Brista Del Mar Circle 1988 CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
DATE
LOCATION R 15 rA
PLUMBING FIRM
MSTER PLUMBER
CITY/COUNTY OCC-,:?A.TIONAL LICENSE NO.
STATE CERTIFI CALIE NO._ 0 3 7-6-Z, -3
BUILDER OR CON=--'-CTOR
TYPE OF BUILDIN--':
SINKS --.SHOWERS
LAVATOR:-:7 WATER HEATERS
BATH Tl:]�-z DISH14ASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR :-:�-AINS Y
OTHER
-TOTAL FIXTURE COUNT
INSTALLATION O-F '-PLl:'-!BING AND FIXTURES MUST BE IN ACCORDANCE WITH THE
MOST RECENT ED----l--C-�N, OF THE SOUTHERN STANDARD PLUNBING CODE.
DEPARTMENT OF BUILDING r%r%
PERMIT NO.0 021
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
2/26 _19 85
Date
59.00
Valuation$ RIMING Fee$ rqnnC1(T I
71�19 1 3/67/65
This permit not valid until above fee has been paid to City Treasurer,and is
0 OCAC
subject to revocation for violation of applicable provisions of law.
FAIME?UMIX
This is to certify that
has permission to h)* TMWAJI, PTIMIX
Classification MSIDEN= Zone
GISM CONSTFUMON
Owned by
Lot 98 Block S/D
House No. 1988 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
AFTER DATE OF ISSUE
4— M
0 Building material, rubbish and debris
z from this work must not be placed
in public space, and must be cleared
hauled away by either con-
trac r pt)%wner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
odW
BUILDING AND ZONING, ��, INSPECTION DIVISION
'CITY OF ATLAN'TIC BEACH
ATLANTI&'BEACH, FLORIDA 32233
R
APPLICATION FO`:1 ., ECHANICAL PERMIT CALL-IN NUMBEiF
IMPORTANT Applicant to cdmpl,
efig all items in sections 1, 11, 111, and IV.
Street Address:
LOCATION
Or.
InfOrSIS cting Sff`06fl: Between d
And
BUILDIN4
9
1Aclivision
To 6e.completed by a applicants.
f _'�IiW.,.tion of permit given for doing the work as desc
i� io ri6ed in 'the above statement we he—reby agree to perform said w_6rk_ina�c`cbrjan6;
'witis the attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances--a,(Ld-standards
of go6d,practice listed therein.
Misee,of Mechanic
Contractors
Master
L
Cor**c%r lWint)
-A,.. _'Property Owner
Signature of
Architect or Engintier
of Owner
or-AWItiorlsed'Agiint
IINIFO�MA*N
A——
4,60ti fuel:
fig
IS OTHER CONSTRUCTION BEIN E ON
G DON
THIS BUILDING OR SITE?
C3 rm 13, LP [3 Natural 0 Central Utility
IF YES, GIVE NUMBER OF-CONSTRUCTION
4,13 PERMIT
Spwflr
EQUIPMONT TO IIE INSTALLED
I1011111CHAN NATURE OF WORK
(ftv'Wo'gornplietis list of components on back of this foft) Commercial
D Residential or
New Building
Heat 0 space 0 Rftow ntral Flow L
El Existing Building
Ak CondM ming: [3 Room X—Central
_bocmie=�> Thick of existing system
Replacement
Dect System: matoria
r_1 'New Install a*tlon(No system previ us Insta
Maximum capacity �Cffl
Extension or add-on to existing system
Other— Specify
9-p-m.
tower. capacity
M lWinklen: Number of head,
13 EWftw 13 110114ftlift 13 Esulato- (number)
THIS SPACE 0011t OFFICE USE ONLY
ra�solliias pumps (number)
(number)
Remarks
C3. LPG conlairim' (number)
13 UO&W pressure vo"
by
poffrii Ap roved Date
p
Permit Fee
I#=!"Am-EQUIPMENT.
ERATION EQVIPMEM
AM 1?"RIG
�o,
CLP&City Appraving
X=ber Unft Desaiption Model Number M"ufacturer (TOW AgIMOT
or- a d work-. ac-c.rd n..
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to 0 A-7
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THE 2004 EWAV Of THE rLOAROA A&DOX COAC DAr�pr 7mr WAW"4 4&5 Stau Nor Ar UM
IW STOW PANEL SMUL NOT BE MOrALLED AT 0804 KLOOFFY WARRIC"20NO(AAKW-IKff/AWNWRO C"TIV
OESIM WO LOADS VfALL BE WERWIED At PER SECIIM tWt O�RE AWK ANNr4qm=E MR A AM SM SPEED AS A IT SMALL BE THE PCIPOAMWTV OF THE CCW�IOR TO VIDWY THE$00allss OF rC STRUCTINE WHERE SNUTTIR 6 70 BE
REOL�Or THE AAWNCMW WNEM STOW AM MU BE ANSTALLM AND FOR A MECAIMALITY WFOR W-Oft IN ACCQRM� AFNAMM TO MRAF PROM ANICHDOW IW SHUTTER SWILL MLY BE ATTACHED TO CONCRM BLOCK 00 WOOD MW"AING&
WAY ASW 7-Al=MMM JN CAIDER TO WNFY THAT CaWVAOM AMC A10CHORS ON IW P.M AS FESICD NOW NOT OVER
STRESSED,A MX WCWW IN ALLOWABLE STRESS MR WIND LOM WAS A=LISED IN THOR ANALYS�m A&WAIM 01AC110IR 40-1.80 2 THE WSPILIAMN CONTRACTOR 6 TO ALL SWYFER CM009K EOGES WHKW REIMW AV CONMA"M CWACT WIN THE
WAS LOSED FM VERWRAWN OF FASTENERS m om k4uTw to mcww wAftw Nmwm ex"AAw sia smim Town Z Awim mi LmN
STOW AAKUT ADEM14CY FOR 40-YWT AND FAMM AESWANCE HAS BEER WWW W ACCQWVJCE WIN SECTION 100.1.4 OF THE 10. to)XNS PEA PAPARED BY M&ANM 6 GENMIC AND DOaVOT AWW"Af*WMN FOR A Sfff VVCFX AROJEM 46.
