2014 Vela Norte Cir (vault) i
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028196 Date 5/06/04
Property Address . . . . . . 2014 VELA NORTE CIR
Tenant nbr, name . . . . . . RE-ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6500
Owner Contractor
-
------------------------
-----------------------
GOODMAN, GEORGE A. AlA ROOFING CO. , INC.
POST OFFICE BOX 377 48 W 6TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL
ATLANTIC BEACH FL 32233
(904) 249-6999
----------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6500
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 100 . 00 100 . 00 . 00 . 00
aw
a
-..
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
Z
ARE PART OF THIS RMI SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
a
BUILDING OFFICIAL
cc..
CITY OF ATLANTIC BEACH
BUILDING / ZONING DEPARTMENT S. Doerr
s
Is1
r •y 800 Seminole Road
sl Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # C)4 - -IS 1'1(,-
Property
`t(`Property Address: c110w vela nlc f
Applicant: to pint r--znc
Project: lt° ror. r
This permit application has been:
Approved
❑ Reviewed and the following items need attention:
3S -
Please re-submit your application hen these items have been completed.
Reviewed By: Date: y
RECEIVED
CITY OF ATLANTIC BEACH
BUILDING & ZONING
CITY OF ATLANTIC BEACH MAY 0 3 2004
r
ROOFING PERMIT APPLICATION � r
lit 0q/3
Job Address: Ol�1 Ve'I � o4f_
Owner of Property: U tom' 106d M G h
Address: a� VQ�Q Of�e Telephone:
Contractor: ROv nc State License Number: c.c—OS '(
Contractor's Address: �� e I� 1
Telephone: cQ &G"1 — Fax:` 1
Scope of Work: (1 �^ «`
Deck Slope: lrn• 0 C^ Greater than 2:12 Less than 2:12
Valuation of work: Ay50y
Product Name(Example:Timberline):(GT1 r11�1' 1 11
Manufacturer(Example: GAF): AF
ASTM Designation(s):
Required Inspections: Sh ng and Final
Signature of Owner: Date: /
Signature of Contractor:
AS TO OWNER:
Sworn to and subscribed before me this day of
State of Florida,County of Duval
Notary's Signature:
JEFFREY S.McBRIDE
MY COMMISSION#cc 991044 Personally known
EXPIRES:Jan 1,2005 F-1 Produced identification
eoo-a rx>rnRv FL Notary s«wW a eorwirig,Inc. Type of identification produced
AS TO CONTRACTOR:
/\ Sworn to and subscribed before me this �rd day of >200•
State of Florida,County of Duval �+
Notary's Signature:
YVETTE P."IF
9Personally known ? TARY o MY C°M'^_E)(P•S/2/05
Produced identification Pu6uc No.CC 983374
Type of identification produced 4..1 peen^ j"/K/own I I OdW 10•
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us
Page 1 Revised 2/21/03
pH4 l I
Permit number Tax Folio number
In
"q NOTICE OF COMMENCEMENT
0
01 STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSTDED hereby gives notice that improvement will be made to certain real property,
N and in accordance with Chapter 713,Florida Statutes,the following information is provided in
co this Notice of Commencement.
Ph en
0 2. General tion of improvers ts:
CAI
Re roort (pSoo
3. Owner information:
a. Ne anAddresC.G e rV1 G✓�
b. Inte�estin property: Q�
i l7 t)�1 a
c. Name and address of fee simple titleholder(other than owner):
1 P , (led 4. C is ame address-
a.
ddr sss:� •4 S� I• ' ��
a. Phone number: b.Fax number.
5. Surety information:
a. Name and address:
b. Phone number. c.Fax number. d.Amount of bond:
6. Lcq na and address:
a. Phone number:'-- b.Fax number:
5;-4e:, 459
7. Person within the State of Florida designed by owner upon whcF4h4c&sRjt~ocuments
maybe served as provided by 713.12(1)(a),Florida Statues. 05/03/2004 012:18:30 PM
Name and Address: JIM FULLER
a.Phone number: b.Fax numb-'r
8. In addition to himself/herself,owner designates RECORDRIN 5.00
of to receive a copy of the Lienors otic-as provided in
Section 713.12(1)(b),Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the
date of Recording unless a di rent date is specified).
orwSignature of Owner a rll
Swom to and subscribed before me this day of MAY 2064 _•
Notary: �
Known personally/ID shown: gmA&nY2?k My commission expires:
JEFFREY S.McBRIDE
MY COMMISSION#CC 991044
EXPIRES:Jan 1,2005
1-90P3NOTARY FL Notary Service&Bonding,Inc.
� CITY OF
f►�4&ws is Be"A-41m"&
Office of Building Official
REQUEST FOR INSPECTION �) I
Date Permit No,
Time A.M.
Received PM
Job Address Locality
Name Lbw_ � � \�V' \ Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring • ❑ Rough ❑ Air Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday PM.
A.M.
Inspection Made P.M.
