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1760 Selva Marina Dr (vault) (2) CITY OF _�G Yta�.w.�_ 4I1a J3e J Office of Building Official REQUEST FOR INSPECTION / � �/ / permit No. �1�-- O District No.A.M. Date P.M. lc ` r/ Rived /. Locality Jo Ad ,/ �` �, Itt 1 iL`� Job Addr=� Contractor MECHANICAL PLU ' BING Air.rgnd,& ❑ Owner's '�i ELECTRICAL Rough ❑ Healing Name CONCRETE ❑ ❑ ❑ Rough Wiring ❑ Top Out Fire Plane BUILDING ❑ Footing ❑ Temp Pole pre Fab Framing ❑ Slab ❑ A.M. Re Roofing Lintel P.M• READY FOR INSPECTION Friday- Thurs. A.M.C) Tues. Mon. Inspection Made -r Final Inspectorc.l�' i i Certificate t Occupancy Inspector Date 'elastic ccry OF Busch•fleoti 4 stmt 0 �..'� � �utlding �n��r Y a tfl' o the Southern Standard of Section 109 f with the 4e re requirements o fiance a !„r' � nt to the 9 re was in compliance :. ursua issuance this structu ,„,� , Certificate issued the time of '" This „ that at For the following. 2 Use r*a, Code certifying construction or use. r.l, j Building „ building constru regulating BidtC' ;fCSI FM ordinances re Stele ��ly carious .� / Fire District. Gr Classification +�`�"'� 1TY5Pe f T3dress_ y lei+— con �e N8 — K w f- alitY '�Z �t paneroEBuilding /I� Cie • �� _ G ,��-°—r n(1l 1qC?- y I Official 44, POST IN 17W BY_ ' __c_°—(1W- G_t-E r Building Address_ 1JC`^' Date. Pore' ATIgerS�$ulld/n ^ CONSPICUOUS voice 44. 44 ,r INSPECTION LOG JOB ADDRESS //.-76'u / ! / CONTRACTOR OWNER BUILDING PERMIT ELECTRICAL PERMITS 4o PLUMBING PERMIT TEMPORARY POLE PERMIT4 MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .E .A. Temp Pole g/07 q a 9 930 Footing Slab �/ Framing U 0 , Plumbing (R) 9-- at5 a S p' �/ (/ 1 e J Electrical (R) d b %, Mechanical `‘5 �1 Fireplace lo Top out 0 Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued COMMENTS : C oF• �yC� CITY �"_ 484, Ati Bea`h K276 Office of Building Official REQUEST FOR INSPECTION � 1 Permit No. _ A.M. District No. Date _ p.M.Al /` Time '� Locality Received � Job/ddres � Oontractor MECHANICAL PLUMBING Air.Cond.& 0 Owner's ELECTRICAL Rough Heating Name CONCRETE Rough Wiring ❑� RLE y' Top Out Fire Place 0 BUILDING Footing Temp Pole V Pre Fab 0 Framing Slab A.M. Re Roofing Lintel P.M READY FOR INSPECTION Friday- Thurs. Wed. PUrS Tues. �j �jr P.M Mon. 2 -- Finallnspection Inspection Made Occupancy �` j ,, : final I irate of n 0 /Inspector Date CITY OP 4tica `ic i2eci-6)IIvuc Office of Building Official /1 REQUEST FOR INSPECTION Date //1 /^/�v j/47\ Permit No Time A.M. District No. 7ce*9ed , p.m.(‘7, 17 )*Z_Jec---0.(--/- - ' ✓ Locality Job Address . Owner's (/ ,Tl� Contractor Name 7 BUILDING CONCRETE ELECTRICAL PLUMBING G Air.Cond.&MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Heating Slab ❑ Temp Pole El Top Out ❑ Re Roofing ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FQR INSPECTION AP. M. Tues. ed t -) Thurs. Friday ■ g W A.M. Inspection Made �--�s.r- / — P.M. freig,—. Final Inspection Inspector Certificate of Occupancy Date -4./ CITY OF I :° Ardawtic Feaul - 57612.4(42. • 716 OCEAN BOULEVARD P.0.BOX 25 \"1,;, ATLANTIC BEACH,FLORIDA 32233 1011P >' TELEPHONE(904)249-2396 December 23, 1935 Pre-Service JEA 233 West Duval Street Jacksonville,` FL 32202 The following final inspections have been made and are satisfactory: Permit #4362 - 1760 Selva Marina Drive Permit issued to Raymond Electric Company. Permit #4625 - 2233 Fairway Villas Lane North Permit issued to D5W Electric Campany. Sincerely, • - ' Anger Inspection