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280 CAMELIA ST
CITY OF ' 1 _ Ii�S������ce�L�GG �QRCGL ���PvLGaGL 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 DATE: ARE-SERVILE: DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: _Lzz ' I --I k'a-,-�a c-:-7L------------------ zio -7-L -- D__ z�. --------- ------------------ ------ ------------------------------------------------- ------------------------------------------------ ------ ' ------------------------------------------------- SINCERELY, BUILDING 1NSYECTION DIVISION cc:FILE PEPAATMENt; tLDINti ' CITY OF ATLA"BEACH ZRKIT INFORMATION -- — -- LOCATION INFDR14ATION ---_- -- 5-49I Addireee s 280. CAMPLIA STREET T ►p s BUILDINGATLANTIC HEAGH, FLORIDA 3223 NtorfiN � --- --_w__ LSAL OESRIt' IOI N IS° BA)!IxE Lc►t: 2 i a QC1 ', & Soctjon: bF►� ium4l"I'l 5'I Nt 119 FAMILY Y Tovt��►ty3 p z RNC3 z I lIatI Ccwd s 0Subdivi>l i' n: SECTION H Y/{It�y 4 .4,2"x«.'00 4F.! Lt4,R15i� A *30.00 PER/ 4 ALAS 771ATIOn «' APPLICATION mow LIC TI FEES y N}n�'''Tq�+�+r ' F'EFtI' IT. y a ,3yi,Q^^yy.CryiCt� STREET. 9a %#A Il"PAC F`I~E 5RR✓1�. CR, FLORIDS RADON OAS-H.,R.S. #CI.,O x. RADON OAS - 5% RERMATER TAt saQ 0 d ., "EWER TAF SIS, C#O HYDRAULIC SHARE 0. 0� Type: I' RE-INSP"EC"T',FEE ��� � 00 SEDC. H 'IMPACT Ox. "' a �;� iNM�rM�.!m't�°�'kk�•r,w:M.arw way; r. Li�k��«=w.n , ...mr.:xs+».,r�x 9 t. 114: -�'AL�L CQ�t�t."FU t"C t M$Ilfi1Q FOOTINIGS MUST SE IN$PECT$D SEF©RItPOU'RINC,a PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE St##tFI AAATE.RIAL,RUBBISH ANO.DESRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,'AND MUST BE ELEA-O UPAND HAULED AWAY BY`EITHER CONTRACTOR OR OWNER. � XTQ 11 PLY WITH 'TRE,MECHANICS`' LIEN LAW IES # IIS TO I OPERTY:+C 11VI 1 PoiNG `rw,IC FOA SUI.L OIN 'IM E i ISBN, A+CCOMING TO APPROVED PLANS NEAGH ARE PART OF THIS PERMIT AND SUBJECTRWOCAT14ON, VIOLA"ON OF APPLICABLE PROVISIONS OF LAW. w' LANTtC'BEACM�BUILDINC,DEPARTMENT CITY OF ATLANTIC BEACH -- ns,ti 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 y OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PTQ C OAB.U S '' ay ELECTRICAL PERMIT APPLICATION DUVAL COUNTY ,1slOB'AADRESS ^' ., ,fir e, a s" ;z2Z1S; hSsi4�SU13,RERMIT _. 9('N O ❑YES PERMIT# 8 v s, s ,crxx,.t,. 4.NAME: n LL 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHONE: v F nk r,.,.�.a �` ✓J'r, } i. ;its .J' !,�r,e'„',ELEC, ICAL;iCY,ONTRACT:OR1�'` 7.NAME OF CO PANY: ` B.ADDRESS.: cau&-- v1C j �� SrA-p',F (�. Ste. 9.STATE OF FLORIDA LICENSE NO: 10,CELL PHONE: 11.FAX NO.: [-rz o'0 o S%k 12.EMAIL AqDRESS: 13.OFFICE PHONE: 14. bob 'Al � � 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commg�d. CONTRACTORS SIGNATUR ' 17,>`,EF2VIC�%, E3 MULTI FAMILY-#OF UNITS: RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19, .t11,(15,I�1(3`y `, , s" .c' . .... *' ft<9 �$�i<CIJIt 1kc;CODik$ , ', ❑ALTERATION ❑SIGN OLD ❑NEW 1K'05 NATIONAL ELECTRICAL CODE REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: gg. ,,, n sr,:r 0 .)1 y h ,(o-a°�} '"' ?I .: iys,r,,k;br y,r��'I)„fYa )4a''d", Y,,;t,s f.f;;.-{e LIST`Ar ri R. s £' t!Tf,. �.' ,I?.� 20.TYPE OF SERVICE: ❑OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: 00 PH: W: VOLT: 7-4-0 RACEWAY SIZE: S C'`J 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: r ' ' ay t. . s ,:S132:AttCNk1 Inf � fi * IIINi4 P�Ffl'r•>3ht Mf'k."fn " '{i'.;E% �,;'.,. `rlk+�9. °�i ��Y `5�S ? t.`.". #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: >�,.�'�rx,r� ,i's 4`.`","nr,Sf,�x, ,im.� h tit,',,rrk+C�r�i a, �ii,n (���,r.,,, 1q,FIr -: 4 ...r M�;�c;IIiIQTOR�.,b,R>r^'k��.�0��'��r.a.•`r '2'u&4r,.,,%�`��r'� ry,. i"a ier er�.e,.r�r �.n�.vu4'^r k,,,}S.`'`s,w5� f..�k>�,.,�a.``,`. NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: gH�P:p� p C KVA: .34;TRANSFC)RMERSY, UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: r,Y w , x ti * '" m w»w,`:35:,M1$C?L ANEQt1S REPAIR+y ;r a ✓ „d H�,5-mid Lsdn 'I4t 124"' DESCRIBE IN DETAIL: k v� COAB FORM BLDG02:REVISED:1/10/2008 CITY OF ATLANTIC BEA CH �-� 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001221 Date 9/08/08 Property Address . . . . . . 280 CAMELIA ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------------------- Application desc FIRE DAMAGE 200 AMPS 240 VOLT PH 1 --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BENNETT, REUBEN MCCLURE ELECTRICAL CONTRACTORS P.O. BOX 806 Q/A:MCCLURE, ROBERT ATLANTIC BEACH FL 32233 PO BOX 51368 JAX BEACH FL 32240 (904) 249-9061 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 9/08/08 Valuation . . . . 0 Expiration Date . . 3/08/09 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT # 1182 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 /1 p Phone(904)247-5826 • Fax(904)247-5845 . 31�r E-mail: building-dept@coab.us Date routed: ZZ 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM �� C �T D Property Address: ent review required Yes No l�rn�Li 2 uilding Applicant: Hing &Zoning d ltl 7l� Public Works �, . . . ::..:. Public Utilities ,..:.: ......... . ...::.., . . Project: 6��� . 4.T Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: APPVCATION STATUS Reviewing Department First Review: EApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: 9i3/-a R" PUBLIC UTILITIES Second Review: ❑Approved as revised. []Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: ❑ Sections and Details: o Typical wall sections for each dissimilar wall type. o Stair sections with guard and handrail details. o Balcony guardrail details. ❑ Electrical Plan: o Riser diagram including size and type of service entrance conductors o Location of all receptacles, switches and the distribution panel. o Required plan note: "All electrical wiring to be in accordance with '05 NEC. Provide arc-fault circuit interrupters in all bedrooms per article 210-12." ❑ Plumbing (please note if the following applies): o New or existing private well on property o Irrigation to be installed o Irrigation meter desired `y "V 2 t City of Atlantic Beach Complete Plans Checklist Provide (5) copies of plans — (2) copies signed and sealed ❑ Cover Page: o Address of project oOccupancy Class: For One&Two family"Group R-3". Applicable codes (2006 Florida Building Code, 2005 National Electrical Code, 2004 Florida Fire Prevention Code and COAB Code of Ordinances. o Index of all drawings&attachments and all pages numbered. Printed name, contact info, date and signature of person responsible for the design of the structure. ❑ Site Plan: o Distance of proposed house to property lines o A/C compressors, generators, LP gas tanks, pool equipment etc. o Driveways,walkways, patios... o Impervious Surface Area(lot coverage)calculations o Drainage plan with supporting on-site water storage calculations, and location of easements. ❑ Erosion &Sediment Control Plans: o Silt fence location, construction tietail and maintenance plan. o Inlet protection (if existing storm water inlets are adjacent to property. ❑ Construction Site Management Plan: o Location of any proposed demolition o Grading &drainage surface water management plan o ' Onsite&offsite parking for construction workers o Location of temporary fencing with height and screening indicated o Location of dumpster, construction trailer&chemical toilet. COAB Code of Ordinances—Sec.6-18 ❑ Foundation Plan: . o Required plan note i.e.: "A foundation survey shall be performed and a copy of the survey shall be on the site for the building inspector's use prior to framing inspection." Or, "all property markers shall be exposed and a string stretched from marker to marker to verify required setbacks." Floor Plan: o Size and arrangement of all rooms and intended use. o Locate air handlers, fireplaces,water heaters, attic access, etc. o Label accessible 1"floor bathroom, egress, windows etc. ❑ Elevations ❑ Structural Engineering: o Structural design criteria, loading requirements indicated. o Shear Wall plan. o Size all beams, headers and support requirements. o Detail uplift&load path connections. o Engineers embossed seal required. o Supporting structural calculations included. '04 FBC-Sec.1603 ❑ Roof Plan: o Indicate how attic is to be ventilated. 