Loading...
Permit Clippership Lane 566 PLUDfBING WORKSHEET `7 SINKS SHOWERS DISHWASHERS CLOSETS 3 BATH TUBS _�_ FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY C3 URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNLTS 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 FIX-ED AT $10. 00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _ BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) _ DRINKING FOUNTAIN (!� UNIT). URINAL, ,'ALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. t� URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) CJ WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4L'NITS) SHOWER STALL, D01•IESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISM,.ASHER (2 UNITS) '�' _ KITCHEN SINK (2 UNITS) _ KITCHEN SINK/l•:ASTE GRINDER (3 UNITS) ` TOTAL FIXTURE UNITS @ $10._00 EACH =fit �- ..,.... ..•...,.., ...... .....t...w .,.»..........+.,,.r...,...,., ......_.... ..,•, w .+w.i.,,......<.a:.aw:c.na.awuw.....:wn.w.u....o......t<..w�.a.w.cs-..a,....r«.+n�.r....u.w..-..r,,,r.v. MAP SHOWING SURVEY OF LOT 9fi, 'SELVA NORTE' UNIT TWO, AS RECORDED IN PLAT BOOK 90, PAGES 37 AND 37A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. AOR ' c l4Mj=:S ,SUZ.l.Ao?-Z' K2 0 V4 S 7m 1-00 %7 q� Ito WAL4 ,h 4 ° IN Le 1 • c �7�j /.Z , IZ• 4Tb 85 A � 9S j • TH/s �s A 1�touniG�q<�!� su,4✓EY. . No G�s..oivdi ,¢�Esrx2lc`r�� s-inr6 BY ' r�vis p�¢�o�.?!S� 4•e►s .w fc c�-.� zcx.iE "A" isrltN i•S Ts+� �I�i'1 c� SIB lcG-YG4� ` MAP SHOWING SURVEY OF LOT 96, SELVA NORTE' UNIT TWO, AS RECORDED IN PLA`.[' BOOK 40, PAGES 37 AND 37A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. AOR a4415S 42019 �ST!'?EET � pC�B''�f6'E 12.2.88 1. 1 w l W V (L Qjol w AS) ,, n -� 3 7r,ss is 14 f � Q .:A •-.#r src�' i I I f DEPARTMENT OF BUILDING 7638 i CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO._ PERMIT TO BUILD 1540 T THIS PERMIT MUST BE POSTED ON JOB c t 9/111T � � ! � 4J1118 Date April 11 19 86 75'30 •jri(01CA 989 ! to/i !/a Valuation$ F'$ 15.00 1000 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Crown Insulation, Inc. 8217-000-9 has permission to 1, lCIX Install Fireplace Classification Residential Zone -- Owned by James E. Ballard Lot 96 Block UAit II S/D Selva Norte House No. 1999 Bi-ista De Mar Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS t ' AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,t AFTER DATE OF ISSUE 4---► 4--;; 0 Building material,rubbish and debris zq from this work must not be placed in public space, and must be cleared up and hauled away by either con- tra or or owner. Building Official FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER , egg;... BUILDING AND ZONING INSPECTION DIVISION C11Y uh kPLAWFIC M%'AUII, J'I.UI<lUA •,r '' • APPLICATION FOR MECHANICAL PERMIT a Y � ' n fs° IMPORTANT-Applioant to complete all ifems in soctiom I, II, 111. and IV, star LOCATION O" cid. of _._ . 6s...n, St. *,d S4. (Nark,South,Easf,West) (Add'"s)W (Infwrtecfi.q Sfre4h) k OF aUILDIN6 SeZK4 �rlle�'e LO' NO----� uev Ne s.rb-diN.:en Q (St-t- peri*. of leo if fart then full bl-AH.d 69.1 d.wipfion per d.+1 in dvpliut• if -,V$ 11. TYPE OF PROPOSED MECHANICAL WORK - All applicants Uxnpl►le Parts A - D A. USE OF IUILDING 1. OWNEASHI► r RESIDENTIAL IS. )ice ►rir.f. (indiridwl,ce"mfioo, C ¢ / nonprofif imtifvtion,Mc.) +fir 1. Q' On• family 11. ❑ Utility Ie. C] Public (Pedant,Sfafe o.local 2. ❑ T.ro or more family 12. ❑ S6".library, gar+romowf) t.4 E.1-w number of ream. other aducation.l G NATURE OF WORK r` 7. ❑ Tund•n1,hotel,metal, ,� s .q rooming house- 11. ❑ Store. caMile 17• G ^^"R'ildinq mar . I E.fwr mber of unit. u nuOtt-or It. ❑ Etislinq buildistq. 4. ❑ Other msid.nfial 14. ❑ OTHER-SPECIFY _,- I►, ❑ Rr'pl.c.mrnt of..iffi.q"tom ' a y � t d 70. {3' Nam. in0411•60n (Ne,eysl.rw Freriovdy {..teA,od) t� # NON-RESIDENTIAL 21. ❑ htnnsion or add-on to eaitfinq ryrhm. + w S. ❑ Amus4mont,mcm tonal m 22. ❑ Other-Spocify e 6. ❑ Chwch,ether mligiout 7. ❑ Industrial Q 1 • ❑ Guage,un,ce slNion * E. TYPE OF bUiLDI" 1. ❑ tiespifal,inJitul'wnal k* `> 10. Q Wilms.ba ,pmfsniwwd 16. ❑ Number of 6.4. tferi.. Y w 37. ❑ Wt.ed frame D. MECHANICAL EQUIIMENT TO IE INSTALLED + 31. Q Nawnry and.cod JI'm 'd• mplate list of components o.beck of this form) 19. ❑ R.iaf.m d concmfe �. r��//gyp lL pace ❑ R•c.ued f�C.nfr.l ❑ Rear �yl •., 2]. fvmece: ❑ S 40. 0 Stn,cfur.l rl.•I r 4 24, r CondiGoninq: ❑ Room_ [r�' Canhel 41, Q Other 2S. Dutf System: Mal•riaL,�_,,. ._- Thicvn L..__ i` M..imum capacity' c.f.rn. �w�",f 7e. ❑ Rofrigemfion y THIS SPACE FOR OFFICE USE ONLY 27. ❑ Cooling tower. Capacity q.pjsl, ( ) ,4! 21. ❑ Fire tprinllort: Number of head. 29. ❑ Elwafor ❑ Manliff ❑ Escalafor (number) f: t 10. ❑ 6asorne pump• (number) 11. ❑ Taal. (number) R•rwarls 12. ❑ PPG conlainon (number) 11. ❑ Unfired pressure wuel Par nit 4 . ApppP,yr/or•d by q r - 14. ❑ (oilers _ 34 od: �/..0 15. P.-;t F.,: C-'P' 0 v O Other-Specify It,<. III. GENE2AL INFORMATION x B. A' q fuel: + Type,.o�f/I•y,/fin IS OTHER CONSTRUCTION BEING DONE ON 4, 1 42. Ij� 4"ric THIS BUILD114G OR SITE? 42. Q Gas-❑ LP ❑ Naluml ❑ Cenful Utility IF YES, GIVE NUMBER OF CONSTRUCTION 44. ❑ Oil PERMIT 4S. ❑ Other - Specify _ € IV. IDENTIFICATION - To be comphtod by all applicants In crtideralion of permit y�ran for doiaq the wort at dostribad in the •to.• s!ef•m•M .r• hereby agme to perform wid .ori in eccerdenca 'ti the eteacMd pplant end sp•eifuf'wnt .hieh •m a part hereof and in accordsnc• .ith the C;ty of Jaelwn.ille ordi.anea a.d sto.d.nh of pied pracfice ;sfed themin. Na•,a cf Mws4niul S;g,.fam of Ce,!racA r (Print) ) Corfr.cfor Aq•nf 4 --- t}.wer Address S.g,at.ra of 0•rn4r _. Signature of - -^- or A,',o•a.d Aganf A chif•ct101 w Engln .;:r ',C1'ORs /�pDi /S8 8 1( L _ :':SE ';UMBER DEPARTMENT OF BUILDING 7406 { CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB j V*00 T Date Jan 16 ig 86 C3P OOCe Valuation$ Fee$ so. till 1 312hI0� 740c *OOCAC This permit not valid until above fee has been paid to City Treasurer,and is 3/P6/0; isubject to revocation for violation of applicable provisions of law. non j I This is to certify that Ait Engineers, Inc. (RA0015188) 10947 Beach Blvd Jax FL 32216 has permission to I XHeat Air Classification Residential Zone Owned by James B. Bullard Lot Block S/D House No. 1999 Brista De Mar Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS j -n AFTER DATE OF ISSUE -----► i O Building material, rubbish and debris - from this work must not be placed in public space, and must be cleared up and hauled away by either con- cto or owner. GP fid-9 Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING 7407 ---- CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO, "---------._-.-_ PERMIT TO BUILD 1 739nn r i THIS PERMIT MUST BE POSTED ON JOB 71.0004 r Date .Ian 16 19.