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741 PARADISE LN - NEW HOME , CITY OF ATLANTIC BEACH -, - • 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 LJi319 ' SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFR-2084 Job Type: SINGLE FAMILY RESIDENCE Description: NEW HOME Estimated Value: $260,000.00 • Issue Date: 10/14/2015 Expiration Date: 4/11/2016 PROPERTY ADDRESS: Address: 741 PARADISE LN RE Number: 172376-0195 PROPERTY OWNER: Name: WHW INVESTMENT MANAGEMENT LLC Address: 1 INDEPENDENT DR STE 1600 GENERAL CONTRACTOR INFORMATION: Name: SPRINGFIELD BUILDERS LLC Address: 1881 BEACH AVE RALPH BUCK DAVIS Phone: - - PERMIT INFORMATION: FEES: - - ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $480.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $960.00 STATE DCA SURCHARGE $14.40 SEWER SDC-SYSTEM DEV CHG $4,050.00 • STATE DBPR SURCHARGE $14.40 � -("31`&:M NCE�1'gI�.1. CITY OF ATLANTIC BEMII ORDINANCES AND THE FLORIDA U LD G ODES. CITY OF ATLANTIC BEACH *. \SS1 800 SEMINOLE ROAD `J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 '�JFil�f' WATER CROSS CONNECTION $50.00 WATER SDC-SYSTEM DEV CHG $1,140.00 Total Payments: $7,043.80 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s6' ,:_,.. `s�J CITY OF ATLANTIC BEACH . `� 1 PUBLIC UTILITIES 1200 Sandpiper Lane Js1 ATLANTIC BEACH,FL 32233 (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: ?- 3- /S Project Address: 7 5// / f ,4O 4SL 1-19/ /r No. of Units: Commercial Residential t, Multi-Family New Water Tap(s)&Meter(s) Meter Sizes) 3// New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer ✓ Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: ' Signature: (Applicant) CITY STAFF USE ONLY Application# L,C SF/Q- Zp P71 Water System Development Charge $ / /�/O. co Sewer System Development Charge $ V ocO, vD Water Meter Only $ /gS; 00 Reclaimed Meter Only $ Water Meter Tap $ Sewer Tap $ (notes) Cross Connection $ c$a 00 Other $ TOTAL $5 (/2.57 no APPROVED: Kayle Moore,PE 1 (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED City of Atlantic Beach "'`�; N � �',a Building Department ��` APPLICATION NUMBER 800 Seminole Road %5� �, (To be assigned by the Building Departmen .) Atlantic Beach, Florida 32233-5445 2 eels , . ?O(J Phone(904)247-5826 • Fax(904)247-5845 15 .. 0 `\ )9 E-mail: buildin de t coab.us g p @ Date routed: Z City web-site: http://www.coab.us �� APPLICATION REVIEW AND TRACKING FORM Property Address: _I'// /alet: S6. 477 Department review required Yes No Applicant: /�-j fj J C d of� Plann ng & o ree •i inistrator Project: E l'I') rublic Works vt:7lt11Alliit � _- • • _ - Fire Services Review fee $ r.,-, Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept.of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP ATION STATUS • Reviewing Department First Review: Approved. (Circle one.) Comments: ❑Denied. BUILDING PLANNING &ZONING / �/ (- Reviewed by: ? /" Date: T 3 1•� TREE ADMIN. ��// Second Review: DApproved as revised. ❑Denied. LIC WOR S C.mments: /% /s►--- PUB PU:LIC AFE • Reviewed by: --- ---- ---------- Date: FIRE SERVICES Third Review: ['Approved as revised. DDenied. Comments: Reviewed by: Date: Revised 07/27/10 —z� (LAIJ>t. City of Atlantic Beach g APPLICATION NUMBER �. ;Building Department (To be assigned by the Building Departmen ) ' ` 800 Seminole Road (� Atlantic Beach, Florida 32233-5445 SEA /S - e3 i - d�� Phone(904)247-5826 • Fax(904)24775845 Q \D1119% E-mail: building-dept @coab.us Date routed: / L /� City web-site: http://www.coab.us _` / - APPLICATION REVIEW AND TRACKING FORM Property Address: 29i / a�a7a.,sL 4-77 Department review required Yes No Applicant: /''/h � l d -3, eies i--�Plann ng & o '' - ree • ■ inistrator El Project: fil C y» E 'ublic Works MIEUSEEMIIIIIIIIM Fire Services _ Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: VApproved. []Denied. (Circle one.) Comments: 4a A44 clad 4044 BUILDING PLANNING &ZONING �� _� Reviewed by: Date: 9%*-- TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [}Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ___k, City of Atlantic Beach APPLICATION NUMBER �s � Building Department r (To be assigned by the Building Departmen.) 