ABOW MEATADAW CGOE AS PER AIX REPORTS 1 0122.00-M.0 WADI-M I MU01-00 AND IM12.01-03 AND 061402-04,AS WHERE THE SITE COAMMS DEAM FROM THE PLO
PER SSTV 12-99 STAWMV. (b)CONTRAC11OR M AK'AaMAW&E RON 7W W.EVXK PLffCMSE AND 96MMITON INCLLCLW LYE WTrr OF THIS PROOL=.&SED
ON"#S PROM=PelSHC DOES NOT DEW7F FROU THE COK07IMS WAOLO ON AMS MMMA04T.CM17RWWN Som AT Sgr
2,ALL ALLUMN SNEFT VEM PARIOLS ViALL MVE-440-N.0 OR 340#-"ALLOX is THE e*ymc7vRs ft-SACWsAftly.
j.ALL W44&"VORLU%SHALL BE&Wftm AjW_AnM Wdj-rf ALOr& M6-0 LwLESS OTHERiWE NCIM fc)W PXDL ftL BE CONSMM ff"F ALMa BY ANY WAAM
S7VAV AMEL COA Lf snmw PLATE Ame U Sow CAP ARE Pow Pmoi (d)SFTE SftWIC PROACCIS 944U BE PRMW Or A FLONVA RIOSMED VC#4=N ON ARCHIJTCr WHICH WILL WCOW TW DWJM
4 ALL SCWM TO BE SW"SS SIM J04 OR Jll A.*SOWS OR CORROSION MSSDWT cava CAROM SIM AS PER DW 50018 OF AVIC01W fL*A)FOR THE PROJECT AND WHO WILL BE NVONSME FOR ThE PROPER LSE OF INC Pfa
W1 50 ksl VIELD 37RENVIN AWD 00 ft?MVUE VMMM DW&AM OF RECOAU�ACTING AS A MIMIED 00NON W THE P.Ca 04MW, VOU&MV 70 rNS L477V THE sa mam
DRAWNGS FOR REWCO!,
5. BOLIS TO BE AM A-3D?GAIWV00 STEEL OR Ad?JV4 SMU SrAftlSS STSEL 1074 33 Joi A00000 YIELD SnMWI?f. (#)W pXA VO4U MW yHE A47r AW&WM SEAL AND=MnA?r OF THE A%VMWpK ova%w a-^Taw-r A--v ff
ANC14"M WALL PULL BE AS FOUONM(LWLW ONDUM Ad=) 11. SMUFFER UVAAAMA"T LAda 94ALL Of PLACED dV A WAOILY AND KSOX L0C*rAW AT AVa
(A) TV 01SW POWED 02WREM' ONE LAMM VMU BE PLACED FOR EMY OAD4W.
LABEL A*U AM AS FOLLOWS,
114-0 TAMON ANOIGNS AS UWWAMM BY 4T.W.ALAM &MM Amm SLfftr.Or-
tl4*0 CF W-4V AN009S(JVR7*3yUO-CC4 AS A~ACnAVD BY Dft�-FAST CORALWrXhl MW A&M WACK RL
114'0 ZAWC WN AKWORS AS WJWACnAED BY ROM FASUM AC Haim sum?"Afflaoucr ApmwD
114*0 x 7/8'CALK-0 AACHORS OR ELCO ffaft&&"* 'P�lr AS AtUAFACTLNED
BY P016V IASIENEM PC AAG ELCO IFYIROK AESftWf4rL Y
114*4 x 1/4'ALL POWYS SOLID-SETANChORS AS DWWDU?W BY ALL POWIS SCREW.BOLF&SPECALTY CO~.
tl4*A RED HEAD omear SLIEW ANCHORS AS UVIOW71AWD Sr A XJV X&AV1%ftW.
AfDl='
AJ)ANO"OWEDME?ff WTO POURED COACREZE Of TAPCON ANCHM 6 1 4/41
FOR MW MOJILW ANCHORS 6 1 JA*.'FOR ILCO PANGJAUE ANCIORS 6 1 J14',
MR RED WAD DM40OLT SLIEW ANUAM IS 1 1/81,AAV MR Cf W-GW AN04W 6 t ?/4-
A2)7A*C4LK-N AACHORS SINU BE ViWELY IldEDDED IM NE PWJRED CMCKYE NO GWDWMT 010 SA0CCO&*U BE
PERUTTED. 114-0�20 SCREW USED SIWL BE 1 112-LONG APV"9fOLU SRXCO&W,AND I-AOMN FUR W%LLS WFIX AV
STUCCD
A.3)AW4ULAy 04890btNr OF 114'0�3/4'AU POWIT SOLID-SIT ANCHORS SWALL Of"*WFO rpW POLRED CVAkVM NO
somaw mvrb snxw&wL ar PeRkim ?/#,a-2o is.j6o"50qfw LM VALL ar I 112'WM&WARN SNO"
SYLOCCO EVSY AND I'W"W FOR WALLS WIN AFO STLICCO.
A.4)w CASE rwr Pmcw STOW& PRECAST CONCRETE PANEL-Z OR FWAM W FOLMO ON THE EWTWC WALL OR FLOOR.A04HORS
SWAL ar LONC 04MM TO REACH THE AfAW SYRUCYW W"SLoCH AWRI ANICNOPME SIHAA BE AS WUCAYED ON NOTES A.?)&
AlOW
to oarm comeRew&wx W14LL
114'0 DIPCON AW.Sla"AS"VAFACnMO Br LT.W. &BACK.
