CAMELIA ST 429 431 ADDRESS -
BUILDING PERMIT NUMBER
INSPECTIONS: FOOTING
UNDER SLAB PLUMBING
� /- �2_
SLAB
FRAMING
COVER-UP
INSULATION
FINAL BUILDING
CERTIFICATE OF OCCUPANCY
ELECTRI CAL PERMIT # (b
INSPECTIONS ROUGH /
FINAL ;L
MECHANICAL PERMIT # 1 ,V93 --
PLUMBING PERMIT #_ -7 I
NOTES :
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date: 11-2T-Y
1# /;31 C-1 It S i t.111-&- AVAT" J7AvR
Property Address, -q31 CAt--EL-14 ST
Owner: -0 CAA- %9VZ(Z- Telephone #: a7,iaf
Contractor: sw4b(& cu Telephone#: vei-ogc4�'_
Contractor Address: -PL- w, i t W G.. -TA-A,(-L 3 2;qS Fax#: ol-;zszol
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 Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
d,Electric or site,list the building permit number:
• Gas: —LP —Natural —Central Utility
• oil
Ll Other-Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
z"Heat _Space Recessed entral —Floor ZResidential
3" Air Conditioning: — Room 4central
El Duct System: Material Thickness— 13 Commercial
• Refrigeration Maximum capacity_cfin El New Building
• Cooling Tower: Capacity -.gpm a/",xisting Building
E3 Fire Sprinklers:Number of Heads
• Elevator: -- Manlift Escalator (Number) d/Replacement of Existing System
• Gasoline Pumps —(Number)
• Tanks (Number) Q New Installation
C3 LPG Containers (Number) (No system previously installed)
Q Unfired Pressure Vessel
C3 Boilers U Extension or Add-on to Existing System
u Gas Piping El Other-Specify_
.L3 Other-Specify—
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSORIS Approving
Number Units Description Model# Manufacturer Ton's Agency
C ur-6 .3AAA-rtvt� I;z ut-
HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# ManufiwWrer BTU's Agency
TANKS Nominal Capacity Type Liquid Serial Approving
How Many &Dimensions Contained Minufitcturer No. Agency
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800* Fax: (904)247-5845 * http://www.cLadantic-beach.fLus
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028140 Date 4/26/04
Property Address . . . . . . 431 CAMELIA ST
Tenant nbr, name . . . . . . REPL AIR-COND
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
PEREZ, OSCAR SNYDER HEATING & AIR
431 CAMELIA ST P .O. BOX 16826
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
(904) 249-2575 (904) 641-0600
-------------------- ----- ---------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 51 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
--------- -------- ---------- ---- ------ ---------- ----------
Permit Fee Total 51 . 00 S1 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 51 . 00 51 . 00 . 00 . 00
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 CONSTRUCTION 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.
( - qmk
BUILDING OFFICIAL
000251
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
'ERMIT INFORMATION LOCATION INFORMATION ---- ---- --
Number: 251 Address: 280 CAMELIA STREET
Nit Type. BUILDING ATLANTIC BEACH, FLORIDA 32233
C c a of Work: ALTERATION LEGAL DESCRIPTION
Istr. Type; WOOD FRAME Lot-. 2 Block: 100 Section:
PL
M 'E
N
t
ofR
u
tr
-oposed Use: ENCLOSE CARPORT Book:
' 'o Is Plat
C
ellings: 0 Code- 0 Subdivision: SECTION H
ated - --- - -- OWNER INFORMAif6m _1_2jf7 r
StImated Value: $0. 00
I IMprov
mprov. Cost- $1000. 00 Name: F. REUBEN BENNETT, SR.
To ta
Total_Fees; $7. 50 Address: 280 CAMELIA STREET
A mount,,, Pa-,*d $/ . 50 ATLANTIC BEACH, FLORIDA 32�_,33
Pa4dj 12/ 7/88
D a Phone: (904)246--182'.
Work Desc. : ('PROVIDE ADDITIONAL PARKING PER PLANS)
------ - CONTRACTOR($) --------- APPLICATION FEES -- -- --
F. REUBF.0 BeakZTT, SR. CONSTR. PERMIT $7. 50
WATER IMPACT FEE $0. 00
SEWER IMPACT FEE $0. 00
WATER METER $0. 00
RADON GAS-H. R. S. $0. 00
RADON GAS - 5% $0. 00
WATER TAP $0. 00
SEWER TAP $0. 00
HYDRAULIC SHARE iio. 00
RE-INSPECT FEE $0. 00
OTHER $0. 00
$0. 00
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.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
CH BUILDING DEPA7MENT
By:
CONTRACTOR COPY
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—
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
ATLANTIC BEACH ORDINANCES.
16m'z y zzzo�� " /,V,- j
ELECTRICAL FIRM: ER ELECTRICIANAIGNATURE JOURNEYMAN
V
NAMESZXJ0"5' 6'01V5r16&Q-',61V11ADDRESS: '-290 Q�IZX'�1-11'221 —5� RFD—BOX—
BLDG.SIZE BETWEEN:
RES.(-4/ APT.( COMM.( PUBLIC INDUS. ( NEW OLD ( REW.I
ADDITION ) TRAILER ( ) TEMP.( SIGNS ( ) SQ. FT.
SERVICE: E (-�r/ INCREASE I REPAIR ( FEE
CONDUCTOR SIZE 7L� AMPS,2PQ COPPER ALUM. ff-("
SWITCH OR BREAKER 100 AMPS PH -1 W VOLT 5-50'-C, RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 0.30 AM__S. 31-100 AMPS.]
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS, OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS1
MISCELLANEOUS
TRANSMITTAL DOCUMENT FOR JEA
DATE: 4 Y
The following permits have passed "rough" inspection:
Permit No. Address
i2 3 V
�2 / C/ 0-t a C/)
3 q31 Cam�=" VZ!j&�
Rmobmm&mzexxx=xgiW=g*xmpdnuxm&*kuKV==btm. Please update
your records accordingly.
(T�h5aA qyu
BUILDING -CLERK
CITY OF ATLANTIC BEACH
/vcb
TRANSMITTAL DOCt)MENT FOR JZA
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
Racktsm&mmexxx=xgtxkua*xmpdxmxa&xtkoxVmzxd*w. Please update
your records accordingly.
'\-!ZThank U,
-A�M4LG C
CITY OF ATLANTIC BEACH
/vcb
202a P)Ic:,SELL COHST 185 F04
I IS 7!5 0 QZ
mic"rp-p F4 Z,-"L;m 't ASSOC SO4
MAP SHOWIM SURVEY OF
L-
VILAT PAGES, OF TWE CURRENT PU50C RECORDS OF' -0iNtY,F-LCRIOX
PVT
s..j
!ID
t-f.
toil- A?,
LA
.0
HIM
of
of
Atlantic jcat4 — Nloriba
Department of Suilbing Int'PtctiOn
8 of the Southern Standard
the requirements of Section 103
This Certificate issued pursuant to
he time of issuance this structure was in compliance with the
Building Code certifying that at t
tion or use For the following.
various ordinances regulating building construc
7643
Diij-'ilex, Re.,O-dence Bldg.Permit No.
use classification Att Iattlic Beacli
d1l)I 4*e District
Group -_kraT-e Type Construction '1415 Third St—
Address i-1-1 jj-,��1 '50
2'3 3
Owner of Building .. FL 32
4 3 1 CC-1-Meliz' St- Locality—
DON C,
By:
e
Date:
POST IN A CONSPICUOUS PLACE
-W
-7
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2— di 19 IL�
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
ATLANTIC BEACH ORDINANCES. ER-0008471
Munson and Bryan Electric Co.
14231ME257
ELECTRICAL FIRM: M&STER-ELECTRICIAN S19NATORE JOURNJYMAN
NAME beA-0�?'PsCxt Z-a-01yugaTilam-ADDRESS: C"C&'U'A —RFD_BOX
BLDG.SIZE >ele y- BETWEEN: I 1r1r.-r. Oesr 4- 6""S—, 0--s r,
RES.(1-1' APT.I ) COMMA PUBLIC I INDUS. ( NEW H� OLD REW.I
ADDITION ( TRAILER TEMPA I SIGNS ( —SQ. FT.
SERVICE: NEW(-f' INCREASE I REPAIR FEE
CONDUCTOR SIZE 1�:-Z' AMPS t 00 COPPER ( ALUM. 0--r'
SWILCH OR BREAKER 10 C=> AMPS PH �'W ?,40 VOLT b4ti-tr RACEWAY
EXI ST.SERV.SIZE AMPS PH W VOLT RACEWAY
.FEEDERS NO. SIZE IND. SIZE NO. SI_ZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS. 31-100 AMP6,
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. I OVER
AP.PLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PH$ NO. I H.P. VOLTAGE PHS
MIERLrAREOUS
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
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
ATLANTIC BEACH ORDINANCES.
Munson and Bryan Sectric Co. ER-0008471
14 2 3.1 M F 2,L_,-z_
ELECTRICAL FIRM: MASTER ELECTRICIA SIGNATI.RiE JOURNEYMAN
NAME heAZ rk%JCC,-Lt- ADDRESS:A CA-44.4A,4 <—I _RFD_BOX
BLDG.SIZE BETWEEN: V�-r5r tc�7 + 10�'Sr- EOe4,
RES.(--K APT.( COMM. PUBLIC ( INDUS. NEW(-r OLD ( REW.
ADDITION ( TRAILER ( TEMP. SIGNS ( _SQ. FT.
SERVICE: NEW(--r INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS I OC�) COPPER ALUM. ( V<
SWITCH OR BREAKER L C>c;, AMPS PH 3 W Z-4p VOLT C.Aft-w RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES 0-30 AMPS. CONCEALED OPEN TOTAL
SWITCHES 31-100 AMPS.
ANCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 AMPS. OVER
APPLIANCES . 1 IBE LL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEATJ KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELEA'NEOUS
CITY OF
ATLANTIC BEACH N2 11149
FLORIDA
aq
2 - 1x1 19f
NAME—
ADDRESS I Ail
CITY— 2 2- 5D
V
-d- -26 q 3
When Signed, Dated and Numbered, This BecomesQ9kOQMi VD.W 1,4
Receivefttnt M/91 kpt-. 0030176
MAKE CHECKS PAYABLE TO 30721
CITY OF ATLANTIC BEACH, FLORIDA TREASURFR
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
. 249-2395
JOB LOCATION 431 Camellia St Lot 3 Block 107 , /71)
F. W. FAIR FLUVIBING CO'J'IFANY
PLUMBING CONTRACTOR
7 C.n 14
LICENSE NUMBERS mP145 state RF0037503
O�%%IER N RUSSELL CONSTRUC-TTON
BUILDING CONTRACTOR T)F.AN gusgF.T.T. CONSTRUCTION
.iYPE OF BUILDING PRTVATR RESMENCE
INKS SHbWERS
. 2 . .�LAVATORY WATER HEATERS
___�BA.TH TUBS DI I SHWASHERS
URINALS D, ISPOSALS
"f -CLOSETS . 1 WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT X$3. 50 + 15-00
DATE 1 12 94 TOTAL ADIOUNT
-go
iNSTALLATION OF PLUMBING AND FIXTURES 14UST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
. 249-2395
JOB LOCATION- 429 " CaMellia Lot 4 glock 1Q7
PLU�!BING CONTRACTOR F. W. FAIR PLUMBING' COMPANY
LICENSE NUMBERS MP145 State RF0037503
OIA%'ER-- pEAN guss-PT.-r. r_oN'qTHflv'rTom
BUILDING CONTRACTOR DRAN HIMSET-1, CONSTRUCTION
TYPE OF BUILDING PRT3LATE RESMENVE
SINKS SHOWERS
2 .LAVATORY 14ATER HEATERS
2' :*BATH TUBS DISHWASHERS
URINALS DISPOSALS
. 1 WASHING MACHINE------
FLOOR DRAINS OTHER
__.U_TOTAL FIXTURE COUNT X$3- 50 +
DATE 1 / 12 94 TOTAL AMOUNT
iNSTALLATION OF PLUMBING AND FIXTURES 'MUST BE IN ACCORDAkE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
OW4
zmO
*ePA*rmE.Nfo#,*sUflL
C
CITY OF ATLANTIC SEA, H
iNPORxATION --------
OEM , LOCATIOWARPOIMTIOW,
— ' IT., fA"
�Pliarlmit. Nu�iber:,, , 7758 Address .' 431, CAMEL ,
PLORI DA. 3 2 2 3 3
P,6rm*t Type. ATLANTIC SUCH,
-----------
s-s, o f Work** NEW ---------- LZOAL DESCRIPTION ,
0 C,
Ponit r,.' Type: WOOD, PR M- t Lot , bl Ck*. 107 $0� ti0h,
Propos e(j Use,* DUPLEX, To�lhship 0
subdi,vision-6 SECTION H
.1 ings: - 0
el 1 c6de*
V
,,�iftttmated Value: $0,40
Imprpv. .. cost : $0,.00
Total,, F
trw 00
Amo-un
Dat
SING IN NEW DIPLEX UNIT,
'APPLICATION FEES
IMPACT PEE
PERMIT ' $50 .00
�`A 0
IA STREET WA
0", FEE
Hj FLORID
RADON GAS-H�.R.S. $0 00
$0
CAPITAL 'IMPROVE.
Nam tR "TA
$0.00
32240-15 8 H DRAULJO� $11ARE- $0.00
Y
JACk
0
I cen 1414� 0 CROSS CONNECT ION 4"%.
SZC.H� IMPACT PW $0 01(k
� ,NOTICE A��CDNCRZTR FORY4S AND FOOTINGS MUST BE INSPECTED BEFOIREPOUSING.
kRW V61D SIX MONTHS AFTER DATE OF ISSUE
"BUIL 'INO MATERIA" O-SiSH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,�ND�,MUST BE
L,Rul
ED AWA
up AND kAqL YLBY'ETHF-ROONTRA,CTOR:OROWNER. ' I
' LAW CAN RZ N
PLY WITH THE MECH 7
ANICIS EN , -S
UR ro co-M,
�PAYI f4
G TWICE MCOVILDING,IM, OVIEVENTS'
P"
NS
70�A
LA WHICH ARE PART OF,THIS,PtRMIYAND SUBJECT EVOCATION-
;COfkt)iN0,.�tO,,APPROVED P
AP P i6AiiLt 04OVI$IONS�OF LAW.
L
A
0
A ANT EPARTMENT 00,1100
06PAIMIRNT OF BUILDING
CITY,OF ATLANTIC 6EACk
'4"tANIT IMPO TIO -------
RMA I N LOCATION I
NF?RMAjIO- - ---------
Tjsrmit,�Numbor,: 7-1757 Address : 429 CAXELIA TRE T
P e-Omil t Type: *Mmi§ 0
ATLANTIC: BRACH, FLORIDA 32233�
'Class 0, f 'Work N LPN
LEGAL. DZSCRIPT
N -----------
:Con-str. Type: WOOD FRAMZ Block: 1i
Lot , D7 jetion.- H
-opo.s4d Use: DUPLEX
Pr e
Dwo I.'j,in .7ownship. ,
I Code:� 0 Subdivision- SECTION H
mated Val e.
$0.00
Cost.. $0 .00
T'o t 50 00
' A W.00
' A
k- D -N Ew n ptsm, um
T ,
f�"At b 114vll� 0%
T DO If 6--
a7l I APPLICATION FEES
PkRmvr
dd
re$1$, :
NAT IMPACT $0 .00
A STREET �FEE
H FLORID
W-4
E
ph FW
A
RADON S Rr.S
$0 .04",
R ro"A T RADON (;,A$ 5%
0 ow
................
SERM TAP .00
$0
JACKS 4E, SMFL 32240-15R8 HYDRAULIC SHARE 0 .00
$
Type: 0 CROSS CONNECTIO
Ce
$0
SEC-H , 1HPACT FEE
X
T
NOTICE—ALL CONCRE EF6,jjAS AND FOOTINGS MUST a
E11INSPECTE0$EFOftE IOURINO
PERMIT VOID SIXr MONTHS AFTER DATE OF-ISSUE
"U'llANG P,TERJAL,RUBBISH AND DEBRIS FROM,THIS WORK MUST NOT BE,PLACED IN PUBLIC SPACE,AND MUST BE
U ALILED AWAY bY eitHER CONTRACTOR OR OWNER
- .CLEAAt%D AND H
t*FA-1 LURE:TOCOMPLY WITK THE MECHANICS$ IwIEN LAW CANRESULT IN
PROPERTY OWNER PAYI NG TWI:
CE FOR BUILDING JMPROVSMENTS. r
ED ACCORDING,TO APPROVED PLANS'WHICH ARE'PART OF THISPERMIr AND SUBJECT TO REVOC
ATIO FOR
OF AP006
ABLE PROVISIONS OF LAW.
77 777
�:,ATLANTit BEACH BUILDJNrG DEPARTMENT
'T al
MOO
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for EPI-il).70%
DCA Form 60OA-93
Or Form 60OB-93
excellent good acceptable
0 10 20 30 40 50 60 70 80 90 100
17____�� I I I I I
The maximum allowable EPI is 100. The lower the EPI the more efficient the home.
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM HOME VALUE Low Efficiency High Efficiency
WINDOWS............................................. DBLCLR I SINGL CLR I I DBLTINT
UNDRATC R30
INSULATION .........................................
Ceiling R-Value.......................... KNEE R19 I R-10 R-30 I
Wall R-Value.......................... 2X4WDFR R11 I R-0 I I I R-7
Floor R-Value.......................... PERIM, R-0 R-191
AIR CONDITIONER...............................
SEER/EER ....................................... 0.0 10.0 SEER 17.0
9.7 EER 16.0
HEATING SYSTEM ...............................
Electric COP/HSPF................... 7.00 6.8 HSPF 12.0
1 1 77=1
Gas AFUE ............................. 1.78 A I UE 1 .90
WATER HEATER ..................................
Electric EF .................................. ELECT. .91 .88 .96
GasEF .................................. 54 .90
Solar EF .................................. 1.40 7-------T— .80 1
OTHER FEATURES ..............................
...........................................................
...........................................................
I certify that these energy saving features required for the Florida Energy Code have been installed in this house.
Builder
Address: MASTER DUPLEX Signature:DEAN RUSSELL —Date:2/17/93
ATLANTIC BEACH
City/Zip
Florida Energy Code for Building Construction-1993 Florida Department of Community Affairs FL-EPLCARD93
L. 6opartment of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
0'1'
F60RM.60.OA-93 Residential Component Prescriptive Method A NORTH 1 2 3
�2 - - I
-DFo- KL.-&&*jI
PROJECT NAME: 't..) $Qlg4� BUILDER. 7
AND ADDRESS. PERMITTING CLIMATE
OFFICE: I ,+,,c. ZONE: 11:12F-13 M
OWNER: PERMIT NO-1 I I I JURISDICTION NO.: 0:E
Please Print CK
1. New construction or addition I r\e I�)
2. Single,family detached or Multifamily attached 2. ca�--I
3. It Multifamily--No.of units covered by this submission 3. .1
. 4. It Multifamily,Is this a worst case(yes/no) 14. tj.es
5. Conditioned floor area(sq.ft.) 5. 17 1.�x�
6. Predominant eave overhang (ft.) 6. I- S
7. Porch overhang length(ft.) 7.
S. Glass area and type: Single Pane Double Pane
a. Clear glass 8a. sq.ft. 10 3 sq.ft.
b. Tint, film or solar screen 8b. sq.ft. _sq.ft.
9. Floor type and Insulation:
a. Slab on grade (R-'value +perimeter) 9a. R= n 12-:; ft.
b. Wood, raised (R-value +sq.ft.) 9b. R= sq.ft.
c. Concrete, raised (R-value) 9c. R= _sq.ft.
10. Net Wall type area and Insulation:
a. Exterior: I. Concrete (Insulation R-value) lOa-I R= _sq.ft.
2. Wood frame (insulation R-value) lOa-2 R= I qQ I -sq.ft.
3. Steel (Insulation R-value) lOa-3 R= _sq.ft.
4. Log (insulation 8-value) 1 Oa-4 R= _sq.ft.
b. Adjacent: 1. Concrete (Insulation R-value) lOb-1 R= _sq.It.
2. Wood frame (Insulation R-value) I Ob-2 R= _sq.ft.
3. Steel (Insulation R-value) lOb-3 R= _sq.ft.
4. Log (Insulation R-value) lOb-4 Rz _sq. It.
11. Ceiling type area and Insulation:
a. Under attic(insulation R-value) Ila. R= 3o /I )�) sq.ft,
b. Single assembly(Insulation R-value) Ilb. R=._ _sq.ft.
12. Air distribution systems
a. Ducts(Insulation+Location) 12a. R= (a (W'ndg.
b. Air Handier( Insulation + Location) 12b. R= q, ,2,_(-nd
'13. Cooling system
(Types:central-split,central-single pkg.,room unit,PTAC.,none) 13. Type: 09
SEER/EER/COP: /p, 0
14. Heating system: 14. Type: &o.4 �2 1 :42
(Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) HSPFICOP/AFI)9-.
15. Hot water system: 15. Type: eler--hj'c
(Types:elec.,natural gas,solar,LP.gas,none) EF:
16. Hot Water Credits:
a. Heat Recovery(HR) 16a.
b. Dedicated Heat Pump(DHP) 16a.
17. Infiltration practice: 1,2 or 3 17. 10 1
18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18.
HF-Whole house fan,RB-Attic radiant barrier,MZ-Multizone)
19. EPI(must not exceed 100 points) 119. __q q, a
a.Total As-Bulft points E P I=Total Asoauilt Point x IDO 19a. VS0 9
'total Sum points 19b. 591)
b.Total Base points I _ Zy
I hereby cartily that the plans and speciliogions covefed by the calculation we in conviiance with the Review of pLos and apacilical*ns covered by this calcuison indicates conip6ance with
Floritla Energy Code:. the FiDrida Energy Code.elators constrmion is cornplated,this building will be inspected
for ownpliar"in accordance with section 5W.W8,F.S.
PREPARE()BY 0 pjj�. DATE:
I hereby cello tl�,I s 11ding' a Energy QD06, BUILDING OFFICIAL.
OWNER AGENT: DATE: DATE:
CITY OF ATLANTIC BEACH, FLORIDA
Appro"d by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _19 C
4
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 IWACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
EUCTRICAL FIRM: V M.AlffER EA6TRIC16N SIGNATURE JOUBNEIMAN
NAME i- SIZK44,- ADDRESS: _LJ3,1 CAPAI�7L_11Q RFD—BOX—
BLDG.SIZE BETWEEN:
RES.(>q APT. ( COMM.( PUBLIC I INDUS. NEW OLD ( REW.
ADDITION( TRAILER I TEMP.t/4 SIGNS ( —SO. FT.
SERVICE: NEW(/-4 INCREASE ( REPAIR ( FEE
CONDUCTOR SIZE 4 (�� AMPS 6(2 COPPER (A ALUMJ )
SWITCH OR BREAKER 60 AMPS PH 3WI 21/0VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH Wl VOLT RACEWAY
,FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS. CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31000 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 1 0.100 AMPS, I OVVR
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS No. I H.P. VOLTAGE pHs
M 19MMA—REOUS
7,
DATE:
PRE-SERViCE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY :
2-13
-------------------------------------------------
--------------------------------------------------
--------------------------------------------------
--------------------------------------------------
I`nclosed are the blue copies of tho poruits.
SINCERELY.
BUILDING INSPECTION DIVISION
FILE
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MZASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) 2—
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) -.> k,POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (3) URINAL STALL, WASHOUT (4)
COMBINATION SINK AND TRAY WITH
;FLUSHING RIM SINK (8) FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (112)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY ICE MAKER (112)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) 0 URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS_ @ $20.00 EACH $-3 0
JOB INFORMATION
FLOODPLAIII DEVELONIENT IUFORHATIOIl
Type of Development :---- AJ 6
0 0 -------
Flood Zonel
Required Lowest Floor Elevations----
If building is located within a flood hazard zone, a survey must
be made AFTER THE SLAB HAS BEEN POURED, certifying that the
LOWEST FLOOR ELEVATIOU in equal to or above the base flood
elevation established for.. that zone.
flo final inspection will be made and no certificate of occupancy
will be Issued until the survey in on file w1th tile Building
Department.
COHHEHTS:
Applicant Acknowledgements I understand that the issuance of
this permit in contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance Ila. 25-7-11 and all other laws or
ordinances affecting the proposed development.
D a t e :5 A-4...Applicant's Signature
4-------------
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
An Built Lowest Floor Elevation
Survey Filed with Building Department ...........
-----------------------------------
Building Department Representative
page 3
L>eadt - V"6'
PROPERTY DESCRIPTION &(a(f(ec
rA
7160CFAN BOU11VARD
11.0.BOX 25
Lot Block #-ILI--section
ATLANI IC DEACH,FLORIDA 32233
1993 111EMIONE(9041249-2395
to
Subdivisions.... ---------
Bui,ld'ing and Zoning
Street 11ame DESCRIPTIO11 OF WORK
or -----------
If in a FLOOD HAZARD
Flood Zones------- .....area Complete Page 3. Brief
Description s
Class of Works
(tiew/nemodel/Addition)_-\�--�"zI----
Z0111JIG I)IFORHATION Type of
Constructions-----------
Zoning Proposed 2-
Districts- --Use:---------- )�------- Estimated Value 0-4Q
Exceptions or HatLsrials:
Vni-invicere Grnt%Lnds--�14pt---------------- Solid or
Filled
------------------------------------------- Roofs
a r o u n d I 1E1
OWNER 111FORHATION
Hothod ol
Property Owner: k-- --------- Phone:
moiling
Address--- Zip I
--------------------------------- --------
CONTRACTOR I11FORHATION
Contractors— -------------------- Phones ��a
Hailing i2!(-�> -!S-
3f —T
L71-
Address: AX- ------L'-::?-�---
------------ -------- Zip$__-
Expiration
License Numbers ----------------- D a t e I
I HEREBY CERTIFY TIIAT I HAVE READ AND EXAMINED THIS APPLICATION Allb KNOW TIIE SAME To fit TRUE
AND CORRECT. ALL PROVISIONS Or T"E LAWS AND ORDINANCES GOVERNING THIS TYPE or WORK WILL BE
COMPLIED WITII, wiictNrR SPECIFIED IIEREIII OR NOT. TNF OnANTIN(J or A PERMIT DOES NOT rncstjmr TO
STATE OR LOCAL nULE7,
GIVE AUTIIORITY TO VIOLATE on CANCEL THE PROVISIONS OF ANY FEDEnAL, Or CONSTRUCTION On TNE
RFOULATIONG, ORDINANCES, On LAWS IN ANY MANNER, INCLUDINO THE COVERNIND
I UNDERSTAND THAT TIJE ISSUANCE OF T11is rrnmIT 19
PF"FOnMANGE OF CONSTRUCTION OF THE PROJECT.
CONTINUENT urOH TIIE ABOVE INFORMATION BEIH6 TRUE AND CORRECT AND THAT THE PLANS AND surPOnTINO
DATA NAVE BEEN OR SNALL BE PROVIDED AS REQUIRED.
Owner Signature ---------Date
Contractor Signature4c,'All- -------D a t e
,4 o
CIT"' OF ATLANTIC BRACH PMtMIT CALCULATIOV SHERT
Address-
Date
ff,eated Square Footage /(0 $ er sq f t = $
Garage/Shed $ per sq ft = $
carport/Porch $ per sq ft =
Deck $__ _per xq ft =
Patio ZOO $ /V00 per aq ft = $
TOTAL VALUATION: $
C2 6 61 -
uatjon 525
Totil Val t ' Is 410
440 , 6 R4 5-D C20ij.0 $
Remlining Value $5. par thousand
or portion thereof
TOTAL BUILDING FEE $ ao�s- a
+ 1/2 Filing Fee $ 7074
(1 ) Fireplaces 0 $15.00 $ /X--.
BUILDING PERMIT FEE $ 2 2,5 6
WATER IMPACT FEE $ '3 qn.,Oz)
SEWER IMPACT FEE $ /;? Y'Q-
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
V/&3) RADON (MRS) .0045 $
(11(03) RADON (Can) ,QAD5 $
SECTION N FAVINO (ATW $
HYDRAULIC SHARES $
CROSS CONNECTION $ 7 T.—O f)
(/((#3) SURCHARGE .0050 $ 5-18 Z-
OTHER $
GRAND ?MAL OUR
etc
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing_
Electric/New Electric/Tamp_;SwimmingPool
Septic Tank Well Sign_Finish Floor Elevation
Survey Other-
CALCULATIONS and/or NOTES: