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1921 Selva Marina Dr (vault) (2) LOWE'S or Improcemef: Warehouse Improving Home Improvement 8529 South Park Cr. Suite 430 Orlando, Florida 32819 Bus. 407/370-2872 Fax.407/352-6309 Limited Power of Attorney Date: To: Building Department From: Peter Anthony Cafaro III 1 I hereby name and appoint Maria O'Reilly, of Lowe's Home Centers, Inc. to be my lawful attorney in fact to act for me register my license and apply to hug ,. jot. 4" for a tAll/N' OUY-r avc permit for work to be performed at a location described as: (Address of Job) 14 z( 6e ('t/ L Metier iV A. ---oz (Owner of Property) e it- 4,e0 ..--- And to sign my name and do all things necessary to this appointment. Thank you for your assistance. Sincerely, At/' Peter Anthony Cafaro r Area Installed Sales Mana: Primary State Qualifi- CGC 1508417 r/• Sworn to and subscrib before me this �rl day ofv a3 ,2005. Nn nublic .o.,.** • ;,; Rebecca Velez .....w..14....- , MYCOMMISSION# DD176963 C';PIRES 4% My commission expires ,_. IT • - January 12,2007 A of F1,;1.:` BONDEDTHRUTROY FAIN INSURANCE,INC. ,�np� 250/450 Series Sliding Patio door-3781 Architectural Testing AAMA/WDMA PRODUCT PERFORMANCE TEST REPORT FOR: Pella Corporation ATI Report Identification: 02-33312.03 102 Main Street Test Date: 06/18/01 Pella, Iowa 50219 Report Date: 06/29/01 PRODUCT TESTED: 3781 Proline PLCSCFX Aluminum Clad Sliding Wood Patio Door Companion Fixed Window (0) Glazing Code: 6153 3/4" insulating glass/two 3 min tempered sheets Nailing fin installation TEST METHODS: Design Pressure Rating per A:\MA/WDMA 101/.S. 2-97 F-R100 37 x 80* Air Infiltration per ASTM E 283 at test pressures of 1.57 psf and 6.24 psf Air Exfiltration per ASTM E 283 at test pressures of 1.57 psf and 6.24 psf Water Penetration per ASTM I; 547 at test pressure of 15.0 psf Structural Performance per AS TM E 330 at test pressures of+150.5 psf Forced Entry Resistance per ASTM F 842, Level 40 RESULTS: Test Results Allowed Design Pressure @ 100 psf -- Air Infiltration @ 1.57 psf 0.01 cfm/ft2 0.3 cfm/ft2 0.01 cfm/ft -- @ 6.24 psf 0.01 cfm/ft2 E� 0.01 cfm/ft A?P�a,v11c aEAGh -- Air Exfiltration cm Or Ai BOOIN G OFFICE @ 1.57 psf 0.01 cfm/ft2 MA� 200 -- 0.01 cfm/ft 1 -- @ 6.24 psf 0.03 cfm/ft2 -- 0.04 cfm/ft -- Water Penetration @ 15.0 psf No leakage 33'I No leakage @ 12.0 psf Structural Performance @ +150.5 psf No damage No damage @ -150.5 psf No damage No damage Forced Entry Resistance No entry a Level 40 No entry @ Level 10 CONCLUSIONS: Unit Tested Meets or Exceeds Performance Requirements for AAMA/WDMA 101/I.S. 2-97 rating of F-R100 37 x 80*. *See ATI 02-33313.01 for Gateway performance testing performed on a 48" by 81"test specimen. A copy of this report will be retained by ATI for a period of four years. This report is the exclusive property of the client so named herein and is applicable to the sample tested. Results obtained are tested values and do not constitute an opinion or endorsement by this laboratory. ARCHITECTURAL TESTIN . INC. ARCHITECTURAL TESTING, INC. C „Aro. _ C J l Daniel A. Johns Dennis L. Anderson 587 First Street SW Laboratory Manager Regional Mana: New Brighton, MN 55112 phone: 651.636.3835 fax: 651.636.3843 www.testati.com Page-14 N t,o C �O p E cou-sLi-I5 4 4 a Sri w rt PO4 s tI,* '3d 0001 tZ9-tY9 '3d N M M3aa+M • • . 61 ZOS VI 'v113d _ r/ eta xis 3Ma 3mows oa � M Q :'%s 1332115 Nror+ ZOt v/�/pi Yd 'ONIon5N00 A a• .c _--. NOLLV21od2l00 YT 1 d M3m ONIa33NI0N3 i13d3rNsi M M OZ Z No r u".iYUwn c 3 MIMI ■ (s31a3s 3Nnoad) r O (V —� � I _M0„..."w0i5N71 8000 ONIOns 10vdY1rNON aooM av10 nnNmrrn . .,,,,,,4 NOWeilAua3s- — CI W V W H I J Q `� 0 ID � ,\ ='. 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I g 40 40 40 40 ii a 5 6/7 4 sK , 10/11 4 i4 zo `° `° Represents the line item in FIXED(0) FIXED-VENT(OX)• FIXED-VENT(OX)' FIXED-VENT(OX)• the Price Book page 6 and 7-pPD. 3781 6081 7281 9681 6' 10" DOORS Double Fixed-Vent Sliding Door 4 ■ Opening 6'0' (1828) Frame 5'111/4' (1810) ox XO g g 40 X =Vent O= Fixed 12/13 4 When viewed from the outside of building. ' 0 `N r 10 o FIXED-VENT(OX)• Building Code Approvals(page 8) 7282 • FPAS# • Fixed— FL439 • OX/XO—FL428 • Transoms—FL3508 Fixed Transoms • TDI#—DR-52 and WIN-218 Opening 3'13/a" (949) 5'0' (1 524) 6'0' (1829) 8'0' (2 438) Frame 3'O54' (930) 4'111/4' (1 506) 5'111/4' (1810) 7'111/i (2 419) CV CM 1 I!-f 2 -1•'' 3 41' CO • MIWj1MININI.1I) 3714 6014 7214 9614 NOTES: • Doors are shown as viewed from the exterior. • All doors are glazed with tempered glass. • Two panel doors—Fixed-Vent(OX)shown, right panel opens,left panel is fixed.Vent-Fixed(XO) SOS 4 89144 doors are also available. 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ANSI/AAMAJNWWDA 101/I.S.2-97 TEST REPORT Rendered to: PELLA WINDOWS AND DOORS SERIES/MODEL: 20 TYPE: Vinyl Double Hung Window APPROVED Ciii ILDINGyOF CE CH MAR 1 ti L t3 • Title Summary of Results AAMA Rating H-R60 48 x 72 Operating Force 23 lb max. Air Infiltration 0.24 cfin/ft2 Water Resistance Test Pressure 9.00 psf Uniform Load Deflection Test Pressure ±60.0 psf Uniform Load Structural Test Pressure ±90.0 psf Deglazing Passed Forced Entry Resistance Grade 10 Reference should be made to ATI Report No. 01-43096.02 for complete test specimen description and data. Architectural Testing ANSI/AAMAINWWDA 101/I.S2-97 TEST REPORT Rendered to: PELLA WINDOWS AND DOORS 2000 Proline Place Gettysburg, Pennsylvania 17325 Report No: 01-43096.02 Test Date: 11/08/02 Through: 11/26/02 Report Date: 07/16/03 Expiration Date: 11/26/06 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Pella Windows and Doors to perform tests on a Series/Model .20, vinyl double hung window. The sample tested successfully met the performance requirements for a 1-1-R60 48 x 72 rating. Test Specification: The test specimen was evaluated in accordance with ANSI/AAMA/NWWDA 101/I.S.2-97, Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors. Test Specimen Description: • Series/Model: 20 Type: Vinyl Double Hung Window Overall Size: 4' 0" wide by 6' 0" high Interior Sash Size: 3' 8-3/4" wide by 2' 11-1/2" high Exterior Sash Size: 3' 8-1/4" wide by 2' 10-1/2" high Screen Size: 3' 8-1/2" wide by 5' 9-1/2" high Finish: All vinyl was white. Glazing Details: Both sash utilized 3/4" thick insulating glass fabricated from two sheets of �..