1 f'�j�i'Jr.Ira ` CITY OF ATLANTIC BEACH OWNER / BUILDEI2 AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: FIS LOSURE STATEMENT FOR SECTION 159.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO, 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS IVO PHONE NUMBER PRINT NAME o SIGN RE ' DA E Before me this ZL day of 2007 in the county of Duval, at Flori a,has a appeare �.,,�Ern n n£� herin by himself/herself and affirms at all statements and declarations Z true and accurate. Notary Public at Large,State of Coun of jh_ ❑Personally Known ""r"' SHIRLEY L.GRA*M TroducedIdentification- -a Cbli�ryjPI&II Stale Iodda _•. eb14,2010 mmission#DD 518533 Notary Signature: '��P° �`' otaryAssn. Conn FORMBLDDG07, 8/1007 �s >J' CITY OF ATLANTIC.BEACH _. _... ... _. _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 GgI I �� t OFFICE:(904)247-5826•FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY d4.1[`JOBADDRE$S i. r. �sa.'ii., 2.y,ALUAT.J,QNOFWORI�,'z ...,> 3 SQ FT,';1JNDER;ROOF.t ... _., M. g.n Atlantic Beach, FL 32233 06lE ? 4:1EGAC DESCRIPTION, ;'i= .. ....+: e 5 C` SS ';..WORK"':Hxa ..1 .... 6.'USE OF.STRUCTURE,.`,5.:.',."::: . ....,. . ,.. .�. ,.u p / ❑NEW BUILDING 11 DEMOLITION 00 RESIDENTIAL LOT ;L BLOCK I OOSUB DIVISION V°�i r' ❑ADDITION J❑CONVERTING USE ❑COMMERCIAL !r DESCRIPT ON'OF WORK a; ❑ALTERATION ❑ACCESSORY BLDG. 8:FIRE SPRINKLER; '..s 2;- ` r16REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER &NO aA1xfr t.,,,;., PROPERTY OWNER =s .,CONTRACTOR. :,h a , . ,z c f, .,. :;ARCHITECT I ENGINEER: .I 9.NAME: �� RA +F S 15.co '0 �LC- 23.COMPANY i AIDE: ,�` S i 4 16.NAM p.1 24.LICENSEE NAME: 10.ADDRESS: 17,.�STATE OF FLORIDA LICENSE NU.: 75.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 0 26.ADDRESS: , FCA-,3.1 o m .hall ; 11,OFFIC PHONE: 7777 19.OHICE PHONE: 20.FAX NO.: 27HONE,PHONE 28.FAX NO.: 1 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: fir_ . e � B9-.4,6 5` Orn, IF 14,EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: r � *^ FEE SFOTPiaeaTrturtigwO;RDER y BDNDINGCpMPANYaat� ixn; c w)` MORTGAGE LENDER 31.NAME: 33.NAME: 35.NAM 32.ADDRESS: 34.ADDRESS: 36.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 aban f per'od of ix (6) months at any time after work is commenced. I understand that separate permits must be secured for ectrical Work Plumbing,,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, r Conditioners,etc OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. k WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. y(5 `4 -a OWNEROr.AGENT ,' .`�� tk'*a � C NTRACTOR ; r xa .; (If Agent,Power ofi:Attomey ot4Agendy=Jettbr Signed: Date: Signed: Date: Before me this day of 2007 in the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared h rin by himself/ erselta h all npn declarations are herin by himself/herself and affirms that all statements,and declarations are t e and ac r it ff true and accurate. otary b ar f f Notary Public at Large,State of County of Pers a y Kno RLEY GRANA ❑Personally Known •4P"Y P @ ❑Produced I ota i b 4,2010 Notary Signa r a. CE J 9F� d I Nota Assn. CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL EACH INPECTIONS "EQUIREMENI'SANDCONDITIONS. DG01:REV REVIEWED BY. DATE: - I-O. !f CITY OF ATLANTIC BEACH s1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001318 Date 9/23/08 Property Address . . . . . . 280 CAMELIA ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc repair smoke damage in kitchen ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BENNETT, REUBEN OWNER P.O. BOX 806 ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 3/22/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 130 . 00 130 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ADDRESS Jj BUILDING PERMIT #b O� INSPECTIONS FOOTING______________ INSULATIOH_JLL2�g1____ SLABSTEEL -------------- ----------------- FRAMING_ I p I-2�113 1 __- FIRE FINAL BUILD__________ C/O ------------------ ELECTRICAL PERMIT #f___ jJ j INSPECTIONS ROUGH___�D FINAL----��5� ------- PRELIMINARY SENT TO JEA FINAL SENT TO JEA �5�ff?0______-__ CALL TO JEA_________ MECHANICAL PERMIT 0 INSPECTION ROUGH__�(���1!��_-__ PLUMBING PERMIT #►____1 INSPECTIONS UNDER SLAB_1Dj3-d-n_ ROUGH---LC���-� ---- SEWER --------------- PUBLIC WORKS MAS' SHOWING SURVEY 4F THE SOUTH 1/2 OF LOT 5, ALL OF LOT 6, BLOCK 108, SECTION -H- ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18 PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. t� 00 a %10 C) °� Q NORTH 1/2 OF LOT 5 01 o� �` ,a4P Y S. 8 9. 0 2' 0 0" W. 10 2.0 0' N' NTo. s 2Q ..0 0 S O U T_H> I/A p O W Uld LOT 5 E '�G Q (o - - I O 4 C� �.� LL FNQ I f P m � m '�:^� vi U � NO CAP Soy _ WSET-i/21'tP 50.00 N. 89's 02' 00w E. 10 2.00 SET „ .R N4 3672 No. 3672 -- ....- 'T` "C' i 1 R D S T RE E T 50' R / w If SEAdR I N,S S AS PER PLAT. 9) NO D.R.L. AS PER PLAT. 3) THIS IS A BOUNDARY SURVEY. IV too 3 01989 1 HEREBY CERTIFY THAT THE PROPERTY SHOWN E�!N FLOOD ZONE -C- AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR ATLANTICLORIDA. I HEREBY CERTIFY TO THOMAS E. GIBSON THAT 1 HAVE SURVEYED THE LANDS AS SHOWN IN TU- ABOVE CAPTION AND . THAT THIS MAP IS X TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL STANDARDS OF '--THE FLORIDA ADMINISTRATIVE CODE CHAPTER 21—HH-6 AND FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-A-86 SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES 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.An alternative to this method for single-family detached dwellings,and multifamily attached dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater than three stories must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301.8244. PROJECT NAME E gN AND ADDRESS: PERMITTING OFFICE: BUILDER: CIRCLE CLIMATE ZONE: 1 2 3 PERMIT NO.: OWNER: JURISDICTION NO.: DETACHED CHECK IF WORST IF MULTIFAMILY, r GLASS AREA AND TYPE NEW ❑ ADD. CASE CALCULATION: ❑ NUMBER OF UNITS: L❑ CLEAR TINT,FILM,SOLAR SCREEN ATTACHED CONDITIONED CEILING INSULATION NEW ADD. FLOOR AREA UNDER ATTIC SGL ASSEMBLY SGL SGL � R ❑. _ L❑..F1 = DBL DBL NET WALL AREA AND INSULATION CBS R= FRAME R= STEEL STUD R= LOG R= [Zl.❑ m m ❑ DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCOND. SPACE CENTRAL ❑ NONE ELECTRIC STRIP ❑ HEAT PUMP 1K ELECTRIC ❑ SOLAR R = ❑.❑ ❑ ROOM ❑ NATURAL GAS ❑ ROOM/PTHP ❑ NATURAL GAS ❑ HEAT RECOVERY IN COND. ❑ PTAC ❑ OTHER FUELS ❑ NONE ❑ OTHER FUELS ❑ DED. HEAT PUMP SPACE R = SEER/EER = �.� COP/AFUE = O.® EF = SF/EF = ❑.❑ NUMBER OF BEDROOMS = INFILTRATION ICE USED o� � l I I - _ 1 I 1 X 100 _ cam.