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1700 Selva Marina Dr (vault) r p dV 1 'OOsSv aq;o4at gamma ino(paaaiaa aAeq noif aauo pautpudaa 2aipitng aq4 04 uuo3 s[q4 umag II 1 I ❑ I A32i a21£ I ❑ I ❑ 1.13A`ds 011end '1d30 32IUd 9311 1Jlialp S)1-•M end JNI0lln8 I I I I I n32i ONZ I ❑ I ❑ ONINNY1d Jn-%OL 4l1 �o ❑ A31 1SL ❑ 0 31d0 :l :Ae 03 3A32 dV VG owning 3113 :3NO 3102110 SntV1S N011VO lddV 2i31131SdnH S1M I:If1V932i'8 S191OH N A O 2i3dU VZ ON3 bO Sd2IO0 AW2id N A m mrn 83dHi`d0 .01.M1I•f•S N A C,,_ 2i31131SdnH d'3'0 N A n :31V0 :1`d111N1 :AB a3A13032i :AON3OV 032i1fO32i 0 Fi 1VAO2iddV Fi rvu) 4-TA 1 1, I rot� I :4aaro.Id Al3d`dS 011end N A � '1d3 omi 0 32113 � � Qga; dd S3111111n 011end , 1, \1 � ' ' aa'�uu v 1 '1\al 4 i v SN2iOM onend r©n I asa�pp� ado.><d owning Mil VIA i� I ONINNMd rain :1d30 0 :lIn032i IMOd ONINONAI1 NOIlVOIlddV sn.cieco.mivon xt3 Si'8c-LVZ(1706) ��1',.:"G GG ]] 008g-Lt�Z(i O6) 1 1__ ££ZZ£EP?Ioid'PH oP I V r\ pEOg ajounuaS 008 r # NOIl�/0 -Iddd 1,N 1,2IvdaQ OI�iIKOZ / OIoIIQ'IIafl �' lIW2��d HaVIf DIIMV'IlV JO AIID "%,rr�, s.' , • Public Utilities —Distribution & Collection Date: 7/25/07 Initials: Project Name/Address: Install well-irrigation/1700 Selva Marina Drive Application/Permit#: 07-1053 Application Tracking Comments Check Box To Add Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 5834. ❑ Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. ❑ 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 N by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and ❑ a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow requirements. At a minimum, will require double check backflow preventer. ❑ Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must be installed in a vault as noted in JEA specifications. ❑ 0 0 0 0 0 0 F:\Public Works\PlanReviewComments-PU.doc R !. CEIVED s, -in-i I CITY OF ATLANTIC BEACH ' 9 - 2007 v tU CITY OF ATLANTIC BEACH "_`"° "° °_ ' I WELL PERMIT APPLICATION Date -7--- ‘74` a —7 Owner's Name:Aire -----/(/ fr' Address: «a 0 # %/ '' Well Address (if different than above): Well Location on Property (i.e. northeast corner, etc.) ,(2 fez ( /F y r Well Installation Contractor: b{/l/ti,x) 04 -,,/i///.1 p /,v c_ G P/, Z. 3 -o 3 o G, Contractor License No.: /(--(l7 Phone: -8`( FAX: Contractor Address: / O _ O> ,3 3 d 567 A/- / ` 3Zz,.3� Check Use of Well: Domestic Irrigation ` Other i Estimated- Well Depth:/5 U Casing Depth:/,-0 / Screen Interval fronVA2to/5'7 Well Diameter: Casing Material /Jó' Is address currently connected to the City Y water system? Is address currently connected to the City sewer system? 9e5 Has a Well Permit been obtained from the City of Jacksonville? '"v 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). /}t' 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 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. I;-'. 10��`} CITY OF ATLANTIC BEACH u Ss1 800 SEMINOLE ROAD J' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 2'4j;1l9? INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number 07-00001053 Date 7/26/07 Property Address 1700 SELVA MARINA DR Application type description WELL PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc INSTALL WELL FOR IRRIGATION Owner Contractor CARLIN WILLIAMS WELL DRILLING INC 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 . 1/22/08 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. FOR OFFICE USE ONLY Date..0 — / ‘') 19 1 Permit #../ Q a ' Fee$ S CITY OF ATLANTIC BEACH Valuation 9 .6. FLORIDA House #...,1.,7Ud 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. /{'*- g/ Date AQ9y ./...c-• , 19- /f- Owner - ,' Address Telephone No Architect Address. �/ ,�p� r'Telep/h�one No. Contractor Builder IEE..,(O�k5 //V • Address /�1 7 4... Ax aekt!'�Y.�'elephoneio.---72.21_,,i1-9 S Lot /N'o.. ��,�// Block No. 7 Sub Division 5,64_V4---__4(4,/.A/4 Z6ne >:.Y4--44.4 41 �//�• Street Side Between and ,v'/ Sts. Valuation $..-.5 3430 what urpose will building be used �,',J�' Type of construction.,.. / C� X 59 '0/ /� �r Dimensions of Building--.. _ -. .. Dimensions of Lot..-.-.._..���}• Size of Footings /Cl /,(.20 Size of Piers Size of Sills Greatest Sill Span in ft Type Roof How will Building be Heated?„-,,E Ca. Will Building be on Solid or Filled Ground? 50.4.140 ” Size of Ceiling Joists 2x10 , Distance on Centers /6 y 04G., Greatest Span /4(1 ,. Size of Floor Joists ,�� , Distance on Centers / /� , Greatest Span 91 Size of Rafters AO , Distance on Centers ✓ rQ C • , Greatest Span " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. W 29 / 6� / t--.., / 1. When steel is in place and ready to pour footing. GI 2. When steel is in place and ready to pour columns and/or lintel. z• 3. When steel is in place and ready to pour beam. a ,.a 4. When framing is completed. `�' ! o 5. When rough plumbing is completed,and ready to cover up. 3 6. When septic tank drain fieid or sewer is laid but before it is covered. W W A q 7. Electrical inspection by City of Jacksonville. U] V f ul 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after 11 corrections are made. r iii 1 FRONT OF LOT 1 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 a tached plans d specifications, which are a part hereof, and in accordance with the building regulations of the City of 1 c ea ,/ i // n Signature of Builder,- s �(wt Address f l f7f �/1/..�Q!4� �r.�1�,f� Signature of Owner r j2.2 2,J —• _ Address , . :A9 1NAW1LIV330 ohnamne H0V39 011NV11V 111614 IdiT118 ,, 39N014: 'MV-1 30 SNOISIA0Eld 319VOIlddV 30 N0I1V101A HOd NOI1V00A3H 01 io3rens ONV 110183d SIHI 30 IHVd 3HV HOIHM SNV1d C33/\08cIdV 01 ONIGHOOOV consv “*S1N31A13A0kiclINI oma1me1:103 331M1 ONIAVd 1:13NMO A11:13d0Eld 3H1 NI 1111S3E1 NVO MV1 N3Il ,S3INVH33IAI 3H1 HlIM A1dINO3 01 31:1111IVA,, H3NMO HO HaLOVH1NOO H31-1113 A9 AVMV 03111VH ONV dfl 038V310 39 ism ONV'30VdS JI18fld NI 030V-Id 39 ION ism >IHOM SIH1 V■10H3 SIH930 ONV Hsteena IVIH31VIA.1 oNiamne 3nssi dO 31V0 8313V SH1NOV1 XIS 010A 111A1H3d ON111110d 31:10139 03103dSNI 38 isnuu SONIIOOd ONV SWHOd 313H3N00 11V— 30110N :S]i_ON 00 .0$ U3H1U 000$ 33a IDVdWI H '03S 000$ 33A 103dSNI-3M :adAl 9996g003a :aeueox-T 00 .0$ 38VHS oillivHan id '211IANOSMOVC 00 .0$ dV,I, M3M3S 0V0 S1VHN30VA gg13 :eseaPPV 00 .0$ dd.]