Final Inspection ❑
Inspector
Certificate of Occupancy ❑
{ )� - — Date
8S-o
Z S
No 7',y
Ob
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N
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\ 00
10
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7-
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2•7-
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40
aB
�d-�G-Bu �i�• �e�CE/Z
,P-- ( ,/ c ,
MAP SHOWING SURVEY OF
LOT 23 , SELVA NORTE ' UNIT ONE, AS RECORDED IN PLAT BOOK 39 , PAGES 94 , 94A AND
94B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
A Er`/,4 Y TEFL ER
8Y PLgT
/8
� LoT �
N
_ ll/pp-O O- Z I B65.00, _ _ _
FoU/l/�77F
(P3396)
F
/NAGE EASENIEit/T L;Y PL/1T \n
N
�^V
V/
0 � s.3' q
h
/0.3 jl o Fo.4' /O.lo' ,(
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0 J1 M,ysp,v,�y FoUND.4T-/v/�/ W �
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TOf' OF ,BG oc.t E[E✓. (i2.0 7� h\
11.7
A N 0
N�
m n
/,ear✓
(PG.S r 3398)
9/Ze, -- �—
�Pt.s P339a> -
11E4-4 IVORTE CIRCLE
so �iw
7;L//5 /S A BOUNDARY SUR✓E Y.
NO BU/LO/NG 77E5TR/C7-/01,,/ L/NE &Y PLAT.
• 7JV/5 PROPEQ7Y uE5/.-1 FGOoo ZONE '•B;' wFl/CN IS BETIvEEN
TfaE /oo YEAR 41V0 614a ✓EAR FL000 AREAS•
E4EI/A7701-15 SNowN T</US //Z.o7) ANO REFER To 1,14 NAL
GE00E7-1C ✓ERT/CAL DATUM.
I hereby certify that this survey meets the
minimum technical standards as set forth by
the Florida Board of t_ard Surveyors, pursuant
N. A. DURDEN to Section 472.07 Florida ",tates.
Zk'f & ASSOCIATES INC. U -- y�
R[61fTCRIED •URv[�'OR M0./G/Y rrLA.
LAN D
SURVEYORS
SIGNED /JECE:�1c3ER ZJ �p 8�
Post Office Box 50870
830 Beach Boulevard
Jacksonville Beach,Florida 32250 SCALE:
THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.
/3.sg3
PSR-3844 13699
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- - PERMIT INFORMATION --- ----- --- LOCATION INFORMATION - -
Permit Number : 13699 :address : 2014 VELA NORTE CIRCLE
Permit Tvpe : PLUMBING ATLANTIC BEACH . FLORIDA 32233
=lass of Work :ALTERATICN --------- LEGAL DESCRIPTION -- -------
Constr . Type:WOOD FRAME Block: Lot : Twp:
Proposed Use: SINGLE FAMILY Section: 0 Subd : Rnq*.
Dwellinas : 0 Subdivision:
Est . Value: 0 .00
Improv . Cost : 0 .00
Total Fees : 25 .00
Amount Paid: 25 . 0r,
rJttR �n�
Wol s.
.Wt�.IER: iNF'JRMATION -- -------- APPLICATION FEES -----
!Name GEORGE A. GC`ODM.AN PERMIT 2 5 .00'
Addr --,,? L4 VELA NORTE CIRCLE
iiTLANTI�=' EEA,-H, FLORIDA _
Phone : 9(-`4 2dl-1191
- - --- CNTFIACTCR INFORMATION ---
Name:
--
!Name: F .W . Fn IR PLUMBING CC
Addr: PO DRAW 4F: 53.5 5 e
JACKSONVILLE BC`H .FL 32240-155
Lic . Exp : ! /
Tvpe'.
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
L"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.
CHECKS 12?
ATLANTIC BEACH BUILDING DEPARTMENT
By:
P . 01
Apr-01 -97 ll : 53A ----
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: Z 0,
OWNER OF PROPERTY:
PLUMBING CONTRACTOR: F. W. FAIR PLUMBING CO.
CONTRACTOR'S ADDRESS: P-0-BOX 51558, Jax.Bch. ,F1. 32240-1558
STATE LICENSE NUMBER: RF00375Q3 TELEPHONE: 241 -7191
HOW MAZY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORIES WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: X 3.30 + $15.00
MINIMUM PERMIT FEE : $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5821
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC FORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 24�-5834.
,;t 3 35
CITY OF
��ctic �eac� - �Gvrid�t
SW SL%UNOLE ROAD
�__ _ -- - --- -- – — ATLANTIC BEACH,FLORIDA 32233-SUIS
TELEPHONE(904)247-SM
FAX ON)247-SM
November 15 , 1994
Mr . George A. Goodman
2014 Vela North Circle
Atlantic Beach, FL 32233
Dear Mr . Goodman:
our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
2014 Vela North Circle
a/k/a Lots 23 , Selva Norte Unit One
RE169506-1046
Investigation of this property discloses that I have found
and determined that a public nuisance exists thereon so as to
constitute a violation of City of Atlantic Beach Ordinances Chapter
16 , Section 16-7-B - Depositing of garden trash on City drainage
ditch, i . e, Palm tree branches deposited on embankment of ditch in
rear of your property - These items can be placed at curbside for
pickup by the sanitation department .