Supervisor �� ► s J�� CITY OF ATLANTIC BEACH 4 4, :s� 800 SEMINOLE ROAD 1" ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 f�4Jii1�, Application Number 05-00030475 Date 7/06/05 Property Address 1760 SELVA MARINA DR Tenant nbr, name INSTALL COND/ AH Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor HESSION, FRANK W. THIGPEN HEATING & COOLING INC. 1760 SELVA MARINA DR. 2801 DAWN ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 448-1962 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 79 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL i.Aij-r CITY OF ATLANTIC BEACH r) J a MECHANICAL PERMIT APPLICATION Date: u/ Property Address: (-(O0 e.,k.f� r( 1 iCX �f- Owner: t` iron `C \- -e_SS 1 (_ (Th Telephone#: 7�- g31-7 Contractor: f\t(3 1 Cl 'c cC0v1 t C Telephone#: u L — i q tQ Contractor Address: 38 O\ 'c.wv, 'U Fax#: -1 -1 —9090 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: LP _Natural _Central Utility O Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE IINNSTALLED NATURE OF WORK Heat _Space _Recessed '/C ntral _Floor '`( Residential Air Conditioning: Roomntral ❑ Duct System: Material Thickness 0 Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) O New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model ti Manufacturer Ton's Agency 1 CON - -Tv-6 (`P Q Tco '6 (,C.,l__- HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency Pi w 7 b,YE n 3-7 ► ra..ne 1 ( K.u.) W l.- TANKS Nominal Capacity Type Liquid Serial Approving _. How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us c e � A , ,. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j` ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025428 Date 2/06/03 Property Address 1760 SELVA MARINA DR Tenant nbr, name INTERIOR REMODEL Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 5000 Owner Contractor HESSION, FRANK W. R.D.C. GENERAL CONTRACTORS 1760 SELVA MARINA DR. 248 LEVY RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-4416 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 42 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 42 . 00 42 . 00 . 00 . 00 i Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 ft 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. (:,: r *e...,L.4 A 0..„ ...... . g, ‘,„,,,,. BUILDING OFFICIAL .252 , I CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: January 30, 2Qf�3 ' IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATJINS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. / R & R Eleciric of North FIQrida, fill 144/ 431 f' ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Frank Hessions ADDRESS: 1760 Selva Marina Dr. RFD BOX BLDG.SIZE BETWEEN: RES. (X ) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD (X ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( I REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER /� AMPS PH W / OLT RACEWAY EXIST.SERV.SIZE c66 AMPS / PH ;3 W /o 'i VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES / CONCEALED _ OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES 1 BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT ,2• - ,,e9 I _,_.5- • 1D 6 • 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Condensate pump circus . A/C circuit _ Heat - relocate from attic to closet TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — FORWARDED 3`j, d0 $ /} TOTAL FEES 1 ' 6 4 _/ , S lel �s IA CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD imp)r � ATLANTIC BEACH,FLORIDA 32233 ,' INSPECTION PHONE LINE 247-5826 03-00025428 Date 1/28/03 Application Number 1760 SELVA MARINA DR Property Address INTERIOR REMODEL App nbo, e RESIDENTIAL ADD/RENOVATE/ALTER Appllic cation description desscc ription TO BE UPDATED Property Zoning 5000 Application valuation . . . Contractor Owner HESSION, FRANK W. R.D.C. GENERAL CONTRACTORS 1760 SELVA MARINA DR. 248 LEVY RD FL 32233 ATLANTIC BEACH FL 32233 ATLANTIC BEACH (904) 241-4416 Permit MECHANICAL PERMIT Additional desc . 