. H3.1.VM ONTI3V8IN00 ISM) !SYR :a1114 000$ %g - SW) NO0V8 ----- NOTIVWHOANI H0I3VSINO0 --- - 00 '0$ ' 51-1-SVO IsIOUVH 00 '0$ M313W 831VM Tgfig-L4A( V06) :auoqd 00 .0$ 333 101,814I 743MHS .4: t; V018013 '1421/39 OTINVIIV 000$ 743,4 13Vdt4I J3LVM 3ATHO VNIHVI.1 VA-13S OOLT PPs Og 'ZZ$ ITW83d H3NA0 A.1.83d0Hd :ameN -- - - - S333 NOTIVOIlddV ---- ------- N0TIVW103NI 83NM0 --- Aid 310MIS/S -UNI6L, tilim dJN3 T6/T /C : PTed a4e0 Og 'gZeo :PTed lunowy Og 'ZZ$ :eaaA Teloy 00 '0$ : so o -Aoadwi 00 .0$ :anTeA pavatuTle3 :uoTsTATpqm 0 1aP00 T :$13uTTTema 0 :01•IN :dTqsubtol AlIWV3 310NIS 1.980 Pae0dold :uoTloaS : 1100T6 :lo 3WV8d aoom :adAl '1lsuo0 - NOLIAT13S3C1 1V931 - -- 143N :5tiolA To seeTO CCZZC VUI1101.4 'HOV36 OTINVIIV d008-38 :acIAI 4TwJad 3AIBU VNIMVW VA13S 004T 1sea-IPP T79VC :aatqwnN ITutiad ----- NOTIVWHOdNT NOT.LVOOi - NOTIVW80ANI IIIA83c1 - - H3V39 DUNN:nit(dO A110 DNialifla AOIN3INIIIVd3C1 V9VE ___________ ___ „.___•. ,.. . _ __ - CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : /OM E /i9 N i) 11 J� Address: �,{1� �'/Qh79I s �� Phone: 717~ S/S7 Lot it/ 27-7, Block or Unit # Subdivision 5iw/7 A jA dO' Contractor: 6- .19 sf Coq Sl �1���2�C ►►�� Address: 56/926; 44oL Phone: �i/rr✓� State License No. ACC OO '62 Describe work to be done: RE&OJ1 gc S Materials to be used: Sip;Orik, $/N0 /`2/y Signature OWNER:/ 7 v Date:J///// Signature CONTRACTOR: 72-7 r I 001717 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - tit I tit oLMATTON LOCATION INFORMATION - Permit Number : 1717 Address: 1700 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223 Class of Work: REPAIR - LEGAL DESCRIPTION -- -- Constz . Type: N/A Lot) Block: Sect ion: Proposed Use: SINGLE FAMILY Township: RUG: 0 Dwellings: 0 Codes 0 SELVA MARINA Estimated Value: $0. 00 mpr ov. Cost $0. 00 Total F-t-r. $20. 00 Amount Pa td $20. 00 -L . TING SEWER LINES OWNER TIWORMATION - - APPLICATION FEES - - - - flR ANF,F, PERMIT $20. 00 1700 SEL':A MARINA DRIVE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 322:33 SEWER IMPACT FEE $0. WATER METER $0. RADON GAS H. R. S. $0. CONTRAt: INFORMATION — RADON GAS - 5% 80. 00 Name. ATLANTIC COAST PLUMBING CO WATER TAP SO. 00 Address: 304 NORTH THIRD STREET SEWER TAP $0. 00 JACKSONVILLE BEACH, FL, 322t-‘ HYDRAULIC SHARE $0. 00 License: CFCA21529 T)pe I RE-INSPECT FEE SO. 00 ENGINEERING $0. Ot, OTHER $0. 00 • 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: • /7/7 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION I1 00 PLUMBING CONTRACTOR LICENSE NUMBERS 1 ; „ _ LFcr+ Zl S z OWNER 1NUA BUILDING CONTRACTOR TYPE OF BUILDING SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS I OTHER �Q^�.'^ - -, TOTAL FIXTURE COUNT /".7D (41) INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . 4413 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFURMATION ---- - - - Permit Number: 4413 Address: 1700 SELVA MARINA DRIVE Permit Type: WELL ATLANTIC BEACH, FLORIDA ,32.237. LEGAL DESCRIPTION Class of Work : NEW Block: Section : Constr. Type: CONCRETE Lot : Township: RNG: 0 Proposed Use: SINGLE FAMILY Subdivision: SELVA MARINA Dwellings: 1 Code: 0 Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $10. 00 Amr„fnt Paid : $10. 00 bi91. Wui"k U e. : 'sek,LL --------- -- OWNER INFORMATION r- ---- APPLICATION FEES ----- PERMIT $10. 00 Name : STEPHEN SAMUK WATER IMPACT FEE 5U• f)O Address: 1700 SELVA MARINA DRIVE SEWER IMPACT FEE a0. 