1775 Selva Marina Dr (vault) DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH, FLORIDA Date 19
Permit # Fee $ 73 . (7-6
Application for Permit Valuation $ ,
for Misc. Alterations House # / -77') „4' i2/,,..
�
and Repairs �/' �c., /14 .
DESCRIBE: �r 0 .mil , .„..g/rry.„62( (1,/ ,
(state if to repair, alter, add to or move building, erect awnings
or signs, etc. )
Building on: Lot No., .-5- lk No. Sub.Div. �//
Address /7 _ u Valuation $ „2-7_5—, c)-1)
Owner' s Name mac �A
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 r 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 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. $outhern .St- rd ild' Code)
Signature of Builder or Owner X-14 -
Address S 72 /< . jy /, Phone ,7A ( O 7 -
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH, FLORIDA Date 19
Permit # Fee $
Application for Permit Valuation $ 3 `v
for Misc. Alterations House # r74
and Repairs
DESCRIBE: .:.�..� A i F ./
(state if to repair, alter, add to or move building, erect awnings
or signs, etc. )
Building on: hot NA. ,:lk No. Sub.Div. `m
Address /' ,/ ! / VaLuatio $ t,
Owner' s Name /7 5 %.tom c � !
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 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. $outherpr! dar•- .ui j ing Code)
Signature of Builder or Owner � 4 a A AO ` l
Address — • __ Phone ;
FOR OFFICE USip ONLY
r CG��
Date /.../.yz19
Permit * Fee$
/3.
CITY OF ATLANTIC BEACH ;,
Valuation $....;:�f,
FLORIDA House #
/n5' SI
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date--a- `` , 19.7.,z
Owner rr5"'7'< 3-.__.6_44C/9 Address Telephone No -1-1 .. 74.-C
// -z Address. Telephone No y�6v,.rsP
Architect-�--Q�(.t>�..`a - - ------ p y� J��/
Contractor Builder /' 7 c.-.J -- C.1._!� Address Telephone No
Lot No. Block No. // Sub Division_ Mk Y..%1.-+C (-A-1, f s� Zone
Street Side Between and Sts.
Valuation $ ÷<5), PQo-on For what purpose will building be used-- z 5_.101.1'.-a Type of construction ; `---
Dimensions of Building___<Ac24_.7.2_ Dimensions of Lot.e/O X/, 5 4'L2 X "vi Size of Footings
Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof
How will Building be Heated? e„ / Will Building be on Solid or Filled Ground? -50l/ ----------
Size of Ceiling Joists , Dibth ce on Centers , Greatest Span "
o,Size of Floor Joists-- -_-_--__-_.-- ••- �-,--,D. d e dte/rsS Greatest Span "
Size of Rafters ,Distance on Centers , Greatest Span "
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required. ✓z 7-`6-/
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. z x
a
3. When steel is in place and ready to pour beam. a
4. When framing is completed. S
5. When rough plumbing is completed,and ready to cover up. W
6. When septic tank drain field or sewer is laid but before it is covered. Q A
7. Electrical inspection by City of Jacksonville. m /may _- - °°
8. Final inspection. ci
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made. '
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signature of Builder "�� • 04 Address_ _-4',2_Z! __ lc/`",--' 'Z
Signature of Owner °'!__ *! .,/_ --c Address__ • 7 f- ter/'::e-G-j---. faakac%----• (
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
PERMIT NO. // ? 7 DATE ?-1/- ',
LOCATION 17 75 j_e u i2
LOT NO. BLOCK NO..// ;..,-/
OWNER( ,/2 2 J.
TYPE OF BUILDING j
6&,,,GZ4L7 J
rld /17::(4/;,
MASTER PLUMBER
INSPECTED .`Y',�Z'7 f BYE
BILLED
ACCOUNT NO. .\J
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
PERMIT NO. DATE : •5 t 9 /77V
LOCATION /7 7.5 /rn2(AZ;CL
LOT NO. S BLOCK NO. // S/D �
OWNER ,f Jul!)/d . e>, 7Gr�C�
MASTER PLUMBER � 7/1
BLDG.