$k— 74-7 ��7�>s 1 � ��14/0'3 I Valuation$ Fee$ 73.00 1;i 7{1'14 This permit not valid until above fee has been paid to City Treasurer,and is (�..✓�. ' t subject to revocation for violation of applicable provisions of law. This is to certify that B&' PLjJBD' Alm has permission toask install plumbing Q© i Classification Residential Zone I Owned by James E. Bullard Lot Block S/D House No. -1994 Rrigtn De Mar ri=les 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--- 1 o Building material, rubbish and debris -zi from this work must not be placed in public space, and must be cleared up and hauled away by either con. ' fres or owner. Of E Build" Official. FOR OFFICE PERMIT DATE CONTRACTOR ////��G.•••//// USE ONLY NUMBER PLUMBING (E i _ I ELECTRICAL u� RECENT RECE+ SEWER TAE MOST NT WATER 1 f'Y J� i, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 J�JFl INSPECTION EMAIL REQUEST: Building deptgcoab.us Application Number . . . . . 07-00001251 Date 9/12/07 Property Address . . . . . . 566 CLIPPERSHIP LN Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DIRECTIONAL BORE FROM CLIPPERSHIP TO VIKINGS LN ---------------------------------------------------------------------------- Owner Contractor --------------------- KOENIG, DONALD M. HENKELS & MCCOY, INC. 566 CLIPPERSHIP LANE Q/A:LIPPY, ALLEN ATLANTIC BEACH FL 32233 1179 SOUTH ELLIS RD. JACKSONVILLE FL 32205 (904) 783-6697 ----------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/12/07 ------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834 . Protect catch basins. ------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00` . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ""'''`��• CITY OF ATLANTIC BEACH PERMIT BUILDING /ZONENG DEPARTAlENT APPLICATION# 800 Seminole Road / Atlantic,Beach,Florida 32233 1 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQU PED DEPT: FY PLANNING Property Address: �.J ��M(7__9b� Lanlf) Z N Y BUILDING N PUBLIC WORKS Applicant: ffm fx eplod 0 Y PUBLIC UTILITIES 1 L Ut If i�! �l.J Y IBDEPT. Project: Y N PUBLIC SAFETY w -APPROVAL 00 REQUIRED AGENCY: RECEIVED BY: 1NIT1AL: DATE: WY N D.E.P HUFSTETLER Q d Y N S.d.R.W.M. CARPER _w Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SrM BUILDING DA AP REV! D BY: I DATE: ❑ 1ST REV ❑ PLANNING ❑ ❑ 2ND REV ® ❑ BUILDING tP.UU C FIRE DEPT. PUBLIC SAFETY ❑ 1 ❑ 3RD REV ❑ ❑ Return this form to the Building Department once you have entered your comments into the ASS400. Public Utilities —Distribution & Collection Date: 9/6/07 Initials: 64) Project Name/Address: Directional Bore/566 Clippership Lane Application/Permit#: 07-1251 Check Box AppUcation Tracking Comments To Add Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- f 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must ❑ be installed in a vault as noted in JEA specifications. F:\Public WorksTlanRevieWComments-PU.doc I PERK41T# -------------------------- -,gr eiRewhotie 704 It) f 6 6 i U Location: 1. Applicant declares that prior to filing this apoication he has atuurtai,nud' Ute =-Z" r8 011 94tt evst-Ina waliv"e'al both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following UtilitiesMunicipWities: S PW Z,0 etr;90 jackson-WHe Fiectric Authority Yes(L--rNo Date: Bell South Telephone Company Yes No Date: Ferrell Gas Yes No pate: tr Comcast Yes(--r No i (lata- r f 2. Whenever necessary for the construction, repair, improvement maintenance, safe and efficient opera-UMM alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authonzed hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public VYbrks, and at the expense of the Pernittee unless authorized. 3. Ali work shall meet City of Atlantic Beach or Fk)Ma Department of Transportation Standards and be performed under the suContractors Pr*ct Superintendent)located at o0l-"eAlf Telephone 4. All materials and equipment shall be subject to inspection by the Director of Public Workso -tor` designee. 5. All city property shag be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation;as well as, a copy of a recent survey shall be made a part of this permit Calculations showing any Increase In ImRgy!M area on owners lot or in the city Rig ht of Way are to be included with this awAlcation. =,P C4-17.-7-0 0 7 t 7. This Permittee shall commence actual construction in good 1aft with A_1(Q1_f days. If the-beginning date is more than 60 days-from date of permit approval, then pwrtifise must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set outgre only to the extent of th -granted e e e City's right title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER signed: Date: Before Fr)6 this ay of in the county of Duval, State Of Florida,has personallirappeared Notary Pubric at Large.State of Florida.County of Duvat. -My commission expires: Personally Known: or Produced ,AEA ll_�IB Li T T 0 N' F N G-1 N LE N I Svc WRN: 7049343 LO*. NONE OH MAP*: 090C CENTER CAUG MODIF ILD N SUB-STA. NEPTUNE BCH CIR. NO. 565 EXIST. JEA UG YES TREE TRIMMING REQ'D N CUSTOMER/ LOCATION ABNORMAL::VIKING LA 591 COPY TO UTILITIES N K. O . 344226 PIATw NOTE: JOB STA 01 — EXISTING TRANSFORMER TO REMAIN. NEW 2' CONDUIT st?z JO S? 0 & 1-1/OAL TO STA 02. NEW le CONDUIT & 120 TO STA 01A. STA 01A RENUMBER STREET LIGHT POLE. STA 02 NEW PVC MH. NEW 2' CONDUIT & 1-10/AL TO STA 03. STA 03 REPLACE 50kVA 'C'. TROUBLE TICKET EL-20070822-000174 VICINTrY MAP Z 44p 522 23 24 20 VIKINGS LA ENGINEER:M RASOR RADIO NO. PHONE NO.- 665-5327 DATE REL CONST: 08/29/07 CONST. COMPLETED BY DATE AS-BUILT RECEIVED Y {"5 "i! .canM •a „�;c,m..,, 5 .. .• +c .r. .F.. -.- ..m,.-r+-sm=..s• _..��- . FOUR TICKET NUMBER IS 248709301. Ticket : 248709301 Rev:000 Taken: 09/05/07 14:20ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address : 566 to 598 Street : CLIPPER SHIP LN Cross 1 NAUTICAL BV N Within 1/4 mile: Y Locat: WE WILL BE DIRECTIONAL DRILLING IN FRONT OF 566, 588 & 598 TO THE CORNER FROM JEA TRANSFORMER #574. Remarks *** LOOKUP BY ADDRESS. *** Grids 3019A8124C Work date: 09/07/07 Time: 23:59ET Hrs notc: 057 Category: 3 Duration: 05 DAYS Due Date : 09/07/07 Time: 23:59ET Exp Date : 10/05/07 Time: 23:59ET Work type: UNDERGROUND POWER INSTALLATION Boring: Y White-lined: N Ug/Oh/Both: U Machinery: Y Depth: 6 FEET Permits: U N/A Done for : JEA Company : HENKELS & MCCOY Type: CONT Co addr : 1179 SOUTH ELLIS RD City : JACKSONVILLE State: FL Zip: 32205 Caller : DENNIS DODD Phone: 904-783-6697 BestTi.me: 7-5 Mobile : 904-449-3051 Fax : 904-783-6679 Email DDODD@HENKELS.COM Submitted: 09/05/07 14:20ET Oper: DDO Chan: WEB Mbrs CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area. Contact Phone Number Utility Type Day: 9042475834 CAB457 CITY OF ATLANTIC CHERYL KOMOREK Alt: WATER AND BEACH,FLORIDA SEWER Emerg: CCTV03 COMCAST CABLE CENTRAL LOCATING ' 8007789140 COMMUNICATIONS,INC. SERVICES** Alt: CABLE TV Emerg: httn:/firtheallsunshine.com/irthintemet/SUNSMNENoticeCreation/MessageText.asp?ret=<... 