114'o CF UP-ORP ANCNORS(DERIM srw-comi As uq*#wnpm re m-FAsr ewawm
1/4'0 ZVA4C M"ANCHORS AS WM&WILOND NY POWER FASMIERS,ON'-
114"IP 4 7/V'CALK-W ANCHORS 00 ELOO me%*fw"k 'Av.8jdATF*AS A~ACnAM
BY POWER FASIMM W-AAM aCD nWTRM REVEmmmy
114'0)t 3/4*ALL P4WXF S"-SET ANIONVAS AS AWXW=Or ALL MWIS XMX Bar a apEmry wwAw.
114-0 AM"O"WAftr SILKEW AWtV0 AS~ACYLf"JY AXW.A&M.
APOTM-
9.1)UNIMAJ OWDAWNT OF UPCON.ELCO PANELU4 F&AND CF DIA-4W AACHM WTC CONCAM BLOCK
LONT SWILL BE 1 114�1 4,V*FOR Z4*C~ANCHORS AMC I I/V*I'DR RD ffAD"VJXr SLM AWHORS
&2)718'CALK-W ANCNORS SWL RE VVMY OWDOED XYD 7W CM04m BLOCK 9W.AD Ehemww WM SWCO S-ML BE
PMT?M 1/4*0-.V SMWS Ld=SMU BE 1 1/2'LCAV A^O"SINOIAD Sh=DW AND ?'A"AAW AN"IS OFIN 14 F.BC./(AA-Ho Mooft-albly, Z—)
snixo.
PANEL
i&^Nw rA&mm w OF r14 p j14 ALL Pown aw-sr AwAim vivA Be 7/j,^v m 0&4ftV&VOt AID 0,050"BERTHA ALUWNUA4 STORM
DADEDWDO OM Sli.,=S94LL BE PERWITUL 1/4'0-20 11 bMCAINE SCAVW USED 9j4U a I ?,*'Low M04AW SNVAO !-F
SRACCO EMT AND f'6WAAAW AW WAI.LS WrH NO SnA= AAAIJ
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T
7' IILIECO
#v c4sr ywr^%wr srow OR PRErAv cavmm PAmas BE FvwHD am rpw Emaw w"ox"m swu w ow 400 war Oman
VVWH TO REACH PC aw snwxnARE AD"SUM PANELS AINCHOW&E SI-ALL BE AS MACAIM ON HOTES AV At)AND 092)AMOW- OW ASM 8004 A IM? 05-270
i"Aw-A PAWN00 Jft
—.1 A.N~ I�lm.l smw� Tw
(C)AACHORS SP*LL OF MULLED A2UOMW ALL OF IW AEC*MVfAVAWM AAV SMOVAWAN5 OF XNE AAChORT AW"WILASR NMI m, A f. Ads" I
-W a
Florida Building Code Online Fage, oi
Product Approval Method Method 1 Option D
Date Submitted 09/15/2005
Date Validated 09/23/2005
Date Pending FBC Approval 09/29/2005
Date Approved 10/11/2005
Summary of Products
L M del, Number or Name Description
19.1 0.050 Bertha Aluminum Storm Panel
Limits�f—U" (Se; Other) tallation Instructions
Approved for use in HVHZ: Verified By:
Approved for use outside HVHZ: Evaluation Reports
Impact Resistant: FTID 419 RI Certification of
_T_
Design Pressure: Inclekendence.0f
Other: Product to be installed only within NON PTID 419 R1 T Drawing NoO5.-271.pd
HIGH VELOCITY HURRICANE ZONES as defined PTID 4-1q_Rj_T Dwg-_g5-270 pd
on section 1619.2 of the Florida Building Code. PTID 419 R1 T Dwq No. O.S-276.pdf
PT
Ri T Produ�t EvAlu_qtion No. 05�-
0907.04.r)df
_p—.
PTID 419 R1 T--Product_E lqation Report No.
_va_
05-0907.03.r)df
PT
A ID_��I_� R1 T RPnprtNo- QS-,
19.2 .105-271 ___]j24ga. Galvan-ized.Bertha Steel Panel
Limits of Use (See Other) Fl—nstallation Instructions
Approved for use in HVHZ: Verified By:
Approved for use outside HVHZ: Evaluation Reports
Impact Resistant:
Design Pressure:
Other: Product to be installed only within NON
HIGH VELOCITY HURRICANE ZONES as defined
on section 1619.2 of the Florida Building Code. I
19.3 105-276 _]IClear Bertha Storm Panel
Limits of Use (See Other) �linstallation Instructions
Approved for use in HVHZ: Verified By:
Approved for use outside HVHZ: Evaluation Reports
Impact Resistant:
Design Pressure:
Other: Product to be installed only within NON
HIGH VELOCITY HURRICANE ZONES as define
on section 1619.2 of the Florida Building Code. I
Ne.t
XA Admini tration
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee,Florida 32399-2100
(650)487-1824,Suncom 277-1824,Fax(850)414-8436
2000-2005 The State of Florida.All rights reserved.Copyright and Disclaimer
Product Approval Accepts,
in
littp://floridabuilding.org/pr/pr--app_dtl.aspx 6/5/2007
Florida Building Code Online Page I of 2
5CIS Home Log In Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search
Product Approval
USER:Public User
Product Approval Menu>Prqduct orApp—licq-tioo–nae—arch>Application List Application Detail
FL# FL419-Rl
..... ..... ..... Application Type Revision
Code Version 2004
Application Status Approved
Comments
Archived
Product Manufacturer Eastern Metal Supply
Address/Phone/Email 4268 Westroads Drive
West Palm Beach, FL 33407
(561)841-5480
bfeeley@easternmetal.com
Authorized Signature Bill Feeley
bfeeley@eastemmetal.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Shutters
Subcategory Storm Panels
Compliance Method Evaluation Report from a Florida Registered Architect or a
Licensed Florida Professional Engineer
Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name Walter A.Tillit, Jr.
who developed the Evaluation Report
Florida License PE-44167
Quality Assurance Entity National Accreditation and Management Institute
Validated By John Henry Kampmann Jr.
