe (i.e. 2 layers felt mopped-in, membrane, etc.); Foundation Wall: 4 MILL V I SQU I NE PRFAB Single: ; Double: ; Flue: 2. Fireplace: ; 1,-� 3. Exterior Wall, underline terio' studsrare/to be used describea(i.e. size, what Other: � :2,I� �,' i6`.. OC centers. etc.) DRYWALL AND PANELING 4. Interior wall (Describe i.e. fu:.red/plastered, etc.): 5. Floors, main house: (hardwood/Terrazzo/>>an with mesh 1 it Tile);CARPET Sub-flooring CARPET Floors, bath (type): --; ; r Ft. SEE PLAN Hain Bldg.:--------7._— ,� ,�; s'O.C. 6. Floor Framing (Joist?good, Grade): n; 16 ST7 2 U 10 , Ceiling Framing: x x ,�� O.C.;' Stripping: " Partition Framing (Describe j''_X 0-7— ,, • Roof: Type: I:iain House: ASPH .SH ' VW-Garage: BU I LT UP ; Other( 7. Rooms. T,,Tp ' 1; ,,. "O.C.; Sheathing: ); Rafters: ; x ' _; Flashing:. C. Interior Trim: Indicate Special or Extra Treatment (i.e. Paneling, Exp osed Beam, etc.): MnnFPN RASE AND TRIM STAIMED Other: Type:_ Glass Doors: ; : 9. Electrical No. Am . Ser. No. of Outlets: 2 10. Electrical Service: Amp. 200 Fixture Allowance: y ill-00-00 ; Extra Equipment: SEE ATTACHED SPEC S 11. Special Cabinets or tiiliwork (Describe): u II ft Flue: 12. Heating: B.T.U.: ; Bake: ; Type: Type, Air Conditioning: Ton Rating: ; Wake: Insulation (Describe): Type: HIGH RECOVERY Hot [later Heater: Capacity 4O __gals.; Make: Flue: _• t7ther: 13. Bathrooms: No.: ; Full: 2 ; 1/2: - 2 Tile (Describe): ^200. ALLOVI. Wall Paper: v_SEE ATTACHED SPECS Extra Equipment mans, Heaters, Cabinets): ". Reinf._ .___ 14. C/P-Garage:_, Sq. Ft. Area: (Open/Sealed): Slab: -- 3toragc. Sq. Ft. Area; Type of Construction: Planters L F Area: r Overhanttoop': Sq.Ft. Area; (Open/Covered Entry/Stoop: Sealed): 't 15. Walkways• Sq.Ft. Area; Type - Thickness: tr Driveways: Sq. Ft. Area; Type-Thickness: Patio: Sq.Ft.Area; Landscape Allowance a 16. Extras: Detail (i.e., Special built'in features); Oven: Other- 'lake; ; Range: ; Make type: i nTFx 17. Painting: No. of Coats, Interior: 2 Trim: ; Type• Exterior: 2 ; Type: O I L 18. Eavesdrip: (Yes/No); window stools: (Ceramic Tile good Plaster). 19. Water: (City/Pump-Well/Private). If Well: 2'r 20. Sewage: (City/Septic Tanks; No. )• Electricity: City R.E.A. Florida Power) 21. Any variations from "normal" (i.e. new products, methods, etc.): SEE ATTACHED SPECS I agree to construct this building attached plans, existing building codes Date: S1Lnea• nth for tr maitfee (If additional space is needed use back . .l fFii-16 Rev. -60 (I 7?OF DATE. 4 FEB. 25, 1970 SPECIFICATIONS AND ALLO.iENCES FOR THE RESIDENCE OF COL. AND MRS . G. LAZAR CARPET: AS PICKED BY NNER $9.00 AND $9.50 ALLOWANCE CABINETS: TO BE PICKED BY OwNER $2,000.00 ALLOWANCE APPLIANCES : G.E . SELF CLEANING ALL OVEN, DISPOSAL, DISHkiASHER, CORNING MODEL 5-32 COOK TOP AND FOOD voARMER. G.E . CENTRAL VACCUM CLEANING SYSTEM, MODEL CV-600 dITH ATTACHMENTS 5 OUTLETS NUTON INTERCOM SYSTEM MODEL T-11 SPEAKERS TO BE PICKED BY OWNER—ALLOWANCE $400.00 FOYER AND BATH( BOVS, WASTER) FLOOR ALLOWANCE $9.00 YD. BRICK ALLOWANCE $80.00 PER 1000 LIGHTING FIXTURES ALLOWANCE $400.00 ,iALLPAPER AND LABOR ALLOWANCE $200.00 KING KOOKER GAS GRILL ON REAR PATIO NUTON MODEL T-300 HEAT—LITE—FAN IN MASTER BATH LANDSCAPING ALLOWANCE $300.00 WALL SAFE IN MASTER SUITE 12" x 14" TwO ATTIC FANS TWO CHIMCO PREFAB FIREPLACES PANELING : GARAGE—$4.00 PER SHEET : MASTER BEDROOM: WHITE ELM FAMILY ROOM: WALNUT HALL AND STAIRS AND BOTH BOYS ROOMS : SADDLE ELM GIRLS ROOM AND LIVING ROOM TO BE PICKED $10.00 ALLOwANCE GARAGE DOOR: DUVAL OVERHEAD DOOR wITH ELECTRIC EYE ectural Con '1't, DATE. MAR on/ MAR 7 1970 PLUMBING: MASTER SUITE AMERICAN STANDARD SPECTRA 70 TUB TWIN 18" ROUND SINKS LUXOR STOOL PO:+DER RM: LUXOR STOOL, 18" ROUND SINK BOYS BATH: TAN 18" ROUND SINKS wH I TB LOWS SILHOUETTE STOOL BAR ROOM BATH: WALL HUNG SINK WHITE LOW SILHOUETTE STOOL BAR: STAINLESS STEEL SINK N.eiekTu ,G— S`4 cr A -Tw O c. AT *IN AS Ca(2. R.E V l a t25 G 1= i 4 E l k p u tAA,p ( uiA-T( r , o Ai la) 11VcLUPJ 'V &- gotk w —LL 0 T v , o1-/w G APPROVED ctural Control"A,1 mittee• • t D'TE• 4MAR7 CITY OF Z---1" Mead& Beach--4larsda *--qz-( ,p— S o8 Office of Building Official REQUEST FOR INSPECTION Date 847(01-- q q o Time Permit No. Received A.M. P.M. 16 7 'CL-1. 