00 ATLANTIC BEACH, FLORIDA 3� t3 WATER METER $0. 00 Phone: (909)296`1700 RADON GAS-H. R. S. $0. 00 _-_____ CONTRACTOR INFORMATION --" - - RADON GAS - 5% $0. 00 WATER TAP $0. 00 Name: L. N. WILLIAMS SEWER TAP S0. 00 ATLANTIC BEACH Address: P. O. BOX 567 HYDRAULIC SHARE $0. 00 Type: 7 RE-INSPECT FEE $0. 00 t_.it°er:Ae; SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPVAROTVEMAENTS." TIME; 04:48 PM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ 2 �.y�REVOCATIf$,��R VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE 4'00 RECEIPT NUMBER. 039485 ATLANTIC BEACH BUILDING DEPARTMENT By: • • rEE $10.n0 APPLICATION FOR WELL PEP IT CITY OF ATLANTIC BEACH PROPERTY OWNER Name: /i2 / 5'm 41. /c- Day Phone .25/6/106 Address c /7 U0 (wet Pi- Zip 3 Z 7 APPLICANT, IF OTHER THAN OWNER Name: L _ 'v, Gt/e /64, Day Phone 2Wt4'/7 Address: / D, v K S 2 k71- j(ic,_ �✓�C�i�, ¢4 Zip , 23,1 JOB Address or Location:! / 7CJ O 6 &1a A-40'J Legal Description: Is well to be used for drinking purposes? _N1 t') Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is an file with the building department. Department Notes: I I agree to comply with regulations stated herein: /d ^ S‘- tore Date Proposal Page No. of Pages a St. John's Wood Products Co., Inc. 2816 Lloyd Road JACKSONVILLE, FLORIDA 32205 Phone 786-4890 PROPOSAL SUBMITTED TO DATE ADDRESS PHONE I' i 0 0 �r-etv-c, 7 .r-1 cu.,-r ) .? q 6, -/9 0 0 . //�' 6 / DATE OF PLANS JOB NAME AND LOCATION ARCHITECT 1, 4's 1 • JOB,PHONE t UJ.-►r� 1't rJZ.o C Ke � hl_ 1- c :C 4, 'x,i' ) We hereby submit specifications and;:Astimates, sutiject to all terms and conditions as set forth on both sides,as follows: 80 H f u r „` () . I _ • • i Jet. ._ I IAA,. _+'C t (Read Reverse Side) i,•r 'Inmost hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars ($ ) Note: This proposal may be withdrawn by us if Authorized �► not accepted within days. Signature ArePtPt: The above prices,specifications and conditions are satisfactory and are hereby accepted.You Signature are authorized to do the work as specified.Payment will be made as outlined above. Date Signature - - • alPQ o \Gil :20)r� a� ,4 ..,. ,i. .....- .. .\ Y m. -'•rfi ,0 ? •n • i ri 3 7 - i u rt •r r• 3 ".< O 1 II H (/I • ~ A3 C., M :. T, N• .� 7 . 1 CL r '7 O N Atn h k 's) \I CI D 9 .. 6-. 13.. ITL/1\1/4 1.3 ■-•-r..... .......„......N I r+ r. I • I I C C' i 3 cl. •I 1 •O N ..1•0 3• ) 1\1 c: k 0 1 I ka` Iv rc/bA�, O • -V • 1 ` 4 Z. L ~ .5— • 78 f- 03=i0 �/4 2 8,S' G ¢ . ti '.....I.-.__. pis"1 2 9./7 , i • P N f ` l� 1 W • V () • Zi♦ • 0 0 Ezi t\ . `�.; comae- •7 c\ c 0-0-0, N '\ 61\ Ihik- ."(5,- 0 tu /° b N E. :P Sc' . -7L) I /31i 7 n/- 7B• 03.- /c E- 2 9 7.2r' • 504, 7'`X.- 1 2 C Ex , P CITY OF ATLANTIC BEACH ' Iii 800 SEMINOLE ROAD r /} J : ATLANTIC BEACH,FL 32233 . � - INSPECTION PHONE LINE 247-5826 Application Number 09-00001171 Date 8/18/09 Property Address 1700 SELVA MARINA DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 1500 Application desc REPLACE SLIDER Owner Contractor CARLIN RJ VINAS CONSTRUCTION 2215 LAUGHING GULL CIR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 514-4442 Permit BUILDING PERMIT Additional desc . 20 . 00 Permit Fee . . . 40 . 00 Plan Check Fee . Issue Date . . . Valuation . . . • 1500 Expiration Date . 2/14/10 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Fee summary Charged Paid Credited Due • Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Y y 1 , ,_..'` i 7r p;, CITY OF ATLANTIC BEACH 09-I1 I Ilj _ •).'"'')' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 '"".'" • r 41 OFFICE:(904)247-5826•FAX NO:(904)247-5845 . - Y BUILDING-DEPT @COAe.U S --'-'-` :, , BUILDING PERMIT APPLICATION DUVAL COUNTY 1.ilcaPPRESS, 2.VALUATION OF WORK: , 3.SQ FT.UNDER P C;F��, / 700 to1c/ ; MCf _ /-5-1;J . V° _ 7 :' 5.CLASS,OF YORK 6 U 'OF 5'DtUCTURE - ❑NEW BUILDING ❑DEMOLITION tSIDENTIA_ LOT BLOCK SUB DIVISION ,CDDITION ❑CONVERTING USE ,0 COMMERCIAL 7.DESCRIPTION OF WORK:,.. ❑ALTERATION ❑ACCESSORY BLDG f 8.FIRE SPRINKLER: ;,,/� //'/ r ' �f,/ - LEPAIR ❑POOL/SPA ❑Y 0 N/A - e/a St /I c7 U d,/ 4/14 ',j%f�:J ❑MOVE ❑OTHER NO PROPE r TY OWNER: CON, "OR: ARCHITECT/ENGINEER: - 9.NAME: 15.COMPAQ � /� /J 23.COMPANY NAME / mac 44'e/ E SGUG n (°-f i 4 la:I Vila f l�/'.►r -4.1 1 aCr /Lin- .___._ ----- 16.N.v E. i 0.\0) 24.LICENSEE NAME: 10.ADDRES ; - 17.ST ATE OF FLORIDA LICENSE NO.: � 25.STATE OF FLORIDA LICENSE NO v J 40, C'(4G: 7 c C,/ G 15I 6 8 p O O . ! 18.ADDRESS: G t/( C:-� 26.ADDRESS:�4 I,497,-, 2i,a `i 1::(--- AlYt4i4c. 7e r- 3=z-ii 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: :28.FAX NO. J - $107 1 I;2-Y1 13 13.CELL PHONE: 21.CELL PHON : 29.CELL PHONE: _� __________ 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 61,-,1'1 re_��.IQ•. ./NI-- FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTC t s i.lrNL Efi,.. (IF OTHER THAN OWNER) -'--• 31.NAME 33.NAME: 35.NAME: �/� / , ______ 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 has 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 this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. _,- OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT itii YOUR 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 YOU. LENDER OR AN ATTORNEY BEFORE RECORD ING YOUR NOTICE OF COMMENCEMENT. ENT. OWNER or AGENT CONTRACTOR (if Agent,Power of Attorney or Agency Letter Required) / (Qualifier Only) _�. _ -_, y / :cc-l�t , -_ �� Signed: �tt/1CvN /-) tv Date: C�/� 1/l'� Signed: Ck Data: (7 7 n n 2009 in the county of Before me this day of� �rU S I 2009 in a coon of Before me this .7 day of a-C G' :,w tY / Duval,State of Florida,id has personally" peared Duval,State of Florida,has•-•onally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. £ true and accurate. f Notary Public at Large,State of / Lu'e,.D 1,County of 0�it V-I L Notary Public at Large,State of /-to2(D 4-,County of ,nu V 4' L- ❑Personally Known . /- (� _ J Personally Known 1; Produ -. d- if .tion- C- te) / -C �- 1 (� 3 Y -5-s 3 0 ❑Produced Identificati••- , Notary Si.. atriegiNk, k ' J. . 6 6: .T _. ..N.,. _• _,' fry 4 °_.__,,._._.. _._..�----- -- ;. r PIRES',3tpN D5,2011. 'D FOR CODE COMPLIAN OF F1AP, EXPIRES.February 25,2011 ♦ Srf`YP SAN SPEAKS GORMAN r.-..... --.:,':''' i mo. .3-No-ray --�Na Wry Discount Ass. C. OF ATLANTIC BEAC ► " . rSlRIPM E. - ■ COMMISSION ri DD64366 t C -; EE PERMITS FOR ADDITIONAL t,•IRES:February 25,2011 1 . F I LBEO1 eiflpoyd4RE/i D:,v,arzooeREQUIREMENTS AND CONDITION.