71 . 00 Plan Check Fee .00 Permit Fee Valuation 0 Issue Date . • • Fee summary Charged Paid Credited Due 71 .00 71 . 00 .00 . 00 Permit Fee Total 00 00 . 00 Plan Check Total . 00 . 00 Grand Total 71 . 00 71 .00 .00 4 BUILDING UT MATERIAL, DEBRIS " PLACED H UP AND HAULED YR CNTOR OR OWNER "FAILURE TO COMPLY WITH CONSTRUCTION LIEN LAW CAN OWNER RESULTPART OF THIS PERMIT AND PAYING UBJECT TO REVOCATION FOR VIOLATION T OF APPLICABLE CCABLE PROVISIONS OF LAW. PLANS WHICH 61:,...k.,,,, N.„,:j C D BUILDING OFFICIAL BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all ite In sections I, II,III, and IV. I. Street Address: 1.7(p (, 5P i Vc3-- Ck.i'-I o . l i v e, LOCATION OF Intersecting Streets: Between J-(_'-t-f_ .( i be)._ F,1Y And C&.-liv1WoG L'( BUILDING Sub-division II. INDENTIFICATION—To be completed by all applicants. ' In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Name of Mechanical ' l ' / 1 Contractors / / V 6/0-7 (Contractor(Print) 1 n( e_A 1(i - l (i Master Name of Property Owner Faumk 4-I css t 0 ie Signature of Owner Signature of Or Authorized Agent I' f 1 ,e,, L.e.�(0 Architect or Engineer III. GENERAL INFORMATION A. •Typy of heating fuel: B. �- -- Ii ' Electric 1S OTHER CONSTRU CrI BEING Le VW THI ❑ Gas: _LP _Natural Central Utility BUILDING OR SITE? ) _ ❑ Oil ❑ Other-Specify IF YES,GIVE N ■ t a• oge.) IUN PERMIT ./� P` ` 6 \ IV. ATU\ oiciv� �0\ Q� 20�� IrIECHANICAL EQUIPMENT TO BE fq Residential or � �ornmercial INSTALLED 0 New Building /(Provide complete list of components on back of this form) � �x�isting Building _/Heat _Space _Recessed ✓Central _Floor Q' Replacement of existing system (ld Air Conditioning: Room ..Central ❑ New Installation(No system pre ' 1 .• ed) ❑ Duct System: Material Thickness ❑ Extension o add (to - em Maximum capacity cfen ❑ Other- Speci. '7 ' ❑ Refrigeration ❑ Cooling tower. Capacity gpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: Manlift_Escalator (Number) ❑ Gasoline pumps (Number) (Received) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) 1 ❑ Unfired pressure vessel • O Boilers Permit Approved by Date . ❑ Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT . Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency ( CO 13 b , T K�z0D-4- (t -i- . - RI-- _ HEATING-FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving q■/� y.�� :TU) .e c "I&NI1 1` 160U ZMIIIM 1�}.- _i - TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FI 32233 Tel. (904) 247-5826 i ROOFING PERMIT PERMIT INFORMATION I LOCATION INFORMATION Permit Number: 19385 Address: 1760 SELVA MARINA DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): 9 Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 12/27/1999 Name: FRANK HESSION Total Fees: 45.00 Address: 1760 SELVA MARINA DRIVE Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/27/1999 Phone: (904)246-2455 Work Desc: 25 YEAR ARCHITECTURE, FUNGUS GUARD CONTRACTOR(Sk APPLICATION FEES A1A ROOFING, INC. PERMIT 45.00 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. 