4- 104-ITai AJ4 Ore- Job Address Locality 's hn /' Name Owner JP C(12444e �'4- Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing ❑/ MECHANICAL Re Roofing l9' S a1 b ng ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Rsul Roofing ❑ Lintel ❑ Temp Pole ❑ Top Out ❑ Heating ❑ Final ❑ Sewer 5 40 i�/ ❑ Pre Place ❑ READY FOR INSPECTION Pre Fab , Mon. Tues. V Wed. A.M. Thurs. Friday P.M. Inspection Made � A.M. 1/ P.M. Inspector Final Inspection ❑ Certificate of Occupancy❑ Date s. CITY OFfC.�-gggg 14Ii a_ tic Be42ch-llovida Office of Building Official L/-- REQUEST FOR INSPECTION a 4S Date 0 ' ,Z •©Z Time Permit No. A.M. Received _ P.M. Job Address Owner's , " n _ Locality Name l --uLlA-(.4-e,..Q UILDING Contractor CONCRETE ELECTRICAL ❑ /Footing ❑ PLUMBING MECHANICAL Re Roofing L� Slab Rough Wiring ❑ Rough Insulation ❑ Temp Pole ❑ Air Cond. & ❑ ❑ Lintel ❑ Final ❑ Sop Out ❑ Sewer ❑ Heating ef_l_c_ ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab /� Tues. \Ae�Q�/ Wed. Thurs. A.M. Friday PM.Inspection Made A.M. Inspector 11, P.M. AO Final Inspection ❑ Certificate of Occupancy❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24540 Address: 1675 SELVA MARINA DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: ROOF Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 11,950.00 OWNER INFORMATION Date Issued: 7/26/2002 Name: MCCRACKEN Total Fees: 105.00 Address: 1675 SELVA MARINA DRIVE Amount Paid: 105.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/25/2002 Phone: (000)000-0000 Work Desc: RE-ROOF , '.'.�.�° """"�`°`°.—",,,�,-- CONTRACTOR(S) r °'`` '"*? , ICATION FEES 'ter R,Gs', 105.00 ARLINGTON BEACHES ROOFING _ � v � �' '` �, �:� e� y ti M uz u. -.0-' `Sr*gym'.41::.,:::::' •"-- y . kp w r� I y j 2 f,, y- 't1..1,•'. ,Mn�'MMc q +T S• thT ! O 4 ,, ' .. mow, . _ - t. r NOTICE - INSPECTIONS M BE REQUESTED AT LEAST 24 HOURS PRO TO INSIECTION BUILDING MATERIAL, 4VBBISH AND:DEBRl F if,l TH S WORK MVO 0 P a'CED IN PU LIC SPACE, AND MUST BE CLEARED UP` ID.H ?�ULER'At A's!1a` ::";rsER CCovTRAC ' R-0 ! *ER el- THE"FAILURE TO COMPLY .TH T � T1O , CON-RES IN PROPERTY OWNER PAYI&G TWICE fOR f III CII INIR.RCOEMEN"-e ISSUED ACCORDING TO APPROVED P WHt a 21=,,I AI .COTI'ffgP IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO ' V Oper: CHERYLE Type: OC Drawer: 1 Date: 7/30/02 01 Receipt no: 77370 I c,-,, C, 14 PERMITS-BUILDING 1 $105.00 CITY OF AT NTIC CH 00100003221000 5ELVA—MAR1NA CK CHECKS 17894 5105.0 'Trans late: 7/30/02 Tine: 13:30:14 1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Ice 7-5 S Ec1/404 41 file, Lcr_.) Z Date • 2S—• 02-- Heated Square Footage @ per sq ft = $ Garage/Shed per sq ft = $ Carport/Porch \-)\-1 @ $ per sq ft = $ Deck tI @ $ per sq ft = $ Patio @ $ per sq ft = S TOTAL VALUATION : $ ` R3�•CO lS. ca $ Total Valuation 1st $ 10� °� its-6 $ 5 S. Remaining Value $ . per thousand or portion thereof D TOTAL BUILDING FEE $ 4 0. " + 1/2 Filing Fee $ 3�• ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ I G . O O 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 $ ��• ADDITIONAL PERMITS OR FEES : Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : CITY OF 4tIcastic Beach-q&Pticla Office of Building Official REQUEST FOR INSPECTION Date Y.— / —O° Permit No.. `/‹.---)7b Time A.M. Received /PM '` CZ 7 Locality Job Address Owner's Me Occst/ Contract. 