9/5/2007 Page 2 of Day: 9442467316 FLP539 FERRELLGAS INC. ANDY GATLIN Alt: GAS LINES Emerg: Day: 9046658410 JEA JACKSONVILLE ELECTRIC DAVID MEANS Alt' ELECTRIC& AUTHORITY FIBER Emerg: BELLSOUTH AT&T FL Day: 9443542274 SBF17 BELLSOUTH-AT&T FL DAMAGE PREVENTION Alt: TELEPHONE HOTLINE Emerg: j 1 1 httn•//firth rslictincbine.comrrthintemeVSIJNSHINENoticeCreation/MessaaeText.=?ret <... 9/5/2447 YOUR TICKET NUMBER IS 248711335. Ticket 248711335 Rev:000 Taken: 09/05/07 15:47ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC; BEACH Subdivision: Address : Street : NAUTICAL BLVD N Cross 1 : CLIPPER SHIP LN within 1/4 mile: Y Cross 2 : VIKINGS LN Locat: WE WILL BE DIRECTIONAL DRILLING ON THE NORTH SIDE OF NAUTICAL BLVD N BETWEEN CLIPPER SHIP LANE AND VIKINGS LANE. PLEASE LOCATE ON THE SIDES OF THE THE TWO CORNER HOMES OF CLIPPER SHIP LANE (598) AND VIKINGS LANE (599) .THIS TICKET IS AN EXTENSION OF TICKET # 248709301. Remarks *** LOOKUP BY BETWEEN *** Grids 3019A8124C Work date: 09/07/07 Time: 23:59ET Hrs notc: 056 Category: 3 Duration: 05 DAYS Due Date : 09/07/07 Time: 23:59ET Exp Date 10/05/07 Time: 23:59ET Work type: UNDERGROUND POWER INSTALLATION Boring: Y White-lined: N Ug/Oh/Both: U Machinery: Y Depth: 6 FEET Permits: U N/A Done for : JEA Company : HENKELS & MCCOY Type: CONT Co addr : 1179 SOUTH ELLIS RD City : JACKSONVILLE State: FL Zip: 32205 Caller : DENNIS DODD Phone: 904-783-6697 BestTime: 7-5 Mobile : 904-449-3051 Fax : 904-783-6679 Email : DDODD@HENKELS.COM Submitted: 09/05/07 15:47ET Oper: DDO Chan: WEB Mbrs CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area Contact Phone Number Utility Type Day: 9042475834 CAB457 CITY OF ATLANTIC CHERYL KOMOREK Alt: WATER AND j BEACH,FLORIDA SEWER Emerg: httn-/firth_cal l cunshine.com/irthinternet/,St TNSHTNF.NaficeCreation/MessaseText.asn?ret--<... 9/5/2007 Page 2 of 2 Day: 8007789144 CCTV03 COMCAST CABLE CENTRAL LOCATING COMMUNICATIONS,INC. SERVICES* Alt: CABLE TV Emerg: Day: 9042467316 FLP539 FERRELLGAS INC. ANDY GATLIN Alt GAS LINES Emerg: rEA JACKSONVILLE ELECTRIC DAVID MEANS � 9046658410� ELECTRIC& AUTHORITY FIBER Emerg: BELLSOUTH AT&T FL Day: 9043502274 SBF17 BELLSOUTH-AT&T FL DAMAGE PREVENTION Alt: TELEPHONE HOTLINE Emerg: httn-//irth ralicnnchinp rnm/irthintfrnf-t[RTTN�NTNT NoticeCrection/Me&oageTextmD?ret=<... 9/5/2007 X �i �5.� �1 axi ai a i'.-.F}7 ;i`i. #,, c,.•t�3 f I r Ticket 248 711 751 xe;r:000 Taken: V-9/0b/07 ib:v9E '--ANTIC BEACH 8' v 9x10 AND "48411335 AS THESE 3 LOCATES ARE ALL -- _ _- _PT%A S E, LOC=ATE THE 'i'LI 'Y R/W _IN FRONT OF 589 AND 599 VIKING -..' DIRECTTONAL BORING -FROM JEA TRANSFORMER 4591 TO THE CORNER WHERE Remarks : *** LOOKUP BY ADDRESS *** Grids : 3019A8124D 3019AB124C Work date: 09/07/07 Time: 23:59ET Hrs notc: 055 Category: 3 Duration: 05 DAYS Due Date : 09/07/07 Time: 23:59ET Exp Date 10/05/07 Time: 23:59ET Work type: UNDERGROUND POWER INSTALLATION Boring: Y White--lined: N Ug/Oh/Both: U Machinery: Y Depth: 6 FEET Permits: U NIA Done for : JEA - i Company : HENKELS 6 MCCOY Type: CONT Co addr : 1179 SOUTH ELLIS RD City : JACKSONVILLE State: FL Zip: 32205 Caller : DENNIS DODD Phone: 904-783-6697 BestTime: 7-5 Mobile : 904-449-3051 Fax : 904-783-6679 Email DDODD@HENKELS.COM Submitted: 09/05/07 16:09ET Oper: DDO Chan: WEB Mbrs : CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area Contact Phone Number Utility Type Day: 904247583-4 CAB457 CITY OF ATLANTIC CHERYL KOMOREK ,Alt: WATER AND BEACH,FLORIDA SEWER Emerg: CCTVV03 Day: 8007789140 CABLE TV COMCAST CABLE CENTRAL LOCATING Alt: hth, 1/;Tti, railcnnehinr>rnmlitt}finfPrnP.fJL'TTNCNTNF.Nf1}tt`P. '#PAtiliTi/N(P,CSAfl�P.TC7C�.a411�TC�- G... 9/5/2007 Page 2 of 2 COMMUNICATIONS,INC. SERVICES" Emerg: Day: 9042467316 FLP539 FERRELLGAS INC. ANDY GATLIN Alt: GAS LINES Emerg: Day: 9046658410 JEA JACKSONVILLE ELECTRIC DAVID MEANS Alt. ELECTRIC& AUTHORITY FIBER Emerg: BELLSOUTH AT&T FL Day: 9043502274 SBF17 SELISOUTH-AT&T FL DAMAGE PREVENTION All: TELEPHONE HOTLINE Emerg: i r httaJ/uth.callsimshme.com/uthmtemeVSUNSHHgE:NoticeCreation/Mess=eText.asv?ret-=<... 9/5/2007 CITY OF ATLANTIC BEACH PERMIT ,J BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road �r Atlantic Beach,Florida 32233 ,r (904)247-5800 o' (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORINT 4UN DEPT: FF/ / ) PLANNING Property Address: V( Q��l_./ (�l�tll�� z BUDDING PUBLIC WORKS Applicant: fffn � � PUBLIC UTILITIES �� �� FIRE DEPT. Pr®jeCt: /L�/,.�J�!/J�/�L�LL{�L� PUBLIC SAFETY w APPROVAL U o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z Cf Y N D.E.P HUFSTETLER c! V S.J.R.W.M. CARPER _ Y ARMY CORPS of ENG CARPER H O Y N I HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DA E: ® 1 1 ST REV ® I A— 9 / 0 ry PLANNING ® ® 2ND REV BUILDING UBLIG WOR PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Building Department®nee you have entered your comments into the AS400. w CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS i� 800 Seminole Road904-247-580 Atlantic Beach,Florida 32233-5445 s'�i3 �"�1r Fax 904-247-5845 Date �— Z do PERMIT# 44__-- ISSUED BY THE CITY Job Address��y"� Permitee: /l7 'its f Q /t4C e I 'i Telephone# 7J .?—6 a 9 7 Permittee Address: ���1 .f ,G�Lul ,�©i!�}�✓/pZZ�'1y� ` Y��2�n� Requesting Permission to Const ct: Ta 70 . Location: (Reference to Cross-Street) t64F /��A�•"'`' 1. Applicant declares that prior to filing this application he has ascertained the kxmabon of all existing-utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: S Od T� L �� Jacksonville Electric Authority Yes(L-KNo ( } Date: Bell South Telephone Company Yes No { .) Date: 1 Ferrell Gas Yes No ( ) Date: Comcast Yes No { ) Date: j 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervi on of (Contractor's Project Superintendent) located Telephone#>cfD3_ F'•SS'9� 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. j 6. A sketch of plans covering details of this installation;as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any Increase In impervious area on owner's lot or in the city Richt of Way are to be included with this apolication. ---a'f' -ll.-T 407 7. This permittee shall commence actual construction in good faith with� days. If the-beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are,granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNERiP.Ar—' y � Signed: I?� Date: Before me phis day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: DISTRIBUTION ENGINEERING SVC WRN: 7049343 LO#: NONE OH MAP*: 090C CENTER CAUG MODIFIED N SUB-STA. NEPTUNE BCH CIR. NO. 565 EXIST. JEA UG YES TREE TRIMMING REWD N CUSTOMER/ LOCATION ABNORMAL::VIKING LA 591 COPY TO UTILITIES N M . O . 344226 j} ,1T P1-A2n RO 1 NOTE: Joe STA 01 - EXISTING TRANSFORMER TO REMAIN. NEW 2° CONDUIT s;?