� 3/32" thick clear annealed glass and a desiccant-filled InterceptTM spacer system. The sash were exterior glazed against a dual adhesive foam tape and held-in-place with a vinyl glazing bead. 130 Derry Court York, PA 17402-9405 phone- 717.764.7700 01-43096.02 Pagc 2 of 6 Test Specimen Description: (Continued) Weatherstripping: Description Quantity Location 0.187" backed by 0.250" 2 Rows Stiles high polypile with center fin 0.187" backed by 0.250" 1 Row Interior meeting rail on exterior face; high polypile with exterior meeting rail on interior face; center fin bottom rail on exterior face; top rail on exterior face 0.187" backed by 0.310" 1 Row Bottom rail high polypile with center fin Frame Construction: Frame members were constructed of extruded vinyl with mitered and welded corners. �'' Sash Construction: All sash members were constructed of extruded vinyl with mitered and welded corners. Screen Construction: All screen members were constructed of roll-formed aluminum with keyed corners. The mesh screen was held-in-place with a flexible spline Hardware: Description Quantity Location Metal tilt latch 2 Interior meeting rail Plastic tilt latch 2 Top rail Metal pivot bar 4 Ends of bottom rail and exterior meeting rail Metal cam lock 2 7" from ends of meeting rail with adjacent keeper Block and tackle 4 Two per jamb balance system Screen leaf spring 2 One at each end of screen stile 01-43096.02 Page of 6 Test Specimen Description: (Continued) Drainage: Description Quantity Location 7/16" wide by 1/8" 2 2" from each end of sill draining sill high weepslot hollow 3/4" wide by 1/8" 2 1-1/2" from each jamb draining high weepslot interior sash track 1/2" wide by 3/4" 2 One each end of sill draining long weepslot interior sash track 1" wide by 3/16" 2 One each end of sill draining sloped high weepslot sill 5/16" high by 1/8" 4 Two at each end of bottom rail high weepslot draining glazing channel Reinforcement: Steel reinforcement was utilized in all stiles and meeting rails. Installation: The window was installed into a #2 Spruce-Pine-Fir wood test buck. The window was secured to the test buck with three#8 x 2" panhead screws per jamb, (six total) located 4-1/2" from the head and sill and one midspan. The window was also secured with 1-1/2" wide by 1/2" thick wood blind stops on the interior and exterior perimeter. The blind stops were secured with #6 x 1-5/8" drywall screws spaced 3" from corners and 12" on center around the perimeter (twenty-four total). The exterior perimeter of the window was sealed with silicone. Test Results: The results are tabulated as follows: Paragraph Title of Test - Test Method Results Allowed 2.2.1.6.1 Operating Force 23 lbs 30 lbs max. 2.1.2 Air Infiltration (ASTM E 283-91) @ 1.57 psf(25 mph) 0.24 cfm/ft2 0.30 cfrn/ft2 max. Note #1: The tested specimen meets the performance levels specified in ANSI/AAMA/NWWDA 101/1S. 2-97 for air infiltration. • 01-43096.02 Page 4of6 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed 2.1.3 Water Resistance (ASTM E 547-00) (with and without screen) WTP = 2.86 psf No leakage No leakage 2.1.4.1 Unifolin Load Deflection (ASTM E 330-97) (Deflections reported were taken on the meeting rail) (Loads were held for 52 seconds) @ 15.0 psf(positive) 0.10" See Note#2 @ 15.0 psf(negative) 0.09" See Note #2 Note #2: The Uniform Load Deflection test is not an ANSI/AAMA/NWWDA 101/I.S.2-97 requirement for this product designation. The data is reported for information only. 2.1.4.2 Uniform Load Structural (ASTME 330-97) (Permanent sets reported were taken on the meeting rail) (Loads were held for 10 seconds) @ 22.5 psf(positive) <0.01" 0.17" max. @ 22.5 psf(negative) 0.01" 0.17" max. 2.2.1.6.2 Deglazing Test (ASTM E 987-88) In operating direction at 70 lbs Exterior top rail 0.04"/8% 0.50"/100% Exterior meeting rail 0.04"/8% 0.50"/100% Interior meeting rail 0.04"/8% 0.50"/100% Interior bottom rail 0.04"18% 0.50"/100% In remaining direction at 50 lbs Exterior left stile 0.03"/6% 0.50"/100% Exterior right stile 0.03"/6% 0.50"/100% Interior right stile 0.0376% 0.507100% Interior left stile 0.03"/6% 0.50"/100% 2.1.7 Welded Corner Test Meets as stated Meets as stated I "-- 01-43096.02 Page 5 of 6 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed 2.1.8 Forced Entry Resistance(ASTM F 588-97) Type: A Grade: 10 Lock Manipulation Test No entry No entry Test Al thorough A7 No entry No entry Lock Manipulation Test No entry No entry Optional Performance 4.3 Water Resistance (ASTM E 547-00) (with and without screen) WTP = 9.00 psf No leakage No leakage 4.4.1 Uniform Load Deflection (ASTME 330-97) (Deflections reported were taken on the meeting rail) (Loads were held for 52 seconds) @ 60.0 psf(positive) 0.54" See Note#2 • @ 60.0 psf(negative) 0.09" See Note#2 4.4.2 Uniform Load Structural (ASTM E 330-97) i (Permanent sets reported were taken on the meeting rail) (Loads were held for 10 seconds) @ 90.0 psf(positive) 0.03" 0.17" max. @ 90.0 psf(negative) 0.04" 0.17" max. • • 01-43096.02 • Page 6 of 6 Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product, which may only be granted by the certification program administrator. This report may not be reproduced, except in full, without the approval of Architectural Testing. For ARCHITECTURAL TESTING, INC: hn C. McClane Jose A. Reid, .E. Technician Director- Engineering and Product Testing JCM:nlb 01-43096.02 IL. Ft*�`1 , .4: /cam-17 7 0,4„,4 re • DOCUMENT CONTROL ADDENDUM #01-43096.00 Current Issue Date: 07/16/03 Report No.: 01-43096.01 Requested by: Aaron Hancock, Pella Windows and Doors Purpose: ANSI/AAMA/NWWDA 101/I.S.2-97 testing of a Series/Model 20, vinyl double hung window. Issued Date: 12/12/02 Comments: Certification copy of report to John McFee at WDMA. Report No.: 01-43096.02 Requested by: Aaron Hancock, Pella Windows and Doors Purpose: Issue Report No. 01-43096.01 with a Florida P.E. seal. Issued Date: 07/16/03 Comments: Florida P.E. seal required on report. a " ''-. ifie ,t2.4.-,?,3v%-7,-/A .1.„' P 1 " I �' ys n w .,r�a „rte a st - s x io Installation Instructions for Typical Wood Frame Construction These instructions were developed and tested for use with typical wood frame wall con- struction in a wall system designed to manage water.These instructions are not to be used with any other construction method.Installation instructions for use with other construction methods,may be obtained from Pella Corporation or a local Pella retailer. Building designs,construction methods,building materials,and site conditions unique to your project may require an installation method different from these instructions and additional care. Determining the appropriate installation method is the responsibility of you,your architect,or construction professional. Handling and Storage: It Provide full support under the framework while storing,moving and installing this product. Do Not lift the product by the head member only.Remove the plastic shipping material prior to storing or installing the product. Do not store in direct sunlight.Allow sufficient spacing between products for ventilation. YOU WILL NEED TO`SUPPLY: TOOLS REQUIRED: •Cedar or Impervious-shims/spacers(12-20) •Tape measure • 2-#6 x 112 sheet metal screws(for head expander)'-' • 2'or 4'Level •6-#8 x.21/2 flat head wood screws -- •`Utility knife E Hi uali exterior juretkt s. or •Putty knife Quality 6" s , - silicone seal t(1 tube " ""'fit •Prybat �,, , Caulking gun) FK •Hammer • Fiberglass ban insulatiod •Screwdriver(Flat&Phillips) r r L. ose fill fiberglass ins ,,,,,o4,..,' , ,g '-H Side cutters �p eau wn mill �,r_ 's .. s •Drill ��sO11G perSOnS for"•J°".t REMEMBER TO USE APPROPRIATE .