❑ Ej�ltj E] #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. In accordance with Section 553.907 F. I hereby certify that t plans Review of the plans and specifications covered by this calculation indicates and specifications covered b i anon are in corn with the compliance with the Florida Energy Code.Before construction is completed,this Florida Energy Code. building will be inspected for c mP ance in acco �it Sectio 53.908 F.S. OWNER/AGENT. BUILDING OFFICIAL: DATE: DATE: O �� VE MEASU OgS Atust be met or exceededI COMPONENTST REQUIREMENT WINDOWS .1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE S H CRACK. EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SO.FT.OF DOOR AREA. INCLUDES SLIDING GLASS DOORS,SOLID CORE, ACUACENTD PANEL,INSULATED, Y. EXT.JOINTS& 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. CRACKS I MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND WATER HEATERS 904.2 STANDBY LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUT-OFF MUST BE PROVIDED. RNAL 08 BUILT4N HEAT BUILTTRAP MUST BE PROVIDED. SWIMMING POOLS 904.3 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NONCOMMERCIAL POOLS MUST A SPAS HAVE A PUMP TIMER. OAS SPA&POOL HEATERS T HAVE MINIMUM THERMAL EFFICIENCY OF 75%. �+ HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES, PIPING HEAT LOSS SHALL PIPES LIMITED TO 17. /LINEAR FOOT OF PIPE. WATERSHOWER HEADS 904.5 1 FLOW MUST BE RESTRICTEDTO NO MORE THANGALLONS PER MINUTEAT 20 TO 80 P IG. HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS&LOCAL MECHANICAL CODES. DUCTS IN TIUNCONDITIONED-SPACET BE INSULATEDR. 4.2&JOINTS MUST BE SEALED, EEILINIG INSUL 904.9 MINIMUM R-19, HVAC CONTROLS .7 SEPARATE READILY TI THERMOSTAT Y M. .1. Ark'- > 9 �; e �7L 1 1 � G NiAR 1996 APPLICATION FOR FENCE PERMIT Building and Zoning Owners nawe ��, . .r..w. 1_.� L=-----------Phone - Job Address--_-2 ------ -------------------- Lot Hlock and/or Unit ;, ------- _ _-____--Subdivision------------- Contractor if different from owner__ _______________________ ----------------------------------------------------------------- Valuation of fence ♦ S� Corner or interior lot__________ Type construction... location and height of fence as well as location of streetta). !� _. Owner signature �� _f_.�= -------------Date�S Contractor signature__,i)' ,'�_____---------------------Date i E 'DEPARTMENT OF BUILOi4d CIT�I(3F ATLANTIC BEACH ^ ------- LOCATION INFORMATION �..� . _.. Kermit Number: 1 Et Address: 286 CAI ELIA STREET Permit TYP*a PENCE ATLANTIC BEACH, FLORIDA 32233 Class of Work: N _~r ,__. -- LEGAL D1$BCRIPTION ---------- ,C-oris t r,. . __ _ ._-_Coristr,. , Type. CHAINLINK Lot: 2 .Block, 99 Section: H Proposed Use. SINGLE FAMILY , , Townshl.p.; o Dwellings; 1 Codoi Q Subdivision: SECTION H Estimated value: $250.00 Iimpeov Cost : SO.00 Total Fees: $1.4000 Amount id• $14 . O D 3/15/96 Nark R oot wite ,fenee per plans 'ION -------- 'APPLICATION FEES H e x�nn a�^ k BR'I`E`"+^ �t P d I`� $10 .00 hdd � S ST MATER IMPACT FEL $0.00 EACH, FLOR I ISA 2 3' I> PACT FEE ,4,04 S 1 {{�-`{ tT` Q -- RAL�014 rC{yAB '!�� y�� () Qyy00 {� 4if +W AA ' #fQ1�E:..a WV.w, W Address : "TAP 40 00 �a CROSS tftiECil"ON $0 .00 L oeneee Type 1 EEC H IMPACT PEE $0.00 CgyyCMI?N T. SU/[RCHAR��}Cyd'`}E jl .00 ARGEATL. i , NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPIECTED BEFORE POURING PERMIT NQI©SIX MONTHS AFTER©ATE OF ISSUE 11�3i1 MATERIAL,RtlSE3tSH AN0 DEBRIS FROM THIS WORKMUST NOT 8E PLACED IN PUBLIC SPACE,ANDr MUST 8E CS D UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER X: R I tJRE Tt ; CC} IIP .Y WITH THE MECHANIC'S LIEN LAW, CAN RE I�C.T`IN LOW RPA'AYINO,MICE FOR OM 1111 ,1�31N+ I IIRI C3�/I l NTS" CC3FtDt4 a, C}APPROVE©PLANS WHICH ARE PARI"OF THIS PERMIT AND SU ECT TO REVQCAT� OF Ad'"PL CAL3i.p PROVISIONS OF LAW. d�r#e� 3fI�I�► UKl i i;e D#i902 t�3lt>I1�G3�8lE1KtI DEPARTMENT k to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary for City •to enlarge and expand its offsite water and sewer, plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants so that City can provide service to the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and , valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City . this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems Of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be built by Developer and 11'I1LI'1'Y SERVICE (Water and Sewer) THIS AGREEMENT entered into this 28th day of March , 1.98 8 , between the City of Atlantic Beach , a Municipal corporation, hereinafter called "City", and Bennett Construction , a corporation, its successors and assigns, hereinafter called "Developer". W I T N E S S E T H WHEREAS, Developer owns land in Duv,11 , County, Florida, more particularly described as Lot 2 Block 100 Section H refer to acreage, plat engineering 260 Camelia Street drawings, or legal description as Exhibit A and WHEREAS, Developer plans to develop said land ,by constructing ' 1 buildings,' 1 residences and/or other improvements thereon consisting of" Single Famliy and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and + WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and MAP SHOWING SURVEY OF LOT 2 BLOCK 100, SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18 PACE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUI TY, FLORIDA. B L 0If\ C K � 99 1 i END. 1/2" I. R I ( N. 01°21'44��W. MEAS. SET I/2'' I. P ) No. 3672 No. 3295 N. 0 1° 16'00" W. 5 0. 0 0' B L 0 C K 1 0 0 Oo — O O N N W W W _O -CD W m UD O W V/ o 00 aD (c) tr) 0 o = 0O 3 o, O O o, a:am N (V ao _o 60 Oz I ul �— rn � OD c0 SET 3872 P t/1 Z SET 1 / 2� I. P. w No. 3 6 7 2 S. 01016' 00" E. 5 0.00' I ) BEARINGS AS PER PLAT. 2) NO B. R. L. AS PER PLAT. 3) THIS IS A BOUNDARY SURVEY. CAME LIA STREET 50' R/W (PAVED) ---- ------------ — I HERESY CERTIFY 'IIWI' THE PROPERTY SHOWN HE,RKV LIk.S IN FLOOD ZONE: "C" AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO REUBEN BENNE7r THAT 1 HAVE SURVEYED THE LANDS AS SHOWN IN THF. ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON ME E'N THE MINIMUM TECHNICAL STANDARDS OF THE FLORIDA STATE BOARS) OF PROFESSIONAL LAND SURVEYORS CHAPTER 21—HH-6 AND THE FLORIDA LAND TITLE ASSOCIATION. DEY.K �. R9 rn;Ly �Cst PENCE LU 0 wra IC 1 R.;Ire- 4 o ICE 06. IQ v 5 i RELY SUMMER POINT MULTIPLIERS 9B SUMMER OVERHANG FACTORS(SOF) For single and double pane glass. CLIMATE ZONES 1 2 3 TIO ORIEN OVERHANG RA TATION 0.0 0.18• 0.27- 0.36- 0.47- 0.58• 0.71- 0.84- 1.19• 1.73- 2.74- 5.67- 1 7 1.1 1.7 2.7 N 1 7 .7 N NW 1. .91 .7 .71 .67 .4237 1. ,7 7 .47 1 1. 7 .4 .27 1 2 OVERHANG RATIO L/H T-�L H L H H 9C WALL SUMMER POINT MULTIPLIERS(SPM) FRAME CONCRET BLOCK FACE B 1 K LOG K R IL. EXT,I4SUL. R-V L E WOODFR NORM WT. T Wr 2.4 BINCH RAV UE EXT ADJ EXT ADJ EKI EXT EXT 7 E E) 2.2 1.1 1. 1.7 11 -1 .4 •2. 1. 7-10.9 .1 4. E 1. .8 1. .8 .7 1 .2 3-6.9 1 11 1.7 .7 1 .6 .5 .4 26& . .1 7 1 1. 7-10.9 .7 R-VALUE BLOCK. 8INCH 1 - 1 - 4 .4 1 0-2.9 1.0 R-VALUE EXT 1. .1 7-9,9 .4 0- 6.9 7.6 2.8 7.10 1. 9E CEILING SUMMER POINT MULTIPLIERS(SPM) 11 -12.9 .7 1.0 1 INGLE SSEMBLY CON tRETE F 13-18.9 0.9 R-VALUE P R-VA E P EILI TYPE R26 1 1.1 - 6.9 .8 R-VALUE DROPPED EXP JED Up 1 7 3.9 10-13.9 3.2 3. 29. .8 -10.9 3.1 14-20.9 2.2 2.4 30 37. 11 -12. 2.6 21 &U0 1. 1.6 13-18.9 2.4 19-25. 1. 