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Beach Ave 1957 —W CITY OF ATLANTIC BEACH UL I VC) 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY ;Z,;?/9 1-76t�'e—rWof Z&er Atlantic Beach, FL 32233 0 NEW BUILDING 0 DEMOLITION RESIDENTIAL LOT—BLOCK—SUB DIVISION E3 ADDITION 0 CONVERTING USE COMMERCIAL [I ALTERATION 13 ACCESSORY BLDG. [3 REPAIR 0 POOL/SPA YES E3 wA —7) �a-) El MOVE Fil-&THER NO 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 116.NAM9: 24.LICENSEE NAME: /V 4. 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C-9-C / 72r2- Y9 18.ADDRESS: 26.ADDRESS: ff-�- 3 2 111.OFFICE PHON 12.FAX NO.: 19.OFFICE PHONE: 0.�I/NO.: 27.OFFICE PHONE: 28.FAX NO.: 12� z q'2- z,;, 90 q- 13.CELL PHONE: 21.CELL PHONE: 29,CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: low 31.NAME: 33.NAME: 35.NAME: 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 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, Air Conditioners,etc. OWNEWS 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 YAII 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. 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 NOTICUF COMMENCEMENT. 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 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. and accurate. Notary Public at Large,State of_,County of_ ry Public at Large,State of Countyof [I Personally Known Personally Known [3 Produced Identification- Oft Produced Identificqtio I NotarYS' ature: �ary Signatur CITY OF ATLANTIC BEACH C..".) KAYLA BERTOLET SEE PERMITS FOR ADDITIONAL Notary Public-State of Florida REQUIREMENTS AND CONDITIONS. f My Comm.Expires Mar 28,2014 OAB FORM BLDG01:REVISED:11/6/2007 Commission#DD 975488 REVIEVIED BY: DATE.tL7//d-- Loh. V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 DAIS Application Number . . . . . 10-00001142 Date 9/17/10 Property Address . . . . . . 2218 BAREFOOT TRAC Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ---------------------------------------------------------------------------- Application desc garage door replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ROHRBAUGH, MICHEAL COMPETITION DOOR SALES INC P 0 BOX 5279 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32247 (904) 358-1350 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 3/16/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 44 1 Q 811- r-—_ _114._;A:� _t I I CITY ort4UA=4GIi8A Meral Energy f 7"oEfficienSUOT I : "'t n service iqlAM. X9 TARSC 31, 2010. '6rectory.org I ATLAM tin A INSPECTION PHONE LINE 247-5826 C id-Mike e of Product Ratinrld-ft AHRI Certified Reference Number: 3653902 Date: 9/20/2010 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: PH15NB048****A Indoor Unit Model Number: PF4MNBO49 Manufacturer: PAYNE HEATING AND COOLING Trade/Brand name: PAYNE PH15 Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING Rated as follows in accordance with AHRI Standard 210/240-2006 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity (Btuh): 47500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F 46500 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F 29000 Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arlsIng out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be Used for individual,personal and confidential reference purposes. The contents of this Certificate may not In whole or In part,be reproduced;copied;disseminated;entered into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual,personal and confidential reference. CERTIFICATE VERIFICATION The Information forthe model cited on this certificate can beverified atwww.ahridirectoty.org, J& "lop, Air-Conditioning,Heating, click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on C V"*QNstall6".KOM ft%*i�-eo'nhtioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129294826888935108 L CITY OF ATLANTIC BEACH 100-1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-6a26 0 FAX NO.:(904)247-5a45 BUiLDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 11,�JOB ADDRESS:," �THISA SUB PERMIT" 3.DATE., Isb OYES PERMIT#: 9� 0//0 �ROPER OWNER.