BUILDER OR CONTRACTOR /-J. �°�L(/'ti PERMIT NO. '27/S
TYPE OF BUILDING )
_ / _SINKS J LAVATORY BATH TUBS — URINALS
7 CLOSETS -- FLOOR DRAINS SHOWERS
/ WATER HEATERS / DISHWASHERS / DISPOSALS
OTHER
TOTAL FIXTURES @1 . 00
NO WORK MUST BE DONE UNITL A PERMIT HAS BEEM PROCURED
PLANS AND SPECIFICATIONS must show a plan and description of the
site and location of all the soil and vent pipes , and the
number and location of all fixtures , (In accordance with
Ordinance No . 188 of the City of Atlantic Beach, Florida)
must be shown on back of application and be approved by the
Plunbing Inspector .
DRAW PLAND SPECIFICATION OF ABOVE PLUMBING ON BACK
Approved by
Plumbing Inspector
Date
(FOR OFFICE USE ONLY) /1
Rough-In Inspected /( - ,A G- / 7 REMARKS VI7
Final Inspected (" 2-2 -2f CERTIFICATE ISSUED :
1
APPLICATION FOR WATER CUT-IN
TO THE CITY OF ATLANTIC BEACH:
Application is hereby made for /1,/ 4/ _T p water cut-in
i
at the following address for �i j2Qi units.
Cut-In charge of cc5,f11' f" ds!n ,z,,Yea
Gt ;AJ
Street No. / 77J--
Lot Block /7 Subdivision ,f--
Ordered b :
Mailing Address:
DATE:
ACCOUNT NO.
METER NO. DATE INSTALLED:
7/tio ///.4- d sc./%/c/( /i i fo z . Ce.us/ 4/■,. 7r- ,
Co mi /.c 7`ed /a /y -
/��' C d 5 /17.e/ l.L • e/t/ oia "P/Ar S k -eft
DEPARTMENT OF
CITY OF ATLANTIC FLORIDA BUILDING
BEACH,
PERMIT 4 311
TO BUILD PERMIT NO.
THIS PERMIT MUST BE POSTED
ON JOB
Date
Valuation $ 19
I
I Fee $ I
.
This
Permit not valid until above fee
ksubject to revocation for has been paid to City Treasurer,
violation j
�, •r of applicable provisions of and is
This is to certify that L"'
F! T v
t
ihas permissio to b
I • •
a -.
• •
Residential
I Classificatio.
I Owned by
t e .- .ne
P Lot 5
r
House No, 1775 Block 1 I
According Selves Marina Drive S/D Selves Marina'
a to a
pproved plans which are
Dart of this permit
I
OO
NOTICE LL CONCRETE F
AND TINGS FORMS
IN-
SPECTED BEFORE MUST BE
PERMIT VOID POURING.
4______________0. AFTER VOID SIX MONTHS
4-----� 0 OF ISSUE
Bmld(n� material, rubbish and debris
E
from
"► t is w
ork must not
public space, and must be cleared up
and hauled away by eithe! contractor
or owner. up
25 g I I
Bil Davi* -; .- {. 1
F F'OR OFFICE
r USE ONLY PERMIT 43 I i Building Official.
r NUMBER �•
DATE
1 PLUMBING
CONTRACTOR
CTOR
E
t
t ELECTRICAL 1
E
I SEWER NM
WATER
w
1
••t1110e
Date... 3 'Pl 6.— 19R)
Permit #--- _?Zr.-... .....J..IR 5'.66
CITY OF ATLANTIC BEACH
Valuation $...7.21?0. Zoo .--._-._
FLORIDA g,,,,e #.12.2.1r S&cv,4-
/t j j. DR(✓E
APPLICATION FOR BUILDING PERMIT ..6.1.-DX/1C—e- zNe5
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
_ Data 2' 'a 10. P
•
Owner "--,5-:.�L'�E� w Address/774r-reavo i`..O0--^+• nee Telephone N /1217
Architect ' ' ...._ Addreu..#10� /L
4-:.-04.1/ "A ' _. Telephone No)P/ 3707
Contractor Builder ,-.7e:m /1 ■✓v..f0'-f -..Address
// �— ._._-..-..._ Telephone No.
Lot No. Block No ..// Sub Division_ j'0 1/4 A?/jiO
Street Side Between s a d................_ _ .
Valuation $ 7-2-en" For what purpose will building be used 'elC-s410, Type of constructlon..I Od
Dimensions of Building if 1'r 3411 " Dimensions of Lot/S7.A 14.7 A'AT X � L Size of Foo .. D6 je...
...._.._...._.___. ring. L...._......_._.._._._.