800 Seminole Road /...5 — jf o�i�i Atl anti c Beach, Florida 32233-5445 Or a Phone(904)247-5826 • Fax(904) 247-5845 �,..1;b;t,.tt %' E-mail: building-dept @coab.us Date routed: 9 L /.5--- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 29I relia, -st Ai Department review required Yes No Applicant: 7r/nWLC1 d 1�i�s Plann ng & o ' --- ree •• inistrator Project: l E yj-) .Public Work qll °T ' btic Sae y Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Xpproved. ❑Denied. (Circle one.) Comments: BUILDING / / PLANNING &ZONING Reviewed by: !/ Date: ' et l.s TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 NI Pi/94,4164w 401- /02 = (176/0 novae "9 y /9 y Jib AP X Z�0 Patty poi& to u 4, 1.74 /94 t k10 c /10 WC 41-./ 3 43 k,Z. •: \ ,L _. 163 7 ;VI s'P,r /I 410 Y© 1 / i BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH . 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845-Job Address: 14 , para,k sc I A-k Lc --i,. i3,_ `L Permit Number: Legal Description Lam\ 3c -1�- �.se ���sit S–�4 Parcel# 117- 37Q, t) i 9S t Floor Area of Sq.Ft. a 't q. Valuation of Work$ Zt ', �c=�% Proposed Work heated/cooled Z.75 9 non-heated/cooled fat Class of Work(circle one): ew J Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial iesidential) If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval om Describe in detail the type of work to be performed: Cb^5\rv, -r'• 1)17--:7 S ,--\t( ,...N..\l } 'h` Property Owner Information: Name: �� ��1 �.��y, Address: I38Llto KA*1-4i--3wA.It Zz='1 City \cit: k ,►1�. State Ft Zip 3tLis' Phone 4z-l- (,LL .vLys- E-Mail or Fax#(Optional) r4tl,.. L_ cj.,,�3 ki\ cv,,...•k,c.,-, Contractor Information: CONTRACTOR EMAIL ADDRESS: ra`6•b•-v 1-,An v,5 '`en‘,`.(r>:n Company Name: 5atr & a s ow,t.r' Qualifying Agent: i& \^13•�LL D - Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Ci6C I Z S t3 to Zq Architect Name&Phone# 'S Li .---A. dI8`-1 -7-)--7 C,33(0 Engineer's Name&Phone# t-{.�1s b..: E,-,.‘..,,,;: r _ qd-i 8°4, 1. 1 a i Fee Simple Title Holder Name and Address O.....,,,,,- Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH I YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. l hereby certify that I have rea nd examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be oomph ith whether s,eci r-• •-rein or not. The granting of a permit does not presume we authority to violate or cancel the 7ovisions of any other fed al, tate, or lo •v egula .g construction or the performance of construction. / n 9 >i nature of 0 et �. v g Signature of Contract 'rint Nan :. k, . '30.434... bc,%,": Print Name 1 c.L. K 3efore ' Befor: e . lis . ,Wilt,' '.d- 2 20 t. _ 11Y• - -_ y , 20/a i► 1;. � c u. N ubli..fate of Flo app, rotary P '1 i j ' PI •Lary- bllo 5ta•of Florida ;c pLa1''y17rtt1itriir etiorl F-086990 Shirley L -m .°10 n9F Expires 02/14/201 Ili My commission FR 080990 •evised 01.26.10 01.A City of Atlantic Beach APPLICATION NUMBER �:. Building Department (To be assigned by the Building Departmen .) it, ``ti 800 Seminole Road / cS 7 . dO r!�i j , Atlantic Beach, Florida 32233-5445 ..