�, PERSONAL PROTECTIVE EQUIPMENT t ''\' Existiagwallcoastrumoa .:. # I Rteri . Fxuting window frame ChecJcnil :' -- -----,''' , ,--- Drywall-. d ._ , Ianiluioa ., _ , +SLIM ITEO Frammg 1-;.-7---.-- y Always read the ThermaStar by Pella:Limited Warranty before purchasing or installing ThermaSrai by Pelt products.By installing this product you are acknowledging that this Limited Warranty is part of the terms of the sale.,See Limited Warranty for complete details at bttp://warransy.�berniartstr.tom 1 4 REMOVING EXISTING SASH CAUTION: Many windows in older homes are painted with lead-based paint.Removal of old windows may disturb this paint.Proper precautions must be taken to minimize exposure to dust and debris. Consult state or local authorities for more information. Use appropriate personal protective equipment. DP 50 Installations:Verify that the exterior blind stops meet the requirements stated in the"Replacement Window Measurement Guide." If the stops do not meet the requirements,do not install the window. Balance cord.ulleys A. Score paint or varnish along interior sash stops with a sharp Interior utility knife.Carefully remove sash stop l Bottom I, interior sash stops at jambs(sides) Top balance ' cord/s and head(top)using putty knife I balance and prybar.Set aside to reuse. 03rd Parting :I Top sash stop Bottom B. Cut the balance cords on the Bottom bottom sash and lift out the sash. Weight Allow weights to fall to the bottom of the weight pocket. Exterior blind stop, Top sash C.Remove the parting stops. weight There may be a small wedge of wood at the bottom of the upper sash that is next to the parting stops. Bottom To make it easier to remove the parting sash stop,use a chisel to knock off the wedge. ,-----, Exterior D.Lower the top sash and cut the balance blind stop cords allowing the balance weights to fall Parting stop into the weight pocket. Remove the top sash. Be careful not to damage the exterior terior blind stop. sash stop E. Unscrew and remove balance cord pulleys. INTERIOR 2 OPENING PREPARATION A. Inspect the existing window frame and repair or replace any defective or rotted wood parts.Make sure the exterior blind stops are sound. B. Insulate the weight pocket with loose fill insulation. Note: Use of expanding/aerosol foam insulation is not recommended C.If applicable,install pre-finished metal flashing or trim to cover existing frame 1 sill and the exterior trim at the head and jambs. D.Clean the opening of any dirt,debris, or excess old paint before proceeding. Note:Many windows in older homes are painted with lead-based paint. See precaution on front page. E. Ensure existing sill is leveL :,.,.. Note:If shimming of the sill is necessary, use a continuous shim that extends across the entire width of the sill F. Verify that the 6 installation jamb screws will fasten into solid wood.If not, insert solid filler at screw locations. 1 DP 50 Installations:Pre-drill for and insert#6 x 1-314" flat head exterior grade wood screws in all the exterior blind stops.Screws should be placed 3" from each end and not more than 12" on center. 1 I 3 PREPARE THE WINDOW FOR INSTALLATION A. Remove packing materials from the liiimmiti• .. window. — Note:Check product for any crack or penetration in the frame.Do NOT -- Sill accessory install damaged units. groove Sill B. Install the sill adapter in the adapter _dada -,, sill accessory groove. Note: Use a rubber mallet to drive the sill adapter into the sill accessory groove. The vertical kg of the sill adapter may be cut to accommodate different sill angles. II _,. __ 4 SEALING AND FASTENING THE WINDOW A. Test fit the window in the opening.With the window closed and locked,set the bottom of the window into the opening,then tilt the top into position. B. Ensure the window is resting against the interior surface of the blind stops and the sill adapter meets the original sill. Note: The height of the window frame can be increased by as I much as 3/8"by applying the head expander(included)to i ;oi- the window frame.If e than 3/8"height a tstment is r e q u i r e d i n s t a l l a c o o us shim at the sit` "* DO NQT use the head expander in DP 50 installations. C. l the head expander(if required).For installation using ®--•,4 the Apply expander,go to INSTALLATION INSTRUCTIONS I 1 HEAD EXPANDER c4"'se back of this sheet D.Drill two 1/4"weep holes in the sill adapter.Locate r^, the holes 1" from each end.The bottom of the weep hole must be at the bottom of the vertical leg of the sill adapter. ' 1 E. Apply a 1/4"to 3/8" continuous bead of sealant to the interior face of the existing blind stops at the head i ;,\1`' and both jambs.Also apply a bead of sealant across the ;� sill,connecting with the sealant at the jambs. i j i F. Place a bead of sealant where the existing stool meets l � the existing frame sill and jambs. m i ' ``` '+C G.Insert tl :replacement window(from the interior)in the i \ +j opening by setting the bottom of the window in first,then ,` tilting the top into place.Make sure the window rests against the interior surface of the blind stops and the sill adapter will contact the existing sill. I, H.Place a shim near the top of one jamb,in line with the �1 top pre-drilled hole in the window frame.Partially insert i l riltrp a#8 x 2-1/2" flat head screw(not provided). Repeat process I for other jamb. I i { I 0 I. Continue placing shins at each pre-drilled installation screw holes in jambs as needed to plumb and square the window.Check window for squareness by making sure diagonal measurement from corner to comer is within 1/8" in both directions. �II ,� '-sert a #8 x 2-1/2" flat head wood screw into each El e-drilled hole in the frame. Finish inserting the top I screw in each jamb.Minor adjustments may be made I'x .1 1 at the checkrail using the jamb adjustment screws located in the lower sash channel,just above the 9 � kl checkrail. 