Size of Piers . — Size of Sills_...]e-•4r Greatest Sill Span in ft. Type Roof_.l d.. ee
How will Building be Heated? �O"'6. Will Building be on Solid or Filled Ground? -r-''' ‘
Size of Ceiling Joists .2-74"./ 's .-, Distance on Centers Pf~ , Greatest Span_ _��../. a
Size
of Floor Joists..----_-. _ , Distance on Center _
Greatest Span. _._. •
Size of Rafters !'!-f , Distance on Centers ?0 , Greatest Span. /Ai ' _ _ I.
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-line, and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application. /oe /54.?""
Inspection, required.
1. When steel is in place and ready to pour footing. d~ "..-7,4`-
2. When steel is in place and ready to pour columns and/or linteL
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
Pa
6. When septic tank drain field or sewer is laid but before it is covered. W
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance-with the building
regulations of the City of Atlantic Beach.
Signature of Builder- Address _
Signature of Owner... . . Address/22.c✓e�id /s see4A a /),s.
'o12', • 'c"; ,!'G0. 7 O 73
•
CITY OF ATLANTIC BEACH
716 OCEAN BOULEVARD
ATLANTIC BEACH, FLORIDA
ADDENDUM TO BUILDING PLAN
1. Building location:
2. The attached plan for the above building is approved subject to meeting the following
applicable construciton requirements:
a. Footings shall be continuous monolithic concrete under exterior walls, reinforced
with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8"
deformed reinforcing rods for two-story buildings. Reinforcing rods shall be
placed in the lower arse-third of the footings, properly placed and fastened an
metal cables with wire. Footings shall be six inches wider on each side than the
wall above, shall be at least eight inches thick and shall rest on firm soil at
least twelve inches below undisturbed soil.
b. In hollow masonry unit construction, each unit cell shall be reinforced with at
least on No. 4 bar at all corners, poured and tamped with concrete; such rein-
, forcing shall be properly tied into the footing and spandral beam.
c. All rood truss rafters (roof construciton) , shall be securely fastened to the
exterior walls with approved hurricane anchors or clips.
d. Construction of nearby one-family dwellings, which are duplicates or intensely
similar, shall be avoided. Such similarity considers the external configuration
and appearance (i.e., roof, outer wall materials, window size and design, and
other like characteristics) of structures. In accord with the foregoing, similar
or duplicate homes shall not be constructed within close proximity of each other,
and shall be at least 500 feet apart if any one similar dwelling is visible from
any other similar dwelling.
e. The final connection between the house plumbing drain and the sewer service
connection (at the property line) must be inspected by the City before being
covered.
City Manager
The undersigned hereby certifies that he has read the above and understands that this
addendum takes precedence over any contrary details to the plans and specifications
and agrees to carply with the intent of this addendum.
Con Owner
Date
. . ''.
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PSR-384° 13041
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION - ---- LOCATION INFORMATION
Permit Number: 13041 Address : 1775 SELVA MARINA DRIVE
Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 3223
Class of Work:ALTERATION LEGAL DESCRIPTION
r"onstr. T pe:WOOD FRAME Block: Lot : Twp: 0
Proposed use : S1IN LE FAMILY Section: 0 Subd: Rna :
Dwellings : 0 Subdivision: SELVA MARINA
Est . Value : 0 .00
r:mprov. Cost: 0 .00
Total FeeF ' 25 .00
Amount Pay 25 . 00
Date " )6
- ._ 'PLACE DISHWASHER
-------- OWNER INFORMATION - -•-- - APPLICATION FEES
Name : JAMES R. SHAW PERMIT 25 .00
Addr : 1775 SELVA MARINA DRIVE
ATLANTIC BEACH , FLORIDA 3"
Phone: ' 904 ?730-3077
- -- CONTRACTOR INFORMATION -----
Name: FIRST CLASS PLUMBING
Addr : 6254 POWERS AVENUE #84
JACKSONVILLE , FL 32217
Lic : CFC056,672 Exp : / /
Type .
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By '_ . `.�', .� .
y
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION :___ - 7.75_.__ _Sei.�l�5.,_J_!laC�L1G_Z�__.
OWNER OF PROPER'L'Y : ____M -1` -14 _
BUILDING CONTRACTOR :__- -.