Certificate of Independence
Referenced Standard and Year(of St4 nda rd Year
Standard) SSTD 12-99 2001
Equivalence of Product Standards
Certified By
Sections from the Code 1606.1.4
littp://floridabuilding.or,o/pr/py—app_dti,aspx 6/5/2007
,im, Inc. D&R Shutters,Inc.
m6lq sorvicing
n
Savannah, 1.4
Jacksonville and be Beachas
deaulort Chades ton *4 ksEc PM SHUMRS from Amelia island to St.Augusont
'Home Officch & Showroom
5851 Lowcountry-Drive-Ridgeland, SC 29936
1-888-765-2929. Fax 1-843-717-1749
TO: PHONE 3bs DATE
JOB NAME/LOCATION
cl/-m/45 S-; I
of ay /,W
/14,-Y r I,
JOBNUMBER JOSPHONE
The following is a layout of home or busines� & is an addendum to contract
N 1-3
17 40
L—L
6, Authorized
2 X :3-5 12 U Y6 4 Signature
3 Y T-3 12 ZZ ,01-7
q 34Y-)q )v 72%f 1!�s 3 1) YY 2— Date of Acceptance:
/-5 6 SYSL ', ......../
)6 2 G Signature
51 Y 3Z, Signature
45yzj
?14 MY ) q
Jerry E-Hicks
V ::'l PMPMty Owner 6XNT
Address:
Unit 4
CRN comty'-J�11-1
Phone#-
Fhone4
IF
I>Stucture: Mas*nry�zwoo�V-1160nclette Ahmifii=i Otber
(Vmdow Frame: if varies fmm above matwW
Gpenmg
2>ROOF SLOPE: Less Thau or Great than
3>Fire SprHders: Yes No
4>Buflding Hei&,
5>CoasW Zone Yes No
6>Condomkh=/Assodafion.Approvah Requkek 'Not Require
7>Are Specs Available: Yes
&>PSF
RoU-a--way Phw required to complete this job-.
Contractor- DAViD M'CoJK,-
Property Owner 07XRe-os S-14-M
Address: Bk/!;TA DEMA4 0-)C A TL-A,,j-ne-:REA,-14, rL
Opening
Height Width Product Plans
1 2
S-rc,fz YI (A IJ E L-,�
2
3 3&
-2
4 _,>6
5 7q
6 6q 3
7 32-
Z/
9 le q
10 C)
I 1 /-72-
12
13 72-
14 6 -:5
15 -36
16 33
-17 ge)
18
19
20 q�l
21
22
23
24
25
26
27
28
29
FLORIDA ENERGY EFFICIENCY CODE
FORM 1000-C-91 FOR BUILDING CONSTRUCTION
SM-ALL'AMITIONS Section 10—Residential Prescriptive Compliance Method Climate Zo
AND RENOVATIONS Department of Community Affairs NORTH I
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAYBE DEMONSTRATED BY USE OF FORM I ODDC-91FOR ADDITIONS OF 600 SQUARE FEET OR LESS AND RENOVATIONS
TO SINGLE AND MULTIFAMILY RESIDENCES.ALTERNATIVE METHODS APE PROVIDED FOR ADDITIONS BY USE OF FORM IOOOA-91 or 9WA-91
PROJECT NAME SUILDER-
I )krl Aj%3rj j,
CLIMATE
FAND ADDRESS: PERMITF E] 2[] 3
aill,_ 'j - AF L4i_n I C_ 1�c
OFFICE: ZONE:
OWNER: PERMIT JURISDICTION
NO.: NO.:
CONDITIONED[]��SO NEW GLASS AREA AND TYPE
RENOVATION IF MULTIFAMILY,NUMBER OF FLOOR AREA FT CLEAR TlNT,FI1_M,SOLAR SCREEN
ADDITION UNITS COVERED By PREDOMINANT SINGLE- so SINGLE- so.
MULTIFAMILY ATTACHED EAVE OVERHANG FT PANE FT PANE FT
THIS SUBMITTAL LENGTH
PORCH OVERHANG M, DOUBL& SO DOUBLE %
SINGLE-FAMILY DETACHED LENGTH -FT PANE FT PANE FT
WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION
FOR ADDITIONS ONLY: WOOD FRAME MASONW" UNDER ATTIC: WOOD MASONRY
PERCENTAGE EXTERIOR: f�R-
OF GLASS R EXTERIOR RAISED: RAISED:
TO FLOOR: R 7 [7,[] SINGLE ASSEMBLY: R ME R
ADJACENT: M. ADJACENT:[I].[] R F1 COMMOK
-e!,!'R= R= --- - _ `ME
COMMON: COMMON: COMMON: SLAB-ON-
R =-El--01 R= R� [I]-[] GRADE: R
DUCTS COOLING SYSTEM HEATING SYSTEM NOT WATER SYSTEM
IN
UNCONDITIONED 0 CENTRAL D NONE ELECTRIC STRIP HEAT PUMP El ELECTRIC SOLAR
SPACE: R = F� Room NATURAL GAS ROOM/PTHP 0 NATURAL GAS El HEAT RECOVERY
MIS [I PTAC Fj OTHER FUELS NONE El OTHER FUELS DED.HEAT PUMP
IN CONDITIONED [_� NO NEW SYSTEM NO NEW SYSTEM NO NEW
SPACE: R = SYSTEM_ EF SF/EF
[11.11 1 SEEFI/EER EA-1� COPIHSPF)AFUE =Z.1C NUMBER OF BEDROOMS L-1�
I hereby certify that the plans and ns covered by the calculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance with
a st,uct,on is rnPI ill be inspected
I
comp, 5
Florida Energy Code. th Flond E;,,,�'g=,.,I 1,1.10 r NC, eted,tKQjbuIc1.11,kw
for ian ion 553., F.S.