0)...._—___ 545022 14 Date: 12/27/99 01 Receipt: 0022303 CI OF ATLANTIC BEACH CHECKS 1194 00100003221000 , . 1 , .. 1 .. , __. 4. i , 1•-r-‘0, e"';v: „.,,,- r t,!A,4:,7'...e. r."....f.:7., A r ..... . . ...... . t '....i i ./"-+ f I.-.,-,• i 1,‘....” ,....,,..,,„.r*,,....,I , ".;:,-)("...FiN(.:: r--; -;;MIT A -4 i( .` t ‘L,./(,4 , „,,, ...., .... 1.,-.4 *, • • , : • . :: • : . : ,..:(..;..,:i _.:::„,-T.,..2,--i-„c,:•i.,:„...._,„,„r76e, , .?/&„..._,_ ,;„:,t,..., ,< „,„ 1 -..._:_:.,.,..„._,.„A_IS k FL , -3)-)3..„.3 ,.., -, ,.:,.......: . ,••• ,,,,I„ s, • . . • B4ii( ticss• -'-' • '••• :--.: • --_ . ,..„. _, - • . .. . . .. . ..,,.. ,,-.--.1.,...----.F.„• , • .. orpr ..:..:. .:. , ,_,,,g/j/f ... , . . , •r–,...... 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Beach.-OF nn ri1� L lc eah.-4 Office of Building Official REQUEST FOR INSPECTION ' 0 _6 -9 s / //`-/ Date //�� Permit No. % V i A.M. Time eceived ✓�/ • �P.M., l� I n Job Address Zality '/ �O wner's // / Contractor ? �`�/ Nam ,_ - BUILDING � CONCRETE ELECTRICAL PLUMBING MECHANICAL raming ❑ Air C & _ Footing Rough Wiring ❑ Rough ❑ Air Cond.o Re Roofing ❑ g Temp Pole - In Roofing ❑ Slab 0 Sewer ❑ Fire Place Insulation ❑ Lintel Final Pre Fab READY FOR INSPECTION % Thurs. Friday PM. Mon. Wed.. AP.M. 632- " Inspection Made // -/ — ,,^ /D 10Of r 6440 ��6611 Ins r Certificate of Occupancy C \/ .. p O o Date CITY OF 414 /3 -42f� Office of Building Official REQUEST FOR INSPECTION l 3l f S—� � Permit No. Date Time ! 1 C) D A.M. Received RM. (i 0 :lily Job Addre, Owner's — Name ontractor _ MECHANICAL ELE ' •• PLUMBING BUILDING CONCRETE _ • ❑ Rough ❑ Air Cond. & Framing Footing ^' Pole ❑ Top Out S Heating ❑ Temp ❑ Fire Place Insulation Roofing ❑ Slab r,. Final C Sewer Pre Fab Insulation ,_. Lintel READY FOR INSPECTION Tues Wed. Thurs. Fnda _P.M. Mon. p �� A.M. Inspection Made __-- �� — —— _ Final Inspection 1 i Ir>p^ctor r Certificate of Occupancy aQ Date __. CITY OF 4. ,Ulaifdtic f3 z-42j .. I/ Office of Building Official Ys REQUEST FOR INSPECTION —3— Permit No. Z/77/5/ Date /f�� Time A.M. �i��i`r' \ Received 0a/60'(4. . Job Addre %" Locality „ Owner's c Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Rough Wiring ❑ Rough n Air Cond. & Framing ❑ Footing El g n Top Out C. Heating " Re Roofing ❑ Slab ❑ Temp p Pole p ❑ Final ❑ Sewer Fire Place Insulation El Lintel Pre Fab . REA, `' INSPECTION Mon. Tues. Wed. Thurs. Friday Q A.M. Inspection Made ` P.M. Final Inspection G Inspector —AM `—_ Certificate of Occupancy ! '. r/�ei, -'e, ..J Date --_ — ##/- CITY OF 4Ia Beadt-41yada Office of Building Official REQUEST FOR INSPECTION (/�J ( I Permit No. " Date-----(42--!!,, I V P.M. Time Received �' % ._� .0 D a Locality / ��Job Address ' � i Owner's F,' ,_. Aoki Contractor MECHANICAL Name IL ELECTRICAL PLUMBING CONCRE — Rough Air Cond. & r BUILDING i' Rough Wiring L Heating C Ong Pole G Top Out Framing L Slab r Temp ❑ Sewer _ Fire Place Insulation Roofing G Final Pre Fab❑ Lintel Insulation Yl f p Da A.M `7 - iD READY FOR INSPECTION Friday —PM Wed. Thurs. I Mon. Tues. A.M. Inspection Made _ —S % Final Inspection u • Certificate of Occupancy Inspector Date • PSR-3844 10 315 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - LOCATION INFORMATION Permit Number : 10315 Address : 1760 SELVA MARINA DRIVE Permit Type: ELECTRICAL ATLANTIC BEACH . FLORIDA 32233 Class of Work : NEW LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot : Block : Section: Proposed Use : POOL/SPA Township : RNG: Dwellings : 1 Code : 0 Subdivision: SELVA MARINA Estimated Value : $0 .00 Improv. Cost : $0 . 