+ v G Phone(904)247-5826 - Fax(904)247-5845 Mr E-mail: building-dept @coab.us Date routed: 9 2.Pc City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 79/ rei, a CSL 1:77 Department review required Yes /No Applicant: /''//, 1 d -�, dies Plann ng & o ' :, ree '■ inistrator Project: N E 1-1--am blic Work is ti i ie ublic Sae y Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: BUILDI PLANNING &ZONING Reviewed by: 4 _ Date: 9.,) Y.-/ ( TREE ADMIN. Second Review: ❑Approved as revised. ❑D:t' d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 ,i,:c1,AJV:rjr3 CITY OF ATLANTIC BEACH d ; Building Department : 4 J n '� � Atlantic 800 BeachSemi,Florida ole Road 32233 4000 (904)247-5800 PLAN REVIEW COMMENTS Permit Application # 1 S - S F R -- ,p 2 / Property Address: 7V/ fq.`a d, s e L n , r1 Applicant: E®r>273 .f e/c/ go i iderS Project: /j/e L /70 rn-e This permit application has been: Er- Approved q. 21f•(S--- ed . I e o 1 - : • • - 1 eel attention: } ,a v ./77V = - vAmm mmteit _ . 7(..Crrl --3- 0 , ins9, ?-) 1/./5.-- - Emoded 0 CI'.49/ -/s-vs- vx,srv, ,.,^o Please re-submit your application when these items have been completed. Reviewed By: 771 j ©o-e S Date: ?' /S' 5/- • Y BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 FIL CC77 Office (904)247-5826 Fax (904)247-5845 Job Address: /y ` a.re.A sc. LL,,,, 11 A�lG 4-Tj3 -. L Permit Number: /S--5-7 P 1 G( Legal Description L 30 okr• :sc 2res•rvc S-..,lo�:v;ye,� oor • ea o t Parcel# 1-12-37(0— e IS Valuation of Work$ Z( ', ooJ Proposed Work heated/cooled 27 S9 t non-heated/cooled 40$ Class of Work(circle one): Ca Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial •esidentia If an existing structure,is a fire sprinkler system installed?(Circle one): •es No N/A Florida Product Approval# For multiple products use pro— uc uct approval form Describe in detail the type of work to be performed: Cb^skrw N ,,", 5 ,•" Property Owner Information: Name: Q 1d 1F,P-�.vs City �i State Address: 138yb ACELk 2.01 Zip aiz Phone 4MI-Cott-0 2y S- E-Mail or Fax#(Optional) caie4,„ k- ekayt3 61 0 rnwA cdn. Contractor Information: CONTRACTOR EMAIL ADDRESS: rak L•e 61/4-1/43,-.dnv;s G\Thal.\,con. Company Name: Sam& a s owns.r- Qualifying Agent: .-"Ka4(„34•AcL—0.=.Ns Address: Office Phone State Zip Job Site/Contact Number Fax# State Certification/Registration# C fSC I 2..58 6.2.1 Architect Name&Phone# S, `Ly„ -D� ,^ ci ay-11-7 ‘33‘. Engineer's Name&Phone# t-LAS 64-9 rte, _I--;t Ci&t 80 Fee Simple Title Holder Name and Address .'r °�O 2'y° Bonding Company Name and Address ��r,�� I Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certifil that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six.(6)months at any time after work is commenced I understand that separate permits must be secured for Electrical'York,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. l hereby ert that I have rea• •rid examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this pipe of work will be comply•/ ith whether s.eciji'• •-rein or not. The granting of a permit does not presume we authority to violate or cancel the 2rovisions of any other fed- al, tate, or lot- egula g construction or the performance of construction. >ignatu>e of 0. r e Signature of Contract 1. v 'rint N. k. - '4.4's -ba■ ►s Print Name Cb.. '1S 3efore e its D. • /. ';- 2 20 Befor, eOW• _ � -T`T�`- +is+ �opYPo 1. Nom -obi'.-tate of F J•a '.� 1otary Pt.',1 ,ctsr .Lary of Florida c �s 1�rl i],�,s;on 088980 Shirleym �A� �. My Commission FF 008980orno Expires 02i141207�i o,a Expires 02/14/2018 'ev><sed 01.26.10 • DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions bons Review Initials/Date: 1 9?