4 _ I J. Seal the window to the exterior stops.Place a Exterior corner bead of sealant around the perimeter of the I I window frame where the new frame contacts the original window frame.Also place a bead of sealant ring between the sill adapter and the bottom of the existing window sill.This bead should connect to the jamb beads.Tool the sealant beads. I;� • sri pr, Note: When corner beading sealant around the y2 41T1., perimeter of the window frame, be careful not to cover the weep holes at the sill ® a® L - - - - - oosely fill the interior space between the window and-the-rough opening with �.aberglass insulation to within 1" of the interior of the window frame. Note:Packing the insulati ro tightly may cause the sides of the window to bow. wayfors 4K ® ' or f I +N� r � Yf i i L. Check the window operation(vent units only)by opening and closing the window. Note:If the window does not operate correctly,check for plumb,square and that the sides are not bowed. If the sides are bowed remove the insulation then adjust shims as required and repeat the above steps. M.Apply interior line of sealant between the existing original i rindow frame and the new window.Tool and finish the interior sealant. I 4M ..__ 5 INTERIOR TRIM A. Reinstall existing interior sash stops or new trim as desired. DP 50 Installations:Install new 3/4"x 3/4" interior sash stops at head,jambs and sill.Pre-drill for and insert#6 x 1-3/4" drywall screws.Screws should be placed 3" from each end and not more than 12" on center. +` Y p m m ...... INSTALLATION INSTRUCTIONS HEAD EXPANDER Note: To determine if the Head Expander is required refer to Step 4B. A. Make a pencil mark 3/8" from the top of A the window on the roomside edge of each 3/8" I : . O jamb. Interior frame edge Head expander B. Install the head expander on the top of the Top window frame window frame.Slide the expander down P onto the head as far as it will go. O (Side View) C.Test fit the window into the opening. Slide the head expander up until the top of the head expander is within 1/4" of the top of the existing opening.Ensure 1/4" the pencil marks are not visible.If the pa pencil mark is visible,the expander is t Head expander extended too far. - Note:If the expander extends past the A, I'Fnc1 4ziarl.�Om pencil mark it may be necessary to shim - . the original sill or to order a larger window. 4 % Interior frame edge • D.Drill two 1/16"pilot holes through roomside leg of head expander into the frame. These holes are to be 2"from each end of the head expander.Insert a#8 x 1/2" pan head sheet metal screw(not provided) into each hole. E. Proceed to Step 4D. ©Pella Corporation 2003 P . g ,1 ...tr.-. ri,_, ` � .}� CITY OF ATLANTIC BEACH It1 J 800 SEMINOLE ROAD ,, r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 0;319'1' Application Number 05-00030662 Date 7/14/05 Property Address 1921 SELVA MARINA DR Tenant nbr, name EXPLORATORY EXCAVATION Application description . . RIGHT OF WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor NORMAN HENKELS & MCCOY, INC. 1921 SELVA MARINA DRIVE 985 JOLLY ROAD ATLANTIC BEACH FL 32233 BLUE BELL PA 19422 Permit UTILITIES PERMIT Additional desc . . 00 Permit Fee . . . 35 . 00 Plan Check Fee . . Issue Date . . . Valuation . . . • 0 Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 a w PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING \pi CODES. 11/4 e 110111.11/4. BUILDING OFFICIAL rs'-J-''`-1/2r)� CITY OF ATLANTIC BEACH `' ', l''. PUBLIC UTILITIES DEPARTMENT v,? 1200 Sandpiper Lane ® Atlantic Beach,Florida 32233 (904)247-5834 J'il>� (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 65-36(ao A Property Address: i9a . .el va.) llOf/na) 1 VC) Applicant: Hen K '/ , -p me Co , _The. Project: C.y O niL 7't1 G X CQ V 1k 0 n1 Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. 0 Your permit application has been reviewed by the Public Utilities Department and the following items need attention: — -i( e Cec..44 -5 ----ef-,rr t)i Co G I ry c. _ C't•__-6-1, -6 5---- — Q r1 V C/- to 4)a /4C - ,p-v- ;o', . f L2_,.. ..,.40i . .a 7- 573V , Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247-5834. Reviewed b $o/ Kaluzniak, Public Utilities Director — Date � Signature Contractor Notified Date i a 7/ 01-j-'1•1'-!,, CITY OF ATLANTIC BEACH 6.s / �''' PUBLIC WORKS DEPARTMENT 3 .' ' s 1200 Sandpiper Lane J =r Atlantic Beach,Florida 32233 '!J;3 �� (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # O7 L O Q(O49 • Property Address: /c/(2 I 1 Via) Thai flal-RrI Vo Applicant: H i"ii k i°1- Me C yi _ ific Project: Cry pI Q rxibr 1 x CO V Q�b /7 y Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: N1!f z°-e7 L 7..e i--4-i L c -to -470,/tot}-c 0r- Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904)247-5834. Review--i• ::a" arper,P.E.,Public Works Director , A „ Date Signature / Contractor Notified Date RECEIVED I �f"*'`' CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH � ' 1 CONSTRUCTION PERMIT WITHIN CITY RIGHT O 1NW AND EASEMENTS f 904247-5800 J 800 Seminole Road 1 JUN 2 8 2005 Fax 904-247-5845 0 j Atlantic Beach, Florida 32233-5445 Date ` ca-Y 2 7, 'ZOOS PERMIT# P ' ISSUED BY THE JTY Job Address /92/ LSEL.I//9 MR/ Pm/4 ,6R. -- Permitee: h/ENKELS A/C C0)/, /A/6. Telephone# 9 2 - 7f3- 6 97 Permittee Address: /179 (Y 6W S /et) c JACAS oA/v/C-L-E, FC.. 222 oS Requesting Permission to Construct: EXPLORf}TORY EX4V4 T/ Location: (Reference to Cross-Street) /9 Ti/. S TREET 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( )✓ No ( ) Date: 6-2.o-05 Bell South Telephone Company Yes (4 No ( ) Date: 6,- ,ZO -0S Ferrell Gas Yes (✓)' No ( ) Date: !v- -2o-05" Comcast Yes (vj No ( ) Date: 6,- ,Zo -06 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of LS1111 /VD.>?/YJA (Contractor's Project Superintendent) located at /179 L5: E(145 /2d. LJ,4X, FL Telephone#: 905L- 723- (c697 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with /S days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Ae 7.11B-f...".”-a—ss.. Date: 4-.12-z,4"-- Before me this day o the County of Duval, State Of Florida,ha personally appeared -rn It) . A-)00 rct., ce. Notary Public at Large,State of Florida,County of Duval. My commission expires: V .>' •a Notary Public State of Flonda Personally Known: ° 0. Sonya E Thomas Produced Identific tion: _ e My Commission DD391019 'l'or fvo Expires 0310412009 JE4 DISTRIBUTION ENGI\ EERING ``�� sVC WRN: 7038244 LOtt: OH MAP": ROA CENTER CA MODIFIED�. SUB-STA. NEPTUNE BCH CIR. NO. 565 EXIST. JEA UG YES TREE TRIMMING REO'D N CUSTOMER/ LOCATION SELVA MARINA OR 1926 EXCAVATE COPY TO UTILITIES CONTRACTOR TO EXCAVATE LOCATION SHOWN CIRCLED 1 m 9 12 I. 1 1 t 1 ) • 2960 ll‘k giA\I(11.) 