PLUMBING CONTRACTOR ____Jtjo d __ 1,`,L _IrC •
AND ADDRESS :
19 _Buo
TELEPHONE NUMBER :
STATE LICENSE NO: C D g&..Q.Li
TYPE OF BUILDING:
SINKS ._ __._SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER_ )'p
TOTAL FIXTURE ' )UNT: x $3. 50 + $15. U0 = $ -C-
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
CITY OF ATLANTIC BEACH
• DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION -
LOCATION INFORMATION
Permit Number: 19002 Address: 1775 SELVA MARINA DRIVE
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Lots Township: Block: Section:
Square Feet: p. Range: Book:
Proposed Use: SINGLE FAMILY Subdivision: SELVA MARINA
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 10/18/1999 ` Name: STALEY, HANK
Total Fees: 25.00 Address: 1775 SELVA MARINA DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32333
Date Paid: 10/18/1999 Phone: (000)000-0000
Work Desc: REPIPE
CONTRAC 7
R ) APPLICATION°FEES
FLOOD PLUMBING, INC. PERMIT 25.00
•iL spections Required,
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, H AND DEBRIS FR PUBLIC
SPACE, AND MUST BE CLEA R ED UP AND HAUL D 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: 18/19/99 01 Receipt: 888463385
Z HECKS
NTIC BEAC BUILDIN 'T- 881:.•83221888
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION : 4 1 `b S d di 1
OWNER OF PROPERTY:JCCYWS ► SW.Wd
PLUMBING CONTRACTOR F<<-5-V l k1. `► \� +
CONTRACTOR' S ADDRESS S\: CC IO 3 V��e? �01-
STATE LICENSE NUMBER: C `- C'5q-d, TELEPHONE: f1 3C'- • 9-9-
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SHOWERS
LAVATORY WATER HEATERS //��
BATH TUBS I DISHWASHERS�C Vtt
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES:_ x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE - $25 .00
SIGNATURE OF OWNER: Cirt
�'t'
SIGNATURE OF CONTRACTOR:
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
l' ) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION , _ LOCATION INFORMATI•
Permit Number: 21942 Address: 1775 SELVA MARINA DRIVE
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: ROOF Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
lmprov. Cost: OWNER INFORMATION _____ 1,___-1
Date Issued: 5/11/2001 Name: HENRY B. STALER JR.
Total Fees: 90.00 Address: 1775 SELVA MARINA DRIVE
Amount Paid: 90.00 ATLANTIC BEACH, FL 32233
Date Paid: 5/11/2001 -,,..,0,.. ..„„.„.4,
Phone: (904)242-9114 i
L Work Desc: NEW ROOF AND VENTILATION -
CONTRACTOR S ' ' ' '''' - APPLICA: , a,
- -----,
: _ ,
,,,- ,-- 4:- PER , i- :._ - -,.., , 90.00
INTRACOASTAL ROOFING CO., INC. ii. t , j ;
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NOTICE-iNSPECTIaN ...,_''''''':ST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION_ _ _
, ,--
N. ,
BUILDING MATERIAL, RUBBISH AN DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITH ________R CONTRACTOR OR OWNER
,
"FAILURE TO COMPLY WITH TliE-G kt -UCTION_LI ifita AN RESytT IN THE
PROPERTY OWNER PAYING *ACE FOR PO * IP ,,, . ,,, .1.4.
1 t '
1, ISSUED ACCORDING TO APPROVE6 I-
PLAN'*.tiVI4ItLAW.lIREI"A T AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS-OF
, • Att
' CL s9e.88 14
_..., Date: 5/11/81 81 Receipt: 8856482
ATLANTIC:4: 'CH BUILDING DEPT. -CHECKS 14554
88188883221888
= .-- - -4,.. k L_ 00 ql )0?
REccilir .