You are hereby notified that unless the condition above
described is remedied within five (5) days from the date of your
receipt hereof , this case will be turned over to the Code
Enforcement Board .
Under Florida Statute 162 . 09 , the Code Enforcement Board may
impose fines of up to $250 . 00 per day for a first violation and
$500 .00 per day for a repeat violation.
Sincerely,
Karl W . drunewald
Code Enforcement Officer
KWG/pah
' Enclosure
cc: City Manager
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22077 Address: 2014 VELA NORTE CIRCLE
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel Number: _
Improv. Cost: OWNER INFORMATION
Date Issued: 6/04/2001 Name: GEORGE A. GOODMAN
Total Fees: 47.00 Address: 2014 VELA NORTE CIRCLE
Amount Paid: 47.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 6/04/2001 Phone: (904)241-7191
Work Desc: HVAC
CONTRACTORS ` APPLICATION FEES
HUXHAM HEATING &AIR $`` P'I*RVIT 47.00
•
r
ROUGH MECHANICAL ,.
�= l "' t "sad .�rA„�j•;.a,',<./,,;,a3U, _:''•'''�`- SE. `� �^ "ra's.+” r7+,-7 'k„ °--..y -
NOTICES INSPECTfON4
#JSTBEkItQUESTED AT LEAST 24 HOURS PRIIR TO INS . CTION _
BUILDING MATERIAL,,RUBBISH go DEBRIS FROM THIS WORK MUST NOT BE RLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UR AND HAUtAPAWAY BY EITHER CONTRACTOR OR OWNER
f
"FAILURE TO COMPL 1MITH T STRUCTION LIEN CAN RESULT IN THE
PROPERTY OWNER PA NG EYl > O�VdMENTS11
ISSUED ACCORDING TO APPROVL��WI1C R PRF . F AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PRO IS44,NS 1t1ii
---- -
$47.88 14
AT TIC B CH BUILDI G DEPT. Date: 6/84/81 81 Receipt: 8862295
CHECKS 6212
RECEIVED PAID"
-July . 4 JM 4 ?00!
City Of Atlantic aj%Vb-DING A11M1 FC'YNIN(!!F"INSPECTION DIVISION
Building and Zoning CITY OF ATLANTIC BEACH
ATLANTIC aUCH, FLORIDA Jxx]J
APPL1CATlON FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT—Applicant tO complete ail items in sections I, II, III, and IV.
[WILDING
Ll rOCATION sh..f Addr.r,: LOFInb
ss-dt.i.l.n
II. IDENTIFICATION —To be completed by all applicants
In canridvHon a( p•mit qi. for doinq Ih. --i .r d. ,i6.d in Ili..60• tl.hmrnl �•hu•6y.qn. ro Parlor .id -orY In .<cvrdane•
'Ih th. .ff.cbd plan rnd •p.ci(Ica Hon. ,.hi.h .r. p.rl h.r.al .nd .n rccord.nc. .lIF 16. City a( Jac6ondll.mwdlnan<.. end .Lnd•rd.
of goad.pncfica lid•d rlh•rvin.
C•wl.a.terM.(<►Ah.nwk17
I /A � �15O
N.wr•a(
SIp.Nn •/O.ur Siyn.l•n v!
w A.Ihmlud A Arehil•ct w engin.•r
III. CEN L I FORMATION
A.
Type o4.. nq fuel: 8,
< IS OTHER CONSTRUCTION BEING OONE ON
THIS AUIL0114G ON SITE I v�J
❑ Ga.—❑ LP ❑ N.N-1 2-"C.nlr.i Utility
❑ OR IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Oth.r- sp.eJ(y
IV. 1ADCHANI4CA,L SQUIPUINT TO !R INSTALLM NATURE OF WORK
1?i,"ids compl.t.lid a(cumpw h o.6.6 of thi.(—j A Rasldentlal or ❑ Commerclsl
Haat ❑ space ❑ Racnaad l Gnfn.l ❑ F1oor ❑ New Building
�'-Nr Cawddle.inq: ❑ Ro.,. �]�C.nlr.( J�,-, Edmting Building
C3 Dt syrt— material TLicln. IL)�Rsplacemenl of Ixialing system t v
Mulmsrw c.p.<lly ❑ New In.t.11atlon(No system pr.viously Installed) \
❑ R.Giq.n Hae ❑ Extension or add-on to existing system
❑ Coaling loser, C.p..Ity ❑ otn.r-specify
❑ An rpAwll.nr N.v.6.r of h«d.
Q E(e..IM Q M.nllh ❑ Eaul.n.r Iwuwr6•r) THIS RAC't POR OFFtC! USA ONLY '
❑.6.aeil.e pelep.
