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1726 Selva marina Dr (vault) DEPARTMENT OF BUILDING FOR OFFICE USE ONLY__ CITY OF ATLANTIC BEACH, FLORIDA Dates l - ig7 5 Permit # 4Y" Fee $ 3 `� Application for Permit Valuation $ `/6 _ c for Misc. Alterations House # ./ 7.3--‘, and Repairs 911C; ,r,c , if)YZ DESCRIBE: e/4//1/ �j�/�'/� I CW4 ,q %e s' er9/e `7 4/17Q4,-- (state if to repair, alter, add to or move building, erect awnings or signs, etc. ) /,/ Building on: Lot No. Bik No. V Sub.Div / 4 .wst. v/i Address /724 Slyg 7n, ,,ve9 (7-47- aluation $ ei �,� Owner's Name fiRr>j i--? 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 HA1GING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NOTICE: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which. are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Southern Standard - i, •ing Code ,/ Signature of BuiAder,,or er_ : 4__Af �/� c /- ���. Address G�' ;> t /� -'ph G SURVEY OF MAP S H OW I N rt book 30 Lot 6, 3lock 9, as shown on the 1 1<<t of ,3e1va Marino L:nit J, as rccorde.1 in 1 1 30, Pages 29 and 2 9.A\ of the Current. ublic ,-records of Duvc,l County , i'lorida. For: Developers 3 , Inc. "1 'y Per ;e%t S 1./)/F °C" . '' °. 5ELV4 M4P/A/4 D x S. /4°51 50' .' /.50 . k . . _ ... . 5 5 34.09 70 S.a7t/Q/B4 . . . . --OQi v if N to in lfl 50 81?L — — --- — 304 z4 - 1n V' V, a.7 z�-�. � 8 �j �i 8_ N N 0 i '� :Q 33 4 (11 I IA • rc� rc, CONC 13c_OCK d._ � N r �OCJlVO4T/OtiJ LOT 5 LOT 7 ,p )jl 37a — - go.6 — — N` J , • ' dW 0 Ci W 0 4! 14 tA CN,6i 1 W : -- N RREAR e• R. L•4 I � � 0 ��` APPRI D I I I o• 1 .f � ...<4../ ' . . IMAM% N y .. y t _ __ __.�,.' x .-s, \-1 (-r kJ — / L ,4 G � `� 5 • N. /4°34, 5:3..w /50• NO COQ/CJE.7S 5 E'7" — — Pt 04/0 re.,"' Ge-✓oiC 47' Li,/f_� 1 . ASSOCIATES DEPARTMgNT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date 19 0 Permit # Fee $ /0 0- - Application for Permit Valuation $ 4 p �/ for isc. Alterations House # j7-){( 41 . �/-.. ( ) ( nd Repairs DESCRIBE: --Oh �ruzi . o o Q� {2�S��en� ;ar� 61..."► rhtv.t0._c6.-- Pool - 1Xf 37b2 1 / /l, ivo P — . (state if to repair, alter, aad`ddam to or move buil erect awnings or signs, etc. ) Building on: Lot No. 4 Blk No. Sub.Div. je/ 4 /9)4,/,4 Address /2.2& ,Se/,)A /)7,?,4,,D )),2. Valuation $ ,--T9e°Q Owner' s Name DR,_ 3c.A,7 / 124,114,1 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 HAN :ING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on resery e) -CON"'11), \ IMPORTANT NOTICE: pA In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Southern St dard Bu f ding C.de/ ' Signature of Build,er or O . ner .,/ /i, z_'... „ .�_. % /1I - -_ , r/ . Address , , , e.� _ i A , , ,. .d, Phone A” -� / , DEPARTMENT DEPARTENT OF BUILDING 3 01_ 0 _ ♦ CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 1/28 19 75 Valuation$ Fee $ 3.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that v. Juan P1 Rcxnan has permission to build Green Hot House Classification Single Zone Re < Owned by Dr. Juan F. PiRoman Lot 6 Block_ SAD S/if House No. 1726 S e i va Marina Drive According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ii AFTER DATE OF ISSUE • P. 0 Building material, rubbish and debris Zfrom this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. It-C: Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER — t DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date ip l9 /k, FJ Permit # 0/0 ee Application for Permit Valuation $ ,92—c r for Misc. Alterations House # and Repairs e&7...„7, DESCRIBE: ;y (state if to repair, alter, add to or move building, erect awnings or signs, etc. ) Building on Lot *To. (0 Blk No. Sub.D ov. / C)a �2C Address / � ._1' /6/ ._ V- 1uation $ Owner ' s Name ./f/.��J . m�i�� Admiee et BUILDINGS & OCCUPCY, Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot size Material of Roof � [_ e,4, No. of stories now / after altered /0 -Y Material of Present Building -,rye- / Material of Extension &d ' ;q ff6 PLANS MUST`/B -E SUBMITTED HEREWITH SIGNS /(-1() Size Classifica (state whether ground, roof, wall, projecting banner) Material of Construction nner Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NOTICE: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. southern Standard Bu• 1d g Cpde) Signature of uii.er or ner ,/ �,,, A) . ��, 1 .Ofi °_� � �5 Address 21)6^ s1'��) 40. ' /_�J�. Phone A/, d �„ Y S j, C r :14*.';'; .i, ' .w f '✓1L e'''Y''t +r 4..' a« ¢± 9 l'.',4' i�° $ h .µ �1''' s k �' � '+ . y )-#.. �,e-.r 4 ,..'.1.,..444,!-,,,," Y ,-4,. pia_.v -„` s y.A,, „,,4*, if-'-' '', _1f::_!':::--,,;, & t a x x+ r n d. �xf fxTl h$. �t � c:r mw sv i f s s Yiµ s�f l 4?; v i -I } K. - ,,,„.:,,,,,_%A.,4,,.. _ °) fix ~ ''3�ef''y sz'; y� x'.. ' A fir,^ �'`' r': r OfV, ft - ��faR6F ? TOP I t Ccntr a' C0 Ott G'1 ;.ht[ .c�ura. i I. . / t' •..I. .......-.ri C ... . Liu ijiiii. 6 `� < ...... � 2 3 197 PCI VED APPRO ■Y k. 2. CITY of ATLANTIC BEAC C, W 1 C.1,4 BUIL�IN OF ICE t_oft II ccmcP g- Date — • By MAP SHOWING SURVEY OF Lot 6, 'Elock 9, as shown on the Plat of Selva Marina Unit 3, as recorded in Plot took 30, Pages 29 and 29A of the Current Public Records of Duval County , :7lorida. For: Developers 3, Inc. RECHECKED NO CORNERS SET 4PQ/L 24, 1975 FOR 5,4 ME • 5'ELV4 //!4P/AJ4 D P 1!/E (7/C0' .2/w) FNO./.P. 4/24/75- S. /4°3/".50." -. /SO < 24/75 720 rui2/8.4 17 3 5/.4 rJ c, 34..09. --D.2/VE N r W N 111 4 0 50 5,2.L. ,0.3' z4. i� / 111 4-1 & 3 J . JUG yN� WQouc.,-Ar 0 / LD N Tv a,• 8 4.7• zG ' ICS J 29.9 I-- G4ROE�t/ ".1. 4 ito w u a a W PAT/0 J Q I if) /-5ry 57-uc cc) m 4.7' ro N //' ill 6� �/ Q' N P b 24"E•4VEF5 1 4 LOT 7 -4�7\ i/° /726 -�� O i LO I. 5 0 Qi �S N eo7 • _ 3/.9 ' ^�, rn ° r conic. m v, z8. _ J J Co/vc. F L ./ `� (y Z.- OOct< '�� ,y W 53.8- ,..) 8.•,.; • q 111 APPROVED , 0 N N -• i- :'I Contro 4 0m r ,• N , c Q �.:.,::.....: .. N cn 0 ••.• ••• . : I i......a.,....8 N iDAT .—N• Nitiv?4-1920,,r,,,, 0.4 N 1, :I,/ '''‘ i cr t / 4A/K OF LAGCO/l/ ) /..7 1 I 155. N. /.?