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City of gtia9�ITY OF ATLANTIC BEACH
Building and is each
ROOFINe PERMIT APPLICATION
JOB LOCATION: / 7 713 Shwa- /#4//,-1G. /),
OWNER OF PROPERTY:J-P�i 7/ ,i / , '4- TELEPHONE:: Q'7/g- ,//1/CONTRACTOR: /1 e-i ✓✓A i Le `,-,67
CONTRACTOR'S ADDRESS: "D. _ZOX A08/‘,, J�G�f �� l
ZIP: 3 1/7 0516
STATE LICENSE NUMBER: /Z.—�a '?/09 TELEPHONE 39 t iC7)
DESCRIBE WORK TO BE PERFORMED: /L142 e /7iO4« 36 ----5?‘.-- e S
, ...5/1 A i, - ') -5 Ali/ez-‘4444;94A.,/,‘__5-X/a' t . ,e/ i4 /c.....- A9-01/-
VALUATION OF PROPOSED CONSTRUCTION ,/s//4D /G9 /
MATERIALS TO BE USED: .G61 e4-1 �e, i �i� S/, ems/ 'A✓4 ~ / �
MA1C / / / �,y /'
v DS/h' . �h a fl, 5, �e� f�/f
c�
SIGNATURE OF OWNER: 7.4, ' / S.c... •
SIGNATURE OF CONTRACTOR:
I jillib
IP' l
Dc5 01
i SWORN TO AND SUBSCRIBED BEFORE ME THIS q 441 DAY OF t � ,
��+^"'"'• Linda J.Mobley �,,�„( )-
.'� 1'. MY COMMISSION#CC846761 EX *��^^""""
AS TO OWNER: .'1 • _ )une 28,2003
''•:. �:� NOTARY PUBLIC
';;;��� 30NDED TNRU TROY fAIN INSURANCE I
SWORN TO AND SUBSCRIBED BEFORE ME THIS /,�V DAY OF 1444 doe/
1/11/14-'A AS TO CONTRACTOR NOTARY PUBLIC
l AD.SCOTT
't r ` comm 5/205 Liability Insurance Supplied My Cm Exp.No.DD 006676
• Workers Compensation Insurance Supplied
Contractor License Information Supplied .p d)U"
Occupational License Information Supplied
•
5 MIN. RETURN Notice of Commencement
PHONE# `) -C '( 7 Building Permit#
To whom it may concern: Book 9986 Page 48
Doc# 001112376
The undersigned hereby informs you that Book: • 986
improvements will be made to certain real Page: 48 Filed & Recorded
property, and in accordance with section 05/11/2001 08:45:10 AM
713.13 of the Florida Statutes, the fol- 7IM FULLER CLERK CIRCUIT COURT
lowing information is stated in this NOTICE DUVAL COUNTY
TRUST FUND $ 1.00 OF COMMENCEMENT. RECORDING s 5.04
Description of property: Lot 5,Block 11, Selva Marina Unit#5,Duval County,Florida.
General description of improvements: Roofing&waterproofing
Owner: Henry B. Staley,Jr. phone#904/242-9114
Address: 1775 Selva Marina Drive, Atlantic Beach,FL 32233
Owner's interest in site of the improvement: fee simple
Fee Simple Title holder(if other than owner):
Name:
Address:
Contractor: Intracoastal Roofing Co., Inc. 904/398-6675
Address: 1299 West Adams St., P.O. Box 10816,Jacksonville, Fl. 32247-0816
Surety(if any):N/A
Address: N/A Amount of bond:N/A
Name and address of any person making a loan for the construction of the improvement:
Name: N/A
Address: N/A
Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other
documents may be served:
Name: N/A
Address: N/A
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option).
Name: N/A /i• .�T
Address: N/A Y-+ •
Owne
S or(i��;to and subscribed before me this •
bIev ES `4.1 day of -�YY l C� ,'2001. ..;
�M�N# 8467bt EXPO
COMN+tS 3une 28 20�O R o�ANC i�l/ >UT
VFA
"2" ,"11 80N0E
Notary Public ftri
I
��R I
ENT OF BUILDING PERMIT NO. 81 §E ,� 1
A DEPARTMENT 7.500(CITY OF ATLANTIC BEACH.FLORIDA 635 y A ` /' !�'1
PERMIT TO BUILD 6338 t A I I /
THIS PERMIT MUST BE POSTED ON JOB i
Date 11._12-56 19�
7 . 50
Fee$
Valuation$ and is I
This permit not valid until above fee has been paid to City Treasurer,
applicable provisions of law.
c
subject to revocation for violation ROOFING CO i• •
This is to certify that J i1 CCC03 fi989
RE-ROOF
has permission to build
RESIDIa3TIAL Zone
Classification KEN ALBERT
Owned by
Lot + f Block—S/D 4 44 r
House No• part of this permit FORMS
According to approved plans which are p NOTICE—ALL CONCRETE E BE IN-
SPECTED FOOTINGS
SPECTED BEFORE POURING.