--`�' TY, 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: MAR 9 C-- MECHANICAL CONTRACTOR:- 7.NAME OF COMPANY". 8.ADDRESS.: let' M ECM AJ ICA L z.ai c , .,,.J..3 2 �J 7 5 6-a"T1 c 9.SWE OF FLORIDA LICENSE NO: 10.CELL PHONE: I 1AAX NO 12.EMATL ADDRES8- 13 OFF[ PHONE: 14. V51" El. 1?/ 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 commenced. 17 L — e-% t CONTRACTORSSIGNATURE: BUILDING 17-.;!kRVICE'-.�,.".-r;.., 18.CURRENT coDV-:;�, 16-4 16.CLASSOFWORK:�'�'�". Y.WW INSTALLATION 0 NFzW 21�ESIDENTIAL 0'06 FLORIDA BUILDING CODE- jPrREPLACEMENT OF EXISTING SYSTEM 21�XISTING 0 COMMERCIAL MECHANICAL 13 ALTERATION ADDITION TO EXIST SYSTEM 0 REPAIR E�OTHER MECHANICAL EQUIPMENT TO BE I TALLED:� -7-�,77 .77-7 7 777 -5 19.HEAT: 0 SPACE 0 R�CESSED PEENTRAL 13 FLOOR BUR.NERS: 20.AIR CONDITIONING: 0 ROOM ErCENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACRY: 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY:— 9PIT1 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: 0 PUMP 0 WELL 13 PIPING 29.GAS PIPING: #OF OUTLETS: 13 GAS AHU: 0 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. FALUE FOR OTHER ITEMS: 31 COOLING EQUIPMENT. AIR CONDITIONING.REFRIGERAT111 EQUIPMENT NliENIS�6��,ET6. 'CO NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 0 A 32.HEATING EQUIPMENT: FURNACES.BO LERS;FIRE LACES.AIR HANDLERS EIC. NU9-B-EFZ--- APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY LA- P 941h pp�vg)z; -�o 14 (A t- 33.TANKS: TYPE LOUID APPROVIN EN U M BER GALLONS CONTAMED MANUFACTURER SERIAL# AGENCY �U_ I - I FiLDG04 Remit Aprj�lmton N.�dh:REVISED:1-111612005 3 �26-3 01 Ool, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001153 Date 9/20/10 Property Address . . . . . . 338 7TH ST Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STEIGER, MARK RIX MECHANICAL INC. 338 7TH STREET 1374 7TH ST S . ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-9891 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 107 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/19/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 107 . 00 107 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 107 . 00 107 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC 13FACH ORDINANCES AND T14E FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUM13ER Building Department (To be assigned b the Building Department.) '7� 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 9 City web-site: http://vmw.coab.us I APPLICATION REVIEW AND TRACKING FORM Property Address: fPMp1tnqnt review required Yes No in Applicant: ma, I0,2'bog)s Planning &Zoning Tree Administrator Project: 'ZD/4e Public Works Public Utilities Public Safety Fire Services 0 4f, 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: RApproved. RDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. RDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 05/14/09 Z, J -4'08 > lz > I C T, C) Al HURRiCANESHIUD IMPAC' f i)(E,) F�RAMF fVRLCI SE— WINOOW y APR 0 MIO� W W. SCHAEFER ENOINEERING PL�,A CORPORATION CONSU(TNCl Q.A ww-, �d Ni L J, 4 t5 Y Nf- 0, > I'v"N��z"-' V v v lez oz r'i < z z L U1, z A tit in > 171 FA z rt'qlk- SHIELD O�RECT SET WINDOW RPAVVI HURRICANES IMPACT FiXED FRAME '�11119 1'.."—— — j— I�,,7, A R 04 v 'k w SCHAEFER ENGINFERlNG PH J.A CC.)RPORATION CONSULT!NG, OA 71 Lj t!—' p j't Florida Building Code Online Page I of 4 rA SCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Product Approval USER:Public User Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL11484-Rl Application Type Revision Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Pella Corporation Address/Phone/Emall 102 Main St. Pella,IA 50219 (641)621-6096 pellaproductapproval@pella.com Authorized Signature Joseph Hayden jahayden@pelia.com Technical Representative Joseph Hayden Address/Phone/Emall 102 Main Street Pella,IA 50219 (641)621-6096 jahayden@pelia.com Quality Assurance Representative Ali Zarghami Address/Phone/Email 102 Main St Pella, IA 50219 (641)621-1000 zarghamia@pella.com Category Windows Subcategory Fixed Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By James L. Buckner, P.E. at CBUCK, Inc. Validation Checklist- Hardcopy Received Referenced Standard and Year(of Standard) Standard Year AAMA 101/l.S.2-97 1997 AAMA 101/I.S.2/NAFS-02 2002 AAMA/WDMA/CSA 101/I.S.2/A440-05 2005 ASTM E1886-05 2005 ASTM E1996-05 2005 Equivalence of Product Standards Certified By http://floridabuilding.oriz/t)r/p� app dtl.aspx?param=wGEVXQwtDqv8JyqqZ9WuEJ%2f9... 