°34' '3,.I / / . -- nb ccaA./EQS sEr ■ LEGEND l WAVERLY J. RAY & ASSOCIATES 7 r r APPLICATION FOR WATER CUT-lW TO THE CITY OF ATLANTIC BEACH: I (:;;;' Application is hereby made for / taP water cut-in at the following address for one units. Cut-In charge of 85.00 plus 6.00 construction water Street No. 1726 Selva Marina Drive Lot 6 Block 9 Subdivision S /M #5 Ordered by: Developers I I, Inc. OWNER• % e . Mailing Address: 2108 Park Ave. Orange Park, Fla. DATE: ACCOUNT NO. D-25 METER JO. 6 Zj ULI/G)' DATE INSTALLT?D: /y).V77 gt 4rKf —a D D v 7/9-740 �- /ec /Ae-r7¢-lie Cc) / 2 z.`7 t CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. a 77o Date :_/(4 17 LOCATION pf67 pyhem PR • Street LOT NO. 6 BLOCK NO 4— ? S/DSSLorl1 A 4 /01W- OWNER D Jui Y / k!!'l i A/ MASTER PLUMBER d r ' 11 L - I 4 Bldg. BUILDER OR CONTRACTOR PEE" ii6'#'S 7;,/RFc ice": Permit_. ?o.. TYPE OF BUILDING /PFD WAX E / 4 roR Y SINKS r LAVATORY BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS c:), WATER HEATERS / DISHWASHERS DISPOSALS OTHER TOTAL FIXTURES / 7 @ X1 . 00 NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size -and` looation of all the soil and vent pipes, and the number and location of all fixtures, (in acoordanoe with OrC .nanoe no. 188 of the City of Atlantic Beach, Florida) must be shown on baok of appli- cation and be approved by the Plumbing Inspeotnr. DRA'd PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USEQNLY) ROUGH-IN INSPECTED / Si- 7 REMARKS C;(< - FINAL INSPECTION: r-2- 2- ---7 , 7"- i 7 , / CERTIFICATE ISSUED: tot CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS PERMIT NO. DATE 12/19/74 LOCATION 1726 Selva Marina Dr. __S'T'REET LOT NO. 6 BLOCK NO. 9 S/M #5 OWNER Juan PiRoman TYPE OF BUILDING Single family dwelling e I OA, M _ 0E-7-PLUMBER INSPECTED L 22 7%c BY BILLED ACCOUNT NO D-25 4.':\1/26\'), CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted with seven (7) copies and received by 5:00 p.m. on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. Applicants Name: F R a(n!K . GAME- L. l2 - Address: / 223 T2A•(1-43ooj) `1 /j. I� E167-0NF 13cN, Pc 444. of&rck /FA-Y Telephone#: 0 '-r - 1'(08 - oY-(? qpq- y/ - 7009 Address or Legal Description G S v 1-1 It ✓t rt. R Of Tree Removal Site S ('/u( T S 13 L o( vc, 9 , ,t t ✓A Mo /t- (If legal description, list closest cross street Reason for Proposed Tree Removal ( ONS TRU N f= L) H-t• Nt l= Has this site been to the Tree Board Before? (Circle) YES tel NOT SURE Please provide the following information: SITEirLAND RREE,SURVEY ndica�io x r To rti c 4 L.,$.0 -�C 7--,3 c`« a. Existing and proposed structures. b. Location of utilities and easements as applicable. c. Location, species and size of all trees with Diameter at Breast Height(D.B.H.) of six inches or more. d. Location, species and size of all trees to be removed should be clearly marked with an"X". e. Location, species and size of all trees to be preserved on-site for replacement must be marked with brackets"[1". f. Location, species and size of any proposed new replacement trees marked with a circle"0". g. Location, species and size of all trees to be preserved on-site with barricading at tree drip line noted. ON-SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property corners must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST BE MARKED ON-SITE BY RED/ORANGE flagging, paint or tape. e. All trees to be preserved on-site for mitigation MUST be marked with BLUE/GREEN flagging, paint or tape. 800 Seminole Road •Atlantic Beach,FL 32233-5445 Phone: (904)247-5800 • Fax:(904)247-5854•www.coab.us Page 1 of 4 Revised 11/04 , k 1 . 1_,J.v.r.,.:, ,,, 4-, , CITY OF ATLANTIC BEACH sA A . 800 SEMINOLE ROAD j .� �� ATLANTIC BEACH, FLORIDA 32233 \ INSPECTION PHONE LINE 247-5826 Application Number 04-00028846 Date 8/10/04 Property Address 1726 SELVA MARINA DR Tenant nbr, name TREE REMOVAL PERMIT 1TREE Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor HILL, MARK OWNER 1726 SELVA MARINA DR ATLANTIC BEACH FL 32233 Permit TREE PERMIT Additional desc . Permit Fee . . . . 00 Plan Check Fee . . . 00 Issue Date . . . 8/10/04 Valuation . . . . 0 Expiration Date . 2/07/05 Special Notes and Comments - APPROVED TO REPLACE REMOVED 17 1/2" OAK WITH 9" OF OAK ON SITE OR PAY $117 . 00 PER INCH FOR TOTAL OF $1053 . 00 . Fee summary Charged Paid Credited Due Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i . q°4*1) C)ftert5FFCAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD JAS r �\ ATLANTIC BEACH,FLORIDA 32233-5445 SS1 TELEPHONE(904)247-5800 FAX:(904)247-5805 `' S) SUNCOM:852-5800 `!1 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # XJ/14 Applicant: ti$r t H f < L. Address: t 7 2 Co S v I(jr-Kr N r4- lift Project: ,dF_ M apt F ! - 1 %z. " 0 A-K YI IE F "Your application is approved if Your permit application has been reviewed and the following items need attention: QF,ocaCr �FafOOF_ c2 /? .0A-IX L.0t 7K g " 64-44 n/L9 S f Tf 6a_ A 1 S// 7.0b /9 J /UvcN y'I 7-14 L or- f0 -3 Please re-submit your application when these items have been completed. 7 Reviewed by Signed Date F - O c4 Contractor Notified Date " RECEIVED CITY OF ATLANTIC BEACH C►TY OF ATLANTIC BEACH �, B'ui,i,,NG i . yr TREE REMOVAL APPLICATION ---.40;11s)', AUG 6 2004 All applications must be submitted with seven (7) copies and received by 5:00 p.m. on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. _ INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. :1 A y Rk Y1 /LL 1706 EELIIA MPQ)A/ ?)k. y6 -xys.8 APPLICANT NAME ADDRESS TELEPHONE 2. /7,6 SFLV/t I1MiW4 )Sk ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE (IF LEGAL DESCRIPTION, LIST CLOSEST CROSS STREET) 3. REASON FOR PROPOSED TREE REMOVAL: /A/ 6,(1/9K OF ! )TV,' S'C EENEA EIVCLoSu `!I�-` OVER AN._ 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NO NOT SURE 5. SITE PLAN/TREE SURVEY indicating: a. Existing and proposed structures. b. Location of utilites and easements as applicable. c. Location, species and size of all trees with Diameter at Breast Height (D.B.H.) of six inches or more. d. Location, species and size of all trees to be removed should be clearly marked with an "X". e. Location, species and size of all trees to be perserved on-site for replacement must be marked with brackets "[ ]". f. Location, species and size of any proposed new replacement trees marked with a circle "0". g. Location, species and size of all trees to be preserved on-site with barricading at tree drip line noted. 