❑. Ta.h (nu..b.rl R.r..d. .
❑ LPG
❑ Umit"prw.sr.tical
❑ Leben P.n.il Approved by
❑ 00l -sp«!fy P....il
LISP ALL EQUIPMENT
Ali CONDITIONING AND REFlUGERATION EQUIPMENT
t7r Jppro�tat
Ntm4.r Udta Darwrlptlan Yodel Number Yaaofaatu=sr
HHATL`(G • PUR.'NACF3, BOIIER3, PIREPUCEs
a
7
Numbs Unita D.aarlpt3m Yodel N1unMr Yaautaatluv ( )
TANTS
now mAzz7 Ncm4,a1 C>apaaib Typo u4ul4 Name o[ Sarw Avint
and Dtmaosims Coota.lnad Yannfautury No. A;mc7
i
DEPARTMENT OF BUILDING 6514
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD 44*00
THIS PERMIT MUST BE POSTED ON JOB 44.000:
12-64U19 1 A 1 /10/'o
Date 19 r 6514 900CAC
4619 1A 1/18/0
Valuation$ MEC'tIANICAIFee$ 44. 00 1000
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 BILL WILLIAMS HEATING & AIR CONDITIO I
has permission to XlCd TigSTAAI. HEAT & ATR
Classification RESIDENTIAL Zone
Owned by KEELER
Lot 92A N 2-1—Block 11n i t- TS/D
House No. 2014 VELA NORTE CIRCLE
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
-n AFTER DATE OF ISSUE
4— i O Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
= up and uled away by either con-
ct dwner.
Building Official.
FOR OFFICE PERMIT DATE v CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
i
DEPARTMENT OF BUILDING r
CITY OF ATLANTIC BEACH,FLORIDA 6
P7ITNO- V
PERMIT TO BUILD
I THIS PERMIT MUST BE POSTED ON JOB
.r� r.
Date_ I)r�t+c�tn},nr (, �
321 .75CKT
Valuation$ 88 ..304. 40 Fee$ 321 75 A fc/12/8
1.� '00CAC
This permit not valid until above fee has been paid to City Treasurer,and is1A 1211218
subject to revocation for violation of applicable provisions of law. (Q00
This is to certify that HENRY W. KEELER
1901 North First Street #504
has permission to build B�n�1 a Fami 1�rtiTu.�,,.
Classification Re`I • }, i
Zone
Owned by henKY W. Keeler
Lot 23 Unit I Selva Norte
Block �
_�S
House No. 2014 VELA NORTE CIRCLE
According to approved plans which are part of this permit
t NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
9 7U AFTER DATE OF ISSUE
------
0 Building material, rubbish and debris
/• 4 from this work must not be placed
in public space, and must be cleared
up and hauled away by cher con-
i tracto` nem-�-/J
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE -
CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
I
r
' WATER
A'DDRESS MECHANICAL PERMIT#
PLUMBING PERMIT #
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT #
&� TEMPORARY ELECT. #
Heated Square Footage /1�'3� @ $c-3g, per sq ft = $ 9 0 60
r
Garage/Shed $ �� d � per sq ft = $ 9802,d0
Carport @ $ per sq ft = $
Porches 1,7 @ $ er sq ft = $
Deck a00
@ $ ' �D per sq ft = $// '
Patio $ �eer sq ft = $
TOTAL VALUATION
Total Valuation Data lst $ . �QDO .or
T
zo13 �. X30
Remainder Valuation @ $ Z .00 per thousand
or portion thereof
TOTAL BUILDING FEE $ pZ0
+ 2 FILING FEE $ M 21
FIREPLACE @15 . 00
E
TOTAL BUILDING PERMIT
----------------------------------------------------------------------------------
PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ELECT. TEMPORARY $ ELECTRICAL PERMIT $
WATER METER SIZE $ ACCOUNT NUMBER
SEWER IMPACT FEE $
WATER CONNECTION $ (@10 . 00 per fixture unit)
APPROVED BY: TOTAL BUILDING/PLAN FILING FEE
TOTAL WATER METER CHARGE $ /`lf
APPROVED TOTAL SEWER IMPACT FEES
CITY
BEACH
RUILDINLGNOFFTCE TOTAL WATER CONNECTION CHARGEya
$ o2./d .
0 6 0.1 MISCELLANEOUS CHARGES $
Pu
Q,' GRAND TOTAL DUE:
i
.. ...... ... ........
CITY OF ATLANTIC BEACH valuation $- - ................ . ... .
FLORIDAHouse *------------------ -----------:.......I -- - ----------
.. ............................................................ . .. ..
APPLICATiON FOR SUILDIING PETAMT "..........................---------------------- .........