0 S� \ 28 w ■ g b o� I 27 0 i Y ' URD � �� z 061 y '� E8 P \ ' 26 9bE r� \ � � 24 \ \ rtertS t4r \-.. --' •y:r �%� 1W 1 _ r lk� \\ — C\- --\ 23 REFERENCE URP0248 Cg6LE REPLACEMENT 7035472 -ENGINEER:LORI JORDAN RADIO NO.809 PHONE N0: 665-6053 DATE REL CONST: 6 /_ CONST. COMPLETED BY ,,,_ DATE AS-BUILT RECEIVED G ' d L£8l ' °N wdWZ 9002 'sz' unr EL5 6 McC 03,0 qi fi, If 11 ir it ft 11 r�; '�f1 � " ....�l,At:l1114..:,.,.,.: �,..,.;3fi�;.... 1179 South Ellis Road Jacksonville, Florida 32205-6359 ********************************** Phone: 904-783-6697 Fax: 904-783-6679 Date: June 28, 2005 Page(s): 2 Fax Recipient: Rick Carper Fax #: 247-5843 Sent From: Brandon Young t I ,S , - 1 i --v Mt li IC r r:e, 11 '.t!!!, 0,0 I ,,,ti Message: See attached plans for the permit that we submitted for doing work in Atlantic Beach.If you have any questions please call me at the office. 1 ' d L£81 °N Wdtl :Z HOOZ '8Z' un(` , e \° CITY OF ATLANTIC BEACH , _; _c 111 ;j 800 SEMINOLE ROAD `.c ATLANTIC BEACH, FLORIDA 32233 -- INSPECTION PHONE LINE 247-5826 Application Number 04-00027761 Date 2/24/04 Property Address 1921 SELVA MARINA DR Tenant nbr, name RE-ROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 8860 Owner Contractor BROWN, ANNA SHAW (ESTATE) SHORE ROOFING 1921 SELVA MARINA DR. 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-8842 Permit ROOF PERMIT Additional desc . Permit Fee . . . 113 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 8860 Fee summary Charged Paid Credited Due Permit Fee Total 113 . 00 113 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 113 . 00 113 . 00 . 00 . 00 i 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 THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH PART OF THIS PERMND S JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. (3 1 Win, BUILDING OFFICIAL Cc: r , ,,,, CITY OF ATLANTIC BEACH D. Ford Sr lrjr, Higgins (s f 4.;s� BUILDING / ZONING DEPARTMENT err 800 Seminole Road �' ? Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C)--i - 02`17 C.P 1 Property Address: I q I Sefvc YY10 rc rt.a 1 .• Applicant: (3){)0 Ill- ‘4-)t)ii h5 Project: m - !7w -r--- This permit application has been: [( Approved ❑ Reviewed and the following items need attention: I Please re-submit your application when these items have been completed. Reviewed By: `,0' Date: 2473/01 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address X42..\ S&1-41,4- -0(Z Date X24 Z3l } Heated Square Footage @ per sq ft = $ Garage/Shed __ @ $ ç7 (?__p e r sq ft = $ Carport/Porch )@ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ Total Valuation 1st $ itco ;� c �- -. "J $ Remaining Value $;. per thousand or portion thereof TOTAL BUILDING FEE $ 4_, , + 1/2 Filing Fee $ ( ) Fireplaces @ $15 :00. $ BUILDING PERMIT FEE $ Ll WATER. IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ `: C� GRAND TOTAL DUE $ k,\3 ADDITIONAL PERMITS OR FEES : Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : V �3 f -' .- �► RECEIVED . � - CITY OF ATLANTIC BEACH CeuOl,F5iTA L 1BACH ' v ROOFING PERMIT APPLICATION s3, FEB 2 3 2004 Date: '010 - 6 L( BY: _9SZ, Job Address: 'I a. I S Y-/ 0'4✓i rt I r Owner of Property: ilit/N '-? S//Rid Egos N ez- Address: /9'd/ S 2-vv - M14t- n V ,�Z Jew`t d.z-3,3 Telephone: Contractor: S 120,1"--; T""e--• State License Number: C cC 05.441-11 Contractor's Address: 9/'-/ t �' /� t S� f 4 r},‘ /3( c 4 Telephone: a L/ I - d q Z Fax: Li/ - ff y 3 Scope of Work: /2t/ ' v l /3 /0o /t 3 0 /3r 4-• S' /di^f 11.5' Deck Slope: S Greater than 2:12 I/ Less than 2:12 Ul/ Valuation of work: Fs/$' 'D Product Name(Example:Timberline): n► kt) H -5 -1-/k) HZ'''f/1, C J U 4 i Manufacturer(Example:GAF): /71,17 ire ASTM Designation(s): D 3 '/G 2 Required Inspections: Shea 'ng and Final- %� Signature of Owner: 4.. �� " Date: /4'X Signature of Contractor: yx Date: I/20/0 AS TO OWNER: 0 F-12-1l� 20 G4. Sworn to and subscribed before me this day of � , State of Florida,Coun of Duval HOLLY OZBURN tary's Signature: y Notary Publfc-State aF Fbrlde ' I = Mh Cannisebn ExciresAtq 13,2009 ❑ Personally known . Commission ! DD142145 5.4 Produced identification Bonded By National Notary Assn. Type of identification produced Sec; Ct t - i3-/12•-tU AS TO CONTRACTOR: Sworn to and subscribed before me this 0 day of fa(V ikt 200i . State of Florida,County of Duval Pt Notary's Signature: ib`[6r W HOLLY OZBURN -161Personally known _tot., Notary Public-state of Florida ‘Produced identification . ;• '' - Commission DD142145 :y Type of identification produc- .... . , . ..... .,. . . 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.ti.us Page 1 Revised 2/21/03 Book 11648 Page 2272 5 MIN. RETURN ' PHONE # ,�1�( � Doi# 2044060396 Book: 11 648 Page: 22Re2 Filed R c7orded 02/23/2004 10:26:11 AM JIM FULLER CLERK CIRCUIT COURT Permit number Tax Folio numbe�UVAL COUNTY F0£9F F4 4- 5.00 TRUST FUND $ 1.00 NOTICE OF COMMENCEMENT STATE OF FLORIDA • COUNTY OF DUVAL THE UNDERSIDED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property: C f ) / I ! c G l 1�I'� Pier' n/ti , /' / /?r ; 2. General description of improvements: 3. Owner information: a. Name and Address: 4ivNRR S,I w /01/2140/V 67.3%iii- %k1/ ii1r3/i'ti 4K� b. Interest in property: ,r9rc#* Tic �v��i3cr/i -3.3 c. Name and address of fee simple titleholder(other than owner): 4. Contractor's name and address: SHurt /nQ .) _i.^S 1rc . (7'/LI ) fr )1nut. {L , i4,xdt„ ) /-( 7lifc a. Phone number: 1--// - 'y L b. Fax number: D'-/l - 54 L/3 5. Surety information: Ps1,13844 6 1 56 ■ , DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ---- LOCAilON INFORMATION -- Permit Number: 6156 Address: 1921 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223' Class of Work: ADDITION LEGAL DESCRIPTION - Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision : SELVA MARINA Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $18. 50 Amount Paid: $18. 50 Dato Paid : 11/23/92 Deac. : INSTALL SHOWER PAN - OWNER INFORMATION ---- APPLICATION FEES Name: SALE PERMIT $18. 50 Addresc : 1'321 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 ATLANTIC PEACH, FLORIDA 32233 SEWER JMPACT FEE $0. 00 Phone: ( ) WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 - - - ---- CONTRACTOR INFORMATION RADON GAS - 57. $0. 00 Name: DAVID GRAY PLUMBING WATER TAP $0. 00 Address: 5223 MAGNOLIA CIRCLE NORTH SEWER TAP $0. 00 JACKSONVILLE, FL 32211 HYDRAULIC SHARE $0. 