6. ON-SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property corners must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST by marked on-site by RED/ORANGE flagging, paint or tape. e. All trees to be preserved on-site for mitigation MUST be marked with BLUE/GREEN flagging, paint or tape. 800 Seminole Road, Atlantic Beach, Florida 32233 Telephone (904) 247-5800 Fax(904) 247-5845 1 of 4 COMMERCIAL PROPERTY 7A. TREES REQUIRING REPLACEMENT: a. Interior zone trees requiring replacement: Any tree with diameter at breast height (DBH) of 10" or more. b. Exterior Zone trees requiring replacement: Any tree with diameter at breast height (DBH) of 6" or more c. Champion Trees: Any tree so designated by the Florida Division of Forestry, Department of Agriculture d. Exceptional Specimen trees: Any tree so designated by the City Council INTERIOR AND EXTERIOR ZONE DEFINITION COMMERCIAL PROPERTY EXTERIOR ZONE • 20.0' Rear Setback T INTERIOR ZONE ► 4 ► 7.5' 7.5' Side Side Setback Setback 20.0' Front Setback V SIDEWALK PUBLIC RIGHT OF WAY PUBLIC WORKS JURISDICTION PROTECTED TREES DBH 6"OR MORE PUBLIC STREET 3 of 4 r RECOMMENDED TREE LIST Atlantic Beach Tree Board These trees are recommended for North Florida if appropriately sited, planted, and cared for. Note that salt and drought tolerance varies. All trees, including those condsidered drought tolerant, require regular watering for at least one year. *American Holly (Ilex opaca) Evergreen, 50 to 100 feet tall, salt tolerant, low drought tolerance, red berries in winter. *Bald Cypress (Taxodium distichum) Deciduous, up to150 feet tall, salt tolerant, wet soil. *Dahoon Holly (Ilex cassine) Evergreen, to 40 feet tall, salt tolerant, wet soil, red berries in winter. Drake Elm (Ulmus sp.) Deciduous, to 50 feet tall, not salt tolerant, not drought tolerant. *Eastern Cottonwood (Populus deltoides) Deciduous, to 80 feet tall, moist soil, salt tolerance unknown. *Florida Dogwood (Cornus florida) Deciduous, to 40 feet tall, low salt tolerance, not drought tolerant. *Laurel Oak (Quercus laurifolia) Semi-evergreen, to 75 feet tall, not salt tolerant, low drought tolerance. *Live Oak (Quercus virginiana) Evergreen, to 70 feet tall, salt tolerant, low drought tolerance. *Loblolly Bay (Gordonia lasianthus) Evergreen, to 70 feet tall, not salt tolerant, moist soil. *Longleaf Pine (Pinus palustris) Evergreen, to 120 feet tall, salt tolerant, drought tolerant. Loquat (Eriobotrya japonica) Evergreen, to 40 feet tall, low salt tolerance, not drought tolerant, bears edible fruit. Pecan (Carya illinoinensis) Deciduous, to 100 feet, not salt tolerant, not drought tolerant, produces edible nuts. *Pine, Sand Pine (Pinus clausa) and Slash Pine (Pinus elliottii) Conifer, 70 to 100 feet tall, salt tolerant, drought tolerant. *Red Maple (Acer rubrum) Deciduous, to 80 feet tall, low salt tolerance, moist or wet soil, fall color. Red Cedar (Juniperus spp.) Conifer, 50 to 100 feet tall, salt tolerant, drought tolerant. *River Birch (Betula nigra) Deciduous, to 60 feet tall, not salt tolerant, moist soil, attractive bark. *Sabal or Cabbage Palm (Sabal palmetto) Evergreen, to 90 feet tall, salt tolerant, drought tolerant. *Shumard Oak (Quercus shumardii) Deciduous, to 100 feet tall, not salt tolerant, not drought tolerant. Survey Map Borrower/Client Mark Hill&Bill Mobley Property Address 1726 Selva Manna Drive City Atlantic Beach County Duval State FL Zip Code 32233 Lender Watson Realty Corp. 3. . ; w .S i< v .4 ......< 3, .....c. . m z Pr ci .. - K� u R j rg 1:g C. S 1 ! 14•,4'53' w 15OC (PLk ( it N 1434'Si)" W 148.84' •ED) -o. . Z= 1E1. A ( ? a rsC3 ,- yr t �� s• I r _ p ili Y L �•Q{.c z. #.. i as SC� [1c �»+'` •• .ti.'♦t_' :$ c 4 ' c' FNea uP,E ) Wi=t .g.054 cr,'S +�i�• t 1 ° cif .. 4§ ...i'f Es .-- Iggi i . I L.- " 1 li o y p. « 4't .;i�.yt . s R .G.4 (�} ,3 - A (St i 64.4'4`44 ��-'.:L:cr �,!•.-x7 .is` V 7 i. t ONE STORY +* 4" 10 r tdA5'Jt�+3Y do FRAME Ca a r4° •,� f� r POSTED 8533 4'.i 4 i o r2 42. x vI - N.S• a $N 0 ,.. )4• .4 ..1 s 1 1. �� � ss y z 3 2:11 I 4 p ?" it r i i r --.. aft mars N o 1,are - t1CC in 1 s or r.i 1 i i 'ttz.,_,3 ii i „,::• :.,..;,. -€=..,..t. k S R ill T •'m to ,f-•-! O-2 i�1 Q w ;a '#40; CITY OF ATLANTIC BEACH i1 800 SEMINOLE ROAD i[ ATLANTIC BEACH, FLORIDA 32233 - INSPECTION PHONE LINE 247-5826 Application Number 05-00029591 Date 3/01/05 Property Address 1726 SELVA MARINA DR Tenant nbr, name SCRN ENCLOSURE OVER POOL Application description . . SCREENED ENCLOSURE Property Zoning TO BE UPDATED Application valuation . . . 10080 Owner Contractor HILL, MARK PREFERRED ALUMINUM OF FLORIDA 1726 SELVA MARINA DRIVE 855-14 ST.JOHNS BLUFF ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 246-8458 (904) 998-1938 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 85 . 00 Plan Check Fee . . 42 . 50 Issue Date . . . Valuation . . . . 10080 Special Notes and Comments PER SECTION 24-190 IN THE CASE WHERE MORE THAN 1 PARCEL, PLATTED LOT OR LOT OF RECORD HAS BEEN COMBINED AND DEVELOPED AS A SINGLE DEVELOPMENT PARCEL, SUCH LOTS SHALL NOT LATER BE DEVELOPED AS SINGLE LOT, UNLESS ALL REQUIREMENTS FOR DEVELOPMENT AS A SINGLE LOT SHALL BE MET, INCLUDING BUT NOT LIMITED TO IMPERVIOUS SURFACE AREA LIMITATIONS AND PROVISIONS OF ALL REQUIRED YARDS FOR ALL STRUCTURES . Fee summary Charged Paid Credited Due Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Grand Total 127 . 50 127 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. B b"TING OFFICIAL ' N wiYrW iwwm+•raww.ur..aW.•W—rp trRwwrww........•.,...,utow........n.w. • .,w.M..,... .w......,..w..w+.,..,—..•:vw wrwv.n�+....."r.....,,...:.v.........".„„w+....'..:,. MAP HOWING BOUNDARY SUR\ ocx .Fi, 5a.v,p,..0114114A Vr IT $0, „ Ali, EtCO3D7Ei1 ti)f NAT OF ''rte; Ctr R8NI Pt,l tit, M;00,9.4 t)iJY$. (Q5 Co rozpixAmota.. 