1 -- dName ��(( CONCRETE ELECTRICAL PLU _° G MECHANICAL Fram n Footing 17 Rough Wiring ❑ Rough CI Air Cond. & g Re Roofing Slab C Temp Pole ❑ Top Out CI Heating Sewer ❑ Fire Place Insulation 17 Lintel Final ET Pre Fab READY FOR INSPECTION A.M. ''''') Mon. Tues. Wed. Thurs. Friday P.M. , A.M. Inspection Made �`� P.M. Final Inspection r_ Inspector Certificate of Occupancy Date 5 ir' 3 t4 Book 10586 Page 923 PFD ; _ '�� `� g NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of V/4✓6/4 County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information Is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: / ~IS $t! C-A /7)/94/&) /J2 Address of property being improved: J/ 75 `mil' l L27? 7- /AeiA_),q c t General description of improvements: RE—ROOF \'‘)Y) 1t L Owner c /L ✓A7--) c .E-)1C'/LEiI% C)\:-rk/6 Address JZ 75 SEL /&)/4 / J Owner's interest in site of the improvement N/A Fee Simple Titleholder (if other than owner) N/A Name N/A Address N/A Contractor ART.TNC,T(1N $FACNES RCIC1FTNG TN(' Address 1 4 41 CESERY TERRACE • Phone No. 744-8888 Fax No. 745-0000 Surety(if any) N/A Address N/A Amount of bond $ N/A Phone No. N/A _ Fax No. N/A Name and address of any person making a loan for the construction of the improvements. Name Address N/A Phone No. N/A Fax No. N/A Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name N/A Address N/A ._ Phone No. N/A Fax No.N/A 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 Statutes. (Fill in at Owner's option). Name N/A Address N/A Phone No. N/A Fax No. N/A Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): N/A THIS SPACE-FOR RECORDER'S USE ONLY OWNER Signed: GA e 4�1■: Date: 7-(7-0 1, Before me thi t7"1---- day of - - in the 10006849 County of Tuval,n6tate of Florid- ' =spe j%n iy appeared i/ 1 Page: 923 /i ') . to, . i Filed 8 Recorded 07/24/2002 12:53:48 PM Not, Public at L- ge, Statwof, for r�Q®t 44f Duval JIM FULLER • 1 My Commission D0100826 CLERK CIRCUIT COURT My/commission e •ir DUVAL COUNTY +•,, Expires March 17 2006 TRUST FUND $ 1.00 Personally Known or RECORDING $ 5.00 Produced Identification - %?c—30- DFeY-0 1 ` e :, REeoz.tive,6 4 /---,;11.A4,1•,-- f� �~ _5;! Uj L 2 4 CF}U 1rss�% City of Atlantic Beach Building and Zoning City of Atlantic Beach • 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • FAX (904) 247-5805 • http://www/ci.atlantic-beach.fl.us APPROVED CITY OF ATLANTIC i3EACH PERMIT APPLICATION FOR ROOFING BUILDING OFFICE IJUL 2 5 2002 JOB LOCATION I / may a_ SSE�(J/ g L/,dA J . Oyu L. W.—el Ct �"'- OWNER OF PROPERTY /1 L L In-CEA ek E kJ PHONE# CONTRACTOR -fi /AJ6,%6/0 3EEe i-.1E S CD�-//-/A CONTRACTOR ADDRESS j/1/ SEAL 6/e,e4C j c es0,rv) I __� , `L_ ZIP 3-2s2 l l CONTRACTORS LICENSE NO. CSC OtIJ 3 96 PHONE# �"f 6 k d SCOPE OF WORK T---- U(...� 03 5 C.- S S . e___Jq 7- oe,00 4 0,u/c/ DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK $ /1, 957),9� ,0 SC-t, MATERIAL TO BE USED 7477-- e,4'C() ASTM DESIGNATION AL-7T/7e-//E7 REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED (/YES NO WORKERS COMP. POLICY SUPPLIED LYES NO CONTRACTOR LICENSE SUPPLIED ✓YES NO OCCUPATIONAL LICENSE SUPPLIED AYES NO SIGNATURE OF OWNER , f4" t IA SIGNATURE OF CONTRACTO• _sew,•- -- SWORN TO&SUBSCRIBED BEFORE ME THIS 1 ' D AY OF ! 200 AS TO OWNER NOTARY PUBLI ',a `...I `C✓ )& f414(1: H Godwin My Commission 00100826 ‘0,„0" Expires March 17 2006 cartandel • ec Dada t• T�p Technical P FLINTGLAS ' Ply Sheet Type IV Fiber Glass Type IV Roofing Felt • Product Product Use:FLINTS LAS Ply Sheet Type IV is designed for use as ar interply felt for :loth hot and cold applied, inorganic bLilt-up roofing systems, It is suitable for use it the corstructior Description of vario.Js types of membranes for both new construction and re-roofing, over a variety of substrates. It is specially constructed to provide uniform strength and promote improved aspn.a; uniformity and adhesion between plies. Limitations:FLINTGLAS Ply Sheet Type IV may be applied in either hot