00 License: CFCO22586 Type: 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. f NOTES: Al ID tiOV 25 1992 CITY OF ATI ArTIC BCH, 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 /_„7:ff, By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION /f" 1:4:1/,, Xrne/Art9 Vl� PLUMBING CONTRACTOR .A✓�0 Qefir P44/ei U,ir ' /i a. • LICENSE NUMBERS Ora OWNER );?fr ]) 6'/'nf ea/1-4" ."41441 . BUILDING CONTRACTOR TYPE OF BUILDING /ZSiP,A/7-e4 • SINKS / SHOWER • LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS ' DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. } 5372 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ERMI1 .LNFLJ:;MATIVi: Lot.. . 1UN i rar _tHIJL : .:UN -____. Permit Number: 5372 Address: 1921 SELVA MARINA DRIVE Permit Type: WELL ATLANTIC BEACH, FLORIDA 32233 Class of Work : NEW LEGAL DESCRIPTION -------- Constr. Type: CONCRETE Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 colhdivision: SELVA MARINA Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: **10. 00 Amount Paid $10. 00 - _ OWNER INFORMATION - ----- APPLICATION FEES "oume: KALE PERMIT $10. 00 Addy _ 1921 1 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 ATLA i L PEACH, FLORIDA 3 .SEWER IMPACT FEF $0. 00 Phone: ( 904 )2,U-8489 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 ------ - CON`T ACT+::R INFORMATTON RADON GAS - 5% $0. 00 Name: t_. N WILLIAMS WATER TAP $0. 00 Address: P. O. BOX 567 SEWER TAP $0. 00 ATLANTIC BEACH HYDRAULIC SHARE $0. 00 License: Type RE-INSPECT FEE $0. 00 SEC. H TMPACT FEE $0. 00 OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEC7'IXEVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. q,Y 1S 1992 ATLANTIC BEACH BUILDING DEPARTMENT City of Atlantic Bch. By (._ 4445 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - -- -- -- ----- LOCATION INFORMATION ------- Permit Number: 4445 Address: 1921 SELVA MARINA DRIVE Permit. Type: MECHANICAL ATLANTIC BEACH, FLORIDA 322 Class of Work: ADDITION ---------- LEGAL DESCRIPTION -------- Constr. Type: WOOD FRAME Lot: Block: Section : Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: SELVA MARINA Estimated Value: $0. 00 lmprov. Cost : $0. 00 Total Fees : $37. 00 Amount Paid : $37. 00 Tht: ' ' - - -/91 NTRAL HEAT A44 AIR - - -- - - -- - - UWA,LE INFORMATION - -- ---- APPLICATION FEES Name: SALE PERMIT $37. 00 Address: 1921 SELVA MARINA DRIVE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE $0. 00 Phone: ( ) - WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 - ----- CONTRACTOR INFORMATION --- - --- RADON GAS - 5% $0. 00 Name: OCEAN STATE HEAT & AIR WATER TAP $0. 00 Address: 1476 ATLANTIC BLVD. SEWER TAP $0. 00 NEPTUNE BEACH, FLORIDA 32233 HYDRAULIC SHARE $0. 00 License: MBAR-786 Type: 3 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." VIII MAHAN_ DATE: 10/15/91 TIME: 03:12 PM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUMONACT TO REVOCAIIRM FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $37.00 041INFE $.00 RECEIPT WEER: 039511 ATLANTIC BEACH BUILDING DEPARTMENT By: • FFE $10.00 APPLICATION FOR WELL PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER • Name: -5-4/e Day Phone Z Y‘74?.5 Address: 9 "// /e4 r ,t 47` Zip.37Z2._ APPLICANT, IF • MI' THAN OnINER • Name,: 416-G ` (: 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, Ill, and IV. LOCATION Street Address: /5)/ S�/v/-> fi1Ae,A//A tk OF Intersecting Streets: Between And 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) ( C epvi STA7p Master 64 1/O Name of Property Owner e Signature of Owner Signature of or Authorized A. A Architect or Engineer III. GENERAL I FOR Irtilik N A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? 1J�� ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVENUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED ) URE OF WORK (Provide complete list of components on beck o this form) Residential or ❑ Commercial Heat ❑ Space ❑ Rec seed Central ❑ Floor ❑ New Building Air Conditioning: ❑ Room Centel Existing Building ❑ Duct System: Material Thickness Replacement of existing system Maximum capacity c.f.m. �\ New installation(No system previously installed) ❑ 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 conteiners (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer (C Tonns)y wry cY 1 c` __ Egrdos/..1- G> `t 3 HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving Number Units Desc tion Model Number Manufacturer (BTU) � � • • . CA-2/-4/(4t 5� raj TANKS Row Many Nominal Capacity Type Liquid Name of Serial Approving and Dimension Contained Manufacturer No. Agency CITY OF 4/k 4/kat& &acct-qli Office of Building Official REQUEST FOR INSPECTION 7Date _2 q 9-2 Permit No. `�^��^ /72. a Time A.M. Received—i7/ O U P.M -District No. � i ti..-4--C--5Z Job Address j Local Owner's �� e Contractor w Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough .: Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSP/ECtT1{�1N Cii? Mon. Tues. n Wed. �Th s f' F ray Inspection Made çiL�+ (P• Inspector Final Inspection � / Certificate of Occupancy ¢ " ' Sbboie r -f/' Date CITY OF /Neai& Beach-1101"k Office of Building Official REQUEST FOR INSPECTION (��,/f Date /(^�3-92 Permit No. `V Time A.M. Received P.M �istrict No. Job Address Locality Owner's /] �� �/` Name (Y� Contractor er./ .` / BUILDING CONCRETE ELECTRICAL - , CHANICAL Framing C Footing C Rough Wiring ❑ .ig Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out 0 Heating Lintel C Fire Place ❑ Pre Fab A.M. READY FOR INSPECTION Mon. 01' 2 41 gl�!g2 ThursCiN.I._ Friday P.M. . Inspection Made .M. Inspector E. A. KERBER Final Inspection❑ /�,/- � Certificate of Occupancy . ' (/ncJ ,�//�er -/ �� Date 5720 • DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- - ,..0CATION INFORMATION Permit Number: 5720 Address: 1921 SELVA MARINA DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223:. Class of Work : ALTERATION LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision : SELVA MARINA Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $18. 50 Amount Paid: $18. 50 Date Paid: ; 7/28/92 WER FA, _— - OWNER INFORMATION ---- ---- APPLICATION FEES Name: G. SALE PERMIT $18. 50 sddrecs: 1921 SELVA MARINA DRIVt. WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORID/ SEWER IMPACT FEE $0. 00 one : 904)744---55 WATER DETER Sts. 00 RADON GAS-H. R. S. $0. O0 --- ---- CONTItACT0R INFORMATION --°- RADON GAS - 57. $0. 00 Name: DAVID GRAY PLUMBING WATER TAP $0. 00 Address: 522J MAGNOLIA CIRCLE NORTH SEWER TAP $0. 00 JACKSONVILLE, FL 32211 HYDRAULIC SHARE $0. 00 1 rc.n : CFCO22586 Type: 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER , NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. uaal::� ATLANTIC BEACH BUILDING DEPARTMENT By ,J»v:d era c Plumbing, Inc. C . 