1' Co CID N N ;~" q � M.' t" f ~ City of Atlantic Beach 'tannins and Zoning Department • �a', 1« denim development regulations, :se c;.: , tiec cQ VaiiUte f"Q approval for the issuance of permits. Compliance w with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified b, ignature of the City of Atlantic iit Beach Building •y.. I prior to A issuance of a 't h ,i Building Permit./ n . Approved p a u •-ve ment hector • Date. i �l / ,v;:g" 0.4 ... *Lt.11"' 't^�' t,„� •Si r s Jl (tt ty4 • W` w w ... �ww+.+Ww�.� r+..v.�.w..nn.n�wv.t.rywn'; 753-6:refir+..F_w .Y V --ib w,.w.wwr+.Kunw .w....nr,.n+71!:15.n. . -5i::' ' JO okx�s a�J1l1, i 1d>r' >a 39:�by 'IOW tit'irk) 5l TO° 'v,: yd4-�°i!t•o rig x ;V5, Eg . M ; M ,: . x...ni.k r,+.rwti......'+nr Y.4,4.4r`.vw..+w.r.4...::,+.Y,......1..:... .:�.:en el"w.1r.'i.w:........, ,, R i wr"a". 0 CONSTRUG`tio N .50,1irtes- l,w vw 4.....wL►o,....M.w.Mn..rw'M.,M,Mr:Wr.r vwY.rMInM,,.. ,.,...wWrA+....wM.+rMwn.—.. House 18" O.H. • • • • o C x° 2x2 L 8'-0„ J o N x - O O N L l 7'-10" J I-- 16'-0" I 55'-0" 71'-0" AL. . - 2x4 -- 00 OST/COLUMN TO CONCRETE DETAILS BEAM TO BEAM CONNECTION DETAILS . 2"x 4"0.050"PB COLUMN GUSSET THICKNESS MUST BE GREATER OR EQUAL TO WALL THICKNESS OF BEAM. II II BEAMS IN DESIGN TOT D (z) #10 z 3/4"SMS EACH SIDE AL#OF IO SCREWS SCREEN II II (SPACED 1"DC.MINIMUM) FASTNERS TO PER SPLICE ;' II II 2"x 2"x.125"ANGLE Size BEAM COMPLETE (40 TOTAL) 116k1 4 EACH W" X 1-1/2• co S.M.S. `° II II 202.0.044.0.044 SIZE CONNECTION "A" "B" THRU BOTTOM PLATE INTO COLUMN 4 203.0.050.0.050 2X4 SMB 20 - #10 SMS N/A N/A SCREW BOSSES "`f 2x4.0.050.0.050 2x6 SMB 20 - #10 SMS N/A N/A 0 0 0 0 0 0 0 0 1/4"X 21/2"--\ I 1"x 2"0/B BASE PLATE(TYP.) 204.0.044.0.120 ONCRETE ANCHOR "•. •J�' ---`:, "•� 2x6 SMB 26 - #I0 SMS N/A N/A 2x9 SMB 0 0 0 0 0 0 0 0 0 _ _ - _ _ 205,0.050.0.135 y 'ilk 1 2x6,0.055.0.135 2x7 SMB 28 • #10 SMS N/A N/A o 0 0 0 0 C I 1/4"MIN.CONCRETE 2x7.0.062.0.135 2x8 SMB 36 #10 SMS N/A N/A•.4 • 0 : ANCHOR EMBEDMENT 208.0.072.0224 EXTERIOR GUSSET PLATE 2500 RSL--P• -- 2X9 SMB 44 - #10 SMS N/A N/A CONCRETE NOTCH f 2x9.0.072.0.310 COLUMN DETAIL MAX SPACING .. 6" I FOR I, 6" ... MAX SPACING ., 2010,0.092.0.187 2010 SMB 46 - #10 SMS N/A N/A 24"0/C MAX. BASE MAX. 24"0/C DETAIL SHOWN AS 2x9 SMB,OTHER BEAMS ARE FRONT VIEW 2"x4"x.050"PB COLUMN CORNER BRACING ON ROOF DETAILS SCREEN 2"x2"x.125"ANGLE EACH SIDE NOTCH COLUMN FOR BASE PLATE HOUSE 1"x2"x.044"OB BASE PLATE(TYP.) 4/ EACH EACH SIDE (SPACED O ED II"" C MINIMUM SLAB DETAILS ADDRESSII 1/4"x21/2"CONCRETE ANCHOR N SWIMMING POOL ENCLO' 2500 P.S.I.CONC ■ l W CC 1. > 11 e_ a' e a s, a .—IIIIII=IIIIII=IIIIII— O ,e71.1— Z 4, 44 : 4 ': I DISTANCE IIIIII-IIIIII—IIIIII= O f PI n I✓ (71 r MIN • SIDE VIEW O vi vl I BEFORE SLU Z O MAIN y �Z.. N 3"BEAM TO COLUMN CONNECTIONS ix_ ■ BEAMS pERUNS d R is _ 3S" SCREENING Z 3 Z _ E.- _ J CC 21/6"x I"REC.CHANNEL.062 O W CABLE BRACING , d IF NO FOOTING IS RECUR -u1- rd .I •� lV X iN1 I. 11 2 2.044 EDGE MEMBER C MAIN BM. &POST SPACING VARIES �I�' c u I I I I I 'f' • 10x11/2"SMS WTHN I 6"OF EA.SIDE OF BEAM r REMAINDER OF PERIMETER BEAM#24"0.0 I I I I - ' C r L I I I I (ONE LEV THAN BEAM SIZE))#10xN%SMS EACH SIDE r EXAMPLE 2x9 BEAM(6)SCREWS PER SIDE 1#1002"or NOTCH 2" CONCRETE. EXTRI \EAD: CAGE BRACING DETAILS GUTTER TO FASCIA DETAILS /BEAM TO GUTTER DETAILS EAVE PURLIN� 2"x2"x3/8"ANGLE GUTTER AND FASCIA CONNECTION 2#10x2"S.M.S. 24"0/C INTO RAFTER TAILS ADD TWO AT EACH GUTTER BRACE CONNECTION 2"x.075 ALUM.ANGLE CLIP (1)o EACH BEAM LOCATION (2)-/10 SMS NF/IO x 3/4"SMS INTO GUTTER EXISTING RESIDER (I"MIN SEPARATION) FASCIA OR CONCRI 2"SMB SEE SPAN CHARTS (ONE LESS THIN BEAM SIZE) #10x:(2"SM5 EACH I)SIDE EXTRUO MIMI EXISTING WOOD EAVE FASCIA rill F7GMPLE:(2 X 9 BEAM(Q SCREWS PER SIDE) CONNEC /\\ O ON TRUSSES AT 24"0.C, • w/#K1x3 45 STRUCTURAL GUTTER 21/6"x11/2"REC.CHANNEL.062 .093 REC.CHANNEL ON BEAM TO GUTTER CONNECTION w/5#10x3/4"ON EA.SIDE OR 2"02"x.093 ANGLES ON EA.SIDE w/4#1003/4" TYPICAL WALL BRACING DETAIL C5 3/4"x1"X1/6" Gaw.STRAP PLATE CHAIR RAIL CONNECTIONS 5/16"ANCHOR BOLT Il� C1t EXIST.31/2"CONC SLAB 2"x2"0.044" (EXPANSION BOLT) �y04 C ∎7��CABLE 3/32"S/S CABLE 'l, #10-6"x6"WELDED -\'6� .a�" / TURNBUCKLE NICO SLEEVE WIRE MESH 1.5"xZx.062 RECEIVING 2x P&SNAP OR __ • / 5' CHANNEL SMB COLUMN 2x Pa SNAP�4 a TW ^+ IN Y, <V SMB CHAIR AL G a I i. • 4A.OF •4 q I CONCRETE SLAB LOOPED CABLE (4)# (4)#1013/4"SMS TYP.SMB OR SNAP BEAM CONC.SLAB OR CAMEL BACK CONCRETE/STRAP DETAIL (1 OR 2)1/4"x 2•1/2"CONC.OUICKSETS SIDE VIEW•OPTION#1 CONCRETE/LOOPED LOOPED CABLE DETAIL EXTERIOR SIDE VIEW•OPTION#2 CHAIR RAIL CONNECTION • _.----_-_----_-__--__--_ _-'__ - , _-_ - - -_ ' _ _- ___ -__......_..... ' ..... .- ' _ 1 11.i'.. fI.0.■00!: piikji A.,M', Igiirit.:_‘, 11 7r010" ff: i P,76,00! (MEASURED} A ,L 2......*,,,,i., . ..................7..............r....... Ivo ...................................,„..,,........ .. . • rigkxt....ff,Acittre %%1 I . Z 11 ‘*. ' I 1 ® II I I: e. ,/ 1-4 . I :r1 t -,,,,..,,_. Vi 1- cg.i.;:' . • $;;.:1 i :to-c^ Sil‘.. CITY OF ATLANTIC BE‘ollk. I Iti,-.." 0, 1 BUILDING OFF‘k .,.3 nit$'1v. w: :274,0' (PLA,T) VOV P•oi•cy xi.1p4aNcY i , i.."4 Mtgr-■ 1.04-49.1 'P!41.0,10•11,MI.r,t,,•F1,411,A. ,i.ff.641%740;3t'tilimytrt,er41.Fr;:rt.),,I. :1417.•0,14ttructOAHICOrs.:15ft,w30.4.1,40:*.or.rat:A,stit-C744,kittrtRi`,7rircit.ott/411:6 pla..741P14.01m1.1.-....:..tut.X:In4.42,..00, , . ' ' (BEAMS IN DESIGN MATERIALS ALL ALLOY 6063 T5 OR T6 Size 2x2.0.044.0.044 SIZE THICK ALLOY SPAN SPACING 2x3.0.050.0.050 ROOF BEAMS 2x6,2x10 .055,.092 T6 14', 34' 8', 6'-11" 2x4.0.050,0.050 2x4.0.044.0.120 FRONT POST 2 x 4 .050 T6 8' 8', 6'-11" 2x5.0.050.0.135 2x6.0.055.0.135 END POST 2 x 4 .050 T6 8' 7' 257.0.062.0.135 2x8.0.072.0.224 2x9,0.072.0.310 2x10.0.092.0.187 EAVE BEAMS 2'x3' .050' T6 TOP BEAMS 2'x3' .050' T6 _- PURLINS 2'x2' .044' T6 PURLINS 2'x3' .050' T6 CHAIR RAILS 2'x2' .044' T6 • BASE PLATE 1'x2' .044' T5 CONTINUOUS • CARRIER BEAM 3105 PANS H48 COMMENTS: 0 r ti SHEET 1 OF 2 O SCC 051711 --I--..., r M N pREFERRb ALUMINUM 11 OF FLORIDA, INC. The Name Everyone Prefers 855-14 St. Johns Bluff Rd. C-10 Jacksonville, FL 32225 (904)998-1938 Fax: (904)998-1937 Tony Blanco Michael Brokaw Mobile: (904)219-2701 Mobile: (904)219-2702 JOB NAME: Mark Hill O JOB ADDRESS: 1726 Selva Marina Dr. CONTRACTOR: Direct I This design is valid only when built strictly in accordance James B. Whittum, PE. with all details of the sealed FL# 0027689 drawings and specs. 