9/16/2010 PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: Permit # Project Address: 0GLq'Vic-XZC&A�- '�O'r As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,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 )roduct approval may be obtained at:www.fioridabuildina. ra. Category/Subcategory Manufacturer Product Description Limitation of Use State Local# 77 EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4.Roll up 5. Automatic 6.Other B. WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4.Double hung 5.Fixed -6--ui-ur-t S 6.Awning 7. Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action -.366 page L _()j02jb3t54,OR bK1 Number Pages� I NOTICE OF CONOMNCEMENT Rec,,ded 091162010 at 1131 AM. JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Permit No. RECORDING$.10-00 Tax Folio No. t ka-1)�j THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. in LQ C;- 1.Description of property(ftal descrip&n): Q ce, Z-S "I u-j a)Street(job)Address: 3TU CkA2&%-\- - %1C DIr 2.General description of improvements: jZA,0 e_C -2 W (),rA_,-j a> q 3.Owner Information a)Name and address: b)Name and address of fee simple titleholder(if other than owner) c)Interest in property CTIAP/NA/v" 4.Contractor hiformation a)Name and address:,�,-&, C.43v-ttt -2 b)Telephone No.: 704 j Fax No.(Opt.) tSurety Information a)Name and address: �J b)Amount of B ond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State ifflorida,designated by owner upon whom notices or other documents may be served: a)Name and address: V 1;� b)Telephone No.: Fax No.(Opt.) 8.1n addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES,AND CAN 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLOIUDA COUNTY OF PINELLAS 10. Sign o Owner or Owner'"s Authoriml OfficerlDirectorlPartner[Manager A V\ -D— - T,\ NJ Print!6:1 Na e 20 The foregoing instrument was acknowledged before me this-/5—day of by Pt as ._(type of authority,eg.officer,trustee, attorney in fact)for (name of party��half of I rument Was executed). Personally Known OR Produced Identification Notary Signature JASMBU MY COANNSSM I Type of Identification Produced—)Ir�vsy<. 61C Name(print) NWI.-Auqusl Auk ",T;;;%WyP1 OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of pedury,I declare that' the facts stated in it are true to the best of my knowledge and belief FORMS/N0C,r,Q010 Si ofNatural Person Signing(in line#10.)Above BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: cc en 18\,kx-J�_ Permit Number: iz Legal Description LA Z_I S C t' ZS � zq e 7� Ctacl L Un,-�,Z Parcel# I tv qq(g Of 2 Z- - F oor ea of F-q.Tt—. Sq.Ft (v PIroposed Work heated/cooled non-heated/cooled Valuation of Work Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa �mdow/do Use of existing/prorosed structure(s) circle one): Commercial Res�Qtial If an existing struc ure,is a fire spriler syst m installed? (Circle one): Yes No N/A Florida Product Approval#IN'8(4 For multiple products use product approval form Describe in detail the type of work to be performed: +<-C Q CC'Ag uj Property Owner Information: Name bj" , I V1\ Address: 55,0 city -6�Aq",3�c_ m_cra" State F TL -L/-Zip Z Z Phone q - ZLt 1 89 E-Mail or Fax#(Optional Contractor Information: Company NameA_1-.,L-)Wj0,.�.-,. "a Qualifving Agent:"��, _[L L,)"4 -�cwre s Address: V174 W L>r-" L..)