022586 CITY OF ATLANTIC BEACH 436 APPLICATION FOR PLUMBING PERMIT JOB LOCATION /F1( L 2t/f / eeeyi .17r' PLUMBING CONTRACTOR , 71(K"..0 &49/ &c)FCy?t / LICENSE ,NUMBER. UMBERS GrC 49e- OWNER 6. BUILDING CONTRACTOR TYPE OF BUILDING $3-112 -A/c4? SINKS / SHOWER 1W • LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS ' DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER • / TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 15t , '%,s.4‘.N. /fr i'N, / 4\ i IN ' tt 4\ .''',"::.".:. ';;:;::: A.';',"',1," ..:;..-IN::"..•'',.::::/ '::5;':',..">' / \ V / ''t. .:. ....,;/ \ V . /' ' ‘ t-- . " : 'C. '. . _� flo 71:1H rtifirtttr of Cl)rripttnrg i`` t l CITY OF xr.. A eittaKtic &ark ida Brp rtmrnt of uithing Jnsprrtinn t`!: 'd This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard / Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following: I"` 1 4643 .�,,• 1 use Classification SINGLE FAMILY Bldg.Permit No. '0.F.,- ..,0, '�+ ~` Type Construction YR Fire District. AZIANZ C BFA014 F —RIDA Group TER BUILDERS CAN 3023 LORMAN DRIVE, JACKSONVI ,t,, _ Owner of Building Address_ ding — FLORIDA { Building Address 1921 SELVA MARINA Morality_. ATLANTIC BEACH, ! By — —p FRF�_D W rte_ Date. APRIL 6 1902 r l Building Official -'r` POST IN A CONSPICOOUS PLACE 14 CITY OF' I 4I1a Jic Bradt-ha/ado Office of Building Official REQUEST FOR INSPECTION ,, Date / a / Permit No. A.M. Time P.M. District No. Received / '��(7 V /jam/ / %, ..,' OF_ Locality Job Address Owner's Contractor Name PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL Rough C Air.Cond.& ❑ ❑ Footing ❑ Rough Wiring ❑ g Heating Framing ❑ Temp Pole Cl Top Out Re Roofing E7 Tem Slab Fire Place ❑ Lintel ❑ Pre Fab -OR INSPECTION A.M. � Friday----P.P.M. Wed. Thurs. Mon. Tues. A.M. �1�1I 1 ,nnn P.M., Inspection Made . J Final Inspection Vr Inspector _ i II Certificate of Occ Date �G CITY OF /Ji 8 4I1aalic Learit-42I )4/ Office of Building Official REQUEST FOR INSPECTION 3 17.....g. i 6 Z Permit No. Date J/ Time '/5.'-. P.M.M. District No.- Received • /5eV/ Z./ x o .r'.."€( ' Locality Job Address Owner's Contractor Name HEATING BUILDING PLASTERING ELECTRICAL Rough PLUMBING ❑ Rough ❑ Foundation ....❑ Wire • ❑ Rough Wiring ..❑ Final ❑ mney ❑ Lath ra ❑ Fixtures ❑ Sewers ❑ Water Heater ..❑ Framing ❑ Scratch ❑ Gas ❑ Final ❑ Finish ❑ Temp-Pole ❑ Sot spool ❑ Slab ❑ Wallboard [] Final Inspection.( /cop-out ❑ Water ❑ Lintel Beam ...❑ A.M. READY FOR INSPECTION P.M. Mon. Tues. % Wed�� Thurs. Fri. (/Y„ M. • / P.M. Inspection Made /� 41 Inspector --...77."' �, IF 17:_i.54 IL I/; stlUCKTt'i DEPARTMENT OF BUILDING 7777 ( /0I CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. 6: *14 CG PERMIT TO BUILD 4/Cfni THIS PERMIT MUST BE POSTED ON JOB mot Date March 20, 19 ' I Valuation$ 71.000 Fee $ 173.50 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 LANIER BUILDERS has permission to build S/F DWELLING t Classification RESIDENTIAL Zone Owned by LANIER BUILDERS Lot Block #10—C S/D Selva Marina House No. 1921 Selva Marina Dr. Atlantic Beach Fla. 32233 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 rI AFTER DATE OF ISSUE XI • ■ 0 Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor ior owner. BILL M. DAVIS Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING C ELECTRICAL SEWER WP—ER `unman' FOR OFFICE USE ONLY Date 3/24r 199 'Y Permit # 96/ 47 Fee$ /F"7'" — CITY OF ATLANTIC BEACH Valuation $.....7/, 6)6 v FLORIDA House # /Paz($��%�/ /4e-fi 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 verifiedY j // nn�,JJ "11,5 Date 3`(7 , 19 1 Owner L-1 7/11 ed f/ S Address___30..9.3 � 1-!V £A Telephone No Architect-TA E...l..la4 •S Address. Telephone No Contractor Builder._L2?i 1a L,..cZ-,71F7('5,.-/_�G,C_Address 3 &NileN DA e Telephone No f Lot No. 42_7 Block No. Sub Division_.. .vL_6. . .......!Q-C Zones _./.112 .1.na__ Street Side Between ,/-"- • and Ste. Valuation $__4Q0• O a For what purpose will building be used_!_eo..de nG! Type of construction..Fiei_i 1 c/ Dimensions of Building.Ja30 6-.P,- Dimensions of Lot._..f2t...i,2k....5_ :. Size of Footings 1�/ yl viT-?0, Size of Piers Size off/Sills y Greatest Sill Span in ft '� Type Roof Vsx5 S How will Building be Heated?_._.IITQv fifty Will Building be on Solid or Filled Ground? r'Wed) Size of Ceiling Joists , Distance on Centers , Greatest Span 'e Size of Floor Joists , Distance on Centers , Greatest Span Of Size of Rafters , Distance on Centers , Greatest Span " APPROVED This rectangle is to represent the lot. CITY OF AT ANTIC BEACH Locate the building or buildings in the BUILD P G OFFICE right position. Give distance in feet from all lot-lines and existing buildings. 2 0 19:1 REAR LOT LINE Two copies of plans and specifications shall ■ be submitted with application. // Inspections required. Q; /,/ , 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 5?e j�// a 3. When steel is in place and ready to pour beam. F en / �1 c., E, 4. When framing is completed. S . po 5. When rough plumbing is completed,and ready to cover up. ,i.- +}a W 6. When septic tank drain field or sewer is laid but before it is covered. A A• 7. Electrical inspection by City of Jacksor.ville. CO CO 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. S':.5 G 3 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 Atlantic B� Signature of Builder �.. _.. Address..._33-23•••. �m/f Signature of Owner _ .____ _.1/l Address.._ 0 , C-71700 .W•., CITY OF. ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM TO BUILDING PLAN 1 . Building Location: / 2/ Jr'?kee /til/21-/i7 i/(1t 2. The attached plan for the above building is approved subject to meeting the following applicable construction 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 one-third of the footings, properly placed and fastened on 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 conrners, poured and tamped with concrete; such rein- forcing shall be properly tied into the footing and spandral beam. c. All wood truss rafters (roof construction) , 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 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 plumbin• rain and the sewer:servi-ce connection (at the property line) must be ins•= ted by the Ci before being covered. ),)/ 10, s1/4 Ci / 'a ag r u 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 comply with the intent of this addendum. ntractor/Owner /,r/r1 Date ���•� /7 �,✓.�-,�� co. • .2 3 0 . a SP Id 6.4c, ?60 . 6 d CITY OF ATLANTIC BEACH �.Llfil WATER CONNECTION CHARGE 0.3 6 . 0 4 DATE 3/2D/Y7 LOCATION /,;Z/ 5 '/ ' /`etAer'S/6 OWNER i PLUMBING FIRM MASTER PLUMBER BUILDER OR CONTRACTOR 1 /iC ' . 