& ► & 1-1/0AL TO STA 02. NEW 1' CONDUIT & 120 TO az STA 01A. W Q STA 01A - RENUMBER STREET LIGHT POLE. STA 02 - NEW PVC MH. NEW 2" CONDUIT & I-10/AL TO STA 03, , 1 STA 03 - REPLACE 50kVA 'C'. TROUBLE TICKET EL--20070822-000174 .TIC VICINITY MAP :x r � ry5 1 r rI 1p '' 1 r � / r J c _522 5w J Cy�4 5�y 563 I ( 551 — 2 23 1 24 CIO r 1 pGa rte/ fps ,ZQ 23V 225' '� VIKINGS LA 9' ,e do-• 1g ENGINEER:M RASOR RADIO NO. PHONE NO: 665-5327 DATE REL CONST: 08/29/07 CONST. COMPLETED BY DATE AS-BUILT RECEIVED Pagel of ............ ......... .......... .............. .................. YOUR TICKET NUMBER IS 248709301. Ticket 248709301 Rev:000 Taken: 09/05/07 14:20ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address 566 to 598 Street CLIPPER SHIP LN Cross 1 NAUTICAL BV N Within 1/4 mile: Y Locat: WE WILL BE DIRECTIONAL DRILLING IN FRONT OF 566, 588 & 598 TO THE CORNER FROM JEA TRANSFORMER #574. Remarks LOOKUP BY ADDRESS. *** Grids 3019A8124C Work date: 09/07/07 Time: 23:59ET Hrs note: 057 Category: 3 Duration: 05 DAYS Due Date : 09/07/07 Time: 23:59ET Exp Date 10/05/07 Time: 23:59ET Work type: UNDERGROUND POWER INSTALLATION Boring: Y White-lined: N Ug/Ch/Both: U Machinery: Y Depth: 6 FEET Permits: U N/A Done for : JEA Company : HENKELS & MCCOY Type: CONT Co addr : 1179 SOUTH ELLIS RD City : JACKSONVILLE State: FL Zip: 32205 Caller : DENNIS DODD Phone: 904-783-6697 BestTime: 7-5 Mobile : 904-449-3051 Fax : 904-783-6679 Email : DDODD@HENKELS.COM Submitted: 09/05/07 14:20ET Oper: DDO Chan: WEB Mbrs CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area Contact Phone Number Utility Type Day: - 9042475834 CITY OF ATLANTIC WATER AND CAB457 CHERYL KOMOREK Alt: BEACH,FLORIDA SEWER Emerg: Day: 8007789140 COMCAST CABLE CENTRAL LOCATING CCTV03 Alt: CABLE TV COMMUNICATIONS,INC. SERVICES" Emerg: httD://irdi.callsunshine.com/irthintemet/SLJNSHINENoticeCreation/MessageText.asp?ret--<... 9/5/2007 Page 2 of 2 Day: 9042467316 FLP539 FERRELLGAS INC. ANDY GATLIN Alt: GAS LINES Emerg: Day: 9046658410 JEA JACKSONVILLE ELECTRIC DAVID MEANS Alt; ELECTRIC& AUTHORITY FIBER Emerg: BELLSOUTH AT&T FL Day: 9043502274 SBF17 BELLSOUTH-AT&T FL DAMAGE PREVENTION Alt: TELEPHONE HOTLINE Emerg: i i I hitn-//irth rsilcnnchine.corn/irthinternet/SIJNSHINENoticeCreation/MessayeText.asn?ret=<... 9/5/2007 Page I of 2 • YOUR TICKET NUMBER IS 248711335. Ticket 248711335 Rev:000 Taken: 09/05/07 15:47ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address : Street : NAUTICAL BLVD N Cross 1 : CLIPPER SHIP LN Within 1/4 mile: Y Cross 2 : VIKINGS LN Locat: WE WILL BE DIRECTIONAL DRILLING ON THE NORTH SIDE OF NAUTICAL BLVD N BETWEEN CLIPPER SHIP LANE AND VIKINGS LANE. PLEASE LOCATE ON THE SIDES OF THE THE TWO CORNER HOMES OF CLIPPER SHIP LANE (598) AND VIKINGS LANE (599) .THIS TICKET IS AN EXTENSION OF TICKET # 248709301. Remarks *** LOOKUP BY BETWEEN *** Grids 3019A8124C Work date: 09/07/07 Time: 23:59ET Hrs notc: 056 Category: 3 Duration: 05 DAYS Due Date : 09/07/07 Time: 23:59ET Exp Date 10/05/07 Time: 23:59ET Work type: UNDERGROUND POWER INSTALLATION Boring: Y White-lined: N Ug/Oh/Both: U Machinery: Y Depth: 6 FEET Permits: U NIA Done for : JEA Company : HENKELS & MCCOY Type: CONT Co addr : 1179 SOUTH ELLIS RD City : JACKSONVILLE State: FL Zip: 32205 Caller : DENNIS DODD Phone: 904-783-6697 BestTime: 7-5 Mobile 904-449-3051 Fax 904-783-6679 Email DDODD@HENKELS.COM Submitted: 09/05/07 15:47ET Oper: DDO Chan: WEB Mbrs CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area Contact Phone Number Utility Type Day: 9042475834 CAB457 CITY OF ATLANTIC CHERYL KOMOREK Alt. WATER AND BEACH,FLORIDA SEWER Emerg: httn-//irth.cal lsnn-,hine.com/irthinternet/Si JN�Hr1NFNoti ceCreation/MessazeText.asn?ret='c... 9/5/2007 Page 2 of 2 Day: 8007789140 CCTV03 COMCAST CABLE CENTRAL LOCATING Alt: CABLE TV COMMUNICATIONS,INC. SERVICES" Emerg: Day: 9042467316 FLP539 FERRELLGAS INC. ANDY GATLIN Alt: GAS LINES Emerg: Day: 9046658410 JEA JACKSONVILLE ELECTRIC DAVIDMEANS Alt: ELECTRIC& AUTHORITY FIBER Emerg: BELLSOUTH AT&T FL Day: 9043502274 SBF17 BELLSOUTH-AT&T FL DAMAGE PREVENTION Alt: TELEPHONE HOTLINE Emerg: lair► //;,r1,�a11�„n�r;n rnm/;rthintpnet/,t1NSHTNFNnticeC',reatinn/MessageText.asn?ret—<... 9/5/2007 Pagel of 2 i •4ryyrqq`r`1_I1lY!w ''yy .... 1 y i.u,...�++-,W6r NEIrlRR m� .......... I • YOUR TICKET NUMBER IS 248711791. Ticket : 248711791 Rev:000 Taken: 09/05/07 16:09ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address 589 to 599 Street VIKINGS LN Cross 1 NAUTICAL BLVD N Within 1/4 mile: Y Locat: REFERENCE TICKET #'S 248709310 AND 248711335 AS THESE 3 LOCATES ARE ALL PART OF SAME JOB.PLEASE LOCATE THE UTILITY R/W ,IN FRONT OF 589 AND 599 VIKING AS WE WILL BE DIRECTIONAL BORING FROM JEA TRANSFORMER #591 TO THE CORNER WHERE STREET LIGHT # 547 IS. Remarks *** LOOKUP BY ADDRESS *** Grids 3019ABI24D 3019A8124C Work date: 09/07/07 Time: 23:59ET Hrs note: 055 Category: 3 Duration: 05 DAYS Due Date : 09/07/07 Time: 23:59ET Exp Date 10/05/07 Time: 23:59ET Work type: UNDERGROUND POWER INSTALLATION Boring: Y White-lined: N Ug/Oh/Both: U Machinery: Y Depth: 6 FEET Permits: U N/A Done for : JEA Company : HENKELS & MCCOY Type: CONT Co addr : 1179 SOUTH ELLIS RD City : JACKSONVILLE State: FL Zip: 32205 Caller : DENNIS DODD Phone: 904-783-6697 BestTime: 7-5 Mobile : 904-449-3051 Fax : 904-783-6679 Email DDODD@HENKELS.COM Submitted: 09/05/07 16:09ET Oper: DDO Chan: WEB Mbrs : CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area Contact Phone Number Utility Type Day: 9042475834 CAB457 CITY OF ATLANTIC CHERYL KOMOREK Alt: WATER AND ID BEACH,FLORA SEWER Emerg: CCTV03 Day: 8007789140 CABLE TV COMCAST CABLE CENTRAL LOCATING Alt: t,tt„ //;,tH nallennchinr�rrnm/irthi»tprn�t/ `TINCXTTNRNntiePC'YPAtinn/Me's,CAsrP,TPXt.�St1`�Tet=<... 9/5/2007 Page 2 of 2 COMMUNICATIONS,INC. SERVICES** Emerg: Day: 9042467316 FLP539 FERRELLGAS INC. ANDY GATLIN Alt: GAS LINES Emerg: Day: 9046658410 JEA JACKSONVILLE ELECTRIC DAVID MEANS Alt: ELECTRIC& AUTHORITY FIBER Emerg: BELLSOUTH AT&T FL Day: 9043502274 SBF17 BELLSOUTH-AT&T FL DAMAGE PREVENTION Alt: TELEPHONE HOTLINE Emerg: httD://irth.cal lsunshine.com/irthintemet/SUNSHMNoticeCreation/MessaizeText.asp?ret=<... 9/5/2007 Il, CITY OF ATLANTIC BEACH �i 800 SEMINOLE ROAD _r ATLANTIC BEACH, FLORIDA 32233 j� INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029940 Date 3/24/05 Property Address . . . . . . 566 CLIPPERSHIP LN Tenant nbr, name . . . . . . 61X 6 ' SHED Application description . . . SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 Owner Contractor --------- ------'----- ---- -- ----- ----------------- KOENIG, DONALD M. OWNER 566 CLIPPERSHIP LANE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------- -------- ---------- ------- -------------- - -------- ------- ---- --- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . Valuation . . . . 