X MONTHS
PERMIT VOID SIX ISSUE
AFTER DATE
" rubbish and debris
O Building material, placed—� �♦ -i from this work must not be p
in public spa , and must be cle red
up and h. . b
. a away by
tractor ar ner.r
Buildil °il•
CONTRACTOR
PERMIT DATE
FOR OFFICE ryUMBER
USE ONLY
PLUMBING
ELECTRICAL IIM \
SEWER
WATER
IIIj
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
•
BUILDING OWNER ke .0 /4/Ler •f- PHONE
JOB ADDRESS / 7 7 5 Se/v/i 7J9gC/ti A h r
LOTH BLOCK OR UNIT If SUBDIVISION
• CONTRACTOR .3 c4 a/{Z /7ooPn�C� Cony) PHONE --19- 7443
• ADDRESS l b N ,2O ,_s - 'J'd'` 1�c1)
LICENSE NUMBER cec b 3 69?9 EXPIRATION fu�c 30 p 7
JOB VALUMION $ 3 DOO ma
MATERIALS: Qev�ove . Ce0Al- 50akcos Pr0.c2 (,0'+1-, IN
Met s„ t o o Q av u FF rop-r,,^s _c (—-s 1 e (oZS H r) •
•
SIGNATURE OWNER D(19- DATE •
SIGNATURE CONTRACTOR DATE 2//�--P/S
4146
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- ---- PERMIT INFORMATION LOCATION INFORMATION ----
Permit Number : 14146 Address : 1775 SELVA MARINA DRIVE
Permit Type :MECHANICAL ATLANTIC BEACH , FLORIDA 322
LEGAL DESCRIPTION -
Class of Work: ALTERATION Block: Lot : T�`'p '
Constr . Type:WOOD FRAME Block:
0 Subd: Twp :
Proposed well Use: SINGLE FAMILY Subdivision: SELVA MARINA
Dwellings !inns ; �' 4 , 00
Est . Value: 0 .00
Imprav : Cost :
Total Fees : 35 .00
Amount Paid; 35 . 00
APPLICATION FEES ---- �` "" " " -
_-_-._ _ - - �_�1P�iEF: INFORMATION '_ -`_ . PERMIT 35 ,.
Name : GAMES R . SHAW
Addr : 1775 SELVA MARINA DRIVE
ATLANTIC BEACH , FLORIDA 322
phr?ne' ?(A730- 977
__ .. - CONTRACTOR INFORMATION
•ian�e :
INDOOR COMFORT
Addr :
Exp:
NOTES:
NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM
THIS WORK RK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER C p
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF L A
ATLANTIC BEACH BUILDING DEPARTMENT
By:
t
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete
�.all items in sections I, II, III, and IV.
I. Street Address:_
I 77 lQ. V`i ' ct rte" I")A_-
LOCATION
-Vo-
And ��GL }�a�1.JnA_ C,Lt .
OF Intersecting Streets: Between
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) T=NTOO1p� (CfllFole—I Master C4c-oa`4- 0
Name of
Property Owner ,11'L_ -)'-V1,kki
Signature of Owns vie.-. \Lrya c Signature of
or Authorized Age Architect or Engineer
III. GENERAL INFORMATION
e.
A' Ty /of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
_/ Electric THIS BUILDING OR SITE? J 10
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NAT RE OF WORK
(Provide complete list of components on back of this form) Residential or ❑ Commercial
l2.
Heat ❑ Space ❑ Recessed li Central ❑ Floor ❑zNew Building
Cl/Air Conditioning: ❑ Room
[a Central xisting Building
Replacement of existing system
❑ Duct System: Material Thickness
❑ New installation(No system previously installed)
Maximum capacity clot.
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other — Specify
■
❑ Cooling tower: Capacity g.p.m.
' ❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Received)
❑ Tanks-----(number) Remarks
❑ LPG containers_ (number)
❑ Unfired pressure vessel
Permit Approved by Date
❑ Boilers
Permit Fee
❑ Other — Specify
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT cty APprovinr
Number Unite Description Model Number Manufacturer ( ) �►L��9
1 Co- •d t trni-_l 3 Y`l KC-o I _`a,cti--Q
HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approvers
Number Units Description Model Number Manufacturer (BTU) Agency
( ►) (IAA-- hid! Fie 4-6-t•-1 F--0. 4- CLa,,,, � ,A1-1-, 6C C
(I) Emac, ).amA--,_ K-FAE-14oao (vuo5 " 1 7) 00O
r(
K
J
TANKS Serial Appprovin
Roar Many Nominal Capacity Type Liquid Name c!
and Dlmansions Contained Manufacturer No. Agecy