9.*. '%4 _c TYPE OF BUILDING S �%. .41,S/Cl.l.ce//4--i" BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS) WATER CLOSET,LAVATORY AND BATH TUB OR SHOWER STALL.(6UNITS) SHOWERS GROUP PER HEAD ( 3 UNITS) BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS) HEAD SHOWER) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS ) BIDET (3 UNITS) SERVICE SINK TRAP STAND ( 3 UNITS ) COMBINATION SINK AND TRAY ( 3 UNITS) _ POT,SCULLERY SINK ( 4 UNITS ) OOMBINATION SINK AND TRAY W/FOOD DIS. �� ( 4 Units) URINAL, PEDESTAL,SYPHON JET BLOWOUT. ( 8 UNITS ) DENTAL UNIT OR CUSPIDOR ( 1 UNIT) URINAL, WALLL LIP ( 4 UNITS) DENTAL LAVATORY ( 1 UNIT) URINAL STALL, WASHOUT ( 4 UNITS) DRINKING FOUNTAIN (2 UNIT) URINAL TROUGH EACH 2'SECTION DISHWASHER ( 2 UNITS) ( 2 UNITS) FLOOR DRAINS ( 1 UNIT) ( WASHING MACHINE RES. ( 3 UNITS) 3 / KITCHEN SINK ( 2 UNITS;" WASH SINK EACH SET OF FAUCETS ( 2 UNITS ) / KITCHEN SINK W/WASTE GRINDER 3 ( 3 UNITS) WATER CLOSETS, TANK- OPERATED ( 4 UNITS ) LAVATORY ("1 UNIT ) WATER CLOSETS, VALVE OPERATED LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS ) - ( 2 UNITS ) - -_ LAUNDRY TRAY ( 2 UNITS ) LAVATORY, SURGEONS ( 2 UNITS) CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT DATE 51— 9— 4P/ LOCATION 7o?, S' `114 yyj4/e/w AO PLUMBING FIRM go"A) s, // /: - MASTER PLUMBER 04 ate)/1/=GL J• /7`d 1e���� CITY/COUNTY OCCUPATIONAL LICENSE NO. STATE CERTIFICATE NO. e/ € O3973'5 BUILDER OR CONTRACTOR 4,vi,P2 Bc,,.II,,e S ..7;n) TYPE OF BUILDING 110/V •e ************************* *iii:ssss*,--L"******azz■�************ / SINKS / SHOWERS LAVATORY if WATER HEATERS BATH TUBS // DISHWASHERS URINALS DISPOSALS vZ CLOSETS // WASHING MACHINE FLOOR DRAINS OTHER !/ TOTAL FIXTURE COUNT ************************************************************************ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST. RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACCOUNT NiO. #040139 DATE 3/20/81 LOCATION 1921 Selva Marina Drive. LOT NO.27 BLOCK NO. 10-C SUBDIVISION Selva Marina. OWE Lanier Builders TYPE OF BUILDING S/F Residential MASTER STER PLUMBER DATE INSPECTED BY -- f CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT-IN APPLICATION IS HEREBY MADE FOR LANIER BUILDERS WATER CUT- IN AT THE FOLLOWING ADDRESS FOR S/F Residential_ UNITS (5) CUT- IN CHARGE OF $5.5,00 Water Meter, $4.00 Const. Water, $89.00 Total. gf 4vAo-/e-Qc// - '� STREET NO. 1921 SELVA MARINA DRIVE. LOT #27 BLOCK Unit 10-C SUBDIVISION Selva Marina ACCOUNT NO. #040139 MASTER PLUMBER DATE 1 METER NO. 3(:) s y S ( DATE INSTALLED /• • eCI C ► n S 606 VII 1 --t 4 S • BUILDING AND ZONING INSPECTION DIVISION FO CITY OF ATLANTIC BEACH, FLORIDA Z 1-1 \ U o CO a. ELECTRICAL PERMIT Q M Date i TS1 3, 3.31 Fee $ 15_ s-= Permit No. O J W Location l'JZI Between and- , This is to certify that a 0 tAk 1 =- �%I(Elettiieal Cont�bct�% •Joittsfer*feeNrcivn) J r.• ± E A.- has permission to install Electrical Construction as described herein in w a accordance with the provisions of the Electrical Code and regulations V °c • of the City of Jacksonville, and subject to the information shown on the W o application, drawings and specifications which ore made a part of this permit. for r.',c ' IAA tY •o Type of work: o SERVICE: t v.WI CTOOOL S+Ii*C k/'.,'. A T5 f 23-.) (Jr �s,eJ a•��'� 2t.'t, AJ-id'S, I FL, 3y,. 1101/220 Wlri, SEC — Q L Feede"rs:'I' Outlets: O Receptacles:` W m Switches: " I : N_ Incandescent: Fluorescent: Appliances: Air Conditioning: 1/4 10 - Motors: 22(: Voltz;,e, 1 Transformers: FINAL INSPECTION 8-12-81 - FRED W, MILLS Signs: Miscellaneous: ROUGH INSPECTION 5/7/81 IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: S1.T = • jc• MONTHS PERIOD, PERMIT Electrical Inspection Supervisor BECOMES VOID. CP CITY OF f. -� t � r r _1,. � .,' �- �P. a: . 716 OCEAN BOULEVARD--DRAWER 25 '7/ ATLANTIC REACH. FLORIDA 32233 AUGUST 12,1981 PRE-SERVICE SECTION 3RD FLOOR. JACKSONVILLE ELECTRIC AUTHORITY BLDG. 233 WEST DUVAL STREET JACKSONVILLE,FLORIDA 32202 DEAR SIR: THE FOLLOWING LISTED FINAL INSPECTIONS HAVE BEEN MADE AND ARE SATIS- FACTORY: PERMIT NO.113131 - 1921 SELVA MARINA DRIVE. ATLANTIC BEACH FLORIDA 32233 FERRIS ELECTRIC CO. Sincerely, FWM/REV FRED W. MILLS ELECTRICAL INSPECTION SUPERVISOR WILLIAM S HOWELL JAMES E. MHOON ALAN C. JENSEN L. W. MINTON. JR. CATHERINE G. VAN NESS Mayor-Commissioner Commissioner Commissioner Commissioner Commissioner BILL M. DAVIS OLIVER C BALL MRS. ADE! AIDE R. TUCKER CARL STUCKIr. y7-7 City Manager City Attorney City Cle,r,-T _,.rL-r-Com troi er Ch e. o` Felice er r and Fire Department . _t, `A EJ ■ 2131V M 2I3M3S 1V012J10313 DN19WfI1d 21O10VUJNO0 31114 213e1NIIN A1N0 3sn 11 W adi 301440 2J04 171.1110 2ucPJ1na SIAVQ •W TIIs •iau,lso so 4 iolasrluoa iaglia Sq Ss.es painsq pus du paasaia aq pram pus 'aasds aiignd F- ui paasid aq lou ;snit! 31.10A1 sun woa; Z sugap pus gsigqn.z Isualsw 2uipiing 0o / • ---r anSSI.30 dsVQ 2Id.LdV SH,LNO.P1i XIS QIOA ZIL1i2Idd 'DNT2I110d dtIOddg Qd,LOddS -NI as .LSIINW SONIZOOJ QNV swam HZH2IDNOD TIv—acIZON piuuad slip Jo lard aas gatgm susid panoadds o3 2utpaoaay oN asnoH •HAI IU VNI`,IVN VA'IHS T Z6T Q/S 31aoig poi 'Of�I S2iaa'IIRS 2IHItw'I Sq paud'O auoz THIZNHQISaI uotpsagisssi0 •SIIINOVI ONIHSYM t `'IaHSVMHSItI T `2iHZVHH HH]1VM I `2IHt'tOHS I I BZHSOZO Z ``ILL H31Vg T `AAIO.IVAV'I £ `NMIS T TTP3suT WA 4°p uoisstuuad sum I — � •&I00 9N?I Trria AiSIOIOH psgp S;ipaaa op st sil{J, 000 •n.*1 Jo suolsuoad algaagdda Jo uotlelotn ioJ uolleaonaa of laafgna 3 ry/`•1 oe •iaineaa� .q1 0l ad uaa se as ano a on t sn ]ou 2 wod a1 1[i/�0/` 1 �t 1� P 1 � PI 9 4 J 9 1. P.l 91 g33 ,3V300* £99 b $ aad DWI$WR'Id uoilsnisA 10/60/h " 1 .11' 00•tt `4l 00.11 ---7761 `6 LT-2d °VG i 80r NO 031SOd 38 ISfW 1IW213d SIHl alMS 01 11%41113d ON 111N2J3d Va12J014 'H0V39 011NV11V 40 A110 E9 9 17 erne-line 40 1N3N4121`dd3a J CITY OF ,QIla4'c /2e�i-47,Gvuca Office of Building Official ® REQUEST FOR INSPECTION Date ATIGITST 1 1 ,1 9R1 Permit No. #1111 Time A.M. III DUVAL Received 12:30PM P.M. District No.. 1921 SELVA MARINA DRIVE. SELVA MARINA Job Address Locality Owner's LANIER BUILDERS contractor FERRIS ELECTRIC CO... .- Name BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Wire ❑ Rough Wiring ..❑ Rough ❑ Rough ❑ Foundation ....❑ Finish Wiring ..❑ Final ❑ Final Chimney ❑ Lath ❑ Framing ❑ ❑ Fixtures ❑ Sewers ❑ Water Heater ..❑ PM"-Final Brown❑ Motors Ga ❑ s5s/pool ❑ Footing ❑ Finish ❑ Temp-Pole U ye Slab ❑ Wallboard ❑ Final Inspection. Top-out ❑ Lintel Beam ...❑ Water ❑ READY FOR INSP ,.__ A.M. red_ / 1'�# Fri. P.M. Mon. Tues. A.M. Inspection Made P.M. 7 �� Inspector _ ��