PREPARED BY: 717 DATE�
BUILDING OFFICIAL:
I hereby rtity h h s build comptian th th Florida Energy Code.
OWNERAGEN ce W, e DATE: DATE� ------
&A
U
41MUM REOUIREMENTS FOR ALL PACKAGES
50—MPONENTS —-SECTION REOUIREMENTS CHECK
WINDOWS 904.1 Minimum of 0.34 CFM per linear foot of operable sash crack(includes sliding glass doors).
EXTERIOR& 904.1 Maximum of 0.5 CFM per sq.ft.of door area:Solid care,wood panel,insulated or glass doors only.
ADJACENT DOORS
EXTERIOR 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed.
JOINTS&CRACKS
SOLE&TOP 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed.
PLATES
INFILTRATION 903.2 Infiltration barrier must be installed in exterior walls&raised wood floors.
BARRIER
INTERIOR 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed.
JOINTSICRACKS
903.2 -Fireplaces must have flue dampers,glass doors and outside combustion air intakes.
EXHAUST FANS 903.2 Exhaust tans vented to unconditioned space shall have dampers,except tot combustion
devices with integral exhaust ductwork.
COMBUSTION 903.2 Combustion space and water heating systems must be provided with outside combustion air,
HEATING except for direct vent appliances..
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric)
or cutoff(gas)must be provided, External or built-in heat trap required.
SWIMMING 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a
POOLS&SPAS I pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
OT WATER 904.4 insulation is required only for recirculating systems,including heat recovery units. In such cases,
IS piping heat loss shall be limited to a maximum of 17.5 STUH per linear foot of pipe.
POWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG.
HVAC DUCT 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,
CONSTRUCTION, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned
INSULATION& space and air handlers located in attics must be insulated to a minimum R-4.2 (A-6 after 11/11/92).
INSTALLATION I - -
HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system.
RENOVATIONS 1003.0 Meets the requirements of sec.1003.0. See step 3 of page 2 of this form.
ONLY GLASS
N�
j;
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
Owner(s) : -1 Ex;->*k
Address: fion?) &jjTA hone:
06
Lot # I n Block or Unit # Subdivision pr'LV&
Contractor: ILL-L-i AA.AkN -XrL"Qn t- C.KjLrr:. xy-jc
Describe work to be done:
cy-'\
Present use of building: Valuation:
Proposed use: 23�s
Is this an addition? L�� If yes, what are the dimensions of
the added space: ft. X ft. Will the added area be
heated and cooled? %-C New electrical (or increase)? Qv,�
New plumbing fixtures? I New fireplace? t-�c� New Heat/AC?
SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY
IF THERE WILL BE AN ADDITION TO THE EXISTING STRUCTURE.
Signature OWNER: V1 Date:
Signature CONTRACTOR: Date..,_ -3t
Building and Zo.'�iing
Address_L,'-'/. 0� a- 0 0 VA A-,�b vtTiC)
I (. -T e, 0
(2
Heated Square Footage @ $ S er sq ft =
Garage/Shed ra $ __per sq ft = $
Carport/Porch $ per sq ft = $
Deck $ ___per sq ft = $
Patio @ $ ___per sq ft = $
TOTAL VALUATION-
S— 0 0 C',
Total Valuation lst $ J)oo-o-D
Remainder
per thousand or
--------------------------------portion thereof Total Building Fee $ 06 � 0 0
------- ----
ADDITIONAL PER=S and/or FEES
$
+ k Filing Fee 0
Mechanical Fireplaces @ 15.00 $
BLTELDING,�PEPMT FEE $
Pltmbing 0. 0
Electric/New
Electric/Temp
Septic Tank BUILDING PERMIT $ ric
Well WATER. �= CHARGE $
Svhmdmg Pool SEWER IMPACT FEE $
Sign WATER IMPACT FEE $ ;2
Water Connection ]MISCELLANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $ C
----------------------------------------------------------------------------------------------
CALCLJIATIONS and/or NOTES
YoncE OF COMMENCEMENT Swy*wAo Form 4op
FLA. 19" LAW$ - F871333
PAn to: (andoet sWP&weBBw suw#W =vgbpg)
ft kmt~ Prepared by:
Prowty Awalsers Pwcg Modficadon (Fob) N~*
SPM AM TWA LINE FOR PROCESSM DATA SM ABOVE TW LNE FOR RMOIRG DATA
Watirt of (qD-nW-MMtnrtMtUt
FWARE IN DUPLICATE)
i5a w4vul tt mug muctru:
The undersigned hereby informs all concerned that Improvements will be made to certain real property, and
in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF
COMMENCEMENT.
L"a Description of property (Include Street Addmw If wall") lip�yt
.. . .........
Gan" descarlptim of IMPMOMOU
owftr ....... ............ .............................................. .............
Aftflift .. ..... ........ ......... .......... ......
0~8 b"rest In a" of tft Impfftemwit ..... <t>tc::>!7/45
FOO SIMPft TUM I-nor"If (11 0910f "M 0""
me" A-V--0'-eqQ.A C-
AW(eft ....... ................. .............. ................... .........
COWWWr
ANOM b2, <fc-atl,� L.,*A K7L -�D27—L-Z"S
surety (if OW) ,
Address . ... .. .............._............................................ AUKNM Of b0W S ....................