500 Fee summary Charged Paid Credited Due ----- ------------ ---------- ---------- --- ------- -- -------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH r S BUILDING PERMIT APPLICATION s� (Alterations &Additions) �DR Date: -cs Job Address: ��� ,� �— p h.> r� GLv-na 3 V, 3 Owner of Property: e,ru r - Address: Telephone: mt4 6 2 � 51—0 Legal Description: Block Number: l Lot Number: Zoning District: Contractor: ol C, . & State License Number: Contractor Address: 0-C Telephone: Lo-i, Fax: Describe proposed use and work to be done: 40 tel' ��cu To L P.O, Present use of land or building(s): Valuation of proposed construction: S CC) • Q-CD What are the dimensions of the added space: _ feet x feet Will the added area be heated and cooled? New electrical or increase in service? kA� Add plumbing fixtures? Add firepl ce? A/ Add heating/air conditioning?AIS Is approval of Homeowner's ssociation or other private entity required? If yes, please submi1tt with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? JZ NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as anarooriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall;800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. �7 gnature of owner: Date: �7,. U S I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: �1 2,�r lit Sworn to and subscribed before me this -J day of �Y 120 State of Florida,County of Duval 1q., JENNIFER SCWLUE7Ef Notary's Signature: *: NR My COMMISSION N Db 12isol , ,�- EXPfRES:May 27.20dS ❑ P rsonally known �nderwrnarg [ rroduced identification r' l' Type of identification producedk,55s 2,0 ' '1 3— AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.cLatiantic-beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT 800 Seminole Road Atlantic Beach,Florida 32233 " Jt31� (904)247-5800 s S (904)247-5845 Fax www.coab.us MAR 3 2t PLAN REVIEW COMMENTS Permit Application # 05 - 79 2 4-0 Property Address: Applicant: Project: Thhi.,spermit application has been: � Approved Reviewed and the following items need attention: Please re-submit your application w en these items have been completed. Reviewed By:�( Date: Date Contractor Notified: J� CITY OF ATLANTIC BEACH �r OWNER/BUILDER AFFIDAVIT Date: 3 - 23 S Job Address: SCa (JDe•1�� CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. 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 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. 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. 1 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. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 2006 NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. c�. CITY OF ATLANTIC BEACH 's J BUILDING / ZONING DEPARTMENT r� 800 Seminole Road t " r Atlantic Beach,Florida 32233 "c (904)247-5800 i3}•� (904)247-5845 Fax r www.coab.us PLAN REVIEW COMMENTS MAS 2 Z 2-005 Permit Application # zc 'q 4 O Property Address: �v L.d P?EQ'S Pd-P Applicant: `�C71= IJI �� D- ' Q Project: 7Srtt1E:D This permit application has been: Approved D Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: "L Date: Date Contractor Notified: CITY OF ATLANTIC BEACH �, BUILDING PERMIT APPLICATION (Alterations & Additions) Date: Z3-0s Job Address: o r�_� r- �.r' (� o�« Owner of Property:—�`' (f v1 - t,,-:G e. r e Address: Telephone: -aW6 2 Legal Description: Block Number: 1 Lot Number: Zoning District: Contractor: ° lr4 . ( Y? h) c? State License Number: Contractor Address: `` Ism�, 6 1 Telephone: ( JC): —�1 5..4162 — - 7 Fax: n Describe proposed use and work to be done: �ca( � -?( (1-1 4 g e,M_ Present use of land or building(s): y1 Valuation of proposed construction: S op -o'CD What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? 14 New electrical or increase in service? kA� Add plumbing fixtures? 11114 1 firepl e9 Iti A Add heating/air conditioning? I�� Is approval of Homeowner's ssociation or other private entity required? LC� If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall;800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 8104 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. �gnature of owner: Date: �ti I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: TJ Sworn to and subscribed before me this t J day of ,20 State of Florida,County of DuvalP -Q JENNIFER SCHLUETER Notary's KS�Y rvly cOlutMls!0 ab�zt3at EXPIRE5:May 27,2045 ❑ personally known ,rn,,smaroPu� unae�,rners �oduced identification II'' 11 (� ?o— AS J j� n Type of identification produced F,S�Q~ 1 `1 3 J o' AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH a;1 OWNER/BUILDER AFFIDAVIT Date: 3 - Z3 S Job Address: S� �� 1 �D�-I�SL > r CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. 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. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMEI.iT TRADES. 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. 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. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS QDAY OF- 20.1)s NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. Rubbermaid I . GH 3673 RE al � HA H\ WWI— pop N C • CE DA D SE CE �� G H � CUA '' •� � �„ CE L AA AC \ AB A AB ` /aA AC Gllil l 111'111M1i► P *11111'1►'3M HA Dp , �; �►�� t�t! S DE SE DE FE Screws shown at actual size.Vis an vrale grandeur.Los tornillos se muestran an su tamano real. RE C ` x i, AWN J�...._ R oQQ r el LIV lisc, K Aj c f `.: rx oc i U1!v ✓N� e APPROVED Grr, # WILDING OFFICE MA R 2005 11. 1; (iuuwll l �l s __ _ AF 41!4!9 MAP SHOWING SURVEY OF LOT Iv DLCV-K 1 A's SHOWN ON MAP OF 56^4SMAY AS M.oCDBD IN PLAT !Soon. " PAt+16 (A i WI A OF THE 4UCCENT PUBLIC R•G4oIL0= OF DUVAL GOVNTY , FLOLIDA • t`�J FOIL' DONALD M. Koe WICs N CLIPPER SHIP LANE say I.A 00611, N. e3.4i Oo•'E 106.00• HJG v! 1.1, Z 0Of Plu'li N N J1- T IZ•, i1.4' • r 3 •1 � t -J Ir r •, v L,.li• Is•t� LOT 11 (• sT`( vruCGo CEs• LOT Its �I- 4 L.1. tv *A wlu. 0 • 11.4' •� I%A W 1' w.•• *t�A�4 '10.7• ��D v � a (61 60 Ir vi y It 011W.— / to' COM'T FOIL DRAIMAt 41, uTII.ITIir7 S SWWWZI -------------------- MAIL ( S. 03 41 O0•'W• �' 4"A1r.J k �6.00 Wf� W., PINGO A MJ'1y -............- Lot Te. LOT 21 CHARLES BASS & ASSOCIATES, INC. - SURVEYORS, ENGINEERS AND LAND PLANNERS (904) 724-9433 215 CENTURY 21 DRIVE • JACKSONVILLE, FLORIDA 32216 t i€ i 3 i 1 s, A APP OVED CITY OF ANTIC PEACH BUIL G OFFICE i q 1 C.. � � 1 R r , J C�� CITY OF ATLANTIC BEACH APPLICATION FOR SEDER CONNECTIONS ACCOUNT NO. DATE VOCATION s LOT NO. Z,�4 MOCK NO. SUBDIVISION OWNER TYPE OF BUILDING MASTER PLUMBER DATE_ O��'d INSPECTED BY � .T b CITY OF ATIANTIC BEACH APPLICATION FOR WATER CUTIN i APPLICATION IS HEREBY MADE FOR � '1'ER CUT- THE FOLLOWING ADDRESS FOR UNIT (S) CUT-IN CHARGE OF STREET NO. LOT BLOCK SUBDIVISION ACCOUNT NO. FASTER PLUMBER MAILING ADDRESS x DAA METER NO- 7 d Cj L G ( DATE INSTALLED ED f VvNP4P,P s f ` DEPARTiV ENT OF BUILDING 4521 CITY OF ATL�ANTIC BEACH, FLORIDA PERMIT NO. PERMI TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date October 24, is 80 Valuation$ Piumbiing Fee$ 11.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Don Barris P mbini: Co has permission to 1,4 nat a 3 3 1 -S i nk,7 18Vst0riesy 1 hath ttih,2 CloAArSp 1 shower,l water heater*1 dishwasher,l disposal,l gashing machine. Classification Residential zone Owned by Nth Meet Co. Lot 16 Block . S/D Seaspray House No 566 Clipper Ship Lane 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 �----► 1141-111. O Building material, rubbish and debris 1 from this work const not be placed in public space, and const be cleared up and hauled away by either contractor or owner. Bill M. Davis 1 1 ' TU t ( .i�ICf{1"L� L_ 'JL Bull*OIWC',4/ FOR OFFICE PERMIT USE ONLY NUMBER DATE CONfI$xieiOR 1 # PLUMBING ELECTRICAL SEWER WATER SIA; r�3 4 CITY CF ATTANTIC BEACH / APPLICATION FOR PLUMBING PEFMT Date /b r cad KQ Location T Plu rrbing Firm Master Pl City/County Occupational License No. State Certificate No. Builder or Contractors Type of BUilding lip .o�rV o I SINKS —(—SHOES 'LAVA'InRY �WATER HEA= BATH TUBS DISHWASHERS IJR7NAISDISPOSALS CU)SETS LASHING N.ACHDSIE FLOOR DRAINS OTHER jTOTAL.FIX'T'URE ODUNT INSTALTATION OF PLUMBING AMID FL`s ,S�ItTF� MUST BE IN ACCOPDANNC E WITH THE MOST RDCEN'I' EDITION OF THE SOUlHEIN STANDARD PLUMBING CODE. l -- 1 1 a f /y `I 1 i Ap P Ax �nt rZ� .K FLORIDA MODEL ENERGY EFFICIENCY CODE r= , FOR BUILDING CONSTRUCTION o BOB GRAHAM SECTION 9 GOVERNORS ENERGY OFFICE / • .Y •�. GOVERNOR POINTS METHOD LEX RESTER,DIRECTOR PREPARED BY:BRABHAW KUHNS DEBAY-CONSULTING ENGINEERS j l CROWN INSULATION, INC. PROJECT NAME 2903 Burke St. AND NUMBER �S� , 904-387-5572 BUILDER OWNER ,- Y Prepared By: STATISTICAL DATA ZONE, FLOOR AREA ROOF R-VALUE HEATING SYSTEM TYPE X22-0 sgft R- 22- STRIP- [ HT.PUMP!❑ GAS, [:] I OIL- ❑ SOLAR- ❑ EPI WALL AREA WALL RAALUE HOT WATER SYSTEM TYPE _..sgft i ELECTRIC HT.REC.-❑ GAS- ❑ OIL- ❑ SOLAR ❑ A/C SYSTEM GLASS AREA WALL CONSTRUCTION NUMBER OF UNITS PER STRUCTURE EER- 7 1 q2,�7 sq.ft CBS- Q1 FRAME- ❑ SING.FAM: DUPLEX ❑ TRIPLEX ❑ OVER 3 - ❑ THIS DATA TO BE SENT TO THE GOVERNOriS ENERGY OFFICE 00 TOTAL HOUSE POINTS CER'T'IFIED BY EPI- 2j7 DATE Fewer total points mean greater energy Savin e. SOLAR WATER HEATER CALCULATION NUMBER OF BEDROOMS IN HOUSE HOT WATER TANK CAPACITY •:.:•.l.;ti•.•.V:•:•.•:.;:.. TANK CAPACITY PER BEDROOM(=tank capacity:number of bedrooms) DCR OF COLLECTOR (daily collection rate in Btu's at 122°F,from Mfr.data) DCR PER BEDROOM (=DCR-. number of bedrooms) HOT WATER POINTS (from table9c) Attach copy of collector rating certificate. Collector must be mounted within 30° of south. HEAT RECOVERY UNIT CALCUL TION NUMBER OF BEDROOMS IN HOUSE NOT WATER TANK CAPACITY �• ...;, ;`a ,ANK CAPACITY PER BEDROOM (=tank capacity : number of bedrooms) HRU CERTIFIED RATING (in Btuh per ton) BACK-UP SYSTEM (electric or gas) HOT WATER POINTS ( from table 9 c) Attach copy of HRUs rating certificate indicating output n Btuh/ton when operating with proposed AiC system. B-1 �0-123 ZONES- 123) i MMER OVERHANG FACTORS (SOqF1 �F WINTER OVERHANG FACTORS(WOF, 9F SU 'EET N NE E SE S SW W NW FEE'' N NE E SE S SW W -.99 1.o0 0.98 0. 0.74 0.71 •82 ❑.93 1.0[i 0-.99 1.D0 .o0 1.00 100 1.Do-i.99 1.00 0.98 0.99 0.7 1-1.99 1.00 .00 0.99 0.980.97 0.98 0.99 -299 1.00 0.99 0.76 2-2.99 .1.00 .94 0.92 0.91 0.92 0 94 -3.99 • • 0• 9 .810.79 •87 0.94 1.O[1 3-3.99 1.00 0.95 .89 0.86. 0.85 0.86 0.89 0.95 ^499 19000 e 98 0.99 0.84 0.83 . 9 94 a-a.s9 1- 0.91 .84 0.91 -5.99 1.00 0.99 1.DO 0.87 0.87 .92 0.95 1.00 5-5.99 1.00 ❑•88 .79 0.76 0979 .0976 ' 0.88 -6.99 0.99 19 00 0.90 0.90 9 93 ❑.% 1•D❑ 6-69 9 0.99 0 9 85 0 73 .7 ❑ 7 .75 0.85 -799 1.00 0.99 1.00 0.93 0.94 .96 0.97 1.DO 7-7.99 0.99 0 9 83 .72 ❑.70 D.77 ❑.70 .72 ❑.83 -8.99 1.00 0099 • e-899 0.99 0.81 ' '�' -9.99 1.00 1.00 1.00 0.97 0.98 ]e98 0 998 1 e 00 9-9.99 D.98 • 9 968 0.67 ❑ 76 Q1,67 .68 0.79 -Io991.00 1.00 1.00 0.99 .99 0.99 19.00 io-1o99 .0998 0977 .66 0966 0.76 0.66 .66 0.77 tE►ltP 1. 1.00 19 Do 1.00 1.(30 .OD 1.L�0 1.00 11-11.99 0.97 ❑976 .64 ❑9 64 0.76 0.64 • • 1281U 0.97 0.75 .63 U;-64-U;-76,0,64p*63 • 9A HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP 2.0-2.19 2.2-2.39 2.4-2.59 2.6-2.79 2.8-2.99 3.0-3.19 3.2-3.39 3.49UP HSM 0.50 0..15 1 0.42_A__01-38 1 0.36 1 0.33 0.31 0.29 SOLAR HEAT (1-■/■CAPACITY)X (BACKUP SYSTEM HSM) GAS HEAT 0.50 OIL HEAT 0.70 ELECTRIC STRIP HEAT 1.00 9B COOLING SYSTEM MULTIPLIER (CSM) EER 6.8-6.99 7.0-749 7.5-7.99 8.04149 8.5-899 9.0-9.49 9.5-9.99 10.0-10.49105-10.99 11.0-1 L99 12! P _ECTRIC ' CSM 1.00 0.93 0.87 O.E.t 0.76 0.72 0.68 0.65 0.62 0.59 0.54 COP 040-0.44 0.45-0.49 0.50-054 0.55-0.59 0.60-0.65 0.65-0.69 0.708 UP GAS CSM 1.50 1.25 120 1.09 1.00 .92 .89 Note' EER■ cooling mode COPx 3.413=ARI rated cooling output in Btuh+total watts consumed. 9C HOT WATER CREDIT POINTS (HWP) -ECTRIC ' GAS 1180 MINIMUM CERTIRED DCR OF 00 BTU PER BEDROOM AND 15 GALLONS STORAGE PER BEDROOM • >OLAR MINIMUM CERTIFIED DCR OF 9POO BTU PER BEDROOM AND 20 GALLONS STORAGE PER BEDROOM 19s3 MINIMUM CERTIFIED DCR OF 12,000 BTU PER BEDROOM AND 27 GALLONS STORAGE PER BEDROOM 20•6 IC HEAT MINIMUM CERTIFIED RATING OF 1500 BTUH/TON • :CWERY MQV" CERTIFIED RATING OF 2500 BTUH/TON 15.1 UNIT Minimum hot water storage tank with HRU-40 gallons Note,Dally collection rate (DCR)is measured at 1226F using FSEC Standard Florida Solar Day 9D SPECIAL DESIGN CREDIT POINTS ( CP) EILING FANS IN CONDITIONED SPACE-5POINTS MAX. I PER FAN ULTiZONING A/C (Zones must-be separated by operable door,)-5 POINTS MAX.PER RESIDENCE 5 'INDOWS ON TWO OR MORE SIDES OF A ROOM (Excluding Inoperable or corner windows and bathrooms.)-5 POINTS MAX. 1 PER F A 9E SPECIAL DESIGN PENALTY POINTS ( P P ) MASHER 8 DRYER IN CONDITIONED SPACE. 3 AAXIMUM OPENING OF GLASS LESS THAN 4 0% OF TOTAL CLASS AREA 5 B-4 T; R E INSULATION PEAI�IEIER WP�� GWP , uj J 5.9 z 9. S .:f� 8 UP :•:. .> ......... •:.. R. AREA SINGLE 00l.JB.U WOF GWP OR AREA SINGLE DOUBLE SOF G S P =TIN. U:Rj TIN. N 1S7,4 12 0.8 N 146 123 1201101 NE 157. 4120. 8 NE 221 186 190 1S9 E — 157.4 120.8 Q E Z 289 242 251 209 SE 1S7.4 120.8 SE 261 219 226 189 S 1S7#4 12 0.8 S 190 160 160 134 sw 157.4 120. 8 f;� SW 261 219 226 189 W 2 1S7. 4 120. 8 !j Q W 89 242 2S1 209 .� - ZC•Z Q N 157. 4 120.8 N2211186 Z90 159 (D H 46. 4 79. 3 -J H 489 40$ 432 360 C9 � _H= HORIZONTAL GLASS (SKYLIGHTS, FOR TINTED GLASS S.C.= 0.83 SEE SEC.902.2(d) AML fAL GROSS WINTER POINTS TOTAL GROSS SUMMER POINTS LI"FIBERGLASS �, 1, 1 5 ( f-� W 1"FIBERGLASS I 1. 