- t8�°°3`,NO&_ FI.Notary DiscountAssoc.Co. .Lausumaaarizsem‘_,.7...; x REVIEWED ICY: ` i DATE: ' 04M _ '+' 'b b o 0 Y 6 .-r 4 o� v, w N tii ,, ,, v a ft it ~ co v G� v, w N r�� x UQ g o C E. 7 y �1 d C� G z O o ,.moo r CI. per'. '-' o o- r, N O ° o0 0o C C 0 " CD G s a. ° ' °O � n _ TO J O 1 I ____ to 2- a, w 0- _P fU i� C 4— CD r:1 • • , \\ 1 I• CD H o c ( C X a 0 x ..:,. -f n- j ° 2- CO 0 LW I P cr , Cr 5' .: o c - -. O , 0 0 ¢ = rt I - Ii �� � C7 cn t� Pp rt- o P `t x ill r) oa n C" cz ,..,. 7-<,d rn o CD Q" o Cr rt- 1 . Florida Building Code Online Page 1 of 5 • t�iC9R+.:r. Community Affairs BCIS Home Log In I User Registration i Hot Topics `Submit Surcharge ;Stets&Facts ':. Publications FBC Staff I BCIS Site Map Links Search ,�. Product Approval 0 L USER:Public User C,GtTi^:r.i rr?y Aft'<a It Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL7590-R1 Application Type Affirmation Code Version 2007 Application Status Approved Comments ■c=F;:>:: Archived Product Manufacturer MI Windows and Doors Address/Phone/Email 650 West Market Street Gratz, PA 17030 (717)365-3300 Ext 2560 bsitlinger @miwd.com Authorized Signature Brent Sitlinger bsitlinger @miwd.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By Referenced Standard and Year(of Standard) Standard Year AAMA/WDMA/CSA 101/I. S. 2/A440-05 2005 Equivalence of Product Standards Certified By t affirm that there are no chanq>:r.?in i:.he new Fio'€da Building Code which: affect my procuct:(s)and my product(s)are in compliance wits the new F ,rda Building Code. Documentation from approved Evaluation or Validation Entity Yes 'No /,',N/A httn://floridabuildina.ora/nr/nr ann dtl_asnx?naram=wGF.VXOwtTlnvA711Rn1 Wn9(lwic R/17n1n0 o .11•11101111011101.911. 1,, . N ..E ' 0 0 0 000 000 000 '� v o og000 0000 000 00 0 oo A IA o U 00ci .000 00o O__ E h G tide-Caw 0000. 000 0v m 00 d m wow mmm nimm W W $ Z z1 0 '~" 000O QAYf0Q. 00000 - 000 0006,0 �� mom mm CD-11 z qq ®aprt V rt+rvvw Q ✓� �D .1 .nnViN� .nnrttNr! wmv v u�1na1.-N.- 0 Nh.Ofb.-. NN 01.� ./1MU\'1`N� NhO.VIA.- 0,0_0_ /~/ �� Q _� Kn°Kh K n.t' Kh 3t4 . K H Y.Y) K).. .V- 'Oh ♦...) i pp� GK M ' K N K KN K KH.YN Kh . . . ... : U _- `>0 3')0 - N\N c0 K K K tD x �t6,m R) m v..r v m 1 f O 3 �.\ \ \\ \ n n \\\ — \\\\\ 0 m 00.- N .-V..- r6,.6,.O b N .�.-N I— N N HHH H Vf .(� /^ ^mcO^m NN NNN N rtmtO tON Z 'h , Y NN N 0,..., N N.,,.Y✓1 Z j z 73 — y # > WW W MN]n h M A 2.7222 Li z C �O o,.�. ?._ `O - S'4 Nrl4.(7m NNNNN NNNANN HHnar'ln 00000 Z ° Y 00000- 0 \\\\\ N n N'")n M)Q Z i[� 0 i- t- aa, =.c Q (1) '.4-L O a O ° L a. J _c 7 u 6,t 'a:" = d u s m �p d 7 ....... u c 0— q a . 11 m a ' ' Z q 8- scs_ ° N Lb V Q Q �° U w O CI`Y r - o o % i n•y 2i, N o ° a g q v q .9t .v, ,,, 3t.. • c crOM Yo u .^,.Z a ye h ' a•cp.«..� vyc uo u a c q O I...` a CP _ _ w l •v O C 0 0 6)•c a O c C ~'-�.... --lry `..G4.`'� L N - 4.-6 ARP_ �� � yNo 3 ��y.3v l: \ m < JmJ L F ` E m.._ # d U w o rtpz 0 0' "° :-.0V 6,0,7r Q'L U y"-6,�',� U m i t. o 0 0 � a o" E P. Y � g t .x x aNi °:s° o u CO, ,EC-•-• 00 o 5-5 u °m c- 6, C u E 8o f� '-'. g in.S CUU_ =c.9.J oQ 01 E a v I J L 0 0 +r .=N M CC;h 07 C�7 H `Jam . t1. 