Any pown 11101ft 0 1010111 fOf the W"ruWW Of the
mom .......--''............. .........
I'L/ ...I I....I I.I�.. .. ...I..�I...1-- 1-........... ........................
. .... ..... I .
Address ...... ....... .................................-1.....................
ftmn wItIft the SWe of FWW dealroked by owrier upon MKIM a otlw clocusima a" be-semed.
k
MAP SHOWING St,,,IRVF..Y OF
11 �" P
T'V�(C', A R��C� F', N' 1 1, A IN 7) 37A
CIR
I rf!�,
MAR 14 W
10Z,
Building and Zoning
:7 'e'
Alp
AO'
JL
15
AT Y �'O'e"d ;r�ry
�MIVA~Mr
lAAP SHOWING SURVEY OF
A! 37A
"4 —
N
MAR 14 ,
L jQQ
'Bui di'Ing and-Z ',"777
5' 7-4
1,or
4t At Ar
X
�,U Tc,
A.AW
A4'A"
dt
4o�le Ale A
ZovN/e '4', PA-W�'CAI
MAP SHOWING SURVEY OF -
LOT 98, PELVA NORTE' UNIT TWO, AS RECORDED IN PLAT BOOK 40 , PAGES 37 AND 37A
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CoA1-57-,A?,e1C 7*/0
Its
r, 14 ic
ZoMing
7-4
/0 75
r
Araw~
1.7
20.
th
A
4A
0% A/V
A96 7'
a 4
5. 000 51' 90.00.
L 7- /00 Z- r /a 77
Re,46oe 7-27
7XVS,'4�f Oe ^414RCIV� 1765 7p
A1A-r10A1WZ ve'Q71AC41- o,4721M '5
IV1014"qy -ma'evEy
.4 Ok?41
7;4'/57 IS 1p-,le oy A.4 A 7"
4g
Sot,
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
'LOC ATION INFORMATION,
INFORMATION ------ --------
.��Pov,�"t:,-ftus*bois ne 3635
Address: 1988 BRISTA Aft
�1` t Tyfto;: PLUNZING
ATLANTIC REACH, FLORIDA 322;3J,
C14" f Work; AbOtTlOit ----------
A
LEGAL DESCRIPTION
Types WQPD:,FRAME Lot-.
Blocks
Sections
rqp � ILY
P '"Od Use$ SI$GM�1` All Township: RN01 0
A
Subdivisions
410. 00
1%�prov. :00. 00
Tot*1 F es: $25. 50
�Ant
$25. 50
RING- IN ADDITION
ATI
On
APPLICATION PEES
PERM IT $25. 50
2
WATER 'IMPACT FEE so
. 00
FLORID
A_4�12?3 SEW0f!, TMPACV FEE I�4' $0. 06
41
6� Q
RADON GAS-H.R.,S. $0.00
'FORMATION ------ -
me 1, RADON QAS 5% , $0. 00 ,
EE WATER, TAP� $0. 00
d
Ad __1601", "WEA",TAP
ST
SE!
ATLA 919ACk
LonIDA 32233 HYDRAULld, SHARE $0400
F Ltoonal -1 . I ' ' I I :j
o,; CFC03 , Typo: 4 I'll
RE-INSPECT PEE
loo
4166,0,40og WIT140
SEC. H IMPACT FEE �OO
0
t
NOTES-;:
-NOTICE—ALL CONCRETE FORMS ANO FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSU,:
BUILbJNG,MATF_RIA�,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED.IN PUBLIC SPACE,AND M I USTI
BE
:CLEARED UP A140 HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
'TAILURE,70 C�Y WITH THE MECHANICS LIENAIAW CAN RESULT IN
tH �P ROPERTY OWNER PAYING TWIC
E FOR BUILDING IMPROVEMENTS.
TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB, "Q REVOCATI'M R,
I��OPAPPOdAeLE PROVISIONS OF LAW.
ATLANTIC SEACH�BUILQING DEPARTMENT
AV
By-
7,
CITY OF: ATLANTIC BEACH, FLORIDA
Appmod by APPLICATION FOR ELECTRICAL MMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 7- 9fz
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATeLPTTf BEACH ORDINANCES.
OLMPSON ELECTRIC CO., INC.
P. 0. BOX 50398
JACKSONVILLE BEACH, FL 3224D.0398
ELECTRICAL FIRM: MASTER ELEdTRICIAj GNATURE JOURNEYM
All RFD-BOX-
NAME
BLDG.SIZE BETWEEN:
RES>. 4- APT.( comm.i I PUBLIC( I INDUS. I NEW( OLID REW.
AODITIONJ� TRAILER TEW.I SIGNS ( SO.FT.
SERVICE: NEW( INCREASEII REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPERf I ALUMJ I
S"TCH OR BREAKER AMPS PH w VOLTI RACEWAY-
-7--cf-e
EXIST.SERV.SIZE ?-067 AMPS PH 3 W '7-zr,?voLT RACEWAY
FEEDERS, NO. SIZE INO. SIZE NO. SIZ
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN-1 TOTAL
1 0-30 AMPS. I _31-100 AMPS.
SWITCHES
INCANDESCENT
4
FLUORESCENT&M.V. I- oven
FIXED J%Mrs. -I
APPLIANCES I -I BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
/ to Aj I - / 00
5a
0-1 OVER
MOTORS H.P. I VOLTAGE PHIS NO. I H.P. VOLTAGE PHS
MIMMLANEOUS" 4;"Lze-
361
DEPARTMENT OF BUILDING
CITY OF T1
ATLAN C BEACH
A A ON -------
-------- LOCATID' R- INFORMATION ---------
:3696
Address% 198e 'BRISTA ,DE ,?fAR CIRCLE
*tt ypes ' ELECTRICAL.