00 Total Fees : $35 . 00 Amount Paid : $35 . 00 Date Paid: 6/15/95 Work OWNER INFORMATION -- ---- APPLICATION FEES Name : HESS ION PERMIT $35 .00 Address : 1760 SELVA MARINA DRIVE WATER IMPACT FEE $0 . 00 ATLANTIC BEACH . FLORIDA 3 SEWER IMPACT FEE SO 00 Phone: ( 904) 247 -2126 WATER METER/TAP $0 00 RADON GAS-H.R . S . $0 .00 CONTRACTOR INFORMATION ---- -- RADON CAB 5% $0 . 00 Name: HABITAT ELECTRICAL CONTRA:: RS CAPITAL IMPROVE . $0 Address 1 628 HAMMOCK CIRCLE WEST SEWER. TAP $0 . 00 JACKSONVILLE . FL 32225 CROSS CONNECTION $0 .00 License ER0012607 Type : 0 SEC H IMPACT FEE $0 . 00 CONST. SURCHARGE $0 .00 SCHARGE/ATL.BCH . NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 000000000 000000000 $35.00 14 Date: 6/15/95 01 Rcpt: 0061849 By: WM03221000 2811 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 6 ✓ lLJ 19 :/J IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. I ll � S0�� t� ��Ect�Lc 4.4-ne/1-, ELECTRICAL FIRM: l MASTER ELECTRICIAN IGNATURE JOURNEYMAN NAME �S S (-Y _ ADDRESS: /-7(0 D 5 L,(V a Mamma d2, RFD BOX BLDG.SIZE BETWEEN: RES. (,'4 APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( ) OLD (,4 REW. ( ► ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES L CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED • 0.100 AMPS. OVER APPLIANCES _ BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS gC e b TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ 3�e 0 O TOTAL FEES v , 10114 01 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION --- LOCATION INFORMATION ----- --- Permit Number: 10114 Address : 1760 SELVA MARINA DRIVE Permit Type: SWIMMING POOL ATLANTIC BEACH , FLORIDA 322 • lass o Work: NEW LEGAL DESCRIPTION Constr. Type: CONCRETE Lot : 9 Block : 9 Section: Proposed Use: POOL/SPA Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: SELVA MARINA Estimated Value : $26901 .0 Improv . Cost : $0 ,00 Total, Fees : $30 .00 Amount4aid:; $30 . 00 Datit:44id 5/10/95 Word 'T;fTmmING POOL 1ER PLANS --"--- -- OWNER INFORMATION - ---- APPLICATION FEES Name HESSION PERMIT $30 . 00 Address : 1760 SELVA MARINA Lhifh WATER IMPACT FEE $0 .00 ATLANTIC BEACH . FLORTP 2. SEWER IMPACT FEE $0 . 00 Rhone : f90,0 :A6- 2455 WATER METER/TAP layl.p RADON GAS-H.R . S. $0 . 00 ------ CONTRACTOR INFORMATION RADON CAB 5% $0 .00 Name : THE BATTS COMPANY CAPITAL IMPROVE. $0 .00 Address : 1602 NORTH THIRD STREET SEWER TAP $0.00 ATLANTIC BEACH , FLORIDA ' 33 CROSS CONNECTION $0 .00 License: CPC0370“. Type: 0 SEC H IMPACT FEE $0 .00 CONST. SURCHARGE $0 . 00 SCHARGE/ATL , BCH . 50 . 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE 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 000000000 000000000 $30.00 14 846805/41/9501 Rcpt: 0052820 By: R21000 20805 CITY OF ATLANTIC BEACH APPLICATION FOR POOH, PERMIT Job Address 1 7 LO SF1-04 MAV-104 bIL Lot # �( Block ;# q Subdivision ScLv4 1144124n3A - UmiTS Owner FRANI< 14ESSi0') Address 11LO DR_ Contractor - • A-rYS CO• - J,4µEs r—. Bfrrrs Address 1(,0z �. S%• J;0- k./FL. 3Z2-.5. License Number GAL. o 37o 1L • Valuation $ Z(r• 90/.o� Gallons ) $1. oo0 SITE PLAN front ' N VI11) 4E14237)1M MAY 091995 Building and Zoning rear Signature Owner �� Date .5--?-95- Signature Contractor..1r IQ Date (- ?-q t ROVE �CN A 1' ^1�1r, Q`p pjtp FFIce C1'LANNFN0 &70N1�G 0 rid - - Name: F57t7.13 FE Address: This Instrument Prepared by: Address: Property Appraiser Parcel Identification(Folio)Nw-nper(s): SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA Permit No. NOTICE OF COMMENCEMENT State of Florida County of The undersigned hereby gives notice that improvements will be made to certain real properly, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (Include Street Address, If available) Lo7 yr '&49c.1,- q 4re.vA AAPAAJAr ONITS • General description of Improvements ,t-G ?c,"3 Owner FRA-t•314- NE5StoN Address I7( O SFi.vA- MARtKA DR. 4tL 73,k, rc, Owner's Interest in site of the improvement FE>: Fee Simple Title holder (if other than owner) NA Name Address Contractor �,4MCS % SAS Address ReD? iJ. 3 SST TAO, Rck. ,FL. 32259 Surety Address Amount of bond S Any person making a loan for the construction of the Improvements: Name Address — Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date Is sp rd)• I FRP.NV-, N E O N S;yr.ature of O..r.er Printed SIynature of O..rfer NOTARY RUBBER STAMP SEAL I hive relied upon the following identification of the Af(iant • Sw■ n}o-and subscribed before me this JO lig- day of 71 19 / dczif-A I ■3,urr sit PrinI.d Not„y Sian I,,,C b1Y CL:o 1;;}Ts ti nomm •T)flJ CUSINIE'EA?.1°_ `d.UND. MAR SHOWING SURVEY OF , LOT 9, BLOCK 9 , SELVA MARINA UNIT NO. 5 , AS RECORDED IN PLAT BOOK 30, PAGES 29 AND 29A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNT_', FLORIDA. / -.02R CL/UCK -/AR0144/',/ d''' . • vEL VA 44,QR/N4 OP//E \V cc.�7 ..,a.00� ,,,,k. 5---,) 09. I �xworf_'>.er,., tG.%4°, -it' •E. •-�--/So.02 "/° '"tom" -- 5 o.e .:• • .h ' I / - L/NE f3Y PLAT --±, W H .. --. ...1 2 / � � N �29,.z. I �a��. 8'h : r s.„ . I M h • )•, 1) %, o.�. � • 0 , mr /-srDRy '.'K JTOM FLT/CS ■ B — ' • 1 AP's LCr'Aria•/ d `• .• � .�•. 4 ia' C .weP P' , FLcx7o �•/ �.� 1 ROOD ':•4' \, 9. ,6 .. Ul ` Ih } — ' • ,2h"' ecr j"/ o./ lln r. G a .z-,Ai • cer. )v -; L L/��.gT1 D /WE-Xi � 'cF y 21181g2aTill". 11) • TN/S /S A 4411k 9RY SCJ,F' ti! 4 AY 0 91995 • 7-//3 0•EbA 'TY £IFS N FLa�O 2,-,./z- ;:4'' p WH/CA/ La THE ,4t-c-,.., o/c 7?va- .t:t7-,e/1P.4«9 Building �Q �,¢°q�p. �S T�.c A 4 t"�`t,•, g and Zoning • I hereby'nr,Ify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant fli H. A D. O D E�4 to Section 472.07 Florida Statutes. & ASSOCIATESINC. /.�. . � i ' LAND o YI.T[T.D .uwv[roA ^//1//LA. - - ----SURVEYORS A S DIONED -F71-'3E13. /6 10 Po.l Oulu Box 50870 .• _ 830 B..ch BouI.vxrd / ' O J.ck.onvlll.Beach,Florida 32250 SCALE: _. — THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. • ,rr,� . . . • , • --.--.4 y 21:pill-lb . . 1661 ., -- cr. ---------- ''" , .. . .. . - 1, 3 2 0• .. _._._.... _. . ... . • . • • / . . a 90f NO Ilnd SII1 dP , 3 A 0 a A (11P-------11 . . '-- pL. . , • • • co I • • ...'..., r.) •Z 6 1,j z rz • i I . miq ›,,,....-0 .-,-1 -' 0 ,N.)\ • it;.±j •• >-71C0 'f-- I I. • Z° .(r) n (-) .• 0- C co G-) 0 1; 0 i • . 1 —4 IV t.-.. .,......-Jj... . : . .c)--Q.1=ni-ID . • . s , , . ,.. , . . ... ... . . . 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SCALE %-= I ' 2,0, Si, SIMMER"' 6"RAISE 4=0" -ETURN 4 ' ' 6"'RAISE E RETUR 32'0 ®6, ��,REIURN / // 5'-0" t4'-0'. RAISE 20=0' ,...,, r CLEANER SKIMMER r- ETURN 1 � :tq y Q" STEP DOWN 9 1995 8uiiding and Zonin y \ 'R _ THE BATTS COMPANY SIGNGeneral&Swimming Pool Contractors R I N A DR. 1602 N.3rd Street ACH,n . I Jacksonville 904) 246-2 55 32250 oss,eo 4.fl 1 L. ' v X54 7555 _ CPC 03704 1 � E . 