&si -city Jcu-_ State Zip 3?1 Office Phone -11 STIF140-V311 b Site/C�ont 111% Fax# �Lg State Certification/Registration# C_kt OS"7Z3* 11 DECUMPILLANCE I Architect Name&Phone# Ook CITY OF AILANTIC REAQ_ Engineer's Name&Phone PIA, SEE ADDITIONA-1 Fee Simple Title Holder Name and Address 4 RIBOU14EMENTS AND CONDMONS- 4 Bonding Company Name and Address 4 , ot2_1_11 0 /1 j ftVitw4p DAM%//10 4 1U Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and talww icated, Icerti that no work or installation has commenced prior to the issuance o,(a permit and that all work will be performed to meet t nda I aws regula ing construction in thisjurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or iffco c sus ended or abandonedfor a Period ofsix months at any time after � ric7i2aZ,Plu ing,Signs, Wells, Pools, J rnaces,Boilers,Heaters, work is commenced. I understand that separate permits must b cu Tanks andAir ConMoners,eta 4 WARNING TO OWNER: Y I RE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL IN Y U PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined thisa lication and know the same to be true and correct. All provisions of laws and ordinances governing this . P )rk will be complied with whether spect ie§d herein or not. The granting of a permit does not presume to give authority to vio teorcancelthe wc provist.ons of any otherfederal,state, or local law regulating construction or the performance of construction. 1-11 jL.I Signature of Owner All Signature of Contracto Print Name i D_LL W)o Print Name ..........................................�4 ..................................................... Sworn to and subscIribe ,fore me Sworn to and subscribed before me 11-t )f 4- 20 It) this Day of "P_ Day( 101111111111111AIM VIN nAu poliwe A,� Utr#,ry Public state of Florida Notary Public ona s Sm th My Commission DD918800 vised 01.26.10 zx�Kt '?1 ,506 Y22 OF FvO Expires 08/20/2013 1 k \ , \4 CITY OF ATLANTIC BEACH Ms ";�' 800 SEMINOLE ROAD S-) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001141 Date 9/20/10 Property Address . . . . . . 350 S OCEANWALK DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6700 ---------------------------------------------------------------------------- Application desc replace 4 windows ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DUNN PELLA WINDOW AND DOOR 350 OCEANWALK DR.S . ATLANTIC BEACH FL 32233 8174 BAYMEADOWS WAY W. JACKSONVILLE FL 32256 (904) 731-8330 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 8S . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6700 Expiration Date . . 3/19/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service CERTIFIEDTM L www.a h rid i rec to ry. between Feb 17,2009 and Dec 31, 2010. Cv,*krtificate of Product Ratings AHRI Certified Reference Number: 3495976 Date: 9/20/2010 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 25HPA648A30 Indoor Unit Model Number: FE4AN(B,F)005+Ul Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: PERFORMANCE 16 PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2006 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity (Btuh): 47000 EER Rating (Cooling): 12.60 SEER Rating (Cooling): 16.00 Heating Capacity(Btuh) @ 47 F: 48000 Region IV HSPF Rating (Heating): 9.10 Heating Capacity(Btuh) @ 17 F: 33600 ry rate of previously published data,unle5s accompanied with a WAS,which indicates an involuntary rerate. pmtkkns foliowed by an asterisk(�)indicate a Whlnt8 0 responsibility for, makes no representations,warranties or guarantees as to and assumes n 'performance of the product(s),or the DISC AINIER �es of any kind arising out of the use or Org. AHRI does not endorse the product(s)listed on this certificate and ahridireCtOrY Certificate.AHRi expressly disclaims all iiabinty for damag odels and configurations listed in the directory at Www. the P,.duct(s)listed on this ta listed on this certificate.certified ratings are valid only for rn unauthorized alteration of da I only be used for individual,personal and confidential reference purposes, TFERMS AND CONDITIONS prodkitisolAViRl.-TtlisCert't'cates hal into a Computer database;or otherwise utifted,in any I - and k% ry,iL,or in part,be reproduced;copied,disseminated;entered oft1lis certificate may not,in wh( personal and confidential reference Heating. The contents ,WS,exce9t toT thO user'sindividual, U01 Air-conditioning, ada,,4ww.anddimct0rY.0r9, and Refrigeration Institute 'tz"beqe �ce tkV'Mb%1 and the date on —was N11EcnANicAL PERMIT APPLICATION CITY OF ATLANTIC 13EACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: 3?'