asphalt or cold applied adhesive depending on system design and selection. Rolls should be stored off ground, completely protected against weather. Roof decks shall be structurally sojnd, dry,smooth 2r meet or exceed minimum requirements of the deck manufacturer, local code and CertainTeed, Roof decks shall provide positive drainage.Additional specifications and precautions are contained in the CertainTeed Commercial Systems Spec'lica`.ions Manual. Pioduet Composition and Features:FL!NTGLAS Ply Sheet Type IV is manufactured on a durable, high quality fiber glass mat Which receives a coating of asphalt and is lightly surfaced with a release agent. The fiber glass base mat provides excellent strength and moisture resistance with uniform porosity to allow complete bitumen embedment without excessive bleed through. FLINTGLAS Ply Sheet Type IV is pliable and will conform to most surfaces for ease of application. Applicable Standards: FLINTSLAS Ply Sheet Type IV is approved by Underwriters Laboratories for use in various Class A, B, and C roof assemblies under UL Designation • G-1, by Factory Mutual (J.I. 3Y8A1.AM), and by Dade County(Protocols 9?-0520.01-.10 and 97.0521.04-.05). Consult CertainTeed, UL, F.M. or Dade County for details. Meets ASTM D2178. Oa.µ Technical The following information represents typical average properties of FLINTGLAS Ply Sheet Tyoe IV! Data Support Mat: Wet process fiber glass mat. Surtaciag: Release agent. r. Approximate Product Weight 38 Ibsiper roll. Dimensions: .36'x 180' (540 square feet). Coverage: Five Squares. Tensile: MD/XD 50145. 39Hd Z2,O6L8£b06:Xtjd 3QIS311F):01 GT:' t %`'C, 9T•'2,0 9t'9'oN 31!- 0 J c^ - 9 • u Y i}� p'!" qty a .L > ' „ 1_, 7 4'T ' q,. y F at,a a.-:. ■ ova yp ��°. 140 I,. " . ,1,4. I:^ a! ? r' . e iv vet% e .. a -ti a tee $+ ?,t _ 1, f � �-:5 tom, #i)4 : ors. h� s,..-v., r °f \es'*) .he �+r firp .-- ''a+ II *`. A i '�...„,, t f F -- 0i-4T =° 1 p i •c t • G :edhtcal Produc t Data r. � r a y ALL WEATHER/EMPIRE'M Base Sheet Asphalt Coated Organic Base Sheet Product Product Use:ALL WEATHER/EMPIRE Base Sheet is designed for use as a base sheet for bath hot end cola applied, built-up roofing systems. It is suitable for use in the cons:ruction of Description various types of membranes for both new construction and re-roofing, ever a variety o` substrates. ALL WEATHER/EMPIRE will provide additional strength, moisture resistance and asphalt uniformity when used as the first ply over nailable, non-nailable and insulated substrates. In addition, it will perform as a venting base sheet when spot rropped over plastic foam type insulations. it is acceptable for use with both organic and 'ncrganic roof membranes whenever a heavy duty base sheet is desired. Limitations:ALL WEATHER/EMPIRE Base Sheet may be applied in either hot asphalt or cold applied adhesive depending on system design and selection. Rolls should be stored off ground, completely protected against weather. Roof decks shall be structurally sound,dry. smooth and meet or exceed minimum requirements of the deck manufacturer, local code anc CertainTeed. Roof decks shall provide positive drainage. Additional specifications and precautions are contained in the CertainTeed Commercial Systems Specifications Manual. Product Composition and Features:ALL WEATHER! EMPIRE Base Sheet is produced with a heavy duty organic base mat which is saturated with saturant asphalt and then receives a coating of weathering grade asphalt. The final product is lightly surfaced with a mineral release agent.The heavy coating of weathering grade asphalt provides excellent moisture res's-anne and durability. ALL WEATHER/EMPIRE Base Sheet is pliable and ell conform to most surfaces for ease of application. • Applicable Standards: ALL WEATHER /EMPIRE Base Sheet is approved by Unccrwriters Laboratories for use in