...........................................----------------
yrade for the approval of the detailed staternent Of the plans and specifications herewith submitted for the
This application is made in compliance and conformity with the Building Ordinance of
buil or c."her structure described. Th
the City of __,,,,antic Reach, Florida, and all prov,s, e T.aordinances of the City of :,Alantic
ons of the of the State of Florida, all
ent of the City of AtImitic Beach, shall be complied with, -,vheher
B,?%,:b a-:d Al rules and regulations of the Building Dellartm
1.creln �p�-r'fied or riot. 'ble to P-scertain that all
The Cunt.-,r-tor or Owner-BuNer who has been issued a Building Permit is auto-,ratically responsible b - -d
of Atlantic Beach, Florida. To prevent delay or em ar-,:sment . -
ractjrs eni:aged by him are duly licensed in the City n im
uggcsIt-d that a list of sub-contractors be rubinitted to this office so !hat license-9
c�
-,d!atP or final 1!r.sp-ctions it is s
f: d. Date.
------ ...........-- ---- -- ...... 19
Owner.... . -------Address_ � ..........Telep_�one
-------- .......7
A;chitec-t - ------- -- - -X -------------- ---AV.resa. . ............... ..........4--- -------------------Telephone N'o..... ...
4 t ----------- .............Telephone NT0--.;tA
-------Address
f0man 63BIock No.---........
_-Sub Division-'d-v-, .)-,#------ ------------- ------ -Zone-----------------
LotNO- ...and--------------------------------------------- _Sta.
-----y----
ly .... 'STreet__- ------ side Between.... ----
-ill building be used------ -_1e/k1,V5 --Type of construction.
----------- 04
$ For what purpose v;
A__19 ...................Size of Footings---- .. .....
D 3 of Bu'!d,ng ;7 _0--------------Dimensions of Lot......70P
..4.. --(.. 4.ol
S!-_- -------.....Size
---- - Size of Sills ----_----------- ----------_Gzeatest Sill Span in ft.------------------------Type Roof----- ------------------ -----------
Si
- -------
:-3ow P-_:!'�*ng be Heated?------ ------------------- -- --- -_---------Will Building be on Solid or Filled GroundT-------So,//14V
Centers. ......*1 j -------- ---------- Greatest Span.--------- ------------ -- --- --- ---- -
size of Ce;l*ng ....... D, -ance on Cent . ......
Size o ff Floor Jo•lats--- / D D_!.ance on Centers ....... -- ---------- ------ --------- Greatest Span----------------- --- - - ------ ------
o Greatest Span--_------........ ......... .. .
Size of F.a --s .. ....... D'�'.arice on Centers This rect;ngle is to rp;,_-esen tlot-
Locate the b-j1jd1'nX or bui;�i`.98
Contractors ' Lisence NO . right position. Give d:Etance in fee 'fmm
all lot-lines and existing bu,'131r,
A-P-P-R-0-MIE D , PEAR LOT LIN
-CITY OP ATLANTIC BEACH
BUILDING OFFICE
c- of plana and spe-cifical" 5 Shall
with application.
iquired. 6
r- M3
1. when steel is in place and ready to pour footing.
2. W --hen s' el is in place and ready to pour columns and/or lin Z
3. \VhEr. Elteel is in place and ready to pour beam. E_ I
4. V,`hc•n fxam!ng is completed.
5. rough plumbing is completed,and ready to cover
6. When septic tank drain field or sEwer is laid but before it is covered.
U2
7. Electrical inspection by City of Jacksor--ville.
8. Final inspection. 'on,re ST be called for after
N-,
er In ciase of any reject- -inspection MU
Mora
are made.
OF LOT
-
Trt, -we --r-by !:ig7ae to
'sg
the �ork az &scrlbed in the above Efatemc
Tn 7---.-ation of permit given for doing
jc_t*O-s, ��r�ch are a part hereof, and �n ar
:'.ante with the at!��cl,ed p7nns �-nd ipe�if cordance
• -n
rf the City Of A+' tic P.-e;`CIL 77,;u
A/
_.,erg
Cill OF AIL.iu'1ilt; ntAUh
APPLICATION FOR PLUMBING PERMIT
_ APPROVED DATE
;Il+ ATLANTIC BEACH NEWTYPE OF BUILDING
1111 DING. OEFICE - ----
OWNER'S NAME RESIDENTIAL
DEC 6 �s3 REPIPE .
ADDITION COMMERCIAL
LOCATION �.
PLUMBING FIRM ADDRESS
MASTER PLUMBER
please print
CITY/COUNTY OCCUPATIONAL LICENSE NO.
STATE CERTIFICATE NO.
BUILDER OR CONTRACTOR ------
-
-- ----------------------
-- -------
-------
---------------------
SINKS -'2- LAVATORY BATH TUBS URINALS FLOOR DRAINS
CLOSETS SHOWERS
WATER HEATERS j DISHWASHERS DISPOSALS
WASHING MACHINE OTHER TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST L! (p, �-Vl
BE IN ACCORDANCE WITH THE MOST RECENT EDITION SIGNATURE OF MASTER PLUMBER
OF THE SOUTHERN STANDARD PLUMBING CODE.