91) DOOR SUMMER POINT MULTIPLIERS(SPM) 1.2 DIT MULTIPLIER FOR ATTIC RADIANT BARRIER = .55 DOOR TYPE EXT ADJ 9F FLOOR SUMMER POINT MULTIPLIERS(SPM) WOOD 7.7 2.9 SLAB-ON-GRADE RAISED RAISED WOOD CONCR T (See 903.2(e)) INSULATED 8.5 3.1 R. P -V E PM R-VA E PM .9 -41.2 2. - .8 0 -1.0 -4 - 72 3 .9 -1.3 7-10.9 -1.1 -1.3 - .7 7 -1.3 19& - .9 9G INFILTRATION SUMMER POINT MULTIPLIERS 9H DUCT MULTIPLIERS(DM) With Return W/O Return INFILTRATION PRACTICE SPM R-VALUE Air Duct Air Duct (See Table 9P) 4.2-4.9 1.14 1.10 PRACTICE a 1 10.2 5.0-6.6 1.12 1.08 PRACTICE x 2 8.0 6.7✓£Up 1.09 1.06 PRACTICE a 3 5.2 DUCTS IN CONDITIONED SPACE 1.00 1.D0 -3- 91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3 SYSTEM TY HEATING SY TEM MULTIPLIERS Heat Pump P 2. 7 2. 9• . 9 3.1 -3.29 3. 494 3.5 3.69 3.7-U H .52 .4 ,4 .42 .40 .38 1 ri r 1 r F t. Table 91 for Credit Mul i tier LFTHP R mn't H M f P 2. -2.4 = . a ve for-COP>2.49. Minimums:Central Units 2.5 COP. PTHP&Room Units 2.2 COP. COP means Coefficient of Performance. 9J HEATING CREDIT MULTIPLIERS(HCM) SYSTEMTYPEATI Y TEMULTIPLIERS .90 Multizone H M Natural Gas AFUE .65..69 .70-.74 .7 •.7 .8 •.89 H M .50 46 4 ' 6 Fuels .7 .72 3 .59 56 Where more than one credit is claimed,multiply HCM's together.Enter product on page 4. AFUE means Annual Fuel Utilization Efficiency. 9K COOLING SYSTEM MULTIPLIERS(CSM) SYSTEM P p SEER 7.8- 8.0 8.5- 9.0- 9.5• 10.0- 10.5- 11.0 11.5- 12.0- Central Units .4 .9 9. 1 . 1 . 11.4 1. UD M .44 .4 4 .30 .2 PTAC&Room Unit CSM CSM for EER 7. .7.7 = .46. For E R's>7.7 use Multipliersabove. Minimums:Central Units 7.8 SEER. Room Units 7.5 EER. PTAC under 13,000 BTU/H 7.5 EER,and over 13,000 BTU/H 7.0 EER. SEER means Seasonal Energy Efficiency Ratio. EER means Energy Efficiency Ratio. 9L COOLING CREDIT MULTIPLIERS(CCM) SYSTEM TYPE N RE T MULTIPLIERS Ceiling an M .86 Multizone Cross it ' r (Credit r only ont) Where more than one credit is claimed multi I CCM's together.Enter product on page 2. 9M HOT WATER MULTIPLIERS(HWM) SYSTEMTYPE HOT WATER MULTIPLIERS Electric EF .80- .81 .82-83. -.85 87 .88-.90 1 -. 3 .94•.96 7&UP Resistance 4183 4081 3984 3891 3803 3678 3560 3450 Natural Gas EF .48-.49 - .60-.61 HWM M9 21691936 187Q 1807 1749 Other Fuels HWM 3494 3364 3225 31052795 2705 Water heaters must comply with prescriptive measures of Table 9A.EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS(HWCM) SYSTEM TYPE HOT WATER CRE DIT MULTIPLIERS Solar Water Heater F 1 .2 4 .6 .7 .9 L .7 .2 .1 .0 Heat Recovery Unit W' Air-conditioner Pump HWCM 42 Dedicated Heat Pump F .4 4 9 3 A HWM must be used in conjunction with all HWCM.See Table 9M. SF means Solar Fraction. EF means Energy Factor. 9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(0) COMPONENTSIR R EACH PRACTICE PRACTICE#1 COMPLY W1111 ALL INFILTRATION PRESCRIPTIVES ON TABLE PMTICE#2 COMELY WITH PRACTICE#1 AND E FOLLOWING: Egff&Walls and Room Top plater I i n barrier installed. Sole platelfloor' i caulked r Exterior Walls&CellinoPenetrations. ints and cracks on interior I d and Meted. Ductwork Ductwork in unconditioned spacesealed. Fireplaces i w' ide combustion air, o flue danvers. Exhaust Fans with dampers.Combustionvices see 90.211). Combustion Appliances Provided with outside combustion air. PRAC710E a3 -COMPLY WITH PRACTICES#1 AND#2 AND TEFOLLOWING: Callinas Infi ion barrier installed. Interior Walls Too plate R2netraflom sealedf ioints&cracksinterior walls caulked.sealed or Recessed Lights from conditioned spgce&insulated ventilated attic Ductwork ..All r located in Mditioned Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust by-products to outside.Stoves see 903.2(0 -6 Developer or its contractor. Developerwill pay thecost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, plans and specifications tl►e applicable standards and specifications of the City. 9. A. if the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities than the water and sewer demands previously approved by the City, then the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. The Developer shall pay all additional contributions and fees as may be authorized by the City's service availability policy which is in effect on the date said new agreement is executed. B. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order is put into effect. C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing and specifications are to be in accordance with the City of Atlantic Beach requirements unless otherwise .specified by City or its engineer. U. The City also reserves the right to approve the utility contractors to which construction bids are sent by Developer as well as the contractor to which the award is made. C. A representative of City or its engineers will be the .inspector of the project along with the Developer's engineer, but City to said state road right-of-way. Developer shall further grant to the City, its successors and assigns, the exclusive, perpetual right, privilege and easement to construct, reconstruct, operate, maintain, repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and egress to each of the building sites on Developer's property which are served' by City. All such easements shall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any particular pressure, and reserves the right to shut off the water in its main at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service. Neither Developer nor any of ,its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swimming pools, air conditioning condensation lines, cooling lines or other discharge from any type of equipment. City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not have access. The Developer Hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventor valves on Developer's property. The Developer hereby agrees to hold harmless and indemnify City for all costs and damages resulting from flooding due to .back flow preventor valve failure. 8, The construction and design of all facilities to be Agreement under this provision, City reserves the right to negotiate with Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4. All taxes or charges imposed upon the property described above by any gover►unental entity or agency sliall be paid by Developer except such part thereof that has been deeded to the City in accordance with tho terms of this agreement. 5. The rates charged by City for water and sewer service shall be in accordance with its rate schedule which shall be subject to change • i from time to time. City shall have the right to determine reasonable meter size and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnish title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Easements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for, lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer • to City. Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and water 11. Developer shall pay the City upon, execution of this Agreement the sum of 10¢ per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of 10� per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. City agrees to . provide water and sewer; service , to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of Q0.00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. B. A sewer plant capacity charge at, the rate of onethousand thirty ,five dollars ($ 1,035.00 per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at the rate of absolute and exclusive owner of the facilities of said water and sewer systems whether located on, under, above or outside of the property described and regardless of who may have installed or constructed same to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City.. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. , B. All sewer mains, manholes, pumping stations, force mains Mid npInUrtenances, including servica pyres lit public right of ways and dedicated easements, shall be owned, operated and maintained by the City. Except as provided in paragraph 9C, all sewer lines on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-billily projects such as apartments, mobile home developments, condominiums and PUD's or for commercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. U. By these presents, Developer hereby transfers to the City, the title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such conveyance to take effect without further action upon the completion and acceptance by City 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of all fees and charges in effect on date of application and compliance by Developer with all provisions of this Agreement. 14. The charges, costs and fees for any separate emergency fire protection water systems. for subject project will be subject to negotiations between City and Developer. if buildings of more than two stories are a part of the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. All plant capacity and service availability charges, fees and other charges as outlined above are based on normal domestic sewage defined herein as containing not more tl►an three hundred (300) parts per million biochemical oxygen demand or three hundred (300) parts per million suspended solids. Whenever water which contains more than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically agree to the connection. An additional charge will be calculated in direct proportion to strength at seventy-five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (300) parts per million. All such connections shall provide for a suitable point for the waste to be sampled by the City or', the regulatory agencies. An additional charge equal to the pro rata share of any additional sewage treatment plant costs above ninety percent (900) treatment, and of the cost of any additional required outfall pipes to " ' may be required by City. at a cost of $ 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The advance deposit for engineering, administrative and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of ; and B. Water plant capacity charge upon the 'execution of this Agreement, a total of $400.00 ; and C. Sewer plant capacity charge upon the execution of this Agreement, a total of " $11035.00 and D. Meter installation fee according to the City's service availability policy at time of installation which currently is $85 00 *per 3/4" meter upon application for hook-up of individual lots, apartments, multi-family lots or units; and E. Construction water based on meter readings in accordance with City's rate schedule; and F. Hydraulic share payment, in accordance with paragraph 11F-1 of this Agreement upon execution of this Agreement, in a total amount of '$ . . . . . . . . . . . . and G. Service availability charges and other additional aids in construction in accordance with paragraph 11G of this , Agreement in a total amount of $ • . . . savable D. A meter installation fee to cover meter cost and meter installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter C. I£ available, construction ,water will be charged to building based on metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund. 1. Developer recognizes that water, or sewer utility service to the Developer's property.. is prgvided by the use of a mein extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer ADeveloper's share of the cost of said main extension or other Iniprvvcuients. 1 Accordingly, Developer shall pay its pro rata share of, the cost of said' main extension or other improvements to City. Said pro, rata share shall be based on Developer's percentage of the hydraulic ', capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ payable upon execution' of this Agreement. 2. With respect to utility facilities installed by Developer to which future developers connect directly, and .in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of the cost of said facilities. Said refunds shall be calculated on the basis of the Hydraulic capacity and demand of said future developer whenever .feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire CITY OF 716 OCEAN BOULEVARD _ P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 DATE: PRI;-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) 14AVE BEEN MADE AND ARE SATISFACTORY : - 1_ �3 eeq"A--------------=------------------ -------------------------- - --- -- ) -----------------------------.--------------------------- ----- ) -------------------------------------------------- ------------------ -------------------------------- SINCERELY, BUILDING INSPECTION DIVISION cc:F1LE BUILDING, PLANNING ANI; ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor; � Building Permit Number: Address: `a cou '` ✓� Legal Description : /� �2 '8 1--lb ► t6-r� `T6 Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: required as built nfa Sales Tax Certificate: _ date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief Public Works Planning Director Building Inspector tit uptr#tftratr of rr�r r�t�tr CITY OF out"Ut &OA- Rai& Erpartmpnt of Vntlhtng Anopprtton 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. F-,bd Use Classification Bldg.Permit No._ Group Type Construction Fire District. T- 7, a v Owner of Building `� Address— Building Address Locality BY'-- 1� »yilding Official Date: POST IN h CON{PICUOUa PNCE 22. All notices that may or must be given under this Agreement shall be in writing and shall be valid if mailed by United States registered or certified mail, postage and charges prepaid from addressed as follows: To Developer,: To City of Atlantic Beach ' City Manager 716 Ocean Boulevard Post Office Box•25 Atlantic Beach, Florida 32233 IN WITNESS WHEREOF, the parties hereto have executed this Utility Agreement the day and year first written above. Signed, sealed and delivered in the presence of: ev loper Witness City f Atlantic Be ch Witness r Irrevocable letter of credit, tlio terms of which will indemnify and save harmless the City from any loss, damages, costs, claims, suits, debts or demands by reason of defects in the workmanship or materials used in the facilities discovered within a period of one year from and after the date of acceptance by the City of the facilities. F. A Sill of Sale for facilities from the Developer to City. G. Conveyance of easements as required under this Agreement. 