/S v s • r r- toa#,71, Development Size Habitable Space P75-9 S.T' Non-Habitable 7 Impervious area Miscellaneous Information Occupancy Group Type of Construction .1 Number of Stories 2 Zoning District P U Max. Occupancy Load Fire Sprinklers Required Flood Zone A (. Sl,adeJ @,) per` r&f) Conditions/Comments: MAP OF BOUNDARY SURVEY DESCRIPTION: LOT 30, PARADISE PRESERVE ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 57, PAGES 31, 31A THROUGH 31C, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. S76rJ2.34•F FILE COPY F.I.P. 1/2- ---1 ----- ----- x•76' LB 1701 — — _ S7)0 I — — S77 823,55.p07,LPMI 1 I F.I.P. 1/2• LB 1701 I F.I.P. 1/2' I LB 1701 L 0 T 3 2 ti I o I :., I 0. I ,: L 0 T 3 1 0 / 'z x l L 30 00 / 1 `...00 Q.; / u' ;u;u I !n, F.I.P.f7112' I I):~ \,1- - - — TRANSFORMER 0 1 0 T 2 9 � PAD IN!0'x10' 7.S• _ „EA EASEMENT — —4= O �2° < O °m N T c U2N Z OD CL ed t ON a om a S z.u . a ULM M m imk �o aa U S° Z IN Z la a p. c c Q=m O `o o m w °m>o 0 o c .‘6.4., H w o o c 0 —7 o w o IXq . • a 2 O �7 O o iO J u. Ili 0Y m. _ E co O J a Z CD Z p Q. a O ° U >_ a LL in IL O S N CC x o y Q O nw N O• Oo Ol 0 1 o �°N— , fl m_ c. tsp. am ° O ▪ M a t ,g 4 o 4.0 cn j 4 Ct III a� a n c „.„.11 '4IN \ Jm W w0 I be t / 4-1"fr. CD CC i lc a / Ipl bi QQ J a co ..- 1 ® ` 9 o ..*Ilik'''''‘:: 4.'. w O rr� 3.Si LL v STAB z ] .m a Ca rn 0 0 Cc M • FLE COPY PRODUCT APPROVAL INFORMATION SHEET (PAIS) FOR THE CITY OF JACKSONVILLE (Revised:July 8,2008) c� Project Name: Lot 30 Paradise Preserve Permit#: /5 - SEW —c 708 / Project Address : 741 Paradise Lane, Atlantic Beach, Fl. 32233 As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at: http://www.floridabuilding.org. See Bulletins G-25-04 and G-03-05 for more information. Product Description or Product - Category/Subcategory Manufacturer Model No. Limits of Use Approval # Local # A. EXTERIOR DOORS 1. Swinging MasnnitP FI-43.34 2. Sliding 3. Sectional 4. Roll up CHI Overhead FL-15074 5. Automatic 6. Other: B. WINDOWS 1. Single hung Silverline FL-14911.3, 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed Silverline FL-14918,2 6. Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other: _ C. PANEL WALL 1. Siding James Hardie FL-13209 2. Soffits .lames Hardie FL-13265 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other: Printed Date: 7/10/2008 Page 1 of 3 Category/Subcategory I Manufacturer Product Description I Limitation of Use I State# I Local # D. ROOFING PRODUCTS 1. Asphalt shingles Owens Corning FL-10674R8 2. Underlayments 3. Roofing fasteners 4. Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other: E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other: F. STRUCTURAL COMPONENTS 1. Wood connector/anchor Simpson FL-2355 2. Truss plates 3. Engineered lumber Ga Pacific F12023.1 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other: Printed Date: 7/10/2008 Page 2 of 3 Category/Subcategory I Manufacturer Product Description J Limitation of Use I State# Local# G. SKYLIGHTS 1. Skylight 2. Other: 'H. NEW EXTERIOR ENVELOPE PRODUCTS 1 2 In addition to completing the above list of manufacturers, product descriptions and State approval numbers for the products used on this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed instructions, along with the list above, on the job site available to the inspector. The products listed below did not demonstrate product approval at time of plan review. I understand that before these products can be inspected, they must be submitted for review for code compliance and approved by a Plans Examiner. This form will be revised to include each new product in the categories listed above and will be highlighted to indicate the new products and required information. Contractor/Authorized Agent: Ralph Buck Davis ✓� (Print) (Signature) Company Name: Springfield Builders, LLC Mailing Address: 13846 Atlantic Blvd. #204 City: Jacksonville State: Fl. 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