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT
INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT
TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c)
BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER ST L UN.
WATER CLOSET, LAVATORY 5 BATH HEAD SHOWER) (2 UNITS)
TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY
(2 UNITS)
COMBINATION SINK & TRAY DENTAL LAVATORY
(3 UNITS) . (1 UNIT) KITCHEN SINK
COMBINATION SINK & TRAY W/ (2 UNITS)
DENTAL UNIT OR CUSPI- KITCHEN SINK W
FOOD DIS. (4 UNITS) DOR (1 UNIT)
WASTE GRINDER
DRINKING FOUNTAIN (11 UNIT) DISHWASHER (2 UNITS)
FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARB
----�-= BEAUTY PARLOR
LAVATORY, SURGEONS (2 UNITS) SHOWERS GROUP PER HEAD (2 UNITS)
SURGEONS SINK (3 UNITS) (3 UNITS) POT, SCULLERY
FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP SINK (4 UNITS)
STAND (3 UNITS)
URINAL, PEDESTAL, SYPHON JET URINAL STALL,
BLOWOUT (8 UNITS) URINAL, WALL LIP WASHOUT (4 UNI
(4 UNITS) WASH SINK EA ;
URINAL TROUGH EACH 2' ,� WASHING MACHINE RES.
SECTION (2 UNITS) (3 UNITS) OF FAUCETS
WATER CLOSETS, VALVE (2 UNITS)
WATER CLOSETS, TANK- OPERATED (8 UNITS)
OPERATED (4 UNITS)
TOTAL FIXTURE UNITS �__
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9
of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is
provided in Section 10 of this Code.Only dwellings which are above ground frame(wood siding, brick veneer,etc.)or concrete wall type construction may
be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential
buildings shall comply with the requirements of Section 10 of this Code. Detailed information on how to complete this form may be obtained from your local
building department or the Department of Community Affairs, Energy Code Program,2571 Executive Center Circle East,Tallahassee, Florida 32301.
PROJECT NAME 1lr-- � PERMITTING OFFICE: —�1:•
AND ADDRESS: 21-6 CIRCLE CLIMATE ZONE: 1 2(3)
BUILDER: PERMIT NO.:
OWNER: JURISDICTION NO.: z & / D
IF MULTIFAMILY, NO.OF UNITS GLASS AREA AND TYPE
�TACHED COVERED BY THIS CALCULATION: CLEAR TINT,FILM,SOLAR SCREEN
SEPARATE CALCULATIONS ARE REQUIRED SGL SGL
FOR EACH WORST CASE UNIT TYPE.CHECK IF ❑
E ATTACHED THIS CALCULATION REPRESENTS A WORST ?� DBL DBL
CASE CONDITION. v
NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R= g
FRAME R= FLOOR AREA UNDER ATTIC SGL.ASSEMBLY
COOLING SYSTEM PRIMARY HEATING SYSTEM EN (/PRIMARY HOT WATER SYSTEM
TRAL ❑ NONE ❑ ELECTRIC STRIP 1-1GAS
ElNONEE ELECTRIC RESISTANCE ❑ SOLAR
❑ ROOM ❑ OIL ❑ SOLAR ❑ HEAT RECOVERY ❑ GAS
F1F1TERMINAL AC �HEAT PUMP:COP = — F1DED. HEAT PUMP:COP = E.
m
EER/SEER = ® ® ❑OTHER: ❑OTHER:
CALCULATED E.P.I.: CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS
In accordance with Section 553.907 FS.,.
hereby certify that the plans Review of the plans and specifications covered by this calculation indi-
and specifications covered by this calculation are in compliance with the cates compliance with the Florida Energy Code. Before construction is
Florida Energy Code. completed, this building will be inspected for compliance in accordance
l with Section 553.908, F.S.
OWNER/AGENT: z - `C BUILDING OFFICIAL:
DATE: % DATE:
9A I PRESCRIPTIVE MEASURES(Must be met or exceeded by all residences.)
MINIMUM REQUIREMENTS CHECK TO INDICATE
COMPONENTS REQUIREMENTS COMPLIANCE
WINDOWS 903.1 MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK.
DOORS 903.1 MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS.
EXT.JOINTS&CRACKS 903.1 TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED.
CEILING INSULATION(903.9) MINIMUM OF R-19.
WATER HEATERS(903.2) MUST BEAR ASHRAE STANDARD 90-80 LABEL OR A MAX.4 WATT/SQ.FT.STAND-BY LOSS.SWITCH
OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE
PROVIDED.
SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS.
ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER.
HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT
LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4).
SHOWER HEADS 903.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE.
HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE.
(903.6) DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2.