4 m .J N ' T .sn o u u a a o. a �s c C o , , 1 , t EL �6"c to a, J o '4 tc;' { i - v IP /. l 3. :1: .: — } D z LW iii ° { V ykrr. ��„ .---x-r••-e__,*4.d.1311tf59!' 4'!21$1/'4 ,. :me.wm,"`"'"aww. - V�+ `: R Nm ■ Cr t^ I /'-= , .>>> City of Atlantic Beach APPLICATION NUMBER - fi; , (To be assigned by the Building Department.) 'r ,�� Building Department � � / t.1 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 Date routed: /1111Pii iii E-mail: building-dept @coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM / 7c1j c s - • - • sent review required Yes,,No Property Address: Va' Building J - - - - &Zoning Applicant: �� a S a e� Tree Administrator �i d i Yl Ci bO le _10 1.il aty Public Works IsJ Project: 11�?'f. Public Utilities 1 Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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 Other: APPLICATION STATUS Reviewing Department First Review: Approved. n Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 11/ Date:W/C) TREE ADMIN. Second Review: nApproved as revised. riDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ■ J2 /f/c G/atom (f / Address of property being improved: , 32-2--, • General descript.io of improvements: J ' Owner SCS6 &'`` �/ Address Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) /r Name , 6r5c,/ C •(- (77 Address i C� Contractor £` _ Address I-' ` _ Q "(-y"I y- Vitt') Fax No. Ci_v/ Z y 7-- L 7 - Phone No. Cl Surety (if any) !//4 Amount of bond $ Address Phone No. — Fax No. ___ Name and address of any person making a loan for the construction of the improvements. Name P" 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 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), Florid Statutes. (Fill in at Owner's option). Name /44 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): OWNER THIS SPACE FOR RECORDER'S USE ONLY DATE /7 Signed: /'° _im- m the Before me this_Imo___day of County_oftDuval,State of Florida,has personally appeared herein by /a-2/ , i.% himself/herself and affirms that all statements and declarations herein Nu4 P i y5 i 5,OR b' i 4 /d rage 900, are true and accurate Number r Pages:1 Recorded 08;19/2009 at 02:25 PM, • JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY • RECORDING$10.00 , County-=1.--0 p fo%t of Va t Notary Public at Large,Stale of -=1.--0 ---- My commission expires: _ or t MY COMMIS r.- (2.1.01.-4. L.1 c CA)S£. and d EXPIRES:February . 1 (2 0 A FI.Notary Discount Assoc.Co. 1.900.3•NOTANY DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date 19 0 o Permit # Fee $ Application for Permit Valuation $ te,6 �o a for Misc. Alterations House # 7O ) p/,J 1 o %;.4-pt_ d Repairs I/ 1/ nD DESCRIBE: F a I-•-h (state if to repair, alter, add to or move building, erect awnings or signs, etc. ) Building 9n: Lo,t, No. q Blk No. Su .Div. c)� Address / O C N /F_ tif4-ie,g..4- /a1{J Valuation $ Uo`- Owner' s N e ' 1c �� (�- "'it( BUILDINGS & OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HAie ING WRITE ADDITIONAL INFORMATION BELOW -��. '�91� (For canvas awnings provide dimensioned drip jnserve side) IMPORTANT NOTICE: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the r';f-vnf Atlantic Beach. Southern Standard Building Code) are of Builder or Owner Phone