� 22 4--ko� ��60_+ PERmrr PROJECT VALUE S NEW AIR CONDITIONING & BEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM j ff(-?U]_RED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ART 4 --4-0-51"V7 6 Air Conditioning: Unit Quantity Tons Per Unit Ll REQUIRE /6p Heat: Unit Quantity BTU's Per Unit Seer Rating- Duct Systems: Total CFM R E 0 MIA_ED FIRE PREVENTION Fire Sprinkler System Quantity- (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Comm ial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty_ Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Re erator Condenser 13,fu's S 0 ITg #Water Heaters Collection Systems Tanks (gallons) wells OTHER: Permit becomes void if work does not commence within a six mouth period or work is suspended or abandoned for six months.I hereby certify that I�haeread this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name PhoneNumber Mechanical Company i _r?9 jc;3-3) Fax Office Phone Co. Address: 1A,5_D r",i �,_j city C�- — State Ft- Zip License Holder(Print): . State Certi fication/Registration CAC Votarized Signature of License 11older A ...... Sworn and subscribed before e s day of 20 CHERYL ANN KENNEDY A- 'I, TV 62q P '7932 Signature of Notary Public A Commission DD& ' '.61' Expires January 25,2013 Sonded Thru Troy Fa� n lnwww M3*7019 Sep 16 2010 3: 48PM HP LASERJET FAX P. 1 Sam Cm"IMT IV aria ON LM 2 2 d% III 0 gig lk oil Jill mill MIT1-41 r.w ; a I I 1140 10 oil No 4r 1i pill a I III LL if r v� ,7"Pai. a 1p 10 oil oil is I Of MON a ul BUILDING PEPNnT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Tob Address: a�IL�' PermitNumber: .egnal Description Floor Area of Sq.Ft Parcel 9 Sq.Ft Valuation of Work$ Proposed Work heated/cooled non-heated/cooled �lass of Work(circle one): New Addition Alteration (��)Move Demolition pool/spa window/door Jse of existing/proposed structure(s) (circle one): Commercial <�Eeside ' f an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A 'lorida Product Approval 9 For multiple products use product app-r-o-vaffo—rm )escribe in detail the type of work to be performed: e(e-I'e�-171af�e_ r-a 9 C__ Q16)(9 e- )roperty Owner Information: &me: 1_;11"r'_ka e /�o /I t-'z a VV Address: 6-�- _75, 'itY -H2�k Z LL State 642ip 2f�Ihone qa:�� -Mail or Fax#(Optional lontractor Information: Qualifying Agent: .ompany Name: �ddress: city State- zip )ffice Phone Job Site/Contact Number Fax 9 ;tate Certification/Registration 4 =hitect Name&Phone 4 ,.ngineer's Name&Phone 4 'ce Simple Title Holder Name and Address londing Company Name and Address 4ortgage Lender Name and Address fto 3 e by m d an a erm�''�do'he work and installations as ind or installation has commenced prior to the P or dtom Ztt e tan�a ds , , thisjurisdiction. This permit bkomes null work e me h s r f months at any time after 8 0" 0 ca re a e to 0" ' P 1,and ,a'"' w not W't m or t ..t'o !rm n, n a eriod ofsbc(6 �-an 0 ap 7d"id�w"k i n"d hil ('6) nth 0 1 , i , 1 " , t� P" Per, e e it,_. t ,secure jo 1"t, k s Co' d ta d at e b d rE Zs,Pools,Furnaces,Boile�s,Heaters, a,k andA er�,'ta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LWROVE MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMY[ENCEMENT. here ceryfy that I have read and examined th' application and know the same to be true and correct. Allprovisions of laws and ordinances governing this 111�work will be co�nplied with whether 111iyTed herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions ofany otherfeHeral,state, or localsplIrw regulating constr tion or the performance ofoonEtruction. igaatare of Owner L,-U Signature of Contractor rint Name a.,) i Print Name .. ..... ....... � 1� an s cri d be Sworn to and su b s ci i b e d b efo r e m e s 70 e 1i of this —Day of EY L GRAkM M.S�SII�ON#;DDQ 957760 e ruary 4,2014 Notaly pUbHe r,.ry �otai ThrU Pubk Um*~ Revised01.26.10