15 cyst 1.5"FIBERGLASS 1.12 V a a 1.5°FIBERGLASS 1.12 O DUCT IN COND.SP 1.00L�J. DUCT IN COND. SP 1.00 pun 4"w 4wjw HSM from table 9A ti L�,jQ✓,x (;(,�I¢'� CSM from table 913 t-)! ;2x 14W z, FLOOR AREA (DIVIDE) �(� _ 2; FLOOR AREA (DIVIDE) iltX�;ZT f2��j 49W WINTER POINTS (WP) ;V& SUMMER POINTS (SP) CREDIT POINTS CEILING FANS MULTIZONE A/C VENTILATION OTHER TOTAL CP i from table 9 D NOT MORE THAN 10 TOTAL CR-EDIT POINTS. I r PENALTY POINTS WaDQ IN COND. SPACE INOPERABLE WINDOWS OTHER TOTAL Pp _ from table 9E FORM 900-123 TOTALS ZONES-123 WINTER POINTS SUMMER POINTS W4TER POINT CREDIT POINTS PENALTY POINTSxX Pi FEWER TOTAL POINTS ARE ENCOURAGED FOR MAXIMUM ENERGY SAVINGS FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION HOUSE POINTS CALCULATION FORM 900-123 ZONES -123 01 WINTER GROSS SUMMER GROSS COMPONENT AREA WPM = p0 NTS COMPONENT AREA SPM SUMMER POINTS w RO-2.9 31. 4 w RO-29 16.2 v R3-39 18. 3 w cYi R3-3.9 10.9 cf) zof R4-59 15 6 Z of R4-5.9 9.9 J ou m R6 f3UP (9,�j 13.1 j -1 v °d R6a UP nj 9.2 S J Q RO-10.9 26.1 Q Ym RO-10.9 20.0 2L)w RII-18.9 - 7.8 ( � � WOW R11-18.9 { 3, 9.2 �mw R1915UP 4.9 irmw R19aUP 5.6 SOLID WOOD 'a7 247.7 ( (n SOLID WOOD 36. 4 INSULATED R5 23S. 5 0 INSULATED R5 14.5 lo STORM DOOR 124. 4 0 STORM DOOR 29.0 STORM DOOR R5 117.1 STORM DOOR R5 11.6 Aw �2 RO-10.9 63.4 �? RO-10.9 32.9 QR11-18.9 8. 3 Q RII-18.9 8.8 cr w R19-21.9 Sea _ oc R19-21.9 SOS Ve Z R22-29.9 IZZO 4.1 z "Z 0 rR3OaLP 22-29.9 5.0 1 z _Z R3OaUP 3.3 _ Z 3. 7 R 0-5,9 6394 -J R 0-59 32.9 m w U R6-7.9 14.2 w m 2 R6-79 - 14.9 U Q Q R8-9.9 ' 10.9 U v a R8-9.9 11. 3 RIO-11.9 9*21 1 RIO-11.9 9.5 z z R12 -18.9 6. 7 Z Z R12-18.9 7.13 N R19aUP 5. 0 iR198UP 5.5 4%j�&- w g R0-6S.9 15.5 R 0-6.9 4.8 Q 3 R7-10.9 6. 5 _ v R7-10.9 2.1 N \ RII-18.9 Ss16 _ a RII-18.9 1.8 R19& UP 4.01 ir U) R19 aUP 1. 3 0 Z w RO-2.9 19.4 0 0 w RO-2.9 6.0 Z R3-5.9 1,2.4 ,,.5 Z w R3-5.9 3. 7 LL n v R6-10.9 9.3 V- :) v R6-10L9 2.6 zo Rii-18.9 6.2 > z RII-18.9 2.2 o Rig UP 4 . 4 0 v R19aUP B-2 -1EML. 1 DEPARTMENT OF BUILDING 4 511 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Data 1n/ 0/i 198 Valuation$ 47,636.50 Fee $ 130.59 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that New I'et Co. has permission to build a single family dwelling according to plans sibmi.tted. ( No similar dwelling 500' from each other.) Classification Residential Zone Owned by New klet Co. I Lot 16 Block 1 SSD Seaspray House No- 566 Clipper Ship Lane 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 'II AFTER DATE OF ISSUE .4 ► 0 Building material, rubbish and debris from this work must not be placed in public space, and must be cleared up and hauled away by eithI* act4L or owner. un ipavis • s C . Builfi fg Off i l.I;.tj tdt,i FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER any., Date----.fl ...................19 oPermit#...�:,S�1.L........F«$1 _._.... CITY OF ATLANTIC BEACH valuation ........._...._. FLORIDA H .,,4- .... .................�.r ......7.G .. APPLICATION FOR BUILDING PERMIT � �Y1.... .............. ..... 1117 .'` _..........__........_._.... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it L suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. I�1 ,fir Date....A.`.._ .......................................... Owner-... . ........................................ ddress,//. A.....�...E4 !kA2...Telephone Architect...............................•----•----------------•--•-------...............••-•••--•-......Address............................................................Telephone No............................. Contractor Builder•... c� "* ...............................Address.....-•----.....---...........-...........-•--•-•----.......Telephone No................. Lot No-------/6..—..............................Block No....../--------_-...........Sub Division-'..�► re*SF � ---------------------------I---------Zone................. ......................•---......--`....-• ••...........-.Street....------------ ------.Side Between.....................................................and....----........-•--••......y-�--.�.................Sts. Valuation .... For what purpose will building be used..', /*&.tiV_F4AM4 .Type of construction_ � «! ,,,�� 4 f �II� fY Dimensions of Building !Q. tb.K 4...icaSDimensions of Lot.. -�._. X/d4........................Size of Footings....................�'i.......... Size of Piers-----------`"-_-------------"Size of Sills.....""".....----•---....Greatest Sill Span in ft.......................Type Rool.'��jEEI!rb.�.�....... How will Building be HeatedT&,.�"'.! ...#Ii --0r1k....-..Will Building be on Solid or Filled Ground?.....t.a !°!.C).............. Size of Ceiling Joists............'""'........................ Distance on Centers......... r"........................... Greatest Spam........!..........................._.. " Size of Floor Jo€z.._ _ .............Distance on Centers..._, . --------------, Greatest Span.......—--------- ..---.--------------- " Size of 44&&P r,�f1 .-ia' S-------------•.--- Distance on Centers......saZ. , tf.../l...---•------------- Greatest Span--------epi.:.cr........................... " This rectangle L to represent the lot. Locate the biding or buildings in the ri ht position. Give distance in feet from all lot-lines and existing buildings. (4_Lk REAR LOT LINE Two copies of plans and specifications shall �J be submitted with application. Inspections required. OCT 2 - 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour colu� o 3. When steel is in place and ready to pour beam-T11M NTIC BEACH a 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover P'PROVE D Ln N�►^ n'nCll w A 6. When septic tank drain field or sewer is Lid but bPul •q;ed: 7. Electrical inspection by City of Jacksonville. to S. Final inspection. 6 0 Note: In can of any refection,re-inspection JJUST be cal corrections are made. Q ` FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, whi ars a part hereof, and in accordance-with the building regulations of the Cit�tLntic B Signature of BuilderlrX.:-I't_ .._.._.....__... Address...t 1y�..-S.+....F&�o+ Signatureof Owner................................................................................ Address.................................................................................................... CITY CF ATLiWIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM TO BUILDING PIAN L. Building l cation i ?. The attached plan for the ,,We building is approved subject to meeting the following applicable construciton requirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deform reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one-third of the footings, properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit construction, each unit cell shall be reinforced with at least on No. 4 bar at all corners, poured and teed with concrete; such rein- forcing shall be properly tied into the footing and spandral bean. c. All wood truss rafters (roof construciton) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other like characteristics) of structures. In accord with the foregoing, similar or duplicate homes shall not be constructed within close proximity of each other, and shall be at least 500 feet apart if any one similar dwelling is visible frc m any other similar dwelling. e. The final connection between the house plumbing and the sewer service connection (at the property line) must be by qe C Abefore being covered. r Phe undersigned hereby certifies that he has read the above and understands that this 3ddendun takes precedence over any contrary details to the plans and specifications and agrees to ccrply with the intent of this addendum. s Contractor er -- Date t f zea: MEW,` OMAN &Y MUM ,41,ummom Lt' uly cum"Sumv MU . T!"MIX 9WER 2000 (ALTA DR 110547 FEE PJAM PEN TINK jymMy"! J TVITANAMIN 5141 pop TANY yrm On _jl, MUM FM wq'W., 041MAL, PEOWW" FEW 07,11" 9v ouspioull mW b LAMAS Y 4 A an 1 VAIL M --mm Sim, aml 010r, I rIOUSUR 2 units WHIME RES. 13 unkf?, MIN SINK A salts,.'' NISH SINK E444 5F ��,,,UC77 INK PAMB WR57" 1000 MUR MOSEVS, YANK QP wits) MAYGRY TV quin -- PIER CLOSETS, VALVE C? nnhs) -- TRA I W vMtw'.,' a$R-W44 10076 {' DEPARTMENT OF BUILDING CITY OF ATLANTIC BRACH -PERMIT INF'ORMATIOR ... ..� ,,- LOCATION INFORMATION` .. , P rmi Homer: 1,0076' ' Addteps P LANE Permit " Typ;e. MECHANICALATLAPITIC BEACH# FLORIDA 32233 it, a s of fork* ALTERATION LEGAL DESCRIPTION �` onstrType: WOOD FRAME Lot : 81"ock_ Section" Pr pos d U$e: SINGLE FAMILY Township: RNth: Dwellings: I Cad a C3 Subdivision,, Estimated Value: .'DD Improv. Cost., $0,00 Total Fees* Amo w .00D " 5 / c r3 NI E.NBER" AND AIR HANDLE AT OH � ".:�: PSL I CATION FEES �.---- A ; x �ru��" "P IT $37 .00 A d ' es r PEREEIP LANE W'AD`ER" IMPACTFEE $0 .00 FUDI � y' E � G Q 00 ------- 'T T. N100 Ott, R.A OOo CTAS 5% , ' $td.0�? Yams r CES " T HEAT IR CAPITAL IMPROVE $0 .00 Ap NEP FLORIDA 32233 CROSS CONNECTION S0 .0 L3 cepf —HA Type SEC R "IIuIPACT FEE " ? . r m . CONST. I3R�CHA R, 4 D NOTES: NOTICE--ALL CONCRETE FORMS.AN,D FOOTINGS MUST SE.MtSPCt'EIf" 3EFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF,ISSUE BUDDING MATERIAL,RUBBISH AND DEBRIS"FROM THIS WORK MUST NOT SE PLACED"IN""PUBLIC SPACE,AND MUST BE CLEARED UP-AND HAULED AWAY BY EITH-S CONTRACTOR OR OWNER "'FAILUR'E TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FOAtHE BUILDING IIV ROVI MENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS,PPRMIT AND SUBJECT TO REVOCATION FOR k CATIONC7F APPLICABLE PRt?ViSIONS OF LAW. t t LANTIC BEACH'BUILDING DEPARTMENT 0.00 14 701 s BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: — ) l _,j� s� 1 OF Intersecting Streets: Between T—��'�� And 0(' BUILDING Sub-division r II. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical Contractors Contractor (Print) Master G Name of Property Owner Signature of Owner r��, Signature of or Authorised Agent Architect or Engineer III. GENERA TION A. Type of heating B. IS OTHER CONSTRUCTION BEING DONE ON An Electric THIS BUILDING OR SITE? as—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT ❑ Other— Specify 1 MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) b4l Residential or ❑ Commercial Heat ❑ Space ❑ Recessed xCentai O Noor ❑ New Building 0 Air Conditioning: ❑ Roomtral Existing Building C) Duct System: Materia s CenThickne« Replacement of existing system Maximum capacity c.f.m. ❑ New Installation(No system previously Installed) Q Refrigeration ❑ Extension or add-on to existing system Q Cooling tower: Capacity q,p.m. ❑ Other — Specify ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q;.Guoline pumps (number) (Raeeh»d) ❑. Tanks (number) Remarks ❑ LPG containo (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date -- b Other — Specify Permit Fes LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Cppeacc!! roVing Number Unit■ Description Yodel Number Manufacturer (TOW—I LIJ 9910M A 0 L PSR$844 9613 , 13 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION .'-�-�---- �°.. ~- LOCATION INFORMATION -- Permit Number 967.E Address . 5Ca�s CLIPPER SHIP LANE __.. .� Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233, . ��1 hark ALTERATION N --- LSSA ,DESCRIPTION Const r� Type: WOOD FRAME . Lot * Bl pack t Sect cin Proposed Use: SINGLE FAMILY Township: RNC: 0 Lwe11ingsv 1 Code: 0 Subdivision; SEASPRAY Estimated ValSze; Improv, Costa . Amou 5 2 5 w C1 p MAT ION °�" .iw �, APPLICATION FESS PERMIT 2 Gt Addree. SHIP LAtE.� s W IMPA FSE .~ aq . R ,` PV " Fag °� `� ► ",� "T O NOORMATN -- RADON CAB 5% Ittme..:A,. S * P ,UPSIO .... . � .. ...:._ CAPITAL IMI'R01E. ,(3C?` eLLd a 1093 M 6bii SEWER TAP $0 .40 ACK ILLS. F 32245 CROSS CONNECTION ,� .00 & * C� TYPE SEC R IMPACT FEE . � SCHR /ATL.BCH. . NOTES NOTICE ALL CONCRETE FORMS AND FOOTINGS.MUST,BE INSPECTED BEFORE POURING PERMIT VOID SIX'MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER `FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTI BEACH BUILDING DEPARTMENT 00D000000t1lI0QEiGQQQ Ii2578 1} DA04' i/20/95 41 A*: wMkw1000 233111 a CITY OF ATLANTIC BEACH /A-PPLICATIION FOR PLUMMbIN/ti�^PERMIT / JOB LOCATION :_�'P_�,__L1J.,��'� OWNER OF PROPERTY :------ BU I LDI NG _____BUILDING CONTRACTOR - /�-..__. .. PLUMBING CONTRACTOR _,69�«/?�k. -- Alv AND ADDRESS: 1093r TELEPHONE NUMBER: STATE LICENSE NO: _^ c c,eq 3LG TYPE OF BUILDING: SINKS LAVATORY ------------LAVATORY ---BATH TUBS URINALS L1 SPClSAI.,:; ------------CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $:J. 50 $15. OU = S -------------------------------------- -------- ----------------- INSTALLATION OF PLUMBING ANU elXTURES MUST NE IN ACCORDANCE., wi'rH THE MOST RECENT EDITION of THE SOUTHERN STANDARD PLUMBI NCi COI)E. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904 ) 2,e1%- A DEPARTMENT OF BUILDING ( ! T CITY OF ATLANTIC BEACH,FLORIDA P"kT NO*"--�J,f 1;;(,,1 y�. PERMIT TO BUILD 77-21 .r ICA THIS PERMIT MUST BE POSTED ON JOB 479 1 A 5/22/8 r I non Date May 22 1986 Valuation$ Fee$ 10.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. jThis is to certify that lanai d M. Koenig I has permission to M install irrigation well I Classification redidential Zone Owned by Donald M. Koenig Lot Block S/D House No. 566 Clipper ship Lane 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 d--b, 4 P. O Building material, rubbish and debris 34 from this work must not be placed f in public space, and must be cleared up and hauled away by either con- trac or or owner.. Building Official. FSE ON YOR E NUMBER PERMIT DATE CONTRACTOR � PLUMBING ELECTRICAL SEWER WATER I AW FEE $10.00 �\ f1� APPLICATICN FOR WELL PERI IT CITY OF ATLANTIC WACEi ,PROPERTY OWNER , Name:— nt-2 a, I r Day Phone�lj d Address c 6 Zip 7L 3 APPLICANT, 'IF a= TEM OWNER Name: Day Phone Address; Zip JOB Address or Location, Legal Description: Is well to be used for drinkipg purposes? lUo - w ct7eiiZ Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach. Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein: ZL4 9,;? Signature Date '-'—