4M 2 i 20'A 32' 4 j DEPTHS 3'...G' 4 CAPACITY 5 STEPS( 3 ) - 16' WIDE BENCH(ES) 2 6 SWIMOUT I 71 RECESSED STEPS W'GRABRAILS N 0 8 HANDRAIL(S) N 0 9 GRABRAIL(S) N 0 10 LIGHT 400 WATT 11 TILE 6`x 6" FROST PROOF 12 KOOLDECK SQ FT. NOTE: NUMBER OF STEPS DEPENDS 13 SUNDECK UP TO 1184 SO FT. 14 I PUMP CHALLENGER H.P. I y? UPON FINISH ELEVATION. 15 ( FILTER FNS D.E. W/BACKWASH 16 I CHLOAiliA,OR CLORMATIC 17 l SKIMMER(S) 2 18 MAIN DRAIN I 21 WATERFAL 19 RETURN INLETS 4 20 CARETAKER FLOOR SYSTEM N/A 21 AUTOMATIC CLEANER RAY VAC 22 RAISED DECK N 0 23 + DIVING BOARD N 0 24 SLIDE N 0 25 t� HEATER N 0 26 1, GAS HOOK-UP: N 0 27 DECO-DRAIN AS NEEDD 28 CLEANING EQUIPMENT INCLUDED 29 LEAF SKIMMER WALL BRUSH i TEST KIT HOSE POLE START-UP CHEMICALS VACUUM . 30 SPA INFORMATION(CONCRETE) N/A SIZE DEPTH JETS BOOSTER PUMP HEATER COVER LIGHT SPILLOVER OTHER 31 ADDITIONAL SPECIFICATIONS: \ PEBBLE FINISH ON POOL AND/OR . SPA INTERIOR, 2' 6 CAP TILE ON STEP AND BENCH EDGES, ACCESS LETTER OF PERMISSION T B D ELEVATIONS T B D TREE REMOVAL BY OTHERS DIRT REMOVAL B ATTS CEMENT REMOVAL BATTS ELECTRICAL HOOK-UP : • T POOL SPECIFICATIONS A SWIMMING POOL I DESIGNED BY H� �G f PERFZY MRaMRVS M� 1760S�ELA r. DATE ATLANTIC L_ANTIC BE f. t. HM 249-0778 1 6 - - `. CITY OF ATLANTIC BEACH J 800 SE1vMINOLE ROAD 1 ATLANTIC BEACH,FLORIDA 32233 j411ii1F) INSPECTION PHONE LINE 247-5826 Application Number 03-00025428 Date 1/24/03 Property Address 1760 SELVA MARINA DR Tenant nbr, name INTERIOR REMODEL Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 5000 Owner Contractor HESSION, FRANK W. R.D.C. GENERAL CONTRACTORS 1760 SELVA MARINA DR. 248 LEVY RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-4416 Permit BUILDING PERMIT Additional desc . 27 . 50 Permit Fee . . . 55 . 00 Plan Check Fee . . Issue Date . . . • Valuation . . . • 5000 Fee summary Charged Paid Credited Due Permit Fee Total 55 .00 55 . 00 . 00 . 00 Plan Check Total 27 .50 27 .50 . 00 . 00 Grand Total 82 .50 82 . 50 . 00 . 00 r ii 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 WHICH ARE PART OF THIS PERMIT AND PAYING UBJECT TO REVOCATION FORPVIOLATION F APPLICABLE CAB E PROVIS ON OF LAW. PLANS ACCORDING TO APPROVED S::,_,.) r_.--,,__ ,.. ' ' ' "---,- e BUILDING OFFICIAL I CITY OF ATLANTIC BEACH .f,1�'L��/'1 J. 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 J j - TELEPHONE: (904)247-5800 r " J FAX: (904)247 5805 J. Z; SUNCOM:852-5800 !) �: http://ci.atlantic-beach.fl.us ', %�•319 PLAN REVIEW eOMMENTS t Permit Application # 03'' '--9-V-8 t Applicant: B D Ci CY ( C,,oY1-Y'a CYS Address: 1-7 l9 O S�1 u a- M aviln oK T) Project: L'`r to Q— 'f J Y 'ca.. Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by L.44-- I • 21 .05 Signed Date Contractor Notified Date II 4 c� • ,ff � . .._ ' � ; RECEIVED , � CITY OF ATIANZONINGCH BUILDING & \:-<-.'01311.) CITY OF ATLANTIC BEAC SAN 2 3 2003 BUILDING PERMIT APPLICA ION (FOR INTERIOR REMODEL) 41146. G. Dale• (�0`- Job Address: 17 49t) S ELvA MAP-1H-A b V' Owner of Property: F- A,--1 K- J-IESS 10 q Address: 17 le 0 Se...44 i e:64 D,-' Telephone: 20- b 778 Legal Descr' on: ock Number: r Lot Number: Zoning District: Contractor: g.1)C-- eH E�At,604'7j4C/fofS State License Number: C&' O40 (, I et Contractor's Address: 24$ 1-all A71,r9,I/?i A L■34C4'1 1 ft. 3 L24 3 Telephone: 9 6 4' �41.9•11` Fax: fo4- 24/ -442 7 a P yr p %iTY ' r Al w'!u BE' Describe proposed use and work to be done: s1{�1�puG + ��`'� G61 t'i t�ir 2llt AC( 11uE , `---- ‘4.1"6-0• L-61414 1 A Ale u4116% 1/0■1 IS geS t JAN 2 -. 