P
ATLANTIC BEACH, FLORIDA 32233
ADDITION
V��-o Work: --------- LEGAL DESCRIPTION ------ -
Types wodx�t FRAIIZ
Lot; Blotk: Sections
roposed Uses -SIN 8-FAMITLY
OL
Tovnshipt RNG: 0
got I cod4� '01
Subdivision;
Estimated Values $0. 00
Improv. Costs $0. 00
"'Total Fees I
*20. 60
Awount P $20.60
Dot
25/91
ADDITION
J
'T4 ---------
APPLICATION FEES
ATION
IC COkS11 01-i-1, -��*ER
IfIT $20.60
,Add
OAR Cli LE WATER IMPACT FEE $0.00
Stw�
CH, 'FLORIDA 3223 SEWVR�,�,,XPACT YEE $0, 00
'Ph i 5 a"
A
77 7" V�AT- t 7, w
747 iw; I
0
*AD
FORMATION RADON GAS, 5% 00. 00
L RLECTOIC-Co, IN C TER TAP
WA
Addr, as' 66
3,98 '
SEWER TAP -$0. 00,
FLI HYD-RA,ULIC SHARE so,
License I ERM 00
Type s 2 RE INSPECT FEE
SEC. H IMPACT FEE
OTHER
I�ARI
.........
43
Nbpw,
�NOTES:
T
f
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPEC
imo,BEFORE.POURING:
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
"A
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN,,PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULIEb.AWAY BY EITHER CONTRACTOR OR OWNER.
IFAI TO'COMPLY WITH THE MECHANICS LIEN LAW CAK RESULT IN
THE ER ER PAYING TWICE .FOR OUILPINO IMPAOVEMENT'm
TV OWN
WVIAMN, VATEt XiFi4/9%
VIVE; 40M? HR
ISSUED. ACCORDING TO APPROVED PLANS,WHICH ARE PART:OF THIS PERMIT AND SUBJECiff" OCATIO
VIOLATION OF APPLICABLE PROVISIONS OF LAW. its
PA
ATLANTIC$EACH BU1LDINQ DIE, ARTMENT
6y�
e '07
4
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
NFORMATION ------
PERMIT I -------- LOCATION ' INFORNATION ------
*boi 3658 hddress; 1988 gRiSTA DE HAR
Typot MECHANICAL
ATLANTIC. $EACH, FLORIDA 32233
o 'Work: NEW
f ---------- LEGAL DESCRIPTION ----------
0"t T WOOD FRAME
ypel �-ot: 98 Blocki sectiont
'''ed line 1, -SINGLE FAJ1IL '
Y , Townsh.ip., RHG; 0
4ingiw: I ' Codes 0 Subdivi-siont
lgis��twd Value
�_Improv4, Coati, $0.00
FeeS2 $43. 00
_ P1
A3.60
vf
v—prx,:L)ex=� TRAL HEATING AND AIR
. . . .........
A7
ATION --- APPLICAtIONYEES ----- -
ER"IT
$43. 00
1>9 MAR 'WATER IMPACT FEE
$0.00'
-",JM,PA( -60.00
H, FLORIDA SEWZR' ,? -TI'ves
phol *AT
46m 4,=
ORMATION ------- RADON GAS 5Y. so. ()o
S.
4
C
A
KtHEATINJ AIR WATER TAP
$0. 00
_;7A
Addroits s 6 $0. 00
SEVER TAP
ACK LE, FL 3,2216
HYDRAULIC. SH RE $0, 00
Licensts, CA CO Type; 0
RE INSPE
0.,
SEC, H IMPACT FE
"M�e
NOTES:
-UST
NOTICE—ALL CONCRETE FORMS AND FOOTINGS M BE INSPECTED SEFORE POURING
7
PERMIT VOtD SIX MONTHS AFTER DATE OF ISSUE
I�UILDINGrMATERIAL,RUSSISH-040,I)EBRIS,FROM THIS WORK MUST NOT BE PLACOJ�P06LIC SPACE,AND MUST OE'
-C F-0-UP AND HAULEDAY4A�:gy'F-ITHE14 CONTRACTOR OR OWNER
LEAR,,
'.'PAILLIRE TO CANARS LT IN
KPILYMITH THE MECHANICS' LIENLAW`
Aj
fto FI�BU[Lojt V
p RW JOIN
_yj NG TWICE Fo
IMPRI
THEI� E 0 t-MENTt.'9
ms 14"im
TO,APOROVED, PLANS WHICH ARE PART OF THIS PERMIT AND $USJfWTO REA&A-0 R
IS$t)ED ACCORDING,
Yt LAT40, 14 OF-APPLICABLE PROVIS.40' NS OF LAW.
W$Wt W7W
ATIANtTIC, H BUILDINO DEPARTMENT
jq
DEPARTMENT 008VILD044
C ity AT
OF LANTIC MCH
PERXIT - --------
-------- LOCATION I
1988 :SR-ISTA 109 MAR'
00'r,.*` *t'':T ATLANTIC BEACH* ,;FLORIDA 32233
Addre
wt
"ZI *64-
Work: AD 1TIO ---------- -LEGAL 'DESCRIPTION:
Typi 0 A
Lots 98 8160ki SO tions
'0%
0�06*d Usei, SXXGILE,�FAXILY
Town'ship., RNO. 0
I C-dd4: o
at Subdivislont SZLVA NORTE
Eilti'iII4ittod, Valut?"t 411120000100
prov. Costs *0000
Total F 4 4270.00
Dsitiktl'll
SECOND
w FLOOR BATH AND 99DROOlt ' 'll
---- APPLICA�10N FEE,$
HASH 1111M 00
AL
-A,dd
9 VAR WATER 1111PACT"PEE *1120. 00
21��11, 00.001�
CH FLORIDA
111FACT
*Al�jzg�
04, So
ph
-AAb
5 'awl
FORMATION ------ RADON SAO 5V
k'OTIC Cq
#5T. INC WATER TAP
V,
....... SEWER, TA ,
00-00
'U L , 32225
HYDRAULIC SHARE $0.00
Coco
Typel 0
�CT FEE
SEC. H 11"PACt FEE
OTHER
lt�k�
NOTICE-ALL CONtfilETO fO�MS AND FOOTINGS MUST BE INSPECTED SE E Im
FOR u G ,
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE�
tSH N6,DEBRIS FROM THIS WORK MUST NOT BE PLACED IWPUBLIC SPACE,AND MUST BE 40'
VILDING MATERIAL,RUSS A
OLEAREDVP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FMAWRE TO NIPL ,VITH THE MECH LAW
CO N ANIC CAN RESULT IN
WtIEN
TWICE FOR BUlLDI, GJM
N ROVEMtNTS
7 7 7 7
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMI uBjE6T T CATION FOR
Vl$ONS OF LAW.
