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CITY OF ATLANTIC BEACH c~: .~ ~~,y~. ~.. ~ r_ !*_~ BUILDING /ZONING DEPARTMENT L. Higgins '~ ~'~s~ 800 Seminole Road oerr ;r ,- ~ ~~ J ~'~ Atlantic Beach, Florida 32233 (904) 247-5800 `~f Ji31~~ (904) 247-5845 Fax - - ~, ~ s, PLAN REVIEW COMMENTS ~ ~~~~~ ~ ~ _~¢~~;~-, Permit Application # Q~' ' 2 q 00 S ~ J~ -~~, Property Address: 3 6 0 11 T ~} ST. Applicant: ~ 0 Iw A 1J O R O O~ 1 N G 5 ~~ ~ ~ C ~, ~j Project: (~'~p SIR ~ R~Q~,p,C~ D AMA ~~ ~ sN IN GI.E S This permit application has been: Approved ~ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: U~- Date: ~ l /~ f ~~jL~ CITY Off' ATLANTIC BEACH PERMIT CALCULATION SHEET Date ~ • (L(• o~ Address ~J ~© ~ (.~ ~' ~ Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft = $ Garage /Shed @ $ per sq ft = $ Carport /Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ $ S'~'`{ e Total Valuation Remaining Value $35.00 1st $1000.00 $ `u . ~ Per thousand or portion thereof: . . . . .. . . . . . . . . . . . . CONSTRUCTION TYPE: ZONING: FLOOD ZONE: IMPERVIOUS SURFACE: $ $35.00 $ ~^ TOTAL BUILDING FEE $ ~ O +'/Z Filing Fee $ _~a,_ )Fireplaces @ $35.00 $ BUILDING PERMIT FEE $ Q ~ WATER IlYIPACT FEE $ SEWER IlYIPACT FEE $ WATER METER/TAP $ CAPITAL IlVIPROVEMENT $ SEWER TAP $ C ( )RADON HRS .0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( )SURCHARGE $ OTHER $ GRAND TOTAL DUE $ ~D , `~ PSR-3844 .. ~ I~ A ~ !1 ~: ~ . DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _.___ gERMIT INFORMATION --____ _._____ LbGATION INFORMATiC3N ----__ errnit I~umbPr: 1.68?5 A dress: 3$0 ELEVENTH STREET Permit Type:MECHANICAL l ATLANTIC HEACH, FLORIDA X2233 ass of Werk:ALTERATibN -_.-____., LEGAL DESCRIPTION _~- _______ Canstr. Type:ki00I,3 FRAME Black: f:,at: Two. 0 ;/ra~4sed Use: Section: 0 Subd:O Rng: 0 D~rellin~s: 1 Subdivision: Est. Value: Q.00 Improv.. Cast: U.00 Total Fees: 31.01? Ama~ant raid: 31.00 Date Paid,: 7.!2~1~498 ork Desc:REPLACE STRAIT CObL CARRIER 3.5 _.._____ t?Wf~ER INFORMATION ------- ~-- _-----~~- APPLICATION FEES --_-----____ ame : LAUWAERT ~ ERMTT 31 00 ddr : 3811 ELEVE,N'~H .STREET . ATLA~tTIC HEACH~ FLORIDA 32233 }-lone: (90})246-0315 _ _ _ _ _. rON'Y'FtACTOR I NFC}RMAT I ©N -~ _ _ _ _ _ erne : DONOVAN HEAT I iVC# AND A I R ddr: 3I5 SIXTH AVENUE SUUTH JAX BEACH, FLORIDA 32250 Lic: CAr439'761 Exp: ~ / ~~e: 3 _:: NOTES: NOTICE - INSPECTfONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO fNSPf=CTION .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. ATLANTIC BEACH BUILDING DEPARTMENT Date: 7/24/38 81 - Receipt: 88735866 CHECKS ~~8H8832~1888 By. ,~... ~ ~ ~ t',; ` , c F ,. .. .... ..~ a, - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-582b Application Number Property Address Application type description Property Zoning . Application valuation . ---------------------------- Application desc ADDITION/RENOVATION ---------------------------- Owner 09-00001358 Date 10/09/09 380 11TH ST RESIDENTIAL ADDITION/ALTERATION TO BE UPDATED 65000 -------------------------------------- -------------------------------------- Contractor ------------------------ ------------------------ WOOD SIGNATURE HOMES & DEVELOPMENT 380 11TH STREET 731 DUVAL STATION RD ATLANTIC BEACH FL 32233 STE 107-417 JACKSONVILLE FL 32218 (904) 646-3967 --------------------- Structure Information 000 000 ---------------------- Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 320.00 Plan Check Fee 160.00 Issue Date Valuation 65000 Expiration Date 4/07/10 ---------------------------------------------------------------------------- Special Notes and Comments * 1) Certification sheet required for foam spray insulation; a. material used b. depth of application c. R- factor d. smoke & flame spread rating e. will attic space be concealed or will there be equipment in the attic that will require servicing in the future ? 2) Specify lumber dimensions for collar ties on "roof framing notes". 3) Give details for "2X4 Post down to Header & required strapping, from page S-4. 5) Give details on the new columns to be constructed and connection to 2X8 headers, from page S-4. *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2 0~~0~~775~~~~yy~~.rNATIONAL ELECTRICAL CODE . PERMIT IS AYC'Pttt7~"LIr ONITA~~`~~~'~E Q'~I'I~1~~~~IZ1~~T~`I''i,A~~ICAtE~C THE FLORIDA BUILDING CODES. .. ,,~; CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number 09-00001358 Date 10/09/09 ----------------------------------- Special Notes and Comments ----------------------------- ------------ CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and cannot be placed on City right-of-way. - - - - -------- ----------------------------------- Other Fees - - ------------------------- CITY RADON SURCHARGE - - .17 ST CONSTRUCTION SURCHARGE 3.15 AB CONSTRUCTION SURCHARGE .35 DEV REVIEW-SINGLE & 2-FAM 50.00 STATE RADON SURCHARGE 3.32 ----------------------------------- Fee summary Charged -------------- ---------- - ----------------------------- Paid Credited ---------- ---------- ---- ------------ Due ------ - - Permit Fee Total 320.00 320.00 .00 .00 Plan Check Total 160.00 160.00 .00 .00 Other Fee Total 56.99 56.99 .00 .00 Grand Total 536.99 536.99 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 8 -i~-~`u~~f~~~ City of Atlantic Beach JS ~ ~ ~ Building Department J k ~ ~` ~ 800 Seminole Road ~. r Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 '"'LJ,tI~'' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) 09-13~f3 Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: ~6 0 ~~~ ~f~Z~C~ Applicant: Q,T~, ~ Project: ~' Review fee $_ De artment review required Yes No uildi in & Z dministrator lic Works iii is a ety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ^Denied. (Circle one.) Co ents~ BUILDING PLANNING & ZONING Reviewed by: TREE ADMIN. Second Review: A roved as revised. ^ pp ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: l ~ ~ G~ Date: Date: Revised 05/14/09 Pulblic Works Plan Review Comments Q~ A~ Date: /0 l5 ~D5 Initials: I ~~ Project Name/Address: 3 80 // ~ S~ ~ Application Permit #: do ~ ~ 3 5 ~ . Chee'k:Boa ' Applicalion'Txaeking;Comments to Add 'CUmin'En!t Provide impervious surface calculations. ^ Provide. erosion and