8533 Acorn Ridge Court Contact J B Whittum for 9 revision approval. Tampa, Florida 33625 IIII 813-889-7977 CERTIFICATION OF THESE DRAWINGS FOR ANY PURPOSE SHALL BE Plans purchased by: Pref. Alum. DONE BY J.B.W.ENGINEERING INC.THESE PLANS ARE VALID ONLY WHEN SIGNED AND SEALED BY JAMES B.WHITTUM P.E, Permitting Authority: ITHIS DESIGN IS SPECIFIC TO THIS JOB.IT IS NOT VALID IF FILED AS A STANDARD. St. Johns County t Plirria Note: The Installation of aluminum structures requires special skills. SEAL & SIGNATURE Care should be taken that installer has the required training, qualifications or license to perform such work. Scale: Drawn By: Specifications Aluminum Frame Structure, POST AND WALL DETAIL CONNECTION Screen Roof, Screen PAVER DECK AND FOOTER creen Sides Design conforms to Florida Building Code,2001,And meets all SCREEN WALL requirements for aluminum structures Design Wind Speed, itt 120 Compon.& Clad., POST TYP mph ❑ 140 psf N/A E9SM 2"X2"X.93 ANGLE WITHONEI/4"x5" Wind Exposure a B Deflection Limits TAPCON ON EA.SIDE OF SUPPORTING B POST AND ON 24"C/C ON BOTTOM ❑ C rxrPLArE. Screen Supports L/60 Wind Importance Factor ,77 Building Category Open All other Alum L/180 1X2 PLATE TYP TWO#10 X 3/4 Internal Press,Coeff. N/A _ FROM ANGLE INTO _ POST BEAM-' Pli I. Screen shall have 60%or greater openings. III SIMILAR. 11.11SIMILAR. I1b 2. All aluminum extrusions shall be Alloy 6063.75 or T6 3. The thickness of all extrusions shall be as shown on this design.Standard tolerances • s shall be In accordance with the"Aluminum Standards&Data, FOOTER 9"x 16" 1988 Edition",Aluminum Association Inc.,Washington,D.C. OR 12"x 12" PAVERS 6 4. Screws shall be Alloy 2024.74 or 300 Series Stainless Steel. I#s ROD ;"', 5. Bolts shall be Alloy 2024-T4,galvanized steel or 300 Series Stainless Steel. OR 2#3 RODS 6. Anchor Bolts shall be galvanized or 500 Series Stainless Steel. 7. Minimum 28 day compressive strength or concrete shall be 2500 PSI. 8. Reinforcing bars to be ASTM A-615,Grade 60. VG EROSION 9. Minimum soil bearing capacity shall be 2000 psf. SURES ONLY CONCRETE FOOTING DETAILS 10. Concrete anchors shall be"Tapcon"sleeve anchors or other brand of equivalent strength.Anchors shall penetrate Into the concrete a minimum of I Inch. II. The permit holder shall verify the adequacy of the existing structure to support the 6"x6"/#10x#10 WELDED WIRE MESH z new Imposed loads.Existing wood members shall be 2 Inch,In good condition. F 12. Cables shall be 300 Series Stainless Steel of 1200 lb.strength. 2 CLR IHI 11 (�j SCC 051711'WE I oI z �� i FREEStiteb liMIIREM ,, WIDTH 4111111/4. #5 ROD CONTINUOUS(TYR) (INCHES) INCHES) OF FLORIDA, INC. D IF FOOTING IS REWIRED *The Name Everyone Prefers* 855-14 St.Johns Bluff Rd. C-10 Jacksonville, FL 32225 (904)998-1938 Fax: (904)998-1937 Tony Blanco Michael Brokaw Mobile: (904)219-2701 Mobile:(904)219-2702 2ARRIER BEAM TO COMPOSITE ROOF DETAILS JOB NAME: Mark Hill 4x21/4" JOB ADDRESS: 1726 Selva Marina Dr. NCHOR 12"c/c TED OR BREAK FORMED FOR 3"INSULATED PANELS INSTALL R 1#863/4 PER RISER (4)4"SCREWS WITH WASHER PER PANEL CONTRACTOR: / TOP PURLIN Direct rrr�� 3"ROOF PANEL CARRIER BEAM TABLE 1606 IMPORTANCE FACTORS FOR BUILDINGS AND OTHER STRUCTURES L I. Buildings and structures that represent a low hazard to human life in the event of failure,such as agricultural 0.87 E E WALL buildings,screen enclosures,certain temporary facilities, MgIN BEAM and minor storage facilities. (3)3/4"S.M.S. PER PANEL 0.093 REC.CHANNEL 1 ALUM,GUTTER SECTION POST James B. Whittum, P.E. ION TO EDGE B.M. 4"S.M.S.P 6" FL# 0027689 8533 Acorn Ridge Court Tampa, Florida 33625 813-889-7977 THIS DESIGN IS SPECIFIC TO THIS JOB. IT IS NOT VALID IF FILED AS A STANDARD. JRLIN/BEAM TO BEAM CONN. DETAILS SEAL & SIGNATURE 2"x2"6.044"PB '8 (1)•#IO x SM5 OR #8 INTO EACH SIDE OF(2)PURLIN 5M5 1 IA 0 O 2)•#10 x 11/2"SMS 1 I/2 x 2 I/8 x.062 1 (2).#10 SMS INTO SMB OR JTO SCREW BOSSES RECEIVING CHANNEL SNAP BEAM.EACH SIDE TYP SMB OR SNAP BEAM rS'`''v'f CITY OF ATLANTIC BEACH cc: ? ' i■ BUILDING / ZONING DEPARTMENT d a I L. Higgins f .i. .�� 800 Seminole Road oerr J Atlantic Beach,Florida 32233 ;:f t ,� (904)247-5800 „1> (904)247-5845 Fax www.coab.us RECEIVED CITY OF ATLANTIC BEACH BUILDING & ZONING PLAN REVIEW COMMENTS JAN 2 5 2005 Permit Application # 59) BY: P. Property Address: 17 2 6 StLY p) 1,6 A fkl1%H p q i`I Applicant: r ikEn Wi2t ti b Lu m IN U M Project: 5 CRKN NCI-01j\J Ovvi:\ 9001- This permit application has been: Approved 0 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. r / Reviewed By: tAk” Date: I 1 iql S Sec. 24-190. Multiple Lots and Parcels treated as a single Development Parcel. In the case where more than one Parcel, Platted Lot or Lot of Record has been combined and developed as a single Development Parcel, such Lots shall not later be developed as a single Lot, unless all requirements for Development as a single Lot shall be met, including but not limited to Impervious Surface Area limitations and provision of all Required Yards for all Structures. Sec. 24-191. Waiver. (a) General. Where the City Commission finds that undue hardship due to unreasonable practical difficulties may result from strict compliance with this Article, the City Commission may approve a waiver to the requirements of this Article if the waiver serves the public interest. (b) Conditions of waiver. An Applicant seeking a waiver shall submit to the City Commission a written request for the waiver stating the reasons for the waiver and the facts, which support the waiver. The City Commission shall not approve a waiver unless it determines as follows. (1) The particular physical conditions, shape or topography of the specific property involved causes an undue hardship to the Applicant if the strict letter of the Article is carried