11. A deed for .any and all land on which lift stations or water stations or other improvements if required by City. I. The title evidence, mortgage releases and mortgage subordinations as required in this Agreement. J. For onsite and offsite cot}struction provide City an accounting of the actual costs (schedule of values) and releases of liens from utility contractors in such detail as the City requires. K. City shall have the right to refuse to accept title to Developer's construction until Developer's construction has passed certain tests, including, without limitation, closed circuit television inspection of the gravity sewer lines, witnessed by a City representative, to determine whether toe Developer's construction is constructed in accordance with the approved engineering plans and specifications. Said tests may be performed at •least three (3) times: the first test upon completion of the system; the second test upon completion of all building, roads, paving, drainage, and all construction within the right-of-way easement area of adjacent areas. A third test shall be required if the City deems it necessary within a one (1) year period after acceptance. L. Letters of acceptance from the appropriate regulatory agency for the water, and/or sewer system, are required vrior t- r,....� prior hereto, for the payment of such necessary and reasonable costs and expenses for effecting such repairs and restoration to such onsite facilities located upon the owner's or Developer's property. Notice of such lien or claim on lien describing the real property and the amount owed may be filed within ninety (90) days of the date from the last date upon which any such repairs or restoration were made by the City or its authorized representatives. Thereafter, the City shall be entitled to bring an action for the foreclosed under the laws of Florida. 21. Prior to final acceptance of the utility and other public facilities improvements by the City the following requirements must be met at Developer's expense: A. If the property is platted, one copy of Oe recorded plat shall be furnished to the City. ' B. "As built" drawings of utility improvement shall be furnished one week prior to final inspection. "As built" drawings small be certified by a registered engineer with the cost being borne by the Developer. Two mylar and three printed copies of said drawing shall be furnished to City. C. All lot corners shall be properly marked so that utility company or its engineer can, upon receipt of "as built" drawings, verify the marked water and/or sewer services as to location and depth. In addition, for purposes of locating and protecting installed service lines and valves Developer or his contractor shall mark each service line and all valves with an eight (8) foot pressure treated wooden post . in the manner as shown on the design drawings and specifications. Developer's contractor is required to install curb stop, meter box and valve box on each water service and valve as shown on design drawings. D. All water and sewer service-- b.,a -- - subordinated to the terms of the Agreement and easements required herein prior to any acceptance of the facilities by the City. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect the requested dwellings or structures on the said property at no additional connection fee (i.e. , in addition to those provided for above in this Agreement) , but subject to the continuing operating rules and regulations of the City includitig, without limitation, the periodic payment of the water usage and sewer usage charges in effect on the date of such application or thereafter reflected in the City's rate schedule. 18. This Agreement shall be binding upon and shall inure to the benefit of the Developer, City and their successors and assigns. However, in the event the Developer has not paid and delivered to the City the plant capacity and service availability charges, fees and other charges provided to be paid to the City by Developer wider the terms of this Agreement, and all easement and conveyances required by this Agreement, then this Agreement shall not inure to the benefit of the successui's ur assigns of the Developer. 19. It shall be the responsibility of Developer to locate for builders any water and sewer taps or lines necessary in conjunction witl► residential or commercial construction. 20. Unless the damage to any onsite improvements are the result of the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer .of such property upon which the damage occurs shall be responsible for the payment to the City of such damage to City's property including all necessary and reasonable repairs which must be. made by the City or independent contractors envnvPd l,v the V1 tv to offorf• earl. I. |-v L/[ n�un�xr, uc�cuzrr�ux ^/ w, ` 7 16oc:A:11m1.1-'rAm> �ut w_ uiuu|� x_ �� secLio^ ;11 1 ooxm ^n.AxnrxxA'x. n»mo,\xro 1_� vu.o'xwx�|m/>o� zxn u/1"u,1''J."o 1��---_-----_-- � . uoSoozrTzou or xoxx o, Audrcoo.----e�/�.��---�����-----_-�---_-__- 11 in o rLuno xxmAxo r/,.,d �m.r'_ ",.`, comp/pt-.? vnon n, oripf _----- c/aos of work' ^��� (ue°/nemodel/Add iti""/______________ zxruxoArzou Building � � ' Type of oUuu�ng ��nu u-On\�� oo^struo -_---_-------- .� prn`onpu oioL,iot. u"�' Estimated value or x"L r-rJ.".1" ----------- u,uo�,u._________________________ ~ Solid or _--------__---_--_--_--_---___-____________ Filled srpuou: noof:___________ DVosn zxro:UATI oU ` . ' Method of xeatiuo`__________________ � uvn�r Phone: er ' ___ ___ __-~^c- r x-nilino - xuurvou_____-_ ----------J-------~--� ------ . ------------------------------------------------�_ zip'________________ cox7Uxclox z/irox/mzzox coo�r"c�or '- ___ _____ r/.o"e'_ ~� �u � ~ ____ xniliox ,,",.. x"m ---------- -------------------------------------------------- �in'_-------------- CxpiraL 10 11 cpncc um u ___��� -- __ ____________�__ aLe� � _ _ ______________ ' . In conniuczatioo of permit given for doing i/.c vpr!� a, uruorlueu ' u`c uuo,c ututameot, we hereby agree to perform said vork i, ' noov,ua,ce vixh the nLtanhed plans and specifications which, are 'a parL hereof, and in accordance with all ruless and regulations of Lhe city of xtlauL�o oeaob. � ovoer siooai_ure _ L� __ ____oa�cZ/_ _ �^ _ /� �� -- z� 2 p DEPARTMENT OF BUILDING - CITY OF ATS ANTIC BEACH F� t A dr ar tit 28 CAME4, _Igi LOCATION INFORMATION ------ LLA; STREET " *it T * pr# )I )LI II O ATLANTIC REACH, FLORIDA DA 32233 L AL OR RIPTIC 1*:it + t `YJi #.. .1r S RA » .;a 2 Black s 100 tion, T plat soak a � � 15 •I I I'fi a + _. Cod cTxO1 . �,t 'iP�e►2�t1 �►' , 00 ------ OWNER INFORNA"' A Y` tV. C of a f►IIL000«00 it D F'. rowet REUBEN BEiR,ETC, SO. 0 GAhaLiSTREET A ' .. ,ATLANTIC BRAD , FLO91DA 32233 t fi�i P)'aoov (9041246-1622 : C A l WN F.if RS •ern« w. .. qgg ado ek WATER IMPACT FEE fib w a i R > CT FEE Aye ,,M�- aN ,.w �F :.u. ✓r ,,. � a1 .r rc' " atJib i s RAIOII>I I A'n`a'*H* R. B. sMC1.# k RADON taPA *0.00 E e WAp *0.00 TAI NV#RAU14 C SHARS $0. 00 4 ZCT FEE 000. 00 w OTHER :rIs0�3 t ' f l; t G , NOTES. 1 S 40TICE-+-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 WORD MUST NOT BE PLACED IN PUBLIC SPACE,AND"MUST BE CLEAREfl UP ANIS">HAULED AWAY BY EITHER CONTRACTOR OR OWNER.; "FAILURE T OMPLX 1i' ITH# THE MECHANICS' LIEN LAW GAN RESULT IN THE RRt3I E ,r ►1�V R' F'A.Y�#N TWINE FO SUILDING IMPROVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIONfb'A 1tifIATtON DF APPLtCABLI~PR(QVISIINS OF LAW. A .IC CH BtJiLt?INC3DEPAR MeNT By. 4ww, MAP SHOWING SURVEY Of Ids .3 ICK 140, ==40N `H" ATLAWfic BEACH AS MMRDED IN PLAT BOOK 18 PAGE 34 OF THE CIAMM PAUL M=M OF wriL COl9Nn, MM.DIN $ L 0 � C K � 99 v3 vll2 � 1 FND. 1/2" 1.P. 1 (N, 0 10 IV 40"W. FIELD) i FN . 1i. P. No. 3295 N. 0 'a 16`00" W. 5 0. 0 0' No. 3 6 6 7 7 2 B L 0 C K 100 O O 9 N �O N liPpF�V�IC O 2 O 0 ARMTC K#0 nr ©� PLANNING & 2Ot""18'(> IGE T.8 21111W W O 1 STORY FRAME&COCIUINA 3 RE�SIOEWCE ,,; w o sa' =� 0% 1' a N � i 00 C� 0 s' In N O 't`: O Z p DRIVE No. 362 ' P SET71.2 N N Z FND. 1 / 2" 1. P. W N0. 