HVAC CONTROLS 903.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
1
FORM 900-A-84 CLIMATE ZONES 5 2 3
9C DESIGN CREDIT POINTS(CP) nNAURAL
HEATING SYSTEM CREDIT POINTS
CEILING FAN IN COND.SPACE(max 5 CP) 1 GAS/PROPANE HEATING J12.8
MULTIZONE A/C SEPARATED BY DOOR 5 ING
CROSS VENTILATION(1 CP per room) 1
WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5
WOOD STOVE 7 9E DESIGN PENALTY POINTS
FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE 3
TOTAL GLASS OPENS LESS THAN 40% 5
9C TOTAL(not to exceed 12 points) FIREPLACE WITH INSIDE COMBUSTION AIR 5
9F WINTER OVERHANG FACTOR(WOF) 9F SUMMER OVERHANG FACTOR SOF
FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW
0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00
2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98
3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95
4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91
5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88
6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85
7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83
8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81
9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79
10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77
11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76
12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1 112 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75
9G _ HEATING SYSTEM MULTIPLIER HSM)
COP 2.5-2.6 2.7-2.8 1 2.9-3.0 3.1-3.2 3.3-3.4 3.5&UP
HEAT PUMP HSM .40 .37 .34 .32 .30 .29
SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x(BACKUP SYSTEM HSM)
ELECTRIC STRIP HEAT 1.0
NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS)
PTAC& ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2 - 2.4= .45.
SEE TABLE ABOVE FOR COP >2.4
9H COOLING SYSTEM MULTIPLIER(CSM)
ELECTRIC EER/SEER 7.8-7.9 8.0-8.4 8.5-8.9 9.0-9.4 9.5-9.9 1 10.0-10.4 1 10.5-10.9 11.0-11.9 12.0-UP
CSM .83 .81 0.76 0.72 10.68 0.65 0.62 0.59 0.54
GAS COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70&UP
CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89
MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC.
FOR ROOM UNITS AND PTAC CSM FOR EER 7.5 - 7.7 = .87.SEE TABLE ABOVE FOR EER>7.7.
91 1 HOT WATER CREDIT POINTS (HWCP)
ELECTRIC RESISTANCE WATER HEATER 0
GAS WATER HEATER 10
INSTANTANEOUS WATER ELECTRIC 4.5
HEATER GAS 12.6
ELECTRIC BACKUP 6.7
HRU(A/C)WATER HEATER GAS BACKUP 13.9
ELECTRIC BACKUP 9.7
HRU(HP)WATER HEATER GAS BACKUP 14.5
HEAT PUMP WATER HEATER COP 1.60-1.89 1.90-2.19 2.20-2.49 2.50-2.79 2.80-3.00
(DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4
OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0
SOLAR o= ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0
HOT WATER °55M GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0
*PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM_100=OVERALL SOLAR FRACTION
4
1
1' CITY OF
l �°curt�c Sea d - 57&u� a
716 OCEAN BOULEVARD
P.O.BOX 26
ATLANTIC BEACH,FLORIDA 32239
TELEPHONE(904)249-2396
December 6, 1984
The Minimum Lowest Floor Elevation for
Lot 23 Selva Norte Unit I
is 9 . 70 '
A Survey indicating the "Lowest Floor
Elevation" shall be submitted to the
Building Department "Immediately" after
the slab has been poured.
No further inspections will be made
until the survey is on file.
No Final Inspection will be made and
No Certificate of Occupancy will be
issued unless the Minimum Elevation
Requirement is met.
4ilng Department
Representative
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
DATE 1`
LOCATION
PLUIMBING FIRM / (1
MASTER PLUMBER c
CITY/COUNTY OCCUPATIONAL LICENSE NO.
STATE CERTIFICATE NO. F D D
BUILDER OR CONTRACTOR .��c/R }' uJ L- L- -E Iz
TYPE OF BUILDING
SINKS C :SHOWERS
3 LAVATORY I WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS
OTHER
`,z TOTAL FIXTURE COUNT
INSTALLATION OF PLbMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE
MOSTRECENTEDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
DEPARTMENT OF BUILDING 6 5 3� .
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. . t„
PERMIT TO BUILD 52-001 T
THIS PERMIT MUST BE POSTED ON JOB j65 3 I Q 1/113161,
Date 2-6— 19--4014 3967 I Q 1 OKI 19C.
i OCl I
Valuation$ PLUIHBING Fee$ 52.00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that FAIR PLUMBING
has permission to 9649 INSTALL PLUMBING"
Classification RESIDENTIAL Zone
Owned by
Lot 211 Block llni-t _T S/D Selya Norte
House No. 2014 VETA NORTF rTRf T E
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
„ AFTER DATE OF ISSUE
�--terO 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 con-
act %wner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
I
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: "1� 19 L-2
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME ADDRESS: RFD BOX
BLDG.SIZE BETWEEN:
RES. 1/ APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW (Vf OLD ( 1 REW. ( 1
ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT.