out. (2) The granting of the waiver will not be injurious to the other adjacent property. (3) The conditions, upon which a request for waiver are based, are peculiar to the property for which the waiver is sought, are not generally applicable to other property and do not result from actions of the Applicant. (4) The waiver is consistent with the intent and purpose of this Chapter,the Comprehensive Plan and the requirements of this Article. If the City Commission approves a waiver,the City Commission may attach such conditions to the waiver as will ensure that the waiver will comply with the intent and purpose of this Article. Sec. 24-192. Vacation of Previously Recorded Subdivision Plats. An Applicant may apply for the vacation of a recorded Plat, or a portion of a Plat by written application to which a copy of the Plat shall be attached requesting the same to be vacated. Vacation of Plats shall require approval by resolution of the City Commission, and such vacation shall be approved only in accordance with Chapter 177.101,Florida Statutes. Secs. 24-193. through 24-200. Reserved. DIVISION 2. APPLICATION PROCEDURE Sec. 24-201. General requirements. (a) Unlawful division of Land. It shall be unlawful for any person to submit a Plat, Replat, or Certified Initial Effective Date: January 01,2002 Last amended June 28,2004 as adopted by Ordinance Number 90-01-173 as adopted by Ordinance 90-04-185 97 RECEIVED i= :r CITY OF ATLANTIC BEACH , N. . AIL BUILDING N T NG CITY OF ATLANTIC BEACH A s; BUILDING PERMIT APPLICATION a r JAN 2 5 2005 (Alterations & Additions) BY: Date: Job Address: / e (id '/c/,777?- Owner of Property: /3(ac ( /-/-/// Address: / /vim / i / Telephone: �y�_fysf7 Legal Descriptionn k Number: 9 Lot Number: ' Zoning District: Contractor: pN ��QAry - 0`p rrPaillf/ License Number: 6��o5/7/ ) Contractor Address: (S-/y 14h^.)..5/ /u . \./i fr? Telephone: Fax: 01-/ ..7 7 Describe proposed use and work to be done: J11"reg.") Present use of land or building(s): riod ,)71i Ii / Valuation of proposed construction: /0 0 Si 0 What are the dimensions of the added space: S( feet x feet Will the added area be heated and cooled? 4 (0, New electrical or increase in service? J p Add plumbing fixtures? I D, Add fireplace? na(Q, Add heating/air conditioning?io & Is approval of Homeowner's Association or other private entity required? �/4 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade 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. ? 1N 0. Applicant certifies that no trees will be removed for this project. . `S. 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 1/04 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. I hereby certify that all information provided with this application is correct. Signature of owner: / 1.A-A/1 L (kJ / Date: Vil/A5- I hereby certify that I have read and examined this application 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 Contractor: _ Date: /A%< Address and contact information o person to receive all correspondence regarding this application(please print). Name: ' Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this // day of �,J ,20,a5 . State of Florida,County of Duval / Notary's Signature: / (1:- (1/1 Personally known dear"'s, Mary Gibbs Produced identification ' My Commission DD306427 Type of identification produ�of Expires May 31,2008 AS TO CONTRACTOR: Sworn to and subscribed before me this // day of 14,L) 20 State of Florida,County of Duval Notary's Signature: Ad ❑ Personally known ❑ Produced ci identification ' s Type of identification produced • • t h'�r0"""i"'t°"D0306427 ojp Expires May 31,200e 800 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 1/04 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of r/p nfr-1/ County of --DLL V4 I 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. 1 /� Legal description of property being improved: /L'/ 6�1� k 4 ,1'°' " ' `+l cJ 4 Address of property being improved: / ��j t/ s/Pi.LIA 1/ y.4)C~ — r General description of improvements: S('re P.J r°n0G'lo r'e— /7./10r pan / Owner ,172 6,r / / 1 Address /7A 4' v //)/,' M/�/--' AV �/—' ! ]L--• Lv Owner's interest in site of the improvement F,e e aiLY12�/e Fee Simple Titleholder(if other than owner) Name Address /� /� VsContractor ON7 ,a/410/r7 - ,W#9{Nrceri /.41/a_. , Address f5s/�/�14/ >./,1at,,�t s/L/ gel. i 9, �� �o s TOVavPhone No. %%iP'/9,3 6' Fax No. /'\ Surety(if any) i.)/i ,` Address Amount of bond$ ,\Ln`� Phone No. Fax No. V Name and address of any person making a loan for the construction of the improvements. Name AJ/G 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 r3iC. 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 Statutes.(Fill in at Owner's option). Name n) I A 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 /� �j OWNER Signed: (11/1"v�L /46 Date: ///1/11 Before me this 1/ day of 14,) 1A0,941— A00 in the Doc#2005067834.OR BK 12320 Page 1795, County of Duval State of Florida, personally appeared Number Pages-1 ��{ �JIM dFULLERrCLERK CIRCUIT COUR DUVAL COUNTY 7 RECORDING$10.00 Notary Public at te of Florida,County of Duval My commission expires: r✓`r usry Gibbs Personally Known / ►fir GOmmission D0306427 Produced Identification I'... Expiro&May 31,2008 , Y j Lyrfi� CITY OF ATLANTIC BEACH Cc: � J { f , \ D. Ford : 1 BUILDING / ZONING DEPARTMENT Higgins J _,-,. 800 Seminole Road -, 411Upwall. Atlantic Beach,Florida 32233 JF319`' (904)247-5800 _ .__ (904)247-5845 Fax (t t,_ ! , , ,/ 0 r www.coab.us CITY .-' 1,,-"IC BEACH 1,, ONINC= PLAN REVIEW COMMENTS JAN 2 5 2005 2 591 FAY• 0 Permit Application # 5 - a®. Property Address: 1720 SEt-VA MARINA DRI\ 1C Applicant: PRUCRROO A1-' M1 til\Am Project: CRt. 1I Cl.0 \AE O (j j'Ob t This permit application has been: CIS' . Approved 0 Reviewed and the following items need attention: G ,a..0144A/1:44-, 5/ AA7-e-4;14-- ,2+190 Please re-submit your application when these items have been completed. Reviewed By: Date: ,-- FaECEIVEQ 01.A.Nf,,, CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH - - A--. ..,"z. JAN 2 5 2005 BUILDING PERMIT APPLICATION (Alterations & Additions) ''-t JrilLr ; ., 1 BY: Date: /4 1, Job Address: /' � i r/,0 'V,_, Owner of Property: J2 c1( /1 // Address: l�, �: ,1'/t i �,,�i2,-. Telephone: 4 yG-,F7�/�i Legal Description: Block Number: 7 � Lot Number: Zoning District: Contractor: /6/i,�' - /9`PA7-el /L(41%/A.