J
Mo a.-
32
6&tLbjNG DEPARTMENT 2�1
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address:. 46 r 1,'3 0'_ Ld
LOCATION
OF IntOrSeCting Streets: Between 1)04-' And
BUILDING Sub-division vc, lJo v,Ae_
11. 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 att0Lecl plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good.pracfice listed therein.
Nam of Mechanical Contractors
Contractor (Print) T'0 0 04,/ W 0,1 kz'1- R+�OL AC_ Master A C_(5 1#2
Name of I
Property Owner 7a"�L qc�f A)CoL
Signaturo of Own r /7 1 Signature of
or Authorized A91 Architect or Engineer
III. CPSIERAL INF(6VhiATIql�'
A, B.
TYPY4 hooting fuel: IS OTHER CONSTRUCTION BEING DONE ON
G( sectric THIS BUILDING OR SITE7 -e
C3 rval—E3 LP C3 Natural [3 Control Utility
IF YES, GIVE NUMBER F CONSTRUCTION
CI 00 PERMIT 3.5 3
13 Other — Specify
IV. MM>I�NICAL ICUIPIMINT TO 1111111 INSTAILLM NATURE OF WORK
;1 '" mplete list of components on back of this form) V, Residential or 0 Commercial
-""Hoactc' 13 Space (3 Recessed all�Cnfroll 0 Flow 0 New Building
9000,0A;rCondifioning: 0 Room ��ntroll W10,Existing Building 0c)
0 Replacement of existing system
S(Duc� System: Meferia-126 Thick 0 New installation(No system previously Installed)
Maximum capacity Coo c.f.m. M/Extension or add-on to existing system
13 Refrigeration El Other — Specify
C) Cooling tow*?: Capacity 9-Pi".
13 Fire sprinklers: Number d hoo
(3 f:lievator (3 Monlift C) Escalator .11number) THIS SPACE POR OFFIC* USE ONLY
0 Gaon"PUMPL— —(number)
Cl, To s- 1numbed Remarks
[3 LPG contains .(number)
13 U"fired pressure vessel Permit Approv6d by Data—
C3 11*111M
Other — Specify Permit
I
F LIST ALL EQUIPMENT
A13t CONDITIONING AND REFRIGERATION EQUIPMENT 0weelty Appy"llim
lftobW U211ts I)OCTIVU0111 MO&I NUMber 34anufacturer (TOM) A86111110y
ok I_NS. A PIT—
36 5
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:-
PLUMBING CONTRACTOR: co
LICENSE NUMBER: 9 42
OWNER:
BUILDING CONTRACTOR: 0,
TYPE OF BUILDING:
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT: , + $15.00
-------------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CITY OF
Fe4d - -;7&ud4
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE (904)247-5800
FAX(904) 247-5805
NOT I CE
TO: Water Department
FROM: Building Department
DATE: - '7-23-5-'Y
Please be advised that the final building inspection has been
completed on each of the following addresses and construction water
is no longer needed:
Permit Number Address
1533 (,
Sincerely,
Buil ing Department
Tatiftratt of Mccupanq ;
(litu of
Atlantic W=4 — 3lariba
Departintnt of Nuilbing Inspertijan
This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
UseClassification Single Family Residence Bldg. Permit No. 15336
Group w.f rame Type Construction Sf Fire District Atlantic Beach
Owner of BuildingFrank F. Houser Address 1975 Brista de Mar Circle
Building Address 1975 BrAsta de Mar Ct"lif, Atlantic Beach, FL 32233
By: DON C. FORD
Building Official Date: -Z 3 `7
POST IN A CONSPICUOUS PLACE
BUILDING, PLANNING AND ZONING INSPECTIONDEPARTMENT
CI T Y 0 F A TLA N TIC B E,4 CH, FL ORIDA
CER TIFIC.4 TE OF OCCUPANCY
WORKSHEET
Date Requested:
Building Contractor:
Building Permit Number:
/ Y-7-5,01
Address :
Legal Description
improvements to the above described property have been completed
in accordance with the terms of the pe=it and is certified to be
ready for occupancy as
U
Lowest Floor Elevation: /0. 7
required as bdiit
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE IFIED DATE APPROVED BY
Fire
Pubiic Works q- .23 —
Plann-ing
Building
f
Tertt tratt of Mrruvanry
Titu of
Atlantic N=4 — Nforiba
Department of Nutibing haptatan ,
This Certificate issued pursuanito the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
use classification-Single Family Residence" Bldg.Permit No. 15336
Group w.f rame Type Construction __�jf Fire District Atlantic Beach
Owner of Buddincyrank E. Houser Address 1975 Brista de Mar Circle
Building Address 1975 Br- ta de Mar Ct_"Ifly Atlantic Beach, FL 32233
By: DON C. FORD
Building Offici Date:
POST IN A CONSPICUOUS PLACE
[4