SERVICE: NEW(Vi/ INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( � M, 6
SWITCH OR BREAKER AMPS PH J W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT —
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA
2��
RANSF. NO. VA. MA. MOTOR SIZE SWITCHFLASHER
FORWARDED
TOTAL FEES
%,L�.rrtifiratr of (Orrupaur!j
CITY OF
oaf4m,64 &fds- �� a
Drparfmrn# of +Bnilbing htiprr#inn
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.
Use Classification Bldg.Permit No. —
Group Type Construction Fire District. --
Owner of Building _ Address—— --
Building Address — t.onlity_-.------ —
By -
Building (ficial - Date:—_ -- -
POST IN A CONSPICUOUS PLACS
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P.M. Dis}F'N�
Job Ad ress Locality
Owner's
Name Contractor
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 INSPECTION A.M.
Mon. Tues. Wed/ Thurs. ida P.M.
�i A.M.
Inspection Made (J —P.M.
Inspector Final Inspection❑
Certificate of Occupancy
Date
INSPECTION LOG
�.• JOB ADDRESS
,_�a
CONTRACTOR
OWNER09 '
BUILDING PERMIT _CT A PERMIT
PLUMBING PERMIT TEMPORARY POLE PERMIT
MECHANICAL PERMIT MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .F .A.
Temp Pole /
Footing
S 1 ab
Framing a
� �
. _ _
Plumbing (R)
Electrical (R) �J /
Mechanical
Fireplace
Top out 3 cp-
Other
Electrical (F)
FINAL INSPECTION
Certificate of Occupancy Issued
C01,2IENTS :
CITY OF -
4&4atiC /'"- �
Office of Building Official
r
REQUEST FOR INSPECTION
p
Date /Q Permit No. `r s
Time A.M.
Received P.M. District No.
Job Address Locality
Owner's
Name Contractor
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 INSPECTION
A.M.
Mon. Tues. Wed. [5 hu /i on Friday P.M.
Inspection Made /Z �� —a A.M.
P.M.
Inspector 4 Final Inspection❑
Certificate of Occupancy
Date
CITY OF '
Office of Building Official
REQUEST FOR INSPECTION
Date
V ✓� Permit No.
Time A.M.
Received P.M. �Q+strict No.
Job Address Locality
Owner's
Name Contractor�C— �—
BUILDING CONCRETE ELECTRICAL PLUMBING / MECHANICAL
Framing El Footing ❑ Rough Wiring —1 Rough .� Air.Cond.& ❑
Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Thurs. Friday—P.M.
v r� A.M.
Inspection Made / /�/�,�_____ P.M.
Inspector 2, - v Final Inspection C
Certificate of Occupancy
Date
a � '
CITY OF
1Q&Ga& Be a4-&7&U-z&
Office of Building Official
EQ
UEST FOR INSPECTION
Date. [ Permit No.
Time A.M.
Received District
-_Z L -off y
b Addre s
Owner's Contractor
Name
BUIL NG PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....❑ Wire ...........❑ Rough Wiring ..❑ Rough ........Rough ........❑
Chimney ......❑ Lath ..........❑ Finish Wiring ..❑ Final .........❑ Final .........❑
Framing .......❑ Scratch .......❑ Fixtures .......❑ Sewers ........❑ Water Heater ..❑
Final ..........❑ Brown ........
❑ Motors ........E] Gas ..........
Footing .......❑ Finish ......❑ Temp-Pole .....❑ Cesspool ......❑
Slab ..........❑ Wallboard .....❑ Final Inspection.❑ Top-out .......❑
Lintel Beam ...❑ ( lWater .........❑
A.M.
READY FOR INSPECTION
Mon. Tues. We��� Thurs.
Fri. P.M.
OYL A.M.
InspectionMade P.M.
Inspector
CITY OF, �&
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date � A.M. District
Time P.M.
Received 11,
via ®r ---
/ qtyJob dd s`+ contractMECHANICALS
Owner's PLUMBING ►��''
Name ELECTRICAL n / Air.Heating i3
ONCRETE Rough Heating
BUILDING ❑ Rough Wvmg Top Out Fire Place
Footing ❑ Temp Pole 0
Framing Slab Pre Fab
(3e Roofing ❑ Lintel ❑ A.M.
READY FOR INSPECTION Friday P.M.
Thurs. �—�
Tues. A.M.
Mon. P.M.
inspection Made , > Final Inspection❑
Inspector �
Certificate of Occupancy
/ Date
CITY OF
716 OCEAN BOULEVARD
P.O.BOX 25
--�— ATLANTIC BEACH,FLORIDA 32233
TELEPHONE 1904)249-2396
March 29, 1985
Pre-Service Section
3rd Floor
Jacksonville Electric Authority
233 West Duval Street
Jacksonville, Florida 32202
The following final inspections have been made and are satisfactory:
Permit 1#4234 - 1999 Selva Marina Drive
Permit issued to Ferris Electric CaTany
Permit I4204 - 2014 Vela Norte Circle
Permit issued to Bivins Electric Company
Sincerely,
John M. Widdows
Building Inspecti " �St�ervisor
.RV:ra