sediment control plans with installation details and maintenance ^ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ^ /' Provide construction site management plan, includ~g - -~~ay Perm t if~ ~~in¢ ri ht-of-wa for construction azkin . Provide apre-construction topographic survey prepazed by a Florida Licensed ^ Professional Land Surve or, showin 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ^ er Section 24-66(b). {See attached info. Sheet) If on-site storage is required, apost construction topographic survey documenting ^ ro er construction will be re aired. A Right-of--Way Permit must be obtained for use ^ A Revocable Encroachment Permit must be obtained. ^ Pool- Wellpoint (if used) must discharge into vegetated area 1~0' min;mum from ^ street or drama e feature (swale, structure or la oon). All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ^ allowed in the ROW (Commercial driveways - 6" thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 1 D feet in each direction. from the center of .the cut... Repair must be ^ shown on the laps. . P -Roll off container company must be on City approved list anal cannot be placed on City right-of--way. . ~ ^. ^ ~~k -•S~u~r~,., CITY OF ATLANTIC BEACH ~~ ~~~, 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 '• ~i OFFICE: (904)247-5826 • FAX NO.:(904)247-5845 v BUILDING-DEPT~COAB.US ~= ~,.>>~ BUILDING PERMIT APPLICATION 09- _ I _ I I _ I_ DUVAL COUNTY t: JOB ADDRESS: ION OF WORK: 2: VALUA 3. 50. FTr UNDER ROOF ~~ ~ T ~ ®~~ ~~V ~ e.~ V 4: LEGAL DESCRIPTIONi + 5: CLASS OF WORK 8. USE OF STRUCTURE: ^ NEW BUILDING ^ DEMOLITION RESIDENTIAL BLOCK SUB DIVISION LOT ADDITION ^ CONVERTING USE ^ COMMERC4AL _ DESCRIPTION OF WORK. Y ALTERATION ^ ACCESSORY BLDG. ~Si 8: FIRE SPRINKLER: . , ^ REPAIR ^ POOL 1 SPA ^ YES N!A ~'V\ ~C Y~4V A, OJT ^ MOVE ^ OTHER ^ NO PROP TY OWNER: CONTRACTOR: ARCHITEC T (:ENGINEER: 9, NAME: 15. COMPANY N ME: 23. CO PANY NA E: O yv~ ~ O a ~ 16. NA <~ W S 24. LICENSEE E: e < ~ ~ ~~W. s ~.~ ~.{ 10. ADDRESS: 17. STA OF FLORIDA LICENSE NO.: ~ 25. STATE OF FLORIDA LIC NSE NO ~ 11~~ S~ C ~~ ~ ~ec X80 18 ADDRESS: 26. ADDRESS: I . °x'31 Dvva\ ~'~~-~»...R~1 she 101-41~ 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28, FAX NO.: "' ~ ~ ( `o, 13. CELL PHONE: 21. CELL PHONE: -1 29. CELL PHONE: ~ I -~ 7 Li-3 ~ - 8 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY:. MORTGAGE LENDER: OF OTHER THANOWNER) 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction- This permit becomes null and void if work is not commenced within six (6) months, or if t~nstruction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. mot- WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ER or AGENT CONTRACTOR pf Agent, i? r Attorney or Agency Letter Required) (Oualfier Only) -..__,. ^ Signed: _~_~ Date: __..__~_-/ Date: Signed: _ - Before t is day of , 2009 in the county of Before m thi day of , 2009 in the unty of Duval, State of Florida, has personally appeared Duval, to of Florida, has personally appeared herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations an: true and accurate. true and accurate. Notary Public at Large, State of ,County of Notary Public at Large, State of ,County of ^ pe ^ Personally ~/..::Q ^ P "'e~" ° _ S ^ Produced Id tifica,o~~~ Notary ~2o u •~"' Notary Public -Stale ~SpPY p(,~• SHIRLEY 1. GRA Notary Signat ~~ e~'- . •- - F`~~'y~s Commission # DD 518533 " Bonded By National Notary Assn. ,~^ ' t, ~ ~~rnmisslon Expires Feb 14, 2010 ~'Ea.F'a~` Commission # Dp 518533 "' Bonded By Na!iona No`a ry Assn. BLDG01 Permit Application Bldg: REVISED: 12/18/2008 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. State of To whom it may concern: Tax Folio No. County of _ The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: ~gd Owner _l Address Owner`s interest ih site of the improvement Fee Simple Titleholder (if other than owner) Name Address Contractor . „~ Addres ~!'~ Phone Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address _ Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address _ Phone No. Fax No. F~cpiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): _ UOC #F LCJUM<,54~tSJ, (JK tiK 3511"1 v rage G~ L, N~Imber Pages: 1 Recorded Ogi20r2009 at 02:37 PM, JIM FULLER CLERK CIRCUIT Ct>URT DUVAL COUNTY RECORDING $10.00 USE /,/ r ~,"iNtd _ e 9 ! l ~i y m 2-- in the Co re of Dulval, Stale of Flod ^f ' DATE T l / ,y da, ha personally appeared '~` YlOvnfl-S f' l.yo herein by himsetF! herself and affirms that all statements and declarations herein are true and accurate Known ;;,~-.'~'"~~. ICELLIE 3. ~MILLIAM3 ~•• ~'"~ M`! C(~;,?MIS^'ON f# DpTa4960 K_.~c~ !~,• '~ ~S C?cCC:-~-:~°k^r 27, 2011 Ststeof ou ~~~ (407 39 - ^-~N-°_"".~r, ~-.ccnr :: ,; , ; ~ --- _ or ~~ General description of improvements: ~ ,~ ~ ~~ ny, ~~nc~~ ~-~' a ~ _ ~,s!-=~`~r~~, City of Atlantic Beach ,S ~ ,. ,~s Building Department -~' ~ 800 Seminole Road Atlantic Beach, Florida 32233-5445 V Phone (904) 247-5826 Fax (904) 247-5845 '~~"~~"i~~~ E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned b/y~the Building Department.) -`~3~ ~ Date routed: ~ a~ q ~ .~: APPLICATION REVIEW AND TRACKING FORM Property Address: ~(~Q f ~~ ~,~Z~~C (~ 4pplicant: Q~~Lt, ~ Project: Ov' De artment review required Yes No uildi in & Z ' dministrator lic Works i i ie is a ety Fire Services Revlew~;fee $~ . ~... ~~-. _. De .t SIgr1'atu re. - ~..~.~ ,.._.__.~ ; ~~~ .~ Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hofels and Restaurants Division of Alcoholic Beverages and Tobacco Other: Reviewing Department First Review: (Circle one.) Comments: BUILDING PLANNING & ZONING T ADMI PU LIC BL T IES PUBLI APPLICATION STATUS Approved. ^Denied. Reviewed by: Second Review: QApproved as revised. Comments: Reviewed by: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Denied. Date: D-' Date: Date: devised 05114/09 rT~"~ CITY OF ATLANTIC BEACH ~ is 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 J V OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5645 BUILDING-DEPT~COAB. U S `=--~t ~~ BUILDING PERMIT APPLICATION 09- ~ _ . ~ ..._.I , L_......I nllvnt rnllNl'N ;,; 1: JOB ADDRESS: 2 VALUATION OF WDRF:_ 3: Stl: FT`UNDER ='DOF _ ~l' S ~ee~ ;~' rj ~ OOC ; ~Q~ '.4: LEGAL DESCRIPTION= ' - ` ~ _-' 5. CLASS.OF WORK . 6:USE:OFSTRUCTt1RE. , ^ NEW BUILDING ^ DEMOLmON RESIDENTIAL LOT_ BLOCK` SUB DIVISION ADDITION ^ CONVERTING USE ^ COMMERCIAL r 7; DESCRIPTIONbI= WORK: ALTERATION ^ ACCESSORY BLDG Bi FIREt3PRINKLER ~ ~ , . ^ REPAIR ^ POOL /SPA ^ YES NIA " r c' ~b ~ Gti O.~ ~ ~~ ^ MOVE ^ OTHER , ^ NO ,. PROP TY.OWNER: CONTR AC OR: '. ARCHITECT / &NGINEER:' 9. NAME: 15. COMPANY ME: 5` D ~ 23. CO PANY NA E: F ~ ~ ~ c iw.~.s ~- e r s~ d ®~ O O 16 NAr~ 24 LICENSEE A E . ~~ ~% ~ t ~\ . \ yr S 10. AD D RESS: ~~ 17. STA E OF FLORIDA LICENSE NO.: ~ ~ ~ 25. STATE OF FLORIDA LIC NSE NO.: ] ~ 5~ ree~ g ~ 11 ~ ~ 18. ADD S: -o~-~+-~ ct s{ {; l st 28. ADDRESS: a w ~.,. ~. 731 o~v~ 11. OFFICE PHONE 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: ~~ -~~ 13. CELL PHO ~ (_~ ~ ~~ 21. CELL P-H70NE _ ~ ~ 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: ''" FEE SIMPLE TITLE HOLDER: _ pF oTryF~ Trlari owrlER) "- BONDING COMPANY: MORTGAGE LENDER: , 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 38. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Sigrts, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building offiaal, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. O ER or AGENT CONTRACTOR (I1 Agent, Po r Attomay,o(Agency Letter Required) ' (Qualfier Only) __ - n Signed: Date: '' Signed: /`....., Date: Before t is day of , 2009 in the county of Before m thi day of , 2009 in the unty of Duval, State of Florida, has personally appeared Duval, to of Florida, has personally appeared herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large, State of ,County of Notary Public at Large, State of ,County of ^ Pers ^ Personally w ^ Pro (to ''pn - SH ^ Produced Id tifica a~~ Nota r ur « ~ : Notary public - Stat ry 9 , ~ o~""` Pia'-. SHIRLEY L. G Notary Signat eF~ ~ RA « a ' :r %sF`~ o ~ commission # DD 518533 Bonded By National Notary Assn. BLDG01 Permit Application Bldg: REVISED: 12/18/2008 ^;, •QElwycommis I ,~,~~~ « s'on Expires Feb 14, 2010 °''FOFF~~°~ Commission # DD 518533 Bonded By Na!ionai Notary Assn. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. State of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT, Legal description of property being improved: AddreSS of property being improved: Owner Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address Contractor ` „~ Addres ~V'~ Phone Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Tax Folio No. County of _ Fax in addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address _ Phone No. Fax No. F,cpiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a differenf date is specified): RECORDER'S C10C # 2(3()92:345$3, CiR tiK 'f 5019 Page 22%2, Number Pages: 1 Recorded 09/29/2009 at 02:3 PM, JINI FULLER CLERK CiP,CUIT CURT DUVAL COUNTY RECORpING $10.00 g ~- ~.-_._.....OWN6 e Before meahis` ~ :_..-~da of ~ DATE T ~r/~ W vn Ix.~ - in the Y Coun of duval, State of Florida, h~ personally appeared ~ ~m~ C ~ tti.)a herein 6y himseff/ herself and affirms that all statements and declarations herein are true and accurate ,• ~- ='' ~~~ h~iY GQti4MIS~>OPJ f~ DQ744960 •~" ~`` ~` ry~S Dcce~-:'~^r 27, 2011 lic at ge, Stste of ~ ou ~~~ ~ ~~ - .mss, (407 39 -, ,:,~; ',N ~~.;~-~.crrn :~.,~.....e._.. ,....~.;.., Known or General description of improvements: /Q~ ,~ T~ n~ r,~~ a-~ (o s r ~~, J :' x ~~ ~- H' t ~~/Jii ~f' City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATfON NUMBER (To be assigned by the Building Department.)_ ~9-/~~S Date routed:, g APPLICATION RE\/IEW AND TRACKING FORM ?roperty Address: ~6 0 !~~ ~,nZ~~~ 4pplicant: Q~~, ~ ~ C` ?roject: D~ De artment review required Ye No uildin in & Z ' dministrator lic Works iii is a ety Fire Services evlew fee~$T~f~ ~ ,. n. ` Dept Signatures '~ ~ 5. Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: `Approved. ^Denied. (Circle one. Comments: BUILDIN PLANNING & ZONING Reviewed by: TREE ADMIN. Second Review: A roved as revised. ^ pP ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: ' Reviewed by: revised 05/14/09 O Date: Date: f ~ssaLlr.:' CITY OF ATLANTIC BEACH "' 9n 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 r ~ ~ OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 ' BUILDING-DEPT~COAB.US ~ r~~~•-~--.= RU11 DING PERMIT APPLICATION 09- __ ..I .. I I_ I I DUVALCOUNTY 1JOBADDRESS... 2. VALUATION OF 4^.!ORF 3. SO FT'l7NDER FtOGF ~ ~~ ~ ~ ~ ~~~ ~0~& ~J ~ ,::4. LEGAL-DESCRIPTION: ~ - - - S:CLASS OFWORK ~~ 6. USE OFSTr2UCTURE' ^ NEW BUILDING ^ DEMOLITION RESIDENTIAL BLOCK SUB DIVISION LOT ADDITION ^ CONVERTING USE ^ COMMERCIAL _ ;~.7 DESCRIPTION OF WORK. ~. ALTERATION ^ ACCESSORY BLDG. 8: FIRESPRINKLER . ' (~ 6~./~ (Ze h4 V E., D ~ , ^ REPAIR ^ O OL /SPA THER ^ MOVE ^ P ^ YES N/A ^ NO PROP. TY OWNER:' CONTRpC OR: ; ARCWITEGT /ENGINEER: 9. NAME: n 1 ~ 15. COMPANY N ME: `` 51 .. d' h bY+'4'.S ~` ~~,' 23. CO PANY NA E: S ~f ^ ~ r^ p Q ~M. y `~ O O 16. NAy~ 24. LICENSEE NA E: 10. A DDRESS: 17. STATE OF FLORIDA LICENSE NO.: , 25. STATE OF FLORIDA LIC NSE NO.: l ( ~ ~ ~ 1 ~~ ~~ ~ ~ ~ ~ { n \ V `~ ~ f e~' ` 1s ADD S: 26 ADDRESS: . -731 a~v~~ s}~.~;~,.~ ste-o-,-~,, . 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. CELL PHONE: I -~ ~ ~~ --'Ir 21. CELL PHT NE: n ~ C - O 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SliNPCE TITLE°HOLDER: - BONDING COMPANYr MORTGAGE LENDER: ; :. (IF OTHER THAN OWNER) : 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Appliption is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. _ O ER ocAGENT CONTRACTOR' (If Agent Po r Attorney or Agency Letter Required) (QualrfiarDnly) -~ _ n Signed: Date: ~ ,.,-~'" -...... Date: Signed: ~ Before t is day of , 2009 in the county of Before m thi day of , 2009 in the unty of Duval, State of Florida, has personally appeared Duval, to of Florida, has personally appeared herin by himself /herself and affirms that all statements and declarations are herin by himself !herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large, State of ,County of Notary Public at Large, State of ,County of ^ pars ^ Personally ^ Pro oI'~ijpn - SH ` Note • ° = Notary Public - Sta ry J * . - t ~~Y;~pRY PU ., S L. GRA ~, L V 1 V =FaF ~ o? ~ Commission # D 518533 I~ OF L~TLAN7 u ~a~P>,ational otary Assn. SEE PERMITS FOR A _.. , 1^rI1 f ,p. QUIREMENTS AND ~. ~B~ 01 t~rlR A li ISEf.D:~12/18/20 i(~ ~~~ ~ i! ~x~ .REVIEWED BY: _L~ y~ Gommissio xpires Feb 14, 2010 [1 Commissi # DD 518533 Bonded By N ionai Notary Assn. DATE: p~ c NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. State of Tax Folio No. County of _ To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 773 of the Florida Statutes, the following Infonnatfon Is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: ~g~ c~~~ Owner b cJ Address I ~~ G r, r Owner's interest ih site of the improvement ` Fee Simple Titleholder (if other than owner) Name Address Contractor Addres Phone Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Phone No. Fax No. Address F~tpiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS DoC ~ 30t)s~3~5Es3, OR 'Lr'K i 50"19 Page GL%~), Number Pages: 1 Recorded 09i29i2009 at 02:37 PNi, JINI FULLEP, CLERK CIP.CUIT COURT DUVAL COUNTY RECORDING $10.00 ~~ ~,_..~.OWN ._ r- Signedi' ~`"~"'~~ ~-_. T DATE ~ ~ ~~ Before me.this`~ `i~of m . ~G2--- in the Coun of D`ffval, State of Fforida~ personally appeared I rr~ t °_ ~ l,Jc~c herein by hfmseff/ herself and affirms that all statements and tleclarations herein are true and accurate ,__..._.. _. ~~I.S..I~ ~. ~IL,LR~~s I'v;Y Ct~~FMISS1~Pd ~ ~q~a4ss0 -~G~°.~S Dccc-;:'^W r 27, 2011 Personalty Known or General description of improvements: ~,~tTy~ col.. Effective March 1.2009 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 111108-05 Residential Component Prescriptive Method B ALL CLIMATE ZONES Compliance with Method B of Chapter 11 of the Florida Building Code, Residentia( or Subchapter 13-6 of the Florida Building Code, Building may be demonstrated by the use of form 11 OOB for single-and multiple-family residences of three stories or less in height, additions to existing residential buildings, renovations to existing residential buildings, new heating, cooling, and water heating systems in existing buildings, and site-added components of manufactured homes and manufactured buildings.To comply, a building must meet or exceed all of the energy efficiency requirements on Table 11 B-1 and all applicable mandatory requirements summarized in Table 11 B-2 of this form. If a huildinn dnas nnT emm~ty with this mathnd it.ma"'v~c illsmm~ly under Methnd A of Chanter N nr Cuhchanter 1~-R of the annlicahle rnde PROJECT NAME: f~U L ER: AND ADDRESS: ~O ` PERMITTING j~ ' ' OFFICE: /~"~' ~ OWNER: PERMIT NO.: JURISDICTION NO.: 1. New construction including additions which incorporate any of the following features cannot comply using this method: skylights or othernonvertical roof glass, glass areas in excess of 16 percent of conditioned floor area, and electric resistance heat (See Notes to Table 11 B-1 on page 2). 2. Fill in all the applicable spaces of the "To Be Installed" column on "Table 11 B-1 with the information requested. All "To Be Installed" values must be equal to or more efficient than the required levels. 3. Complete page 1 based on the "To Be Installed" column information. 4. Read "Minimum Requirements for Ail Packages", Table 11 B-2 and check each box to indicate your intent to comply with all applicable items. 5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. 1. New construction, addition, or existing building 2. Single-family detached or multiple-family attached 3. If multiple-family-No. of units covered by this submission 4. Is this a worst case? (yes/no) 5. Conditioned floor area (sq. ft.) 6. Glass type and area: a. U-factor b. SHGC c. Glass area 7. Percentage of glass to floor area 8. Floor type, area or perimeter, and insulation: a. Slab-on-grade (R-value) b. Wood, raised (R-value) c. Wood, common (R-value) d. Concrete, raised (R-value) e. Concrete, common (R-value) 9. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation X-value) b. Adjacent: ]. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) 10. Ceiling type, area and Insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 11. Air distribution system: Duct insulation, location Test report required if duct in unconditioned space 12. Cooling system• (Types entry oom unit, package terminal A.C., gas, none) 13. Heating system: (Types: eat pum ,elec. strip, nat. gas, LP-Gas, gas h.p., room or YTAC, none) 14. Programmable thermostat installed on HVAC systems: 15. Hot water system: (Types: elec., nat. gas, LP-gas, solar, heat rec., ded. heat pu~ er, no e) '` 5 1 I hereby certify that the p and specifi ions covered by the calculation are in co pliance h Review of plans and specifications covered by this calculation indicates compliance with the Florida the Florida Energy ~ ergy Code. Before construction is completed, this building will be inspected for compliance in a ordance with Section 553.908, F PREPARED DATE UILOING OFFICIAL: I hereby certify that pis in pliance with tha.Elorida Energy Code: fy OWNER AGENT:' - - DATE: (~ J DATE: f O ~ ORIGINAL ENERGY FORM FLO HENNER AppENDIX 13-D 904.220.2%5 Please Print CK 2. ~5.~ - 3. 4. O 5. sa. V W~ / 6 b. ---L i~l-~ 6c. sq. ft. 7. _ /~ 8a. R= ~ lin.ft. 8b. R= sq.ft. 8c. R = sq. ft. 8d. R= sq.ft. 8e. R= sq.ft. 9a-1. R = sq. ft. 9a-2. R=~~~ sq.ft. 9b-2. R = sq. ft. ' 10a. R =_~ sq. ft. 10b. R = sq. ft. 11 a. R = ~Q 11 b.Test report a ached? Yes No ' 12a. Type: 12b. SEER/EER: 12c. Capacity: 13a. Type: 13b. HSPF/COP/AFUE: 13c. Capac 14. Yes No 15a. Type: 15b. EF: 2007 FLORIDA BUILDING CODE-BUILDING 13-D.23 ~- APPENDIX 13-D * iABLE1IB-1 ?a/af. ENERGY FORM 904-220.2965 MINIMUM REQUIREMENTS (Sea Note 1) All Climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES: U•Factor = 0.65 U-Factor = Windows (see Note 2): SHGC - 0.35 SHGC = t ~ 3~ Exterior door t e y~.___ Wood or Insulated _-._........_.-._ _T..YIJe-....-_ I Walis -Ext. and Adj. (see Note 3): Frame R-13 R-Value = Mass (see Note 3) Interior of wall: R-6 R-Value = Exterior of wall: : R-4 R-Value = Electric resistance heat (See Note 10) _ _ _ _ Not allowed _ Ceilin s see Notes 3 8 4) __ _ _ _ R=30 R-Value = Floors: Slab-on-grade No requirement Over unconditioned s aces see Note 3 R-13 R-Value = Hot water systems (storage type) , Electric (see Note 5): 40 gal: EF = 0.92 50gaI:EF=0.90 Gallons = ,7 j o EF= ~-~ [ - Gas fired (see Note 6): 40 gal: EF = 0.59 ( f Gallons = ~ 50 aI:EF=0.58 EF= I Air conditioning systems (see Note 7) SEER = 13.0 SEER = Heat pump systems (see Note 8) SEER - 13.0 SEER - HSPF ..= 7.7....._.__........_----- - - --........-_ -7 _HSPF.P-._._...---~ ~J_------ Gas furnaces AFUE = 78 % AFUE - Oil furnaces AFUE = 78 % AFUE _ Pro rammable thermostat see Note 10 Must be installed on all HVAC s stems. Installed? Yes No Ductwork: (see Note 9) Location: Unconditioned space° - ESTED Unconditioned space Conditioned space NA R-Value = Unvented attic assembly per R806.4 with insulation at the roof plane R-4.2 Test report: I Conditioned spec R-Value = tp , V No test re ort re uired Air Handler location: Unconditioned attic° or garage //';; ~ Requires test report ~/1/ Location: Conditioned space or Test report: ~~ Unvented attic assembl er R806.4 with insulation at the roof lane duct test re uired (1) Each component present in the As-Built home must meet or exceed each of a edorll~nce criteria in order to comply with this~COde using this method; ottr erwise Method A compliance must be used. (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum ({.Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16% of the conditioned floor area (CFA), otherwise Method A must be used for compliance. Exceptions: 1. Ad- ditions of 600 square feet (56 rrt~) or less may have maximum glass to CFA of 50 percent. 2. Renovations with new windows under z 2 foot overhang whose lower edge does not extend furtherthan 8 feet from the overhang may have tinted glazing or double-pane clear glazing. Replacement skylights installed in renovations shall be doublepaned or single paned with a diffuser. (3) R-Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the "interior of wall" requirement (R-6) must be met except if at least 50% of the R-4 insulation value required for the "exterior of wall" is installed exterior of, or integral to, the wall. (4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials. (5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 'volume). (6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 'volume). (7) For all conventional units with capacities greater than 30,000 Btu/hr. For Small-Duct, High-Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu/hr see Table 13-607.A6.3.2A of the Florida Building Code, Building, or Table N1107.AB.3.2A of the Florida Building Code, Residential. (6) For all conventional units with capacities greater than 30,000 Btu/hr. For Small-Duct, High-Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu/hr see Table 13-607.A6.3.2B of the Florida Building Code, Building, or Table N1107.A6.3.2B of the Florida Building Code, Residential. (9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 18ERS rater to be "substantially" leak free. "Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a pressure differential of 25 Pascal (0.10 in. wc.) across the entire air distribution system, including the manufacturer's air handler enclosure. Exception: New or replacement ducts installed onto an existing air distribution system as part of an addition or renovation. Such ducts shall either be insulated to R-6 or be installed in conditioned space. 10) The prohibition on electric resistance heat and the requirement for programmable thermostats do not apply to additions, renovations, and new heating systems installed in existing buildings. TABLE 118-2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHEC Exterior Joints & Cracks N1108.A8.1.2 _ To be caulked asketed weather-stn ed or otherwise sealed. Exterior Windows & Doors N1106.A8.1.1 Max .3 cfm/s .tt. window area; .5 cfm/s .tt. door area. Sole & To Plates N1106.A6.1.2.1 Sole lates and enetrations throu h to lates of exterior walls must be sealed. Recessed Lighting Multisto Houses N1106.A8.1.2.4 N7106.A8.1.2.5 ape IC rated with_nopenetrations (two alternatives allowedf: Air barrier on erimeter of floor cavil between floors. Exhaust Fans N1106.AB.1.3 _ _ Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N1112.AB.3. Switch or clearly marked circuit breaker electric or cutoff as must be rovided. External or built-in heat tra re uired for vertical i e risers. Swimming Pools & Spas N7112.AB.2.3.4 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%. Heat pump pool heaters shall have a minimum COP of 4.0. ~~ Hot Water Pi es N1112.AB.5 Insulation Is re uired for hot water cimulatin s stems includin heat recove units . Shower Heads N7112.AB.2.4 Water flow must be restricted to no more than 2.5 allons er minute at 80 si . HVAC Duct Construction, Insulation 8 Installation N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed In accordance with the criteria of Section N1110.AB. Ducts in attics must be insulated to a minimum of R-6. HVAC Controls N1107.AB.2 Separate readilYaccessiblernanual or automatic. thermostat for each system__ 13-D.24 2007 FLORIDA BUILDING CODE-BUILDING CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuildine.or~ Category/Subcategory Manufacturer Product Description FL Approval # (s) EXTERIOR DOORS a. Swinging b. Sliding ~', -, a,~ v,~ ~ ~' I -~ c. Sectional/Roll Up d. Other WINDOWS a. Single/Double Hung b. Horizontal Slider c. Casement CaS~ - L d. Fixed (=i • ~., e. Mullion f. Skylights g. Other PANEL WALL a. Siding o, ~ ~ J L ~ ~ ~- b. Soffits µ c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles ~~e C , ' ~ ~ ~~ s ~ ~ ~ - b. Non-Structural Metal ~ ~ -~ ~~,~ 3 - '('~ I c. Roofing Tiles d. Single Ply Roof e. Other STRUCTURAL COMPONENTS a. Wood Connectors b. Wood Anchors c. Truss Plates d. Insulation Forms e. lintels f. Others NEW EXTERIOR ENVELOPE I understand that, at the time of inspection, the following information must be available to the inspector on the jobsite: 1. A copy of the product approval. 2. The list of performance characteristics which the product was tested and certified to comply with. 3. A copy of the ap licable manufacturers' installation requirements. Further, l understa product may have to be removed if approval cannot be demonstrated during inspection. t ,~, pli ant Signature pate H:/Product approval spec sheet short form.xlsx 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Application type description Property Zoning . Application valuation . ---------------------------- Application desc ADDITION/RENOVATION ---------------------------- Owner 09-00001358 Date 11/23/09 380 11TH ST RESIDENTIAL ADDITION/ALTERATION TO BE UPDATED 65000 -------------------------------------- -------------------------------------- Contractor ------------------------ ------------------------ WOOD SIGNATURE HOMES & DEVELOPMENT 380 11TH STREET 731 DUVAL STATION RD ATLANTIC BEACH FL 32233 STE 107-417 JACKSONVILLE FL 32218 (904) 646-3967 --------------------- Structure Information 000 000 ---------------------- Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc 1 CU 5 TONS 1 AH 60K BTU Permit Fee 115.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 5/22/10 ---------------------------------------------------------------------------- Special Notes and Comments * 1) Certification sheet required for foam spray insulation; a. material used b. depth of application c. R- factor d. smoke & flame spread rating e. will attic space be concealed or will there be equipment in the attic that will require servicing in the future ? 2) Specify lumber dimensions for collar ties on "roof framing notes". 3) Give details for "2X4 Post down to Header & required strapping, from page S-4. 5) Give details on the new columns to be constructed and connection to 2X8 headers, from page S-4. *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. PERMIT IS ,~(~I~~7bNY,Q3~R~~ ~'H ~~?iYi~i'~'YP(D9'CA~'L'At~H'1~ ~A~I~ mB~~E~'~~Q' THE FLORIDA BUILDING CODES. .~ ~~ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number 09-00001358 Date 11/23/09 ---------------------------------------------------------------------------- Special Notes and Comments CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 115.00 115.00 .00 .00 115.00 115.00 .00 .00 .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ' ~ l ri' CITY OF ATLANTIC BEACH ~?5 y .'•~%~,, 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 i OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 ~~ ' BUILDING-DEPTOCOAB.US ~ ,. ' ~'_-`~~ ~'M MECHANICAL PERMIT APPLICATION os- I I I I I DUVALCOUNTY 1. Jf~B ADDR E B: 2. TH A 8 'ER 3. DA : /t ~ 3 g d ~ I •~ ~"~`. YES PERMIT #: ~ '~ ~ ~ ~ ~ ^ /~ ~ ~ ` ` ~ ~~). PROPER R: 4. NAME: /// ,] 1 . d ~ ~~ s. / SIG i'~6.f~+ ~ ~'FS ~/~ / J 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: J•~~'~yl,~. 6. PHONE: M ECHANfCAL CONTRACTOR: 7. NAME OF COMPANY: ...r. 8. ADDRESS.: SUM ~- ~ . (~ . 9. STATE F RIDA LICE NO: 2 3 10. CELL PHO E: -~3~-OaG3 11. FAX NO.: ~a`F~~41'-2I']a 12. EMAIL DRESS: Srv 13. OFFICE PHON ~ - 2y-f ~ 17~~- 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or 'rf construction or work is suspended or abandoned for a period of six (6) mont at any time after work is commenced. ARI# 33`1 `~~~ a CONTRACTORS SIGNATURE: 16. GLASS ~ WORK:.. 16. BUILDlNt3: 17. $ERWfCE: 18. CURRENT CpDE: ^ NEW INSTALLATION '~ REPLACEMENT OF EXISTING SYSTEM ^ ALTERATION /ADDITION TO EXIST SYSTEM ^ REPAIR ^ NEW ~$ EXISTING p(RESIDENTIAL ^ COMMERCIAL ^'07 FLORIDA BUILDING CODE- MECHANICAL ^ OTHER MEGNANIG AL EQUtPM NT'fQ E3 M t ALL 19. HEAT: ^ SPACE ^ RECESSED P9 CENTRAL [] FLOOR BURNERS: 20. A!R CONDITLONING: ^ ROOM Rll CENTRAL 21. DUCT SYSTEM: MATERIAL: fle~c / ~~~ THICKNESS: ~-Co MAX CAPACITY: 7-aoo cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23. COOLING TOWER: CAPACITY: gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26. COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ^ PUMP ^ WELL ^ PIPING 29. GAS PIPING: # OF OUTLETS: ^ GAS AHU: ^ GAS WATER HEATER: 30.OTHER -SPECIFY: SOLAR HEATING, BOILERS, UNFIRED PRESSURE VESSEL, HEAT EXCHANGER OR COIL INDUCTS ETC. ALUE FOR OTHER ITEMS: 31, C LINti EQUIPMENT:.. 1' NUMBER OF UNITS DESCRIPTION MODEL # MANUFACTURER TONS APPROVING AGENCY 32. HEAt1NCi EGUtPINEN'r: F P R OF UNITS DESCRIPTION MODEL # UFACTURER MAN BTU AGENCY per' n 33. T ANKS: NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY 8LDG04 Permit Apprcaton Mach: REVISED: 12/182008 3 ~~~ JOB ~DR~.SS ~ T'~.I,EP~ONE ~~bG a~N~ ~ ~ ~ ~~ .~~3~ PBO~' ~~yEpgONE`----" ~~~ ~~` CfINTRA'CTC'B__..._-- ~ DATL~ P ~~~ ~ u NII~ ~ _ - _------ INSpE~IONS: ~~~i ~~~ FOOTING-~~~ ~~ ~~~` ~~ - ~ of ~ i, a4~5`f . _~ ELE~~' ~ ~~E~roNs l b~"" ~ _ ~~ I~e~~~~ ~TSPEC~ONS BFINAL SLAB EC~rONS BOII~ DDS rNS~p' To.~o WA ,~_~~• NOD= . , .~ JOB ADDRE.S.S'~~~ ~ ev e n`~h . )~re~ 1 ~'YPE WUR~' ~; . P.~o~~ o~NEx o~~s ~ S r~.F~rDNE ~~ (?~ -~3 ~ -~~ CON3'Rt1ClOR ar' a ar TFT.F ONE ~Y~~11 !"~~~ P.~rn~~x ~3a I ~ ~ DAB ~~ -~~-~t~i INSPECTIDNS.• FOOZTNG SLAB TTE BE4M NAZI.ING~AT8ING ~G/COYER DP INSiTZA370N .FZN.AL BUILDLVG C~.R?'~ZeA~TE' OF lK'CIIPANG'Y Fr.FCI'.RICAL P~:R~(I# INSPEC370NS RDUGH FINAL 11~'CSA1YIiG4L 1°~1~~1fIIT# ZNSPEGTI'ONS RDIIG~4' FINAL .ds1.1711~ING P~;RMII# .ZITSPECI7OIVS RO17G191iTNDER ,SLAB TDF'OZIT F]TTAL NO3~.~• '~'.,d,---- DEPART1vMENT~ OF BUILDING 4 2 7 9 *-~' C[TY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT T~J BUILD THIS PERMIT MUST BE POSTED ON JOB Date 2 / 2 I 19 ~~ Valuation Fee ~ 5. n0 Tbia permit not valid until shove tee has been paid to City Treuurer, and k aabject to avocation for violation of appliuDle provisioas of kvr. This is to certify that___~r=*'3„'v3~..~~&Y't has permission See Plans) ; i i %'ti;~'/~~:~ t Classification reQt~lential done `~~? '~;"t FA~'~' Owned by 3err3~Lara~t~aerz ~ e =1~; ~ i Lot Block S/D House No ~it~U ! ! t!?. ~treec According to approved plans which are part of this permit 'f--P (~ ~ ~1 NOTICE-ALL CONCRETE FORMS ~~, AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX 11TONTHS ~, ~ AFTER DATE OF ISSUE O Building material, rubbish and debris ~ from this work mnst not be placed in public space, and mnst be cleared np and hariled away by either eontraetar or owner. Bill if. Davis llnilaio~ otseiat. FOR OFFICE PERMIT DATE CONTRACTOR LB£ ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER +!~ CITY OF lYtLKsIf~LLG /3~- ~LOZLQ~' Office of Building Official REQUEST FOR INSPECTION Date _ ~ T ~ ~ Permit No. ~ ~~ ~~ Time q,M. Received P.M. ^ ~~ ,} Job Addre ss L oca lit y ~ ~/\ 1 {'~ r s ~ ~ ~U ~ f ~ ! ~(~ f ~G~ ~ ~ _ Name `~ ' ' ~ " - 1 Contractor , / ~_" f 1 ~ 7 BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough Wiring ^ Rough ^ Air Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Insulation ^ Lintel ^ Final ^ Sewer ^ Fire Place ^ Pre Fab READY FOR INSPECTION M Mon. Tues. Wed. Thurs. Friday ~ M ~ Inspection Made ' . P.M. Inspector Final Inspection Certificate of ccupancy ^ ~./~(~ Y/~~~ l,. 1Ly Date CITY OF ~~ ~~ p~fice of Building REQUEST ~pR IN i x ~ ~ ~~ z_ v"2.. permit ~- ~ 2 "`Q A.M. pate P. Time ~ ~ ~ ~ ~ locality Received MECNAN~ ,lob Address 1 ~~~ Gontractor ~ ~ . ~ it pwner's EL`E~ ~ Rough Name CONCRETE Rough Wiring ~, Top put ~` r, Heating ~. G Fire Fab e ~ Pre r""`~ ,~'' Temp Pole C Sewer Footing t] gU{LD~~" , ~..8„0.6J ~, Slab G Final Framing 1NSPECYION tel ~ p.M~ FridaY~~ DY FOR Un Re Roofm9 ~ REA Thurs. Insulation Wed. A M. ~~~ Tues. ` P f~ Final In Mon. .1\~°~~ __~ spection pancy r - Inspection Made -~ pate I pector ~~ p ~ , Y ~ ~ ~~.~/ ~ /W~ ni'-~ /CITY OF ~~ ~~~ Office of Building Official REQUEST FOR INSPECTION ~y ,,.Q Date 1 ~__ ~ ~ '~ ~ Permit No. ~ d`" Time A.M. Received P.M. Job Adt(ress ~ Locality /j 7G3-3 s`3~ ~~ Owner's / ( 1~,f / r""` ~a Contractor ` L-='-~ UILDING ~ CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough Wiring C Aough ^ Air Cond. & Re Roofing C Slab ^ Temp Pole ^ Top Out D Heating Insulation ~ Lintel G Final C Sewer ^ Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. 1 Friday ~~ ~ A. Inspection Made P.M. Final Inspection ^ Inspector Certificate of Occupancy ^ Date ~. ,, Gi~Y p~ , ~~D'~" • ~ p{~iciai ~,f,~; of guilailNSpE~14 p{tice RE~VEST FAR Qermit ~~ _61 • ~ ~.~~ 2 ,~~ PM pate ~ f~ Sime d t Receive ,~ - -..tractor ~Wner's tdame i gU11.41NG' Re ~ootm9 4nsulat~on ion fob Pddress ~~~pNCRESE 00 u ~gla ~ ti G ~~ e~ ~ - 1nsPection `"'"" 4rss""" InsPgOtor ~ ~~ ~~ ~~ ~~ ~~ M~GµANIGP~ ~~: pa Gond_ & ~~ MeatPlace p Pre Faa A,~ pM. Friday pWMgIN~ n ~°P ~r t $eWe G final . ~rtit INSp~~IGN N1ed. Spurs' '"'~ pM ~ P M ~ tnsPecC~on Finat pccuPancy r Certificate of pate ~vv~!°~~ ~~ ~ 1N ~' ~~ I~' / r1 '' t f pate Time Received ~ ~ Locality Job Ad~~ Contractor (~-~'~ RICAL PLUMBING owner's ELECT G Rough Name CONCRETE Plough wiring ^ Top put BUILDING ~ Temp pole ~ Sewer ~ Footing ^ Framing ~ Slab Fte Roofing ~ Lintel Insulation ~~ `~37 ~~~-'~ '~ ,~$~ o~ ~~, ~ 0 ~~ d p{~icial ffice of Buildi1NSPE~`ON ~! EQC)EST FOR 7..5 ~ Q f permit No. C@ ~ Final READ R INSPECTION A.M• Mon. Inspection Made Inspector ~ ~ ~~~ `/ v ~.~~- ~ ~ Air Cond. & ~ Heating ~ ~ Fire Place pre Fab A.M• Friday ~ Final Inspection Certificate of Occupancy C Date ~. ~, BU1l.~IN~ ~~~ ~~~I~RIC~ 1~5P~~YIC~t~ ~11~15tC7l~1 ` CITY UF' ATE.ANTtC aEACH p ~g ~+. p p~~A{'f4AN1`rC eppBAC**H,~~FLrJRtbA MBi~~00!! t ~, /°'~I"P~~V/"t-~~1~/!V ~~it lYl~~~~1~~~~~ P~1\~~ i QALL-IN NUMBER .~._._.._....... r........_..._...__....-.~.....~ IivSPO~TANI' -- Appficts-lt t~ tarr-pleie a1; itpmS ;rl sec+ions ~, li, lil, anc~ iV. /~ ` I .~ ~_._.___.r_.r .._._.__..._.. LaC~1'fiON ,ritr•at Addrrss: v ,,,._.1_4.___..~~_._.___ ~~? .__...,_............_.._..... _.r..__ ..._ (ntrtlottlnq Slrrrls. 8alwaaR~Nc7 ~ ~-:_,,._.__~4~~.,___._.,..... ~ ~s ! _.._..__~ ~"Sr.L_.. IIw~oIN~ . Sub•divlden _ __ _ _ _ _ ..,..~..._.~._____.... _ _ w.w~~+~.....~-ar li. IDENTI~iCAT'ION --• To be carr~pltrtec~ i,y a!I opJslic~nto . (n tonsiderntion 01 permit q•'vrn for doing tha aori. as dascrihed in tha abo;e sta!a:Want we hereby urea to p9rto•m said a~orl~ in rttrdonw with tho ellecivd pions and spo:ificot7ons whi:h are a parr hereci cnd in etcorde+,ta •.•i:t+ the C'ty of Jec-s+mvrNr Ordinances and Nrnderds of Qood p(ecFit• (i{1ed therein. NeMe rl Maehrnleal Cnnkactori CMtratlrr (/x1111) - r r r _ i n ~ Tin A~ Muhr N•n,• of ` - 0 N~ F . MEAOF rr•r~+v owner tN o o r CAC057553 SlyeNura el O+Ynar Stgretwe o{ N Iwthsriud Agent f.rahiNet o- Engtnrar 111. 6~I~RAL INFORMATION ~' lrpo of Matinq fuei: ~' 1& OTH~A CON&TIOUCTIpN B61NG t10NE ON ~tri EL~-ryt TH1~ BVILOINr1 OR x1TE T PQ~6'_e~i~~-- Q t.P (~ N•tvrr) ^ C+nHol U+i{i1Y IP Yt:ti, liiVl: t1uMN1dR OF CUNB'fRUCTi01i Q ^il ~ Ie6RMIT IV. Mti4'H1WiCAl. ~1WtMAtiN~ tiC! RE INYir*4t+p NA t)Rx C?F Wi1FiK ~frpvtdr cotnpi•to litl o{ tomptwaont+ on back a{ this {orm) \V~a~iden!f6~t ar 17 i^.vmmgrC-At Hlrart [~ Sp+t:o !~ Rotort•d i>~ CentHl Q Flrar D Nvw 8uudtnp ~14r Gendt{ianMpt © Room (~ rontnl n Extetlnp BuUdinq 'th1t:~AOtA._.._._....~.,. ~ RoDtaC9mon1 Ot e>'18tlnp bystsm d Dael iysbsnl MotrlrwL~..., ~., U Naw In6!pllaliCn ttrC 6y11ern prevl0uefy lnatrtited) Mtxinll-st1 Cap~slly e.{,n+. Q M{rlognHon C~ E:xtenston vt add•an tq 6xlotlnp eye:tem Q CoaUnp toww: G•patity - 9•P•M• (~ Firr' tprinlfon: Number o{ heads .~,._.;~ ----~--'-----~------~--^VJy --•-`_- ~ - Q l~wetor 0 M+ntIH Q Escal•satlnanlbt+ll >rHiS ?ifACf!{ PC?k OPHCif VSR C?N~Y Q . 01i4t1n~ pumpa.,.e ... ~(nMMb•-~ ~ (Ro~h+d~ . ~. ?aA~~ - (number} Rornes-s ._..,....... • Q 1,1+6 wntoiagrr,,. (number! ..~.~.~,.,rw+w+~ p uRrir.rl {+rtttsat: ,ro~.l p Mtion rerrnlJ Approved by Wha,...,..,.~,..,,~ . , (~ OtMr ,~ Spaei{y i-ormq Fo . LI~T',AI.T. BQUIPMENII' AIR OQNDI71t)NING ANfU REPR1Gt1RATI0N ~l~Ull'MI:HT _ Nur~b~r Uinita t>~uaMpGlaa '~ YtId111 t~itut~ber ~tanutacwwer ~("he~? I ~wR+uoO- ~. lEIP.ATII•lt3 • FS3>aWACES- B01'LI3R$r FIRLPLAGBS KtumborVNb Daras!iptla- lial.lNunclber ~ttultttsotutrr ~ii~'itT~ ~~~R'~ MAP SHOWING BOUNDARY SURVEY OF LOT 37 AND THE EAST 1 /2 OF LOT 39, BLOCK 13 ACCORDING TO THE PLAT OF ~~~~-e~~u~ ~~-~~ AS RECORDED IN PLAT BOOK 5 PAGE(S) 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED T0: THOMAS ~. WOOD., FARE M. WOOD, STEWART TITLE OF .7ACKSONVILLE, INC., WELLS FARGO ROME MORTGAGE, .T.NC. AND WATSON & OSBORNP:; P.A. ~ ELEVENTH STREET 40' R/W 74,76' {M) DURDEN 7~j,QQ' (R) 1/2" IP LB 1048 NO CAP 25.00' (R) 25.00' (R) SO.p0' (R~ ,' ' • : 1,~A+ g~ 00' (RkM) 900 ¢a, N N: 90. .M M. Vin" ~DNC. o. m BRICK ~ ~' •. f i .. ^' 23.1' o+ ' 9,3' 23.B' Q ro COVERED 11.9' 7.9' o CONC. COVERED N CONC. N BRICK 1 STORY FRAME ~ STEPS RESIDENCE No. 380 CONC. ~ 0 2.7' . 1.8' ~ a A/C PAD ' m ' ' -0--0- ~ 8.4 7,9' 12.3 23.5 ~ ~ ~~ u ~ LOT 41 ~ ;~ a 'J' ~ ~„ ~, SPA ~ { ~ LOT 35 BLOCK 13 ~ ° O ~ ~ `'= ~' 22 e' •' • ~ p ^ BLOCK 13 g a . EAST 1 /2 ~ ~ LOT 39 .' ' ~' •' x °•-~. c ~ ~ '" ~ BLOCK 13 ar •.~cdNC.: coNC • Lx~ WEST 1 /2 ~ ,. `, ~:' ; •' FENCE ENDS ~ LINE LOT 39 ~ ' ' cONC.-~ I ~ BLOCK 13 • ttt~~JJl I ~ • • t •° LOT 37 ~ ~ ~ i BLOCK 13 ~• ` ~ :~,r: ~ : . ` ., ~3 42 903 ag 24' ~ 25.00' (R) b~25.00' (R) 5!100' (R) ~~' Ory -X - _ b~ i/2' IP b~' ~~' ~ b~ 1/2' IP CAP NOT 17cj,QQ (R) ~~ NO CAP READABLE 74.9®' (M) ON LINE LOT 42 lOT 40 LOT 3B LOT 3d BLOCK 13 BLOCK 13 BLOCK 13 BLACK 13 i~!~,, \'1 __ r''r L_; O W ~n V~.i~w ~ /P _ ~ Duty rc •oc eunr-~ w +,..M M ~••••-•• BUILDING AND ZONING INSPECTION DIVISION C!`i-Y OF ATLANTIC BEACH ATLANTIC BEACH, FLOF21bA 32233 APPLICATION I~OR MECI~fANICAL PERMIT ~ CAI_L.IN NUMBER IMPORTANT -Applicant to complete all items in sections I, II, III, and IV. ~ ~ _ ~- f-______ __ _ - ~~~ ~ $Ireet Address: LOCN710N _ - _____ OF Intersecting $ireets: Between __-_-_____"-_~ _.__ And_ _ _. BUILDING $ub-division --------~-,_---------- ---' ----------~~ ~ -- II. IDENTIFICATION - To be completed by all applicants In consideration o4 permit gi.en for doing the work as described in the abc~e stalernent we hereby agree to per(ornr said work in accordencn f and in accordance whir the Cary of Jactsonvilla ordinances and standards t h hi h f ereo are a par iCariOng w c with the etlaclted puns and speu of good practice listed therein. Nem• of Mechanical ~ Contractors Master ~` ~~` Conireclor (Prin}) ~ ~ Nam• of ~ Property Owner T ~ r _ $ignatun of Owner $igne}ure of or Authorised Agent ~ Architect or Engineer Mfr. 6ENHUlIN ATION A' T of heetin (uel: YPe 9 B. IS 07HER CONSTRUCTION BEING BONE ON [] Efeciric THIS BUILDING OR SITE 7 ^ Gas -- ^ LP ^ Neturel ^ Gntrel Utility IF YES, GIVE NUTABER OF CONSTRUCTION Oil PERMIT ^ Oiher -Specify IV. MFCNMlICAL EQUlPMEfJ7 TO {E INSTALLED NAIURE OF WORK (Provide complel• list of components on back of this form) ~ Residential of {__) Commercial d ^ Central ^ FJow ats + c ^ Heat ^ Space ^ Ra (-~ New Bulldfng r ~ ~ ~ ~' Ab (:ondrfioninq: U Room C`g. Cvnirpl ~l Existing Bulldfng ( I (~ Ouc! Sy11•m; lfnier+el~.~~ lhicknest_ Replacement of rjxisting system Cl New Installation (No system previously Inst2Ned) Mesimum capacity e.f.m. f_) Extension or add-on to exlsUng system ^ Refrigeration (_] Other -Specify ~-__ -. ^ Ce±rlinc tower: Capacity __~ 9•P•m• ^ Fin sprinkler: Number of heeds ^ Elevator ^ Menlift ^ Esuletor (number} THIS SINCE FOR OFFICE USE ONLY ^ Gasoline pumps (number) I~~1 ^ Tankt (number) Remarks ^ LPG containers- (number) ^ Unfired pnssur• veuer Dsrmit Approved by Deta_ ^ {otter ^ Other - Specify Permit (ye LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUII'AfENT Capacity Appprovlns Number Ua1G Uescrlptfon Model Number )ianufacturer (Tone) /k.Rency S'r' -c~t~kT Got 3SYco~-~ ~ ~cz~ ~ 3 V ~, CITY OF ATLANTIC BEACM, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT 9-10-2001 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 + lMP06TANT NOTICE: {N 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 LANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND INACCORDANCE WITH ~7HE ELECTRICAL REGU TIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. & R Elecfric of North Fipricl~, 1nQt ~ NAME Tam Woad 246-3374 ADDRESS: 380 11th St. RFD soX BLDG. SIZE BETWEEN: x RES. (X 1 APT. i ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SCI. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE ww......n~rete~ ~..-se AIUDC C[IPPFR ( 1 ALl1M_ ~ SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS / l PH W / RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONC~ALED OPEN TOTAL RECEPTACLES CONGEALED ~ OPEN TOTAL 0.90 AMP8. 91.100 AMP6. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMP8. OVER APPLIANCES BELL TRANSF: A!R CONDITIONING H.P. RATING COMP. MO OR H.P. RATING OTHER MOTORS AMPS CEiL NEAT: KW-HEAT MOTORS 0 H .1 .P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS ~rb 5 MtN. RET~U~RN~~~1~, ~~~~1` PHONE#~.-~z./ NOTICE °~7 Permit No. State of i~aok 12C>33 fi~a g e 150 OF COMMENCEMENT (PEZEPARE IN DUPUCAT~ To whom it may concern: lax Folio No. ' County of The undersigned hereby informs you that improvements wfli be made to certain real property, and to accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. • Legal description of property being improved: ~ ~~ ~~ ~~ ~~~~ A`"`~; ~` ~ ~ 223 Address of property being improved: " 6~" 2233 General description of improvements: Owner ~~ Address fJ 'z. z- 3 Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address Contractor e /~ v Address ._.~~ GrJ ~ -(' J~,e re7` A 1LR-nl ~ a- 13 e ~ ~f 3 ~- ~ 3 ,~ Phone No.~iDT~jl ~ -S~ U9 Fax No. X14 ~I ' ~1/~ "'~l0 92 Surety (if any) Address ~ Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the imprpvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor•s Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commdncement (the expiration date is one (1) year from the date of recording unless a different date is specified): MAP sHOWiNG BOUNDARY SURVEY of LOT 37 AND THE EAST 1/2 OF LOT 39, BLOCK 13 ACCORDING TOnn THE PLAT OF ~~~~~~U~ ~~~~~ AS RECORDED IN PLAT 800K 5 PAGE(S) 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED T0: THOMAS C. WOOD, FAME M. WOOD, STEWART TITLE OF .JACKSONVILLE, INC., WEi.,LS FARGO IiOME MORTGAGE, INC. AND WATSON & OSI3ORNE, P.A. • ~ ELEVENTH STREET 40~ R/W DURDEN ]rj.OO~ (R} 1/2' IP ~ 1048 NO CAP 25.00' (R) 25.00' (R) 50.00' (R~ ' ' •gO x'14 900.00' (RkM) .~ ~0b,op. ~ n~ ~.. ~unu. o. ~. BRICK •~~ m STEPS •V ~ ~ , :. 1- ~° LOT 37 BLOCK 13 I I ...J•. -; . ~,, g9'43 42 X073?f' 25.00' (R) 0 25.00' (R) SOi00' (R) Q~~ -x CAP NOT °' 175.00' (R} ~~~ READABLE 74.pa' (M) ON UNE LOT X12 LOT 40 LOT 38 BLOCK 13 BLACK 13 BLOCK 13 8.3' 23.6' 0 23.1' ~ ' ro COVERED 11.9' 7.9' p N CONC. COVERED STEPS CONC. 1 STORY FRAUE .~~+ 4 2.T RESIDENCE No. 3a0 4 CONC. ~ 8 4' m ' A/C PAD ' . 23.5 123 7.9' v ~ .. . lOT 41 ~ ;~ O I •J. ~ ~, ~, 5P BLOCK 13 ~ ~ O 1 ~ w W o EAST 1 /2 ~•e' •'' . >n '- LOT 39 x .,~ ' ' " •• ° COVERED I BLOCK 13 • ar `~c~,, coNC. I-x~ WEST 1 /2 • .. ', ~:' ~ . '• , LOT 39 BLOCK 13 ~ •• . ~ ~ coNC.- ' VEYp~ :, ~ .~ io m 1.8' -0-0- a ... v LOT 3S p~^. BLOCK 13 O ~_ FENCE ENDS ON LINE 1/2' IP NO CAP LOT 36 BLOCK 13 1. ANGLES ARE SHOWN ON THIS SURVEY. 2 S7RllCtil~' Nn 3eo a,w+.~ ~+.....~ ..._.~. - --- (O V W