$f License Number: 0/?&6/7 / Contractor Address: 6-/Y ib/7.,.5 ,3/u//, / . ✓,v (i, . �, Telephone: 1 0'/a Fax: Of-/9.7 7 Describe proposed use and work to be done: til'r:oP, eNg/z-zi u/2/yci,,,/ z/ Present use of land or building(s): f?d./di/7A.)></l / Valuation of proposed construction: /0 G b 0 ' What are the dimensions of the added space: 5-6 ' feet x s� feet Will the added area be heated and cooled? ,,) (A_ New electrical or increase in service? oh Add plumbing fixtures? ,J I A Add fireplace? „) (Q Add heating/air conditioning?,..3( & Is approval of Homeowner's Association or other private entity required? ,,,,I a If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade 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. I t10. Applicant certifies that no trees will be removed for this project. 45. 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 1 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 1/04 �s ,SLirjy;.. .;, CITY OF ATLANTIC BEACH T‘ r Ai 1 s 800 S EMINOLE ROAD -r ATLANTIC BEACH, FLORIDA 32233 fay' INSPECTION PHONE LINE 247-5826 01319r Application Number 04-00028846 Date 8/17/04 Property Address 1726 SELVA MARINA DR Tenant nbr, name TREE REMOVAL PERMIT 1TREE Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor HILL, MARK OWNER 1726 SELVA MARINA DR ATLANTIC BEACH FL 32233 Permit TREE PERMIT Additional desc . . 00 Permit Fee . . . . 00 Plan Check Fee . Issue Date . . . 8/10/04 Valuation . . . • 0 Expiration Date . 2/07/05 Special Notes and Comments - APPROVED TO REMOVE A 17 1/2" OAK FROM THE INTERIOR ZONE WITH NO MITIGATION. Fee summary Charged Paid Credited Due Permit Fee Total . 00 . 00 . 00 . 00,., Plan Check Total . 00 . 00 . 00 .00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C ES. C . ignii444144 BUILDING OFFICIAL r CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: / 72 (a S-e/a, Yf Dr4 OWNER OF PROPERTY: P,.opo,-(i j TELEPHONE NO. 757S— PLUMBING CONTRACTORLIAn� j CONTRACTOR' S ADDRESS :/0 &c .SOYV( ;TAX, 6ch., 3�a STATE LICENSE NUMBER: Cf-Co5(oq{Y 7 TELEPHONE: ,iV7y4/I HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: f ��� • 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 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION __- LOCATION INFORMATION Permit Number: 17774 Address: 1726 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANATIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION' Date Issued: 2/09/1999 Name: PROPERTY OWNER Total Fees: 25.00 Address: 1726 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 2/08/1999 Phone: (904)249-7515 Work Desc: REPIPE CONTRACTOR(S) APPLICATION FEES CHRISTY FIRST COAST PLUMBING PERMIT 25.00 Ins. ions Re.uired FINAL I I l NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. �- $25.88 14 «, Date: 2/89/99 81 Receipt: 8832343 A LANTIC BEACH UILDING T. CHECKS rS`'r`vJ J \S - `S� CITY OF ATLANTIC BEACH A - 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00028846 Date 8/10/04 Property Address 1726 SELVA MARINA DR Tenant nbr, name TREE REMOVAL PERMIT 1TREE Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor HILL, MARK OWNER 1726 SELVA MARINA DR ATLANTIC BEACH FL 32233 Permit TREE PERMIT Additional desc . Permit Fee . . . . 00 Plan Check Fee . . . 00 Issue Date . . . 8/10/04 Valuation . . . . 0 Expiration Date . 2/07/05 Special Notes and Comments _ APPROVED TO REPLACE REMOVED 17 1/2" OAK WITH 9" OF OAK ON SITE OR PAY $117 . 00 PER INCH FOR TOTAL OF $1053 . 00 . Fee summary Charged Paid Credited Due Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CL/615FFCAL /1744k ,. . MICE C APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME U __ C /2; �__���i,�-, MAILING ADDRESS �-d-`rL yQ LC sT ,2- ------- /L/5 PHONE NUMBER___L; / ` 1 `f / ( DATE Z.)-C2 j SERVICE REQUESTED_-- 1 .1lk 1 . Kg -rz L C 1 J J! SERVICE LOCATION /7a2 i Li_ „ ), /h/2-1- a 'L� DATE SENT TO DATE RETURNED PUBLIC WORKS_` J°Z"I TO BUILD. DPT. DATE OWNER NOTIFIED iti 1 1A ' j �'1 `rte , t. y L 6 1 1992 F FCP_ 2 ;h p and L_o!1m, CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-PERMITeI 247-5826- Fax: 247-5877 PLUMBING PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21563 Address: 1726 Selva Manna Drive PLUMBING Atlantic Beach, Fl 32233 Permit Type: Township: Range: Book: Class of Work: NEW Lot(s): Block: Section: Proposed Use: SINGLE FAMILY Subdivision: Es Square Parcel Number: Est.. Vaalguee: OWNER INFORMATION {Date Issued: Name: Michael Witherspoon DTo Total Fees: 3/05/2001 Address: 1726 Selva Marina Drive Total Fees: 25•� Atlantic Beach, Fl 32233 Amount Paid: 25.00 Date Paid: 3/05/2001 Phone: (904)249-3722 Work Desc: New Water Heater APPLICATION FEES CONTRACTOR(S) -- LARRY TEAGUE AND SONS PERMIT 25.00 Inspections Required FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS ULED AWAY BOY E RK MUST NOT BE PLACED IT CONTRACTOR ORIOWNERC SPACE, AND MUST BE CLEARED UP AND "FAILURE TO COMPLY WITH THE CONSTRUCTION IMPROVEMENTS" EN LAW CAN ESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH LAW. PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS c, - , ` .'� ;25.8814 1 ��L�� Date: 3/86/81 81 Receipt: 8839219 ATLANTIC = ACH BUILDING DE'T. 8277181137 CHECKS 188883221888 V � CITY OF .ATL.z1NT1 C =CH APPL I CAT IO:V FOR PLUMBING JOB LOCATION: s v` A i I OWNER OF PROPERTY: /7'J ,ki' Z (n2 S 0NE NO.Wc3P-i'?A prumIlING CONTRACTOR LARRY TEAGUE PLUMBING CONTRACTOR' S ADDRESS: r 7 f ► STATE LICENSE NUMBER: „CFCO56 7 TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY / WATER HEATERS BATH r S DISHWASHERS - ::RINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3. 50 -4 S15. 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: / SIGNATURE OF CCNTRAr : / 400 INSTALLATION OF PLJ'BING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (9041 247-58266 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904; 247-5834 Beach-CITY OF /� '\. 