3672 S. Ole 16'00'E. 50.dO' (S. 010 15' 00 E. FIELD) i ] BEARINGS AS PER PLAT. APPROV-ED 2) NO S. R. L. A S PER PLAT. i iTY i �;i t,�' :" (3�Ar'l 3) THIS IS A BOUNDARY CUILD1 N G SURVEY. CAM E L I A ST R E ET::: 50' R/W (PAVED I HOMBY CERTIFY THAT THE PRDPERTY SHOWN HEM90N LIES IN FLOOD ZONE "C" AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR ATLANTIC BEACH, FLORIDA. I HBRERY CERTIFY TO REUBHN BENNETT THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTI(w Am THAT THIS MAP IS A TRW AND OC 'P REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEMEIN MMM IM MINI I M TECHNICAL STANDARDS OF THE FLORIDA STATE BOARD OF PfK*T!.SSIO11hL LAND SURVEYORS CHAPTER 21-HH-6 AND THE FLORIDA LAND TITLE ASSOCIATION. Y PLANS REVIEW CHECK LIST Address ] _' = u: _ = -------Owner_ f�, s� _ j -------------- Lega Description - _-' " &,-,�j,� M6 Contractor License Number C�!2,a License on File ES NO Section 24_101 +► ZoningRegulations Zoning District_> Proposed Use_a ;C' --- J 1 Required Lot Size_ CS�/C� CS -__ Actual Lot Size X 'co, p Setbacks Required Provided Section 24_17 front CORNER LOT ANTERIOR LOT rear -- �-- --=.�.5 __✓ Flood Zone side-1 - ------------ �- r� Required Elevationt _ /10 _ side-2 � 1, (f- i Max. Height Allowed___a-�L___ Proposed Height__ _(0 Section 24_82 * Minimum Lot Coverage / Required Heated Area _Loa Proposed Area_ / Section 24_161 * Offstreet Parking / Number Spaces Required __c---- V Spaces Provided c�_ ✓ Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES HO Utilities Water and sewer service is to be provided by: ----- Buccaneer Utilities _ L11- City of Atlantic Beach Utilities _____ Private SourcSEPTICC TANK WELL Plans Reviewed b �. ° "¢ k�k �., 4.L ^ y ------------------------------Date=f�,�'C_t!4A_ 4j11 Building Permit #_40r �____ ISSUED, DENIED DEPARTMENT OF BUILDING 7821 ? CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB j rl.73 T March 28 19 88 11: 9*75NT Date 162 1 31041 52 4b250 198.75 1621 .00CAr . Valuation$ Fee$ 1 l I 3l X3410: This permit not valid until above fee has been paid to City Treasurer,and is IJL1tl1 subject to revocation for violation of applicable provisions of law. This is to certify that Bennett Construction RR000S8S4 1 2115 Bay Road Neptune Beach 32233 � has permission to build Single FaM"Y r t Classification New Residential Zone RS-2 Owned by F.R. Bennett Gar. Lot 2 Block 100 S/D Section H House No.---- Camelia Sheet According to approved plans which ate part of this permit " NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE r�- �---► o Building material,rubbish and debris z from this work must not be placed in public space, and must be e t up and hauled away by eit r tt<act' or owner. ui 'ng Official. i II FOR OFFICE PERMIT DATE CONTRACTOR I USE ONLY NUMBER lI PLUMBING ! ELECTRICAL SEWER DRY LINE PERMIT-----WATER & SEWER NOT APPROVED WATER AT THIS TIME sw e ' 1 3` y R APPROV - D CT ~:Ac • � .I�lRl6 s � • CLose .n e tPot ��RT ��' x•73 - ;�t • lo� t o OA P, 1.�/► sem. c, mr_ LiR S FLOODPLAIN DEVELOPMENT INFORMATION Type of Development New Building Alterations to Existing Building Flood %uric. Required Floor Elevation Actual (as builL)Lowest Floor Elevation If locaLed w:LLhin a flood hazard zone ..(zone A) a survey must he matte aLLer Che slab has' been poured, certifying; that the "lowest floor elevaLien`is equal to or above the base 'flood elevation esLa6Tishe-cl Lor that zone . No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building llepartment . COHIENTS Applicant acknowledgement : I understand that the issuance of this permit- is contingent upon the above *information be:i.ng., co)•recl: "incl Lhat Clic plans and supporting; data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developeuint. Date Applicantls Signature ----------------------------•------------------------------------------- Department Use Survey filed with the Building Department- on Certified Lowest Floor Elevation Required Lowest Floor Elevation' ' Building; Department Representative FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: _ �L,Q�1�.�4 ----------------------------- Flood Zone:_____V -------------- Required Lowest Floor Elevation:_______________ If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date* _J L __Applicant's Signatu _ - __ ---------------------------------------------------- Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation _________________ Survey Filed with Building Department ___________ ----------------------------------- Building Department Representative page 3 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner -�Z �EhJrU J� --Address_ 1L _-Yv1¢jL-�?1�-- zip ? phone �� ,� � f__ - Architect�i�'1/C�E_.��1SJ� _Address--------------------zip......phonea_(/q- 1� 52. Ad rese__ _ Contractor __________zip______phone_______ -ember - Contractor's License number Q�sLKjEi expiration_f_ n- -- Lot -,ZZ-----Block __Lot -,ZZ---__Block or Section ��U _Subdivision___j _________Zoning_ -P,S Street_ L between �11tL_S.�___-_side_ �J � ___-- - Type Construction_12g--DLNo. Units____ / ----No. Fireplaces.....1_____ Purpose of Building_&ly. -------------------Est. Valuation *-------------- Utility Method - Water__21- Sewer___�p Dimensions - Building-11E�A-4�-__--_Lot 6J.& __Size Footings__ __ Sz. Piers__Zad-f-s_---Sz. Sills Greatest Sp n Sills----------- Sz. --- -- Sz. Ceiling Joists__ _Distance on Centers__ _ reatest Span______ Sz. Floor Joists _ _Distance on Centers_ Greatest Span____ _ Sz. Rafters ___Distance on Centers__ =_Greatest Span__C Method of Heating_&i2j"-L._Solid or Filled Ground_Atd -__Roof_ Flood Zone 0-1-If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owne _._ _____ ______ __ to___ Signature Contractor____ - ------------------- ate----------------- page 2 D VERT ISM 28 1988 Building and Zoning, City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee 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 TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _ _BATHROOM GROUP CONSISTING OF _ _SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) _ ___WATER CLOSET VALVE _ 6--WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) C).--BATHTUB/SHOWER (2) __URINAL WALL LIP (4) _D __SHOWER GROUP PER HEAD (3) __FLOOR DRAIN ( 1 ) _0 __SHOWER STALL DOMESTIC (2) _ __LAUNDRY TRAY (2) _v__LAVATORY ( 1 ) _ _COMBINATION SINK AND TRAY (3) __,__WASHING MACHINE (3) __POT, SCULLERY SINK (4) ____DISHWASHER (2) _ __WASH SINK EACH SET OF -_D - FAUCETS (2) KITCHEN SINK (2) ___DENTAL LAVATORY ( 1) ___KITCHEN SINK WITH WASTE GRINDER (3) __DENTAL UNIT OR CUSPIDOR (1) __BIDGET (3) _ ___URINAL STALL, WASHOUT (4) _ __FLUSHING RIM SINK (8) _ ___COMBINATION SINK AND TRAY WITH __ (� URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4) BLOWOUT (8) DRINKING FOUNTAIN (1/2) ___LAVATORY, BARBER/BEAUTY SHOP (2) ____LAVATORY, SURGEONS (2) _0--SURGEONS SINK (3) LICE MAKER ( 1/2) O _WET BAR (2) O � TOTAL FIXTURE UNITS_______ @ $20. 00 EACH 5 �DD ___________ JOB INFORMATION T �_1�6 f'�5 C 1� t Address• � a 7 11eated Square Footoge per sq ft Garage/Shed �2 70 @ $ d , er sq ft $ 993.G� Carport/Porc1- @ $ per sq Ft d $� Deck o� , @ $_ :. per sq.-ft 9e,0 Patio @ $ per' sq . 'IOIAL, VALLI ZON t $ 'Zai. 5o r `Iola �alUa011 Ist $ 00, 0,on / ••� Ianide�r Val.UaLiocip'�.OoperLl ousar�Iic or . portio-- thereof -•---•- • 'total Builds--g Fee , '• AUUI1'i0I'tl�L PL[�hti'i'S �id/or TEI:SRCgUllZEU -------------------------------------------- ! +•� F�.li-ig tee,.