various Class A, B, and C roof asserrblies under LL;esigaatlo^ Type 15, by Factory Mutual (J.I. 3V8A1.AM), and by Dade County (Protocols 97.0520-.10, 97-0521.04-.05). Con ult CertainTeed, UL, F.M. or Dade County for details. Meets ASTM D2626, Type 1. *IA Technical The following information represents typical average properties of ALL WEATHER/EMPIRE Data Base Sheet: Support Mat: • Organic Base Mat. Surfacing: Mineral release agent. Approximate Product Weight: 86 lbs./per roll. Dimensions: 36" X 72' (216 square feet). Coverage: Two squares. Thickness: 0.07 in. Tensile: @ 73°F MD 85 XD 35. Tear: (2734' MD 2700 XD 2300. .vH4 71?T^J^r)rl.IT ;1•',T :1T 'f'• h^i'nl 111 Jul 25 Q2 02:370 Sunnilard Corporation 804-737-1155 p. l T1111M-PIt0° 881 FIBER R D PRODUCT DATA 1110111111111 ROOF COATING DESCRIPTION *elect asphalts and petroleum solvents with tough fibers and top grade aluminum forms a bright,highly reflective surface ionn�eraa,trts coating 10VXr ASBE3TO>s FMEEf BppNCatlon. 1.5 lb aluminum formulation. . USE This high pertormanoe materiel Is ideal for oDatjng asphalt bulIt-up roof nO,modmed bitumen mem- bnetee,hssings,4ttler bla,mtrn t7seed materials and metal surfaces.Provides a protetttve surface that COs membrane surfaces from the harmful effects d ultraviolet Gght and normal weathering Prolongs eurfaoe life. The highly►effective akunl- num reduces surface temperature and building energy coats. APPLICATION '�f,�- Apply with a brush or roofers brush. outsi0e tempecah►re ::::: be f50 F and rieinq before r,^ aPoMng. Prip meld,concrete, and masonry surtsces wit •PRO 913 Quick pry Pruner prior to costpplication rates lnoluds:eUWModtfeng` 1 to 2 gallon,per 100 s4fL Metaatstac 1.25 galore per 100 sq.ft.Y 1.5b2gaorrsper100sq, ,NO :STiR ROtJJOhtf YBEFAREAND D!K>YNQ iie� AA'ENENrS F K&ii j AAm�� e�anw 9PIDAPICABSTANDARDS AST1N 0 2824 pe fil Startdatrd Spedlcation fauminum Pigmented Aspalt Roof Coating,U.L.OtssathOaCourtly Approval 4 CAV :Thatioaal lioarnuts 5 r 0t.� asptrctt area p.Rmtial act: tat 5afery std Health itod t, hiss oont tudatt tlt4a dat►oa of hoated C'a - ttpattaaat cwirK,ga:.(b not Aeu a ben thu poduct, TYPICAL PHYSICAL PROPERTIES' � Tottll solids(non�ltotnle).% IMN� MAX METHOD Flash Point, F 40 0 2824 VOC.gremg1ttre t_o_o — D t�3 yV cosh ,s or er/300 grams 077 F,seconds 500 0 582 15 40 •te••4axxt stew es swam 50 02824 For Teohn : ••MOBS« :.1'• , 1. ;71. Central 220 Wort�9hew,Joplin,Missouri Nam Oietriot 4500 T i COY*.Fro4aridc.55101,3310 21701 e0 -3118-2055 southeast Olrno 230O 35fr*mist Tu,orooas,A:atems 7640, 500.223.20®0 Southway Dartrlct 7510 Sash Canhal Expressway,t)htas.Tawas 76215 500.448.1034 Westam Olrnd 5300 East 4,7ro Av4nue,Denver,Colorado 00210 e00r48.1as4 e N' �3 WM.t4rrlko.CO1R 0o0 e8ee Mann POSPROTS mi 0000SbL Z0 39tid ~ � 9NI002i Shag b06 LZ:bt Z00Z/SZ/L0 PSR-3844 17509 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH lq§@4 fgs§: 494 §EfiVRAAKRINA DRIVE .rmit Type: PLUMBING ATLANTIC BEACH . FLORIDA 32233 ass of Work:ALTERATION LEGAL DESCRIPTION nstr . Type:WOOD FRAME }lock: Lot : Twp: 0 ?posed Use: SINGLE FAMILY "ection: 0 Subd: Rng: P Dwellings : 1 ,ubdivision: SELVA MARINA Est . Value: 0 .00 imerov . Cost : 0 .00 Total Fees : 25 . 00 Amount Paid : 25 .00 Date Paid : 12/04/i 998 Desc 'REFLA'"E SEWER OWNER INFORMATION APPLICATION FEES Name: MCCRACKEN ERMIT 25 . 0(: Addr: 1E75 SELVA MARIN '. DRIVE ATLANTIC EFA,"'H . FLORIDA 32237 >~hone: (0 10)000--C'00 ` CONTR C GR ,INFORMATION - tame: ROTO-ROOTER SERVICES COM.PAr- Addr : 2028 WEST 21ST STREET `ACKSONVIL,LE , FL 3220': Lic: CFG044139 Exp : / =rye: ` NOTES: 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 MECHANICS'ILDING IMPROVEMENTS."RESULT IN 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. Date: 12/84/38 81 I rvipt: 00164275 227., ATLANTIC BEACH BUILDING DEPARTMENT 881888832218 @8 r / By: �. . "q'/ �. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCAT ION: / 6 ? S E 11/r4 ,7i9fe >/1/ OWNER OF PROPERTY: // W/#41,„1" /P1/1C C2,4 ' 1ONE NO. W- to g 1 m PLUMBING CONTRACTOR /` - gd rF CONTRACTOR' S ADDRESS : ��� W.. !`I S1- STag ?i F/4 3Z2U S STATE LICENSE NUMBER: 4/37 TELEPHONE: 7D5/ 232 _ 7 / HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS APACe SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3 .50 + $15 .00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: / SIGNATURE OF CONTRACTOR: r /1. 7- // e7 --,- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 10 9-to tee°F Senh�� -7 s v �+�c� h� S CITY OF 41-4- F 4� B�-42j,� 725 il u Z '5 Office of Building Official I ' Io.Gi REQUEST FOR INSPECTION 4 n V 7—x--9C., Permit No. ( �� ate , Time , I P.M. Received I , r ! '' ! L O!J I Cs / Job Address 1�(� - (r 9<< Locali (/V r Owner's Contractor tf Name PLUMBING CONCRETE EC-131 p BUILDING Rough ❑ "'........-.-Eclow - Footing _= Rough Wiring ❑ g p Heating Framing ❑ Temp Pole ❑ Top Out ❑ Slab Sewer ❑ Fire Place Re Rooting Final Pre Fab Insulation Lintel - READY FOR INSPECTION A.M. (U/{/I Tues. Wed. Thurs. Friday PM' Mon. �-T < A.M. P.M. Inspection Made Final Inspection ❑ --____— Certificate of Occupancy❑ Inspector Date --- CITY OF 41,A 1../ Office of Building Official REQUEST FOR INSPECTION �� 7 /I Date Time Permit No. Received A.M. Jo� S P.M. Address ��� `, r Owner's Locality Name BUILDING Contractor CONCRETE ELECTRICAL Framing PLUMBING Re Roofing 0 Footing C Rough Wiring G Rough MECHANICAL Re Roof i Slab ❑ Temp Pole PI Air Cond. & Lintel ❑ Final ❑ •� °V. Sewer Heating READY FOR INSPECTION /� Fire Place Mon. Pre Fab Wed. Thurs. 42210 . Inspection Made /� " Friday Pre A.M. Inspector �/ P.M. —,-.,- L ! ,�4. Final Inspection ❑ Certificate of Occupancy E Date PSR-3844 12434 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- - PERMIT INFORMATION ---- -- ---- LOCATION INFORMATION ---- Permit Number : 12434 Address : 1675 SELVA MARINA DRIVE Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32233 ~lass of Work:ALTERATION LEGAL DESCRIPTION Constr . Type :WOOD FRAME Block: Lot : Twp: Proposed Use:SINGLE FAMILY Section: 0 Subd: Rng: Dwellings : 1 Subdivision: SELVA MARINA Est , Value : 0 . 00 Imprcv . Cost : 0 . 00 Total Fees : 25 .00 Amount Pa 25 . 00 Date 6/1996 TEP -- - ATION -- -- APPLICATION FEES _4 dale , ;; g IT 25 .00 ;cid � Y+ NA DRIVE FLORIDA 32 Phon 4 0 g0 mar a 4„:11R FORMATE" 3 - !Name: FI ' MBING Addr: 625 • AVENUE # ACKSON E, FL 221- Lic ' C05667 1 Exp: 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS" $P5.68 11 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMITRIA1) 93JEWECT1TO RE 00024189311 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 1955 88188883221888 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION�J FOR PLUMBING PERMIT JOB LOCATION:J( 0 l7 J 6/4&_, �,(r 4 c�J� , T�f BokFl OWNER OF PROPERTY : # i ift PLUMBING CONTRACTOR �,_) 7 �.! 5s pay n CONTRACTOR'S ADDRESS : t.4% 54 AA] r A VP %L - )(- • Fh 132! STATE LICENSE NUMBER : C1`L( - TELEPHONE: 7/ c 3O 77 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY l WATER HEATERS BATH TUBS / DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE — $25 . 00 SIGNATURE OF OWNER: V� H , A4raAj c-:In SIGNATURE OF CONTRACTOR: 430; INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — ( 904) 247-5834 PSR-3844 12 0 4 3 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION LOCATION INFORMATION ----- Permit. Number: 12043 ' -brass : 1675 SELVA MARINA DRIVE Permit Type:MECHANICAL ATLANTIC BEACH . FLORIDA 32233 lass of Work :ADDITION - LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block: Lot : Twp: C Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng: Dwellings : 1 Subdivision: SELVA MARINA Est . Value: 0 .00 Improv. Cost : 0 . 00 Total Fees.: 37 . 