4;)')(1:)11i1Q.e: 4j Office of Building Offi ial ' N ON p REQUEST FOR INSPE —9 ? �7� 7� Date Permit No. Time A.M. Received P / 7 Je.i , a i Job Address oc•jty Owner's / Name Contractor 4.41L-... ...... BUILDING CONCRETE ELECTRICAL \ ' ■' 'BIND MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ �Roug� ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTIOyV i�Q Mon. C..4 Wed. Thurs. Friday Inspection Made A.M. ' Inspector ` �-,� Final Inspection : I icate of Occupancy❑ Date " CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17927 Address: 1726 SELVA MARINA DRIVE Permit Type: STORAGE SHED ATLANATIC BEACH, FLORIDA 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY ! Lot(s): Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 1,000.00 OWNER INFORMATION Date Issued: 3/19/1999 Name: -WHITE, DIANA B. Total Fees: 25.00 Address: 1725 SELVA MARINA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 3/19/1999 Phone: (000)000-0000 Work Desc: STORAGE SHED CONTRACTOR(S) APPLICATION FEES PROPERTY OWNER l PERMIT 25.00 f Inspections Required 1 FOOTING 1FINAL BUILDING NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL. RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE. AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED nl�n/�f'f f'11H I1-� TO APPROVED ACCORDING 1 O APPROVED PLANS \ HICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.88 14 t^� Q"'" Date: 3/19/99 81 Receipt: 8843433 ATLANTIC BEAC BUILDING PT. CHECKS 1392 88188883221888 CITY OF ATLANTIC IC BEACH M�� 1 8 1999 PERMIT APPLICATION REMODEL, AUDITIONS, OR C '%W 1I ach MOVING,DEMOLITONS Owner(s) : /9/ a/9a /3 �Afie / / /,cA e/ 6}/sbPr�7 9 Buildin and Zoning e /7a(., 3-62494' 40/'it Job Address: Phone: Lot # Block or Unit # Subdivision: Contractor: 4 (/ W/ State License # Address: 1)/C/ Phone No: City /9 /a State Zip Code Describe work to be done: ( L�i2_5 cc'-/-0r4 2 °, A eU Present use of building: p O/)a / S C-C1 C Valuation of Proposed Construction: / v OZ Proposed use: S7 / 'C Is this an addition? A/C) If yes, what are the dimensions of the added space: ft. X ft: Will the added area be heated and cooled? New electrical (or increase) ? Ai O New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TR (CCa91xPCZAL) T O (RSSIDZWI TAL) CCa4PLXTN SXTS OF PLANS, rtiatDDINO SITN PLAN, Su cVXZ, ENXIWr CODE MOMS, J OTICR OF Cadlearmamrx, AND OiNER/co r'RACTOR ANTI *VIT, Zr O1NXR Z9 G'ONTRACSOR. Signature OWNEk: �/t- Date: Signature CONTRACTOR: (/l 114 / Sv 4,1/C-tE. f r Date: AS TO OWNER: Sworn to and subscribed before me this - •-y of d , , 19 AI NO • -Y PUBLIC AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,19r NOTARY PUBLIC Patricia Amonelte =;� t•+ :. MY COPSASSION I CC553881 EXPIRES August V.200 „ i soma THIN TRW NM MNNU1Mi1,M0, 1'',. •s,�;;-__ , CITY OF ti::, faileecteveie Eead - I1vzida 800 SEMINOLE ROAD '30 _ ____ ATLANTIC BEACH,FLORIDA 32233-5445 t TELEPHONE(904)247-5800 FAX(904)247-5805 4 ••41114 N ,o. SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. I 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS, THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228( I). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE 3IATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. / m(.?. ugh(/t PROPERTY OWNER/BUILDER l'7a(j ,S&/ Mac//-7 �;,� ADDRESS TELEPHONE `�^ , I ! :� SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY O , /l �a— _ �e .ei NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES•, ";P". •;(i aAmonette ARE EMPHASIZED BY THE BUILDING c*; an ...071 MY COMMISSION#CC553881 EXPIRES DEPARTMENT. `1•,..—.47,,¢i.y+ August 27,2000 Y of tya�,, SOWED THRU TROY FAIN INSURANCE,INC. n P W N .- Q1 9 rn 0 r XI IIP 4 ''' ,.(1), z, 0- 0-'n 4 nn p G 'rJ - C'"G o r rrii o . • CD CD fo = _ • rt Inr O 0 " ¢. I i Y osw. O O t< n '- g E _I. _ i W n co Q. = 012 111111•1111. 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FR o 92� SELVA MARINA DRIVE gm DZ� m co 0 13-4 °v x Z (100.0' RIGHT OF WAY) 0 R• n A A z rr <an v d n; m cn m i O �o0 o v1 X; $po v Zm oz m to m n 'D O A z •° FOR OFFIIC IUSE ONLY Date // .--C-74..19 Permit # Fee$...1I ' CITY OF ATLANTIC BEACH Valuation $....Y........51-0.2Q ... •-••-•• FLORIDA House # ._:2 - max, APPLICATION FOR BUILDING PERMIT /, ,• 3'j22 o0 gz , 10,' boo Application is hereby made for the approval of the detailed statement of the plans and specifications herewith suimitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date / L- / '1 , 19...Z . AO 9 Owner...J:4 , J!1/.�111 f 1 4 op-ed Address Telephone No. Architect Address. Telephone No / Contractor Builder._�Lf - E/E. - Zk t--_-.1/._...-Address..,c ,.f ri4, Telephone No..-.. x---- Lot No. 6 Block No Sub Division Lb-1,...4,119 Cn.!CLAW Zone ,.,c.a.slf1_./2h/A:z dF ae, Street Side Between...//C_A.Q< --..---LE'i2n 11(x lie .0�` sts. Valuation $ ` ),._Ea) For what purpose will building be used../'r..-e.e.f--.11z:L L=_.-Type of construction..-.J71.1C.CQ_._041l_i7/0/4. Dimensions of Building 4'...? h ti-0 Dimensions of Lot_.../:.:. C2...K__4 .7'``..- Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof...CLn".l T�hi.f. How will Building be Heated? Will Building be on Solid or Filled Ground? Size of Ceiling Joists , Distance on Centers , Greatest Span " Size of Floor Joists ,Distance on Centers ... ._ , Greatest Span " Size of Rafters , Distance on Centers , Greatest Span " 1-. v. /-/-/14/,. 4 :,ii‘ - This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W _ _ W 2. When steel is in place and ready to pour columns and/or lintel. a a 3. When steel is in place and ready to pour beam. i , H 4. When framing is completed. �, .,- s 5. When rough plumbing is completed,and ready to cover up. W (!E -�w 6. When septic tank drain field or sewer is laid but before it is covered. A �-"1 A 7. Electrical inspection by City of Jacksonville. r/2 l -- - 8. Final inspection. \. Note: In case of any rejection,re-inspection MUST be called for after 6 0 i corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. i Signature of Builder.-= ! r Address /C' CCr A.) .f11/E 44. /1 t --ature of Owner Address