2e93 Present use of land or building(s): �� / Valuation of proposed constructio • Si 1200 r By: � New electrical or increase in servi e? - Ne w plumbing fixtures? Aie?o New fireplace? i4 b New heating/air conditioning? Rv) Ar,E I Li'-111 -tb A�R Is approval of Homeowner's Association or other private entity required? Pip If yes, please submit with this application. 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. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2) 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 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. I hereby certify that all information proves) with this application is correct. Signature of Property Owner: �/%i i_ 9j Date: 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 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 .http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/15/03 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 an •. ect and that the plans and supporting data have been or shall be provided as required. ✓ J `2/"3 Signature of Contractor: Date: / - receive all correspondence regarding this application (please print). Address and contact info�� a .n of� n to P Name: •PE16 t gi,G•,LA-4S Mailing Address: Z.4 6 1--eu-i 4 • „ '"' IG1-1.- Telephone: 5 o4'24/441 Cr Fax: 501-244/-414121 E-Mail: AS TO OWNER: �1 a. Sworn to and subscribed before me this „(�� day of �,A�� ,200 3. State of Florida,County of Duval '/`/� Notary's Signature. 2--- G9 �yyr or Renee S Moore ! My Commission CC987927 E Personally known c' Expires December 13,2004 ❑ Produced identification Type of identification produced AS TO CONTRACTOR: ,'jj n Sworn to and subscribed before me this „C �( day of ,20 D 75 State of Florida,County of Duval Notary's Signature:C--;L .1-/ / e7U-Z D �, i\ Renee S Moore • My Commission CC987927 m Personally known Icf Expires December 13,2004 ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 1/15/03 Page 2 NOTICE OF COMMENCEMENT State of Ft-0Fvt LA Tax Folio No. County of 1u ✓ill-- ` To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: S--e: /4-/7A-c-' ' Address of property being improved: -0 IIIMEIIIMIIIMFOIIFI AririlMranifffrg General description of improvements: Sq.egi 4.c.x, I fl,.,t/s,.j5 gEoetr A Owner: SA-MS' Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if othe than owner): Name: //tA Address: Contractor: P..0 C. 60-1 aQ.,A-t, Ce.{,r 1.44<,-(44.1 1 rf G . Address: 2.4B Lcaiy. gr0 . i4u4.4?ice j44í ft. 3221 j Phone No: Z4/-441G Fax No: Z4/-442 7 Surety(if any): //� Address: /`� Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: /1)/4/4 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), Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY / Ag i' Signed: /.44,:„.4.� / Date: BeforeT ,:-2,2 this ,� day ofN,_,,,,,,__4..A in the County of Duval, State of lorida,has per • .11y appearer •10,e4 l-AeSSio►'-- S-(k.-- Notary Public at Large, State of/Florida,County of Duval. My commission expires: ' /;3 0 `/ Personally Known: or Produced,[1,9ejifi t4Qg:rvloore p• My Commission CC987927 ~i0 �d Expires December 13,2004 )10, . • Lot 9, Block 9, SELVA MARINA, UNIT NO. 5, according to plat thereof recorded in Plat Book 30, pages 29 and 29A of the current public records of Duval County, Florida RE# 172009-0000 Documentary Tax Pd-F$ 01.02 $ Documentary Tax I'd-F.5 201.08 $ Intagiblo Tax Pd•F.S. 1199 Receipt�l( Or- Henry W ook Clerk of ,• • t Court Duval County Bye h z�L Deputy Clerk • •