00 Amount ' ` 37 .00 � g 1c !i nqc -TRAL HEAT AND AIF ^CATION APPLICATION FEES Name: I T 3 7 . 0 0 ApINA DRIVE A Wadi, FLORIDA 32 , Ph !014000000 TRAMPR ZFORMATI(. . Name: ARLING FAIR CONDITIOi:-.IN'= a Add ...1#3 t,T MIZ ; SITY° BOULEVARD N 7ACKSON' LE, FL 32211 RM1;6 Exp : 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS" $37.00 14 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMITD W qloiroMETO PkyfiCo gill FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 0014003221M ATLANTIC BEACH BUILDING DEPARTMENT By: "Y- .0 c; BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32433 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: 1..C" e / J/;s,,, ; � OF let•rs•etiny Streets: Between sow _ .--r ��// And / ) Al- WILDING Sub-division II. IDENTIFICATION — To be completed by all applicants . le consideration of permit given for doing the work is described in the above statement we hereby agree to plrform said work in accordance ..th the artacwd plans and specifications which are • parr hereof and in accordance with the City of Jacksonville ordinances end standards of good 'pectic. listed th•re.n. Name el Mecha•:cal ` 7 Contractors Ce+lractw /Print) 42L //{�.1 Master C/9C° Kane � � /7` / J tP 7 T h.ps*y Owe•r C C/may ci € rL $iratvPIP .f Oweer Signature •1 ArAhor seJ Aloof t Architect or Engineer III. `its IN DON A. Trolls h••tine fuel: B. IS OTHER CONSTRUCTION ICING DONE ON ❑ THIS BUILDING OR SITE T 7? ❑ G•a—❑ V ❑ Natural ❑ C.atral U$IIFIy ❑ 0,1 IF YES, GIVE NUMBER Or CONSTRUCTION PERMIT ❑ O+A.. — Se.city — Iv. 1104MIIGAL IQUI.Im4T TO M INSTALLED NATURE OF WORK (y'o"'.d'aweless list a♦c.sap.aeete.a lea of Otis 1sni) ❑ Residential or ❑ Commercial QK–tteat ❑ Span ❑ It.c....l 0 Coati.) 0 now ❑ New Building QKAi.Comdrtioaial: ❑ Item 0 Caateel D Existing Building ❑ o.ct System: Metori.l •Gr > r,,/` /_ ❑ Replacement of existing system Meai•aaa cap city bOO cfto ❑ New Installation(No system previously installed). ❑ t•461e8•tio. GI Extension or add-on to existing system ❑ Cooliay .war: Capacity ❑ Other — Sp.clly NPR- ❑ Fw grinklas: Naming of heeds ❑ Elowste. ❑ Itos;lt ❑ Galata (ma y) O G+aofa.�, (orb) THIS SPACE FOR OPPTCE USE ONLY O lt T.i lash..) ( .+e+»I) Reawtls O L. cea,.i-erc (s„asboe) ❑ Wired peeaao,.veered ❑ Bea.., P.r,ssil Appnev.d l't Oslo O Os — Specify permit LINT ALL EQUIPMENT AIR CONDfT1ONING AND REFRIGERATION EQUIPMENT • ?Amber Matta Description Model Number ► A � tzvw) ►peak KEATING • FURNACES, BOILERS, FIREPLACES Number Matto Description bMedd Number Mumeatibale TM A TANLS Now Mawr xa.rLa* Oapw ty Uqt�d Mu a of Serial eland DeltesesLoeO t'Ia.d ]Eat No. API= i PSR-3844 12062 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - ---- PERMIT INFORMATION LOCATION INFORMATION Permit Number : 12062 Address : 1675 SELVA MARINA DRIVE Permit Type : ELECTRICAL ATLANTIC BEACH , FLORIDA 3223: Class of Work:ALTERATION LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block : Lot : Proposed Use: SINGLE FAMILY Section: 0 Subd: Rnc- Dwellings : 1 Subdivision: SELVA MARINA Est . Value: 0 . 00 Improv. Cost : 0 .00 Total Fee; 25 . 00 'Mount Pai4) 25 . 00 nc1tt, Pall . 6/07/1996 o i 'P.O NETT HFr'^ 'INITE OWNER INFORMATION - - - -.- APPLICATION FEES Name: MorRA FEN PERMIT Addr• 1675 SEL.'A M NA DRIVE 25 . 00 "''.TLANTI B FLORIDA 3�2` hone: ; oottoo,o,4700cto __- -_ C R oR NFORMAT Name . ALL R; ELEr"TPT AddrT—P%0. BO 469 •CKSON 11 ,E , FL 5224b-6b94 T EBp: 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT %T3�6CI1 RF VIOLATION OF APPLICABLE PROVISIONS OF LAW. K TO REV : 8 e 26'i OR CHECKS 17183 08180883E21888 _ i LANTIC-REACU_eUli rs,+ c. . 1 • CITY OF ATLANTIC BEACH, FLORIDA , Approved by •APPLI CAT ION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Cs" 19 /IO 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. q I t SecV«.0 I eC7, / ELECTRICAL FIRM: MAS E ELECTRICIAN SIGNATURE JOURNEYMAN NAME BC'b L�cti��1� RESS: / (07S. Set✓« A/lar/•^4 fARmve RFD BOX • BLDG.SIZE BETWEEN: RES.(a/) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS.( ) NEW-( ) OLD (4— REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( 1.1( FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS ( PH .3 W 2-y3 VOLT 56 RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMI.O. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED • 0.100 AMPS. OVLII APPLIANCES DELL TRANSF. AIR H.P. RATING H.P. RATING • CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT /,S lS. • 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 2..4 C r7s /"®y_ AJe•w het•∎t A--(C TRANSFORMERS: UNDER G00 V. OVER G00 V. NO.• KVA • NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN • FORWARDED • r TOTAL FEES 3 5`l 1 • PSR-3844 8 9 5 0 DEPARTMENT OF BUILDING o J CITY OF ATLANTIC BEACH AT- 5 Permit Type : RE-ROOF ATLANTIC BEACH FLC'R±DA Class ,,,f_ Woxk : ALTERATION LEGAL DESCRIPTION ..... Constr . Type : WOOD FRAME Lot : Block : Section: Proposed Use : SINGLE FAMILY Township : RNG: 2 Dwellings : 1 Code: 0 Subdivision: selvamari.na j Estimated Value : $0 .+Y_ Improv . not : �`I~1 f't4 Tf:.`�tal Fees :Amount. Paid: 2:;22 . .., - mot . y Date .$/ 1�3. ., R€3 � `` G TE PERMIT $22 . 5C . . .,, -;.:,§1WASARINA WATER IMPACT FEE $O or I ACH FLOR1 L:A SEWER IMPACT FEE $0 . 0C , iho 2 91 W METER/'TAP $0 , 0c: qtr f 4 IT AfQ"3 R 13' , 0, c'r" --- ,° ° T m I NFORMAT T n1 ' RADON CAB 5% $0 .00 ame 'B ' 3 i LFMMON. .I'APITAL IMPROVE. $0 .0(' Address : ' 65 TH - AND AVENUE E li -. SEWER TAP $0 _ ` I L L E_. FL 3 " :FOSS CONNECTION $0 . , -, Typ SEC H IMPACT FEE "'' CON ST , SURCHARGE SCHARGE!ATL . BCH . NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ALANTIC BEACE ROOFING PERMIT APPLICATION Owner(s) : U/if��' /I .GO, 4 / Address: /c 7 7 55/G/ee i��7 tr frt �i Phone: c 4/ -Z�/ Lot # , B ock or Unit # ` Subdivision: Contractor: cc/.J/ i 7/�rnrrr 5 Address : 5-e, c:jC Svr-e ms: /76-:; l�4 p � 5. ��° / 7,� 2 City, State and Zip ��X ` �/y ..3 2ZG.S Phone State License # � C U_S Describe work to be performed: f 'A-' f' Valuation of Proposed Construction: (f, vU Materials to be used: /-te,e,' Signature of Owner; ��//��� Signature of Contractor: 1(x,1 Liability Insurance Supplied Workers Compensation Insurance Supplied License Information I d I • DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH YEKMiT INFuKMATIuN - -- LOCATION INFORMATION ---. Permit Number: 5366 Address: 1675 SELVA MARINA DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 3223... Class of Work: NEW LEGAL DESCRIPTION --- Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision : SELVA MARINA Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $22. 50 Amount Paid: $22. 50 Work +-: ROOF WITH N OWNER INFORMATION ---- APPLICATION FEES --- Name: RONALD WINGATE PERMIT $22. 50 icir F >r-• : 16,75 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 A'EL,ANTIC. BEACH, FLORIDA SEWER IMPACT FEE $0. 00 Dncc,r.} : (10'3 )246-3091 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 rOR1 i,ACTOR INFORMATT.. RADON GAS - 5% $0. 00 Name: CGAIRARD ROOFING WATER TAP $0. 00 Arfrfress: SEWER TAP $O. 00 HYDRAULIC SHARE $O. 0c License: RG0045805 Tye . RE-INSPECT FEE $0. 0f SEC. H IMPACT FEF OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK 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." 1 199 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. City of Atlantic Bch. ATLANTIC BEACH BUILDING DEPARTMENT By CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING 1, Owner(s): g„ „ Address: /6 75 5V►.77---9:4,- �ri},phone: 2 - 3011 Lot # Block or Unit # Subdivision Contractor: c›S-L.-��' Address: -46 7 5 f� (7 hone: State License No. I? C O 0 - - 'O- Describe work to be done: Materials to be used: f � Signature OWNER: Date: 5 -) - 1 Signature CONTRACTOR: (/