- 1 fec1-a---cal ✓ O"Fireplaces @ 15.00 $ Pluibi-ag BULLUIN3.12EIMT Eu. "J Electrieftleco -___ _-:;-' __---- ------ -------------------------- Electric/Tail) Septic 'Talk .BUILDING•PEIti`1i•T Well W11.I.ER ML;IER C11A CI' S�oLimLi� Pool SEWER Ir1P,AGr IEE SipWnIM IWAC;r 1 %, Water Wmectioi- ,/� rL{SC OUS $ Sewer Gowiection Plater lip-ter •� $ Elevation Certificate G[ZANll 'I'OLAL DUI: $ 71 -..___________________________________-•- -_----_--_-_-_--_--_ ----------------- ----------- CALCULMONS acid/or NOTES �. , DEPARTMENT OF BUILDING 9707 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date May 9. 1988 REPLACES P*INA Valuation$ Fee$ •••• i1Sii7 1 P, 5/119/511 Thisrmit not valid until above fee has been aid to Cit Treasurer,and is 9707 *00 C A subject to revocation for violation of applicable provisions of law. 460 1 5/09/111i This is to certify that Sms S ITHR11Ds1= CF CO21547 has permission to bu Classification RrqTDE=xlLT Zone Owned by BENNETP CONSTRUCTION Lot Block S/D House No 280 f AME T A MERT i 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 4 0 Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up an hauled away by either con- td owner. Building Official. Iff 1/ FOR OFFICE PERMIT DATE CO OR f USE ONLY NUMBER i PLUMBING i ELECTRICAL SEWER 1 WATER 2!667 REOROEREROM-. QUALITYbUSINE5sf09Ms,INc. (94)]%-3657 CITY OF ATLANTIC BEACH No., 2202 FLORIDA March 28 19 88 NAME Bennett Construction ADDRESS 2115 Bay Road CITY Neptune Beach 32233 P_ A I D. 1 :435;011 Tl Water Impact Fee #40-343-3700 1 ;9 4,010�'.x1 � �©Sewer Impact Fee #41-343-5200 APR 0 4 10 2 $1 0 0, 2 OE_ � C11L I ,9 IX $1, 35.300(14/831 UUC11 Lot 2 Block 100 Section H 260 Camelia Street ( CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 3 2Y A I Q TELEPHONE: 249.2395 i UTILITY BILL APR 0 4 1y8d ` WATER TOTAL TDATE WATER SEWER GARBAGE OTHER DUE METERS �8 / ========= Qs;ea 4 an Official Receipt ti �d Payment ( TREASURER RETAIN THIS NUB SERVICE DISCONTINUED ( PAYABLE IN ADVANCE IF NOT PAID WITHIN L 4 NO REFUNDS 20 DAYS OF DATE SHOWN E Jf�i APPLICATION FOR WATER METER DATE: CONTRACTOR: --------------- --/------ BILLING ADDRESS: --------- ------- -------- ----------- SERVICE ADDRESS:--__ �U_CG �'`�r __— --------------------- LOT: BLOCK: SUBDIVISION: Q�( ss�� // -------- --- ---1�=— ACCOUNT NUMBER: 421 a y/Y METER SIZE: -------------- I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. -- ----- --- ---e— -------- C TR TOR ------ -------------- -- ----------- CITY OF ATLANTIC BEA 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, 11, 111, and IV. (. LOCATION Street'Address; Intersecting Streets: Between And BUILDING Sub-division Il. 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 Pert hereof and in accordance with the City of Jacksonville ordinances and standards of goo&.practice listed therein. Name of Mechanical Contractors Contractor (Print) L Mester c co S3 Nome of Property Owner ,� S Signature of Own Signature of or Authorized A ant Archi fact or Engineer flP. 604EM INFORMATION A, Type of heating fuel: B. Elech�j IS OTHER CONSTRUCTION BEING DONE ON 1� �t THIS BUILDING OR SITE? 0 6u-0 LP (3 NNur.{ o CN►tral Utility 13 00 1F YES, GIVE NUMBER OF CONSTRUCTION PERMIT 13 OMsa— Specify IV. 11 WKP LAICAL WUWMMiT TO K INSTALLJEP) NATURE OF WORK (Previdq complete list of components on clack of this knn) Residential or D Commercial �Ifeat Q Space 17 Rw mW )iCentral O Flow �l New Buildlnp pt Air COW410,01109a Qz m El Existing Building Q ;t1Mct Sysltaam: Msteria TLiek � 0 Replacement of existing system Maximum capacity � c f.m. K New Installation(No system previously Inatelled) ❑ Extension or add-on to existing system O ❑ other — Specify Q Cooling tower: Capacity g•P•m. Q Fim sprinklers: Nunsber of headla, 13 BMW ❑ Manlift Q EycalaTHIS SPACE ICOR OPPI11 E USE ONLY p .6aseiine puln (+wl4sia1 (ltoeelreil Q,' Taeh�--Inslnsbet} Rolnerkt Q LN6 ooMainen _._._.�,.��►1 O Us>fired pmaure Vesal O MNes+ Permit Approved fW. h Q Other Specify Pormit rwry LIST ALL EQUIPMENT Am CONDITIONING AND REFRIGERATION EQUIPMENT littmber Valk. Do""M01111 >1tadlel Number >II[snuiaaWres Ci 7� Appwfnr r ,K .S DEPARTMENT OF BUILDING 7822 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i t0.rM T Date March 28 19 88 0,fMCKTI I I A WP Valuation$ Fee$ 4t7'4(3 7�c2 OfICACT 922 IA 4rG,"I/a This permit not valid until above fa has been paid to City Treasurer,and is I(Illt subject to revocation for violation of applicable provisions of law. j This is to certify that Duval Heat/Air CAC033678 has permission to install heat/air Classification New Res ident ial Zone RS-2 Owned by F.R.Betmett Sr. Lot Block 100 SID Sect ion H House No. XMD Camelia. Street According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �---► 4-- O 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 either con- traor owner.. uilding OfficiaL 41 FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR `}It I PLUMBING ELECTRICAL SEWER WATER .rlr.l,i,. , r,q3. ,•�• 1 ' ' CITY OF ATLANTIC' BEACIi APPLICATION. FOR PLUMBING PERMIT + JOB LOCATION... r ., , •', ••1 ,I illi}.�( {4 k,i PLUMBING CONTRACTOR ' ,l� .',W-LICENSE NUMBERS i l , OWNER ` fly _1 { BUILDING CONTRACTOR + 1 { '- ,' TYPE OF BUILDING i • ' ''y i• " /` � INKS _ _ _ ,• �'t'11 ',,�� S V ' SHOWERS LAVATORY ' WATER HEATERS 1` alr; it l BATH TUBS DISHWASHERS s µ URINALS DISPOSALS CLOSETS , WASHING MACHINE►''� FLOOR DRAINS OTHER _TOTAL FIXTURE COUNT ' i.J ' lel f!.:1' t+, , f 1 ', 1 t-'•,1 % i, +�4't y' ,� I 1 � ,t rl l It 4,•1�' , 1.' �;; ; r�zNSTALLATI •. ', � '�'` �' •' :}''i?:9.5;`:' '',� ..� .,;.1, ON OF PLUMBING AND' FIXTURES MUST'; BE. IN ACCORDANCE WITIi , i �r��, THE MOST RECENT -EDITION OF THE SOUTHERN .STANDARD PLUMBING CODE. ' ; t.. 'Y d.•„fel .1, 1: t1' l;a?�!3 + 111 .�I, �,.• '}{��qi'�''''. 'y 1 1 , k Kellow Plumbing, Inc, P O.BOX 49087 JACKSONVILLE BEACH, FL 32240 STATE CERT.#RF 0039527 (904)241-2923 J � / G�� Kellow Plumbing, Inc. P.O. BOX 49087 JACKSONVILLE BEACH, FL 32240 STATE CERT. #RF 0039527 (904)241-2923 �r ;5*4 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING-PERMIT JOB LOCATION 26, 4u PLUMBING CONTRACTOR, d Pa t � ` 11-g LICENSE NUMBERS �- -30 R OWNER De i2 i141-- BUILDING 1cBUILDING CONTRACTOR ��h �►�. 'J-/ TYPE OF BUILDING. SINKS "SHOWERS LAVATORY ( WATER HEATERS BATH TUBS ( DISHWASHERS URINALS [ DISPOSALS CLOSETS _WASHING MACHINE FLOOR DRAINS OTHER NOTAL FIXTURE COUNT. INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 4 DEPARTMENT OF BUILDING 7823 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 4b1511 _T THIS PERMIT MUST BE POSTED ON JOB " It'!"-)1 L Date March 28 19 88 171 IA 3/O4/ 71'2 J "0C1C$C Valuation$ Fee$ 48.50 171 1A 3/014/ loan 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 Kellow Plumbing RP0039S27 has permission to install plumbing Classification New Residential Zone RS-2 Owned by P R Bennett Sr. - Lot 2 Block 102 S/D Section H House No. 260 Camelia Street 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 �--- 4 -0. O 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- or owner. a C. wA--(. Bgdi o Official. L� FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 1� NS ON OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST 'CENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .