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Permit Folder 2025 Beach Ave 'SS� CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ±� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 P`. Application Number . . . . . 09-00001820 Date 11/16/09 Property Address . . . . . . 2025 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 252302 ---------------------------------------------------------------------------- Application desc GARAGE ADD DETACHED W/ LIVING SPACE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 939 . 00 Plan Check Fee 469 . 50 Issue Date . . . . Valuation . . . . 252302 Expiration Date . . 5/15/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS A sewer cleanout must be installed at the property line . Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified teester and a copy of the results sent to Public Utilities . Garage living units must be separately metered and system PERMIT IS dW%ej'I IYf1N ft,0e2DPjNQFdWITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. - !==L►`1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD :3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00001820 Date 11/16/09 ---------------------------------------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 33 ST CONSTRUCTION SURCHARGE 6 . 03 AB CONSTRUCTION SURCHARGE . 67 DEV REVIEW-SINGLE & 2-FAM 50 . 00 ENG REV BLDG MOD OR ROW 25 . 00 STATE RADON SURCHARGE 6 . 36 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 939 . 00 939 . 00 . 00 . 00 Plan Check Total 469 . 50 469 . 50 . 00 . 00 Other Fee Total 113 . 39 113 . 39 . 00 . 00 Grand Total 1521 . 89 1521 . 89 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i NOTICE OF COMMENCEMENT "SPARE IN DUIXJCAM No. Tax F01I No. ` 7o - LUQ C3 County of To whom It may concern: The unde %pwd horeby Informs you alai improvements will be made 10 certain real property,and to accordance with Section 713 of the Florida StabAnj the foliowMg hrlo natlon Is stated M ttde NOTICE OF COMdIlENCEMENT. Legal desar of property being Improved: Address of �improved: - % \)E— r C a .. Z General desrrtp on of vemants: Gruner Address Owner's irrlerest in stle of the lmprovernerd Fee Sirple Titleholder Qr other than owner) N A _ Name Address Contractor `s: T7 7-c D Address � s A Phone No. ZqC>4 Fax No. "fes t Y(d arty) i Address Amorntt Of bold S Phone No. Fax No. Name and address of any person malting loan for the construction of the improvements. Name- A Address Perone No. Fax No. Name of person within the State of Florida,outer than hirrrsalf,designslad by owner upon whom notion or outer documents rrwype served: Name til#t Address Phone No. Fax No. In addition to himself,owner designates the foltowtng person to receive a copy of the Lienees Notice as provided in Section 713.86(2)(b),Florida Statutes.(Fill in at 0wner's option). Name A Address Phone No. Fax No. Expiation dale of Notice of Cornrnencernent(the expiration daft Is one(1)year from the date of recording unless a different date Is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER DATE /9 ore ILO g before me94ay of R,h a... - CoenNtr oil t�of f has Per=rs#ttyppeeredInthe —'----' - ---- --— ---- ]Y kSug; by hh%W herself and atMM that a:statements and d � atlaretione Doc#200927 7368,OR BK 10071 mage 74. are true and amaste Number Pages:1 Recorded 11117:2009 at 03:31 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Nolery Pu6rrc at Leege,Staff n€ s .,.. Cowhr If RECORDING$10.00 Myorremkw: 7 t/ p�rsonary K.wn t� rRanr'� , tiAlf El1WtER ON"Pvbft•s14M of Fwd . rI Call ml"Etioujd 2k n" f CwMttNtdos 0 00 low �IN1�7�r�trM►IUFanlNopnyiMn. ! e� CITY OF ATLANTIC BEACH 09- - I I I I I P7 SW SEMINOLE ROAD,ATLANTIC BEACH,FL 32 233 OFFICE(904)247-5826•FAX NO.:(904)247-5845 BUI LDI NG-DEPTOCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SO,FT.UNDER R F ZOZ5 252 3n? 13l 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.U E OF STRUCTURE: .y�e 13 NEW BUILDING 13 DEMOLITION RESIDENTIAL _ LOTLOCK_SUB DIVISION�' Tw4*4 x EAr. ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION AR;�CCESSORY BLDG. S.FIRE SPRINKLER: tiJ L..lt!I ❑REPAIR ❑POOL/SPA ❑YES WA APAtTwIJ / tiEp ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 244AME: 15.C MPANY AME: 23. MPANY NAME: 16. 24.LIC NSEE NAME: MIC-4AaL, Qv c 10.ADDRESS: 17.STT F FLORIDA LICENSE NO.- 25. TATE OF FLORIDA LICENSE NO.: znZ.s SE7AC�H-aVE GP C_ IZSo o A.T L T 1 C Fes'-�'*� �' 1V C-I e?.r-►IDE BLV A ADDRESS: +r 2233 sw49 t ZPTt��ET 5. X34 acu F 322�5� J tic 14 I=L 3Z5"o 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 2.FAX NO.: t'0 27.OFFlCE PHONE: 28.FAX NO.: 13.CELL PHONE: 21. LL PHONE: L•7! 29.CE ONE:' 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: oL0 .C.o -C to � 4.OM FEE SIMPLE TITLE HOLDER: OF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER: 31.NAME: 33.NAME: 35.NAME: NA 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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: k 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. OWNER or AGENT CONTRACTOR //(If/Agent,Power of Attorney or Agency Required)Letter Rired) Ifier On / Signed: y`- �"'��'i Date: /9y e--I-O Signed' Date: `C Before me this f day of f_� k'T2009 in the county of Before me this day of 2009 in the county of tate of Florida,has personally appeared (� tl Quval, a of F.lon ,has ly appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affi s that all statements d declarations true and accurate. p (1� true and accurate. / Notary Public at Large,State of I' L County of J I��_�t'L� Notary Public at Large,State of F`- C of Va 0,;25Produced I Known ❑Pel,. ❑Produced Identificatioppp / roduced Ide cation- Notary Signature: Notary Signature: Z' �.•`�"'ea KA7MLEENlAKER .�""". SHIRLEY L.GRAHAM ♦ ppY PV N"Y PuOtic-NO Of Florida ;°. = Notary Public-State of Florida �,Z011 = ,• =My Commission Expires Feb 14,2010 _ t REVIEWED FOR COD 11100 699662 -.x x Commission#DD 518533 '9J W♦ '•� `, CI'T'Y OF AT Notwy Bonded By National Notary Assn. SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. REVIEWED BY: DATE:----/0-0 ' t FILE C T � r CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 96-72,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.floridabuilding.org Category/Subcategory Manufacturer Product Description FL Approval#(s) EXTERIOR DOORS IST. 0.Qws,—FJW RU50 a. Swinging KLWrF9 k!) lWUT otJ :5 1 ES b. Sliding IBER S -FL05EJ c. Sectional/Roll Up d. Other WINDOWS a. Single/Double Hung b. Horizontal Slider c. Casement M A RV ULTRE 7. d. Fixed e. Mullion f. Skylights g. Other PANEL WALL a. Siding b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles b. Non-Structural Metal c. Roofing Tiles d. Single Ply Roof e. Other C-7ArF= 5$S Mopingo JB T-vMr=ri �SCol3p. 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 applicable manufacturers'installation requirements. Further,I understand a prodWt may have to be removed if approval cannot be demonstrated during inspection. Applicant Signature Dat H:/Product approval spec sheet short form.xlsx FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: TOBH811 Builder Name: This Old Beach House Street: 2025 Beach Avenue Permit Office: City of Atlantic Beach City,State,Zip: Atlantic Beach , FL, Permit Number: Owner: McDonough&Reichler Jurisdiction: 261100 Design Location: FL,Jacksonville 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Int Insul, Exterior R=10.5 879.75 ft2 b. Frame-Wood,Adjacent R=10.5 121.50 ft2 3. Number of units, if multiple family 1 c. N/A R= ft2 4. Number of Bedrooms 0 d. N/A R= f12 5. Is this a worst case? No 10.Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 811 a. Under Attic(Unvented) R=35.0 848.00 ft2 b. N/A R= ft2 7. Windows Description Area c.N/A R= ft2 a. U-Factor: Dbl, U=0.31 139.50 ft2 SHGC: SHGC=0.34 11. Ducts b. U-Factor: Dbl, U=0.27 48.00 ft2 a. Sup: Interior Ret: Interior AH:Garage Sup. R=6, 162.2 ft2 SHGC: SHGC=0.26 12.Cooling systems c. U-Factor: N/A ft2 a.Central Unit Cap:24.0 kBtu/hr SHGC: SEER: 19 d. U-Factor: N/A ft2 13.Heating systems SHGC: a.Electric Heat Pump Cap:24.0 kBtu/hr e. U-Factor: N/A f12 HSPF:9 SHGC: 14.Hot water systems 8. Floor Types Insulation Area a.Electric Cap:40 gallons a. Floor over Garage R=24.5 811.00 ft2 EF:0.92 b. N/A R= ft2 b. Conservation features c. N/A R= ft2 None 15.Credits Pstat Glass/Floor Area: 0.231 Total As-Built Modified Loads: 10.62 PASS Total Baseline Loads: 21.64 I hereby certify that the eplaiand specifi cations covered by Review of the plans andthis calculation are in cance with 0 FI E er specifications covered by this 41 Code. /f r calculation indicates compliance with the Florida Energy Code. PREPARED BY: DO I R. St ckles Before construction is completed DATE: rd O this building will be inspected for compliance with Section 553.908 I hereby certify that this building, as de i is in c mpliance Florida Statutes. + with the Florida Energy Code. E OWNER/AG N . BUILDING OFFICIAL: SATE: DATE: 10/27/2009 10:24 AM EnergyGaugeO USA-FlaRes2008 Page 1 of 5 FORM 1100A-08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 2025 Beach Avenue PERMIT#: Atlantic Beach, FL, INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors N1106.AB.1.1 Maximum: .3 cfm/s .ft.window area; .5 cfm/s .ft. door area. Exterior&Adjacent Walls N1106.AB.1.2.1 Caulk, gasket,weatherstrip or seal between:windows/doors& frames, surrounding wall;foundation&wall sole or sill plate;joints between exterior wall panels at corners; utility penetrations; between wall panels&top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to,the foundation to the top plate. Floors N1106.AB.1.2.2 Penetrations/openings> 1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings N1106.AB.1.2.3 Between walls&ceilings; penetrations of ceiling plane to top floor; around shafts,chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures N1106.AB.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a sealed box with 1/2"clearance&3"from insulation; or Type IC with <2.0 cfm from conditioned space, tested. Multi-story Houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker(electric) or cutoff(gas) must be provided. External or built-in heat trap required. Swimming Pools&Spas N1112.AB.2.3 Spas&heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Heat pump pool heaters shall have a minimum COP of 4.0. Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 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 unconditioned attics: R-6 min. insulation. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for each system. Insulation N1104.AB.1 Ceilings-Min. R-19. Common walls-frame R-11 or CBS R-3 both N1102.B.1.1 sides. Common ceiling &floors R-11. 10/27/2009 10:24 AM EnergyGauge®USA-FlaRes2008 Page 5 of 5 PROJECT Title: TOBH811 Bedrooms: 0 Adress Type: Street Address Building Type: FLAsBuilt Bathrooms: 0 Lot# Owner: McDonough&Reichler Conditioned Area: 811 SubDivision: #of Units: 1 Total Stories: 1 PlatBook: Builder Name: This Old Beach House Worst Case: No Street: 2025 Beach Avenue Permit Office: City of Atlantic Beach Rotate Angle: 0 County: Duval Jurisdiction: 261100 Cross Ventilation: City,State,Zip: Atlantic Beach, Family Type: Single-family Whole House Fan: FL, New/Existing: New(From Plans) Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp V/ Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL,Jacksonville FL-JACKSONVILLE-INT 2 32 93 75 70 1281 49 Medium FLOORS # Floor Type R-Value Area Tile Wood Carpet 1 Floor over Garage 811 ft2 24.5 0.25 0.75 0 ROOF / Roof Gable Roof Solar Deck V/ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Flat Composition shingles 814 ft2 34 ft2 Medium 0.96 No 0 4.8 deg ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Unvented 0 811 ft2 N N CEILING # Ceiling Type R-Value Area Framing Frac Truss Type 1 Under Attic(Unvented) 35 848 ft2 0.11 Wood WALLS Cavity Sheathing Framing Solar # Ornt Adjacent To Wall Type R-Value Area R-Value Fraction Absor. 1 N Exterior Concrete Block-Int Insul 10.5 139.5 ft2 0 0.75 2 E Garage Frame-Wood 10.5 33.75 ft2 0 0.01 3 N Garage Frame-Wood 10.5 87.75 ft2 0 0.01 4 E Exterior Concrete Block-Int Insul 10.5 81 ft2 0 0.75 5 E Exterior Concrete Block-Int Insul 10.5 134.75 ft2 0 0.75 6 S Exterior Concrete Block-Int Insul 10.5 250.25 ft2 0 0.75 7 W Exterior Concrete Block-Int Insul 10.5 134.75 ft2 0 0.75 8 S Exterior Concrete Block-Int Insul 10.5 24.75 ft2 0 0.75 9 W Exterior Concrete Block-Int Insul 10.5 114.75 ft2 0 0.75 10/27/2009 10:24 AM EnergyGauge®USA-FlaRes2008 Page 2 of 5 DOORS # Ornt Door Type Storms U-Value Area 1 N Wood None 0.2 0.1 ft2 WINDOWS Window orientation below is as entered. Actual orientation is modified by rotate angle shown in'Project'section above. / Overhang `i # Ornt Frame Panes NFRC U-Factor SHGC Storms Area Depth Separation Int Shade Screening 1 N Wood Low-E Double Yes 0.31 0.34 N 24 ft2 2 ft 4 in 1 ft 0 in HERS 2006 None 2 E Wood Low-E Double Yes 0.27 0.26 N 24 ft2 2 ft 6 in 1 ft 0 in HERS 2006 None 3 E Wood Low-E Double Yes 0.27 0.26 N 24 ft' 2 ft 6 in 1 ft 0 in HERS 2006 None 4 S Wood Low-E Double Yes 0.31 0.34 N 48 ft2 2 ft 6 in 1 ft 0 in HERS 2006 None 5 S Wood Low-E Double Yes 0.31 0.34 N 17.5 ft2 2 ft 6 in 1 ft 0 in HERS 2006 None 6 W Wood Low-E Double Yes 0.31 0.34 N 35 ft2 2 ft 4 in 1 ft 0 in HERS 2006 None 7 W Wood Low-E Double Yes 0.31 0.34 N 15 ft2 2 ft 4 in 1 ft 0 in HERS 2006 None INFILTRATION &VENTING / ----Forced Ventilation--- Run Time Fan V Method SLA CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Watts Default 0.00036 766 5.96 42.0 79.1 0 cfm 0 cfm 0 0 GARAGE # Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation 1 811.2 ft2 1 ft2 13.5 ft loft (invalid) COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Ductless 1 Central Unit None SEER: 19 24 kBtu/hr 720 cfm 0.75 False HEATING SYSTEM # System Type Subtype Efficiency Capacity Ductless 1 Electric Heat Pump None HSPF:9 24 kBtu/hr False HOT WATER SYSTEM # System Type EF Cap Use SetPnt Conservation 1 Electric 0.92 40 gal 30 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF None None ft2 10/27/2009 10:24 AM EnergyGauge®USA-FlaRes2008 Page 3 of 5 DUCTS ---Supply---- ---Return---- Air Percent Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Interior 6 162.2 ft Interior 40.55 ft Default Leakage Garage TEMPERATURES Programable Thermostat:Y Ceiling Fans: Cooling Jan ]Feb �Xj Mar Apr JXJ May �XXJ Jun X Jul X Aug X]Sep X Oct [X]Nov X Dec Heating Ix X�Jan IX X]Feb XMar JX X�Apr xMay Jun LX�Jul tX�Aug lX]Sep tX�Oct [X]Nov LX�Dec Venting X Jan X Feb X Mar X Apr X May X Jun X Jul X Aug X Sep X Oct [X]Nov X Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating(WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 10/27/2009 10:24 AM EnergyGauge®USA-FlaRes2008 Page 4 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 49 The lower the EnergyPerformance Index, the more efficient the home. 2025 Beach Avenue, Atlantic Beach, FL, 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Int Insul, Exterior R=10.5 879.75 ft2 b.Frame-Wood,Adjacent R=10.5 121.50 ft2 3. Number of units,if multiple family 1 c. N/A R= ft2 4. Number of Bedrooms 0 d. N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 811 a. Under Attic(Unvented) R=35.0 848.00 ft2 b. N/A R= ft2 7. Windows- Description Area c. N/A R= ft2 a. U-Factor: Dbl, U=0.31 139.50 ft2 SHGC: SHGC=0.34 11.Ducts b. U-Factor: Dbl, U=0.27 48.00 ft2 a. Sup: Interior Ret: Interior AH:Garage Sup. R=6, 162.2 ft2 SHGC: SHGC=0.26 12.Cooling systems c. U-Factor: N/A ft2 a.Central Unit Cap:24.0 kBtu/hr SHGC: SEER: 19 d. U-Factor: N/A ft2 13.Heating systems SHGC: a. Electric Heat Pump Cap:24.0 kBtu/hr e. U-Factor: N/A ft2HSPF:9 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap:40 gallons a. Floor over Garage R=24.5 811.00 ft2 EF: ons b. N/A R= ft2 b. Conservation features 0.92 c. N/A R= ft2 None 15.Credits Pstat I certify that this home has complied with the Florida Energy Efficiency Code for Building , Construction through the above energy saving features which will be installed (or exceeded) ' T8 0 in this home before final inspection. Otherwise, a new EPL Display Card will be completed ",f w ,, 'Y6 based on installed Code compliant features. Builder Signature: Date: Address of New Home: 7Z-S_ F72E AG A Ay r- City/FL Zip: L, Fr- c Was *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA- FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at (321)638-1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the Department of Community Affairs at(850)487-1824. **Label required by Section 13-104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge@ USA-FlaRes2008 Project Summary Job: TOBH811Date: Entire House By: DRS Air Solutions Heating & Cooling, Inc. Project • • For: This Old Beach House Phone: 904-881-9600 Notes: 2025 Beach Avenue,Atlantic Beach, FL McDonough& Reichler Guest Suite Design • • Weather: Jacksonville, Int'I Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 70 OF Inside db 75 OF Design TD 38 OF Design TD 18 OF Dailyrange M Relative humidity 50 % Moisture difference 50 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 8529 Btuh Structure 11213 Btuh Ducts 3233 Btuh Ducts 3867 Btuh Central vent(100 cfm) 4175 Btuh Central vent(100 cfm) 1978 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 15938 Btuh Use manufacturer's data n Ratelswing multiplier 0.98 Infiltration Equipment sensible load 16717 Btuh Method Detailed Latent Cooling Equipment Load Sizing Shielding 3 (partial) Stories 1 Structure 1000 Btuh Ducts 966 Btuh Heating Cooling Central vent(100 cfm) 3396 Btuh Area (ft2 811 811 Equipment latent load 5363 Btuh Volume�ft.) 8110 8110 Air changes/hour 0.00 0.00 Equipment total load 22079 Btuh Equiv.AVF (cfm) 0 0 Req. total capacity at 0.74 SHR 1.9 ton Heating Equipment Summary Cooling Equipment Summary Make Trane Make Trane Trade XL20i Weathertron Trade XI-20i Weathertron Model 4TWZ0024A1 Cond 4TWZ0024A1 Coil 4TEE3CO3A1 Efficiency 9 HSPF Efficiency 19 SEER Heating input Sensible cooling 17908 Btuh Heating output 20600 Btuh @ 47°F Latent cooling 6292 Btuh Temperature rise 23 OF Total cooling 24200 Btuh Actual air flow 807 cfm Actual air flow 807 cfm Air flow factor 0.069 cfm/Btuh Air flow factor 0.054 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat Load sensible heat ratio 0.76 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. ,� wr111ghtsoft Right-Suite Residential 6.0.100RSR43454 2009-Oct-2711:16:15 ACCP. E:\Adams\ADAM2030.rrp Calc=MJ8 Orientation=NE Page 1 y Right-J Worksheet Job: TOBH811 Entire House Date: DRS Air Solutions Heating & Cooling, Inc. y 1 Room name Entire House Whole House 2 Exposed wall 100.8 ft 100.8 ft 3 Ceiling height 10.0 ft 10.0 ft heat/cool 4 Room dimensions 811.0 x 1.0 ft 5 Room area 811.0 fY 811.0 fY Ty Construction U-value Or HTM Area (f?) Load Area (ftz) Load number (Btuh/ftz--°F) (Btuh/ftfl or perimeter (ft) (Btuh) or perimeter (ft) (Btu h) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 W 13A-10ocs 0.077 n 2.93 1.29 140 116 338 149 140 116 338 149 I-- 3A-2ob 0.610 n 23.18 23.63 24 0 556 567_ 24 ` 0 556 567 13A-10ocs 0.077 e 1.54 1.29 216 168 258 217 216 168 258 217 T—G 3A-2ob 0.610 a 12.20 69.49 48 40 586 1508 48 40 586 1508 11 VL_G 13A-10ocs 0.077 s 2.93 1.29' 275 209 613 271 275 209 613 271 3A-2ob 0.610 s 23.18' 28.40' 66 66 1521... 1550 66 66 1521 1550 13A-10ocs 0.077 w 2.93 1.29 250 200 584 258 250 200 584 258 3A-2ob 0.610 w 23.18 69.49 50 50 1159 1181 50 50 1159 1181 P 126-2bw 0.086 - 3.27 0.86`. 122 122 397 104 122 122 397 104 C 16B-30ad 0.032 1.22 1.41 811 811 986 1144 811 811 986 1144 C 16B-19ad 0.049 - 1.86 2.161 45 45 84 197 45 45` 84 97 F 20P-21w 0.047 1.79 0.66 811 101 1448 537 811 101 1448 537 6 c)AED excursion 1277 1277 Envelope loss/gain 8529 8863 8529 8863 12 a) Infiltration 0 0 0 0 b) Room ventilation 0 0 0 0 13 Internal gains: Oo;upants @ 230 5 1150 5 1150 Appliances @ 1200 1 1200 1 1200 Subtotal(lines 6 to 13) 8529 11213 8529 11213 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 8529 11213 8529 11213 15 Duct loads 38% 34% 3233 3867 38% 34% 3233 3867 Total room load 11763 15080 11763 15080 Air required(cfm) 807 807 807 807 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wry j"ts0'F11t: Right-Suite Residential 6.0.100 RSR43454 2009-Oct-27 11:16:15 .4C�GP. E:Wdams\ADAM2030.rrp Calc=MJ8 Orientation=NE Page 1 Building Analysis Job: TOBH811 No Date: Entire House By: DRS Air Solutions Heating & Cooling, Inc. For. This Old Beach House Phone: 904-881-9600 Design Conditions Location: Indoor: Heating Cooling Jacksonville, Int'I Airport, FL, US Indoor temperature (°F) 70 75 Elevation: 30 ft Design TD (°F) 38 18 Latitude: 31 ON Relative humidity(%) 30 50 Outdoor: Heating Cooling Moisture difference(gr/Ib) 11.5 50.0 Dry bulb (°F) 32 93 Infiltration: Daily range °F) - 18 ( M ) Method Detailed Wef bulb(°�) - 77 Shielding 3 (partial) Wind speed(mph) 15.0 7.5 Stories 1 • Component Btuh/ft' Btuh % of load Walls 2.7 2189 13.7 wall Glazing 20.4 3822 24.0Ventilation Doors 0.0 0 0.0 Ceilings 1.2 1070 6.7 Floors 1.8 1448 9.1 Glaang Infiltration 0.0 0 0.0 Ducts 3233 20.3 Piping 0 0.0 Humidification 0 0.0 Ducts Ventilation 4175 26.2 Ceilings Adjustments 0 Floors Total 15938 100.0 Component Btuh/ft' Btuh % of load Walls 1.2 1000 5.9 walls Ventilation Glazing 32.4 6084 35.7 Doors 0.0 0 0.0 Ceilings 1.5 1242 7.3 Internal Gains Floors 0.7 537 3.2 Infiltration 0.0 0 0.0 Glezing__�!, Ducts 3867 22.7 Ventilation 1978 11.6 Internal gains 2350 13.8 Blower 0 0.0 Ducts Adjustments 0 Total 17058 100.0 Ceilings Floors Overall U-value= 0.092 Btuh/ft'-'F Data entries checked. wr10htsoft Right-Suite Residential 6.0.100 RSR43454 2009-Oct-27 11:16:16 RCCA E:\Adams\ADAM2030.rrp Calc=MJ8 Orientation=NE Page 1 11 1 ►11 m m L 00 c > � rx >C ; CO • = - 0 O � -° X Z m y0 - - cam c (j) K n C� CD � O = O m � D > zm .-� 0'• i A 0 �� .11 y'TFC •.••No�� r C o � w � Q r XXN O --� p = -o X m -p_ Z7� � � —� 0 = mo p m -Oo D O Z W m Z - 0 v v oro rm � y �o O o r- o CD z 1 3� C � 9m � m C/) o n Z oo v n r- .20 O Z G � CA) U U T-61' 3 O v m C7 PREPARED 11/16/09, 11 :22 : 51 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH PROGRAM BP820L ------------------ - ------------------------------------------------------- APPLICATION NUMBER: 09-00001820 2025 BEACH AVE FEE DESCRI TION AMOUNT DUE ----------- --------------------------------------------------------------- CITY RADON SURC RGE . 33 ST CONSTRUCTION S CHARGE 6 . 03 AB CONSTRUCTION SUR RGE . 67 DEV REVIEW-SINGLE & 2 AM 50 . 00 ENG REV BLDG MOD OR RO 25 . 00 PLAN CHECK FEES 469 . 50 BUILDING PERMIT 939 . 0 STATE RADON SURCHARGE 6 6 SEWER SDC-SYSTEM DEV CHG 405 . 00 UTIL REV MODIF OR ROW 5 . 00 WATER CONNECT/METER ONLY 85 . 00 WATER CROSS CONNECTION 50 . 00 WATER SDC-SYSTEM DEV CHG 1 0 . 00 TOTAL DUE 694 . 89 Please present this r ceipt to the cash' er with full payment . Brooks, Nancy From: Kaluzniak, Donna Sent: Monday, November 16, 2009 3:39 PM To: Brooks, Nancy Subject: RE: 2025 Beach Ave. Nancy, no fees required. Since it's not an additional unit,they won't have to pay impact fees and won't need an additional meter. Thanks, Donna From: Brooks, Nancy Sent: Monday, November 16, 2009 3:38 PM To: Kaluzniak, Donna Subject: RE: 2025 Beach Ave. Donna, can you send a need fees calculation sheet? Is there a way of scanning and emailing it to me? Thanks, Nancy From: Kaluzniak, Donna Sent: Monday, November 16, 2009 3:32 PM To: Brooks, Nancy Cc: Doerr, Sonya; Van Liere, Nelson; Matthews, Carlene; Hanson, Jim; Graham Shirley Subject: RE: 2025 Beach Ave. Nancy, in that case no fees required, no additional address needed, no additional metering required. My apologies for the misunderstanding.— -Donna From: Brooks, Nancy Sent: Monday, November 16, 2009 3:16 PM To: Kaluzniak, Donna Cc: Doerr, Sonya; Van Liere, Nelson; Matthews, Carlene; Hanson, Jim; Graham Shirley Subject: RE: 2025 Beach Ave. Donna, I looked at the plans again with the homeowner. It does only have a single sink. I also looked at the electrical plans. It has electrical for an under counter refrig and garbage disposal only. No electrical for oven/stove. Thanks for helping to get this resolved as I know the contractor and homeowner are anxious to get the permit finalized. Nancy From: Kaluzniak, Donna Sent: Monday, November 16, 2009 2:50 PM To: Doerr, Sonya Cc: Brooks, Nancy; Van Liere, Nelson; Matthews, Carlene; Hanson, Jim Subject: RE: 2025 Beach Ave. Sonya,thanks! 1 Brooks, Nancy From: Kaluzniak, Donna Sent: Monday, November 16, 2009 11:08 AM To: Matthews, Carlene Cc: Brooks, Nancy; Graham Shirley Subject: RE: Utility charges for remodel Carlene, 2025 Beach Ave. Nancy,The new unit will need a new address. Also, my mistake on earlier e-mail, need meter only, not tap& meter. Still need SDCs. Thanks, Donna From: Matthews, Carlene Sent: Monday, November 16, 2009 10:56 AM To: Kaluzniak, Donna Subject: RE: Utility charges for remodel What address is this for? 641ee"w affikw Utility Billing Supervisor From: Kaluzniak, Donna Sent: Monday, November 16, 2009 10:44 AM To: Brooks, Nancy Cc: Graham Shirley; Matthews, Carlene Subject: RE: Utility charges for remodel Nancy, per our code,this is an additional unit, and will require a separate tap/meter. Even though they are tying in to the existing sewer line, it's still considered an additional unit and so will require the SDCs for both water and sewer. (My understanding of what constitutes a unit is that it has a kitchen. If they want to change their plans to make it just a bedroom and bath, the additional SDCs and metering would not be needed. But since this is essentially an apartment, SDCs required.) Hope this helps- Donna From: Brooks, Nancy Sent: Monday, November 16, 2009 10:12 AM To: Kaluzniak, Donna Cc: Graham Shirley Subject: Utility charges for remodel Donna, Please see attached form you sent back to the building department regarding charges for permit application#09-1820. This is an addition of a garage/living area to an existing property. I spoke to the contractor who is going to tie into the existing water/sewer connections so I guess I'm wondering if the sewer and water SDC charge is necessary. I did let him know that I thought a new water meter would need to be paid for. 1 If you can let me know at your earliest convenience if these charges are required, I'd appreciate it as the contractor is wanting to finalize this permit as soon as possible. Thanks, Nancy Brooks Building Department City Of Atlantic Beach (904) 247-5826 nbrooksncoab.us 2 Brooks, Nancy . From: Kaluzniak, Donna Sent: Monday, November 16, 2009 10:44 AM To: Brooks, Nancy Cc: Graham Shirley; Matthews, Carlene Subject: RE: Utility charges for remodel Nancy, per our code, this is an additional unit, and will require a separate tap/meter. Even though they are tying in to the existing sewer line, it's still considered an additional unit and so will require the SDCs for both water and sewer. (My understanding of what constitutes a unit is that it has a kitchen. If they want to change their plans to make it just a bedroom and bath,the additional SDCs and metering would not be needed. But since this is essentially an apartment, SDCs required.) Hope this helps- Donna From: Brooks, Nancy Sent: Monday, November 16, 2009 10:12 AM To: Kaluzniak, Donna Cc: Graham Shirley Subject: Utility charges for remodel Donna, Please see attached form you sent back to the building department regarding charges for permit application#09-1820. This is an addition of a garage/living area to an existing property. I spoke to the contractor who is going to tie into the existing water/sewer connections so I guess I'm wondering if the sewer and water SDC charge is necessary. I did let him know that I thought a new water meter would need to be paid for. If you can let me know at your earliest convenience if these charges are required, I'd appreciate it as the contractor is wanting to finalize this permit as soon as possible. Thanks, Nancy Brooks Building Department City Of Athuitic Beach (904) 247-5826 nbrooks(acoab.us 1 BP250U01 CITY OF ATLANTIC BEACH 11/16/09 Application Tracking Step Selection by Revision 08 :20: 17 Application number 09 00001820 Address . . . . . . . . . . : 2025 BEACH AVE RE number . . . . . . . . . : 169709-0000- - Application type . . . . . : RESIDENTIAL ADDITION/ALTERATION NCR OLD ACCOUNT NUMBERS . . : AB19255 Tenant name, number . . . . . Type options, press Enter. 2=Change 4=Delete 5 View 6=Fast log 8 Action log maintenance 9=In/out maint Path ---- Rey Dates --- - Action Summary Opt Agency description Rev Step Req In Est Cmpl Last Type By _ BUILDING DEPT. A 01 Y 11/10/09 11/17/09 11/10/09 AP MJ _ PLANNING & ZONING A 01 Y 10/29/09 11/17/09 10/29/09 AP SD _ PUBLIC UTILITIES A 01 Y 11/04/09 11/17/09 11/04/09 AP LS PUBLIC WORKS A 01 Y 11/06/05 11/17/09 11/15/09 AP LS Bottom F3=Exit F5=Land inquiry F6=Add F7=Revisions F8 Misc info inquiry F9=Corrections report F10 View 3 Fll=Sort by agency F24 More keys City of Atlantic Beach APPLICATION NUMBER ' BuildingDepartment p artment (To be assigned by the Building Depaiiment:) 800 Seminole Road Atlantic Beach, Florida 32233-5445 'x Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed f d City web-site: http://www.coab.us -------------- APPLICATION REVIEW AND TRACKING FORM Property Address: 26 Z ?&qe 4VE De ent review required Yeq No 7 // U' Applicant: j� T7�GC,s�. (-Planninci &Zxwgeg nre Administrator Project: j f f� Public Wo is Utilities W/ � I(�Y1l 5� �-� Public Safety � I Fire Services c � s } e spew Sari s s Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: APPL19MION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: (B:UILDING PLANNING &ZONING o Reviewed by: /� Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 S � � now 1 i� mdW I� C D C r0 X X r" O f 1l --� z o 0 C = --i m --� -„ moo = o -- N O o m DOm z 00 r- . m v � > z D 0 r= ;U r D 0 > � v r C '. z C/)o C m m y z o o zCD 0 Z M v m o Z 11 II it _611 +_ 811 u u 0 v m 0 City of Atlantic Beach G� - 4' , APPLICATION NUMBER To be assigned b `the Buildin De artment: -< ti Building Department ( 9. Y. 9 p ) 800 Seminole Road _ Atlantic Beach, Florida 32233-5445 "< Phone(904)247-5826 • Fax(904)247-58 E-mail: building-dept@coab.us City web-site: hftp://Www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: _262L' �64e P Ae De ent review required Yes No ui Applicant: -jmPlannin & rwg rep Administrator Project: ./' Public Wo is Utilities I n� 5� e� Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: pproved. ❑Denied. (Circle one.) Comments: //////������►►►►►► BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBC WOR Comments: PUBLI U I S PUBLI AFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 - CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET DIM Date 11/4/09 Address: 2025 Beach Ave. Permit Application No: 09-1820 Notes: For additional unit(garage apt.) WATER SDC $ 1,140 SDC = System Development Charge SEWER SDC $ 4,050 1 WATER METER ONLY $ 185 WATER M&ER/TAP $ SEWER TAP $ CROSS CONNECTION $ 50 OTHER $ GRAND TOTAL $ 5,425 CITY OF ATLANTIC BEACH 09- I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTOCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.FT.UNDER R22F ZOZ5 gaiA dV6 252 302- 13 l 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6,U E OF STRUCTURE: //��� �y �/�+ ❑NEW BUILDING 13 DEMOLITION RESIDENTIAL LOT�!`�BLOCK_SUB DIVISION ' TL�AIJ i�C. c-r ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION W4kCCESSORY BLDG. S.FIRE SPRINKLER: t� SLC W �1<�( ❑REPAIR ❑POOL f SPA 13 YES WA E As>otTili -+ gr^r-v'Go ACS ❑MOVE ❑OTHER ❑NO PROPERTY OWNER, CONTRACTOR: ARCHITECT!ENGINEER: S�ME: 15.C MPANY yy*�ME: 23.CC MPANY NAME: 1�iGKA�D �,'EtGul.�ft uL ) DVS [lo o A IA 16,NAME4 24.UC SEE NAME; c QU c. s 10.ADDRESS: 17.STAT FLORIDA LICENSE NO 25. TATE OF FLORIDA LICENSE NO.: zdzs t3�ACH�a��y�E GC.`IZ5© Cpl AT t_ M1r�', 1 � C7 e�PAII>E DLV> 26 ADDRESS Y 32233 .44 $t to Fl- 322<S"o �g U-14 F`3=5-o 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20. AX NO.:Z90 27,OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21. LL PHONE: tJl 29.C'c ONE: - p0 •� to 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ! ALOA 02115.c-opl FEE SIMPLE TITLE HOLDER: BONDING COMPANY: + MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME:: 33.NAME: 35.NAME: Nl A WIN 32.ADDRESS: 34.ADDRESS: 36:ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated, i certify that no work or installation has Commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) lifier On Signed: `� `"�� Date: /9 U t-f'0�f Signed: Date: Before n1e this /C/ . day of (:.���'I�L hC��� ,2009 in the county of Before me this day of ,2009 in the county of --Dwiiat:5tate of Florida,has personally appeared �( Qukial-,t4e of Flori ,has 711Y appea herin by himself I herself and affirms that all statements and declarations are herin by himself/hersetf and aRl s that all statements d declarations are true and accurate. true and accurate. Notary Public at Large,State of ti f County of ! '� 1�.� Notary Public at Large,State of "� C of LV� ,,,YF'ersonally Known ❑Per' ❑Produced Idenfifcatio roduced Ide .6.n- Notary Signature: i1.� Notary Signature: I�I- -rr %4,, KATHMNUER iP,„r„e SHIRLEY L.GRAHAM .�RY P(�� Noyry PuOMc.Sum of Fbrba ;'r°w .`�: Notary Public-State of Florida 5L0001 Poma.Applicatlon Bldg:RE 4 v MYCi01RIWWNEN*nJ d29 2011 P=My Commission Expires Feb 14,2010 Comminlon/DO 699662 =9,F Commission#DD 518533 OF F��.��• Th °� •• .;�c'� Bonded By National Notary Assn. , .... OW49d h NeftW Naary At35f1 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by-the Building Depaitment:) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247 ------------ -5826 • Fax(904)247-5845Af '= Date routed: ...:_.�� t:fa E-mail: building City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2a Z � C �7' � De ent review required Yes No ui ` Applicant: �j� �D G(��. Plannin ree Administrator Project: 17)�TmchiJPublic Wo is Utilities I l 1 Yip S� C t= Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: APPUCAT STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: CANNING &ZO ,� h. �� .Z Reviewed by: Date. 9 d TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/44109 CITY OF ATLANTIC BEACH _ oAI I I I I BW SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 .....i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SO.FT.UNDER R F Zp2 8� v 2:5 Z, 3oZ 13 1 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.U E OF STRUCTURE: -BIB 'N1 T .may,. ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOTLOCK_SUB DIVISION I -' t L.ALS n.. �A� ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ACCESSORY BLDG. S.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES WA I ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT f ENGINEER: 2,VA ME: 15.C MPANY yy��ME: 23. PANY NAME: I�tGKA�ID ��IGuV�K. (lLD UVS o A 16. 24.UC NSEE NAME: c. QU c. 4 ADDRESS:10. � �C�[`1�, �yC 17 C F FLORIDAr� LICEN-'NO O 25. TATE OF FLORIDA LICENSE NO.: 71 A�L Tlc. r1�""-' ',GF L 1 �G�`ZeS�aNV�E SLvz- 26.ADDRESS: -2253 �� 4cu F 322�Sv � 13c1.4,F3225-o 11.OFFICE PHONE: 12.FAX NO.: 19..OFFICE PHONE 20.FAX NO.: 90 27.OFFICE PHONE: 28.FAX NO_: 13.CELL PHONE: 21. LL PHONE* 0 f•Llf 29. CE ONE:' 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: MI 1150 W X-g e- LX-CIM FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: NA 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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. OWNER or AGENT CONTRACTOR (If/Agent Power of Attomey or Agency Letter Required) Ifier On Signed: y"� ` ®"� Date: /`�U C���J Signed: Date: n r01 Ifr Before me this�®L�' day of (_ } c,2009 in the county of Before me this day of 2009 in the county of -_.Devsr"State of Florida,has personally appeared a of Flori ,has ly appea aJ%C herin by himself/herself and affirms that all statements and declarations are herin by himself 1 herself and affi s that all statements d declarations are true and accurate. (t true and accurate. y/`�! ' Notary Public at Large,Slate of r �- County of !"!I 'J �� Notary Public at Large,State of • Z C of V� ,�215"ersonally Known ❑Pers ❑Produced dentrficaho P15roduced Ide talion- Notary Signature: �") Notary Signature: ��quNa KAT M.EEN/AKER E- Notary SHIRLEY L.GRAHAM tary Public-State of Florida Nit PY�NC-Shft of Floride9LCC-Oi Permtt:,pplication Bldg:P.E4v ��«A4� 2011 ommission Expires Feb 14,2010�TCommiaeion/ DO 699682 Commission#DD 518533. �,� Barded Thfouph Neliortai NtKarlf s--_ ded By National Notary Assn. ...... Assn. Ci of Atlantic Beach "�- -; APPLICATION NUMBER { Building Department ��' ��` (To be assigned by the Building department:) 800 Seminole Road. Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247 j E-mail: building-dept@coab.us - Date routed: / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 262 � L' �7" Ae D2pAgMent review required Yes No Applicant: j� D Gt,S Ptannin g -Tree Administrator Project: L)�x�f� PubIic Wor is Utilities W� Ni vl Y1l SpA-C t Public Safety Fire Services 1e'.-tiy. '�i�J,i"�*1'• `�f�'.� �s'��,r^'y1y��j5,c'�7vyY,��1",'gyp lK�.��+K"n.. � ;- r'k r �;7 u ,�`�v.`r7F��.�u a-smWE Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: (��.1-��( BUILDING 4' PLANNING &ZONING Reviewed by:-74��- Date: TREE ADMIN. Second Review: [Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: 4Date:'/ r�U� FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: _Date: Revised 05/14109 s �6 THIS OLD MACY ROME HOME BUILDING & REMODELING 3869 Grande Boulevard Telephone(904)249-2904 Jacksonville Beach,Florida 32250 Facsimile (904)249-2908 November 9,2009 City of Atlantic Beach /, Building Department /Y0// 800 Seminole Road 1 Atlantic Beach, FL 32233 RE: Application#09-1820 Addressing comments by Public Works Department Dear Public Works Plan Reviewer: The following is the response to your comment about the garage addition at 2025 Beach Avenue. 1) Provide predevelopment imperious surface calculations: Land Area 0.23 acres= 10,019 sf Existing impervious surface: Proposed impervious surface: House— 13 89 SF House— 13 89 SF Garage—497 SF Garage—605 SF Front Porch— 106 SF Front Porch— 106 SF Driveway—600 SF Stairs and Elevator area—390 SF Total—2592 SF Driveway—446 SF Lot Coverage—25.9% Total—2936 Lot Coverage—29.3% There by increasing the impervious area by 344 SF. 2) Provide erosion and sediment control plans: see attached 3) The Right-of-Way permit application is attached. 4) The revocable encroachment permit application is attached. 5) Roll off container company must be on the city approved list and cannot be placed on the city ROW. For this reason we will not be using an onsite dumpster on this project. Construction debris will be removed from the site to an off site dumpster. 6) Provide drainage details showing the discharge location for the CMU wall drainage. See the note on the attached erosion control plan. 7) If paver installation is desired provide install detail showing drainage bed under pavers. Pavers are considered impervious on the job, we are not providing a drainage details unless required for code reasons. If you have any questions or require additional information please contact me at 881- 9600. Sincerely, r Michael Quick President CITY OF ATLANTIC BEACH i1�11 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY RNQf=~AgMENTS 800 Seminole Road 904-2TS --Nwmmmwmmm0 Atlantic Beach,Florida 37233-5445 FaX 904.247.5845 PLEASE SUB IT(3}COMPLETE SETS OF PLANS WITH APPLICATION. Date i C) �n [PERMIT ik Job Address Zv f ISSUED BY THE CITY Permitee: _ tC,4 A P_D I Clgl-}L Telephone# Z-9 Z-Q 5 Permittee Address: 2�� g ,c} G i-} A V� Requesting Permission to Construct: pAVF—E / Location: (Reference to Cross-Street) JS�R A 0.V_'rf4 p l` JTREE7- 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following UtilitiestMunidpalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach r Florida De artment of Transportation Standards and be performed under the supervision of _ - u Icy— (Contractor's Project Superintendent)located at 369 Q9?NtJ R t_vb Axl_ Telephone#: ae/-�j(,C� 4. All materials and equipment shall be subject to Inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. A sketch of pians covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing arty increase in impervious area on owner's lot or in the city it ht of Wav are to be included with this a gLRj!tiort T This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER �� .�/y 2.v a� Signed: Date: Before me this dayof / 2c.,4' in the Court of, i,NA`S,jhu_ State Of Florida,has personally appeared ,�,� T ®-, .r Notary Public at Large,State of Florida,Cou of val. My commission expires: 7 fTCt�� ersonally Known: Produced Identification. � �ea • MI►CwirNIIMMSEtglNtdlllll,'011 COMMON 100 0111111110 Saidnt?bV*NiNoiulNdMryiW L ib #,y�#06F 7ilAA►$WNW p ? R.O.W. Permit Attachment of for R.O.W. Permit# issued ,200_ Atlantic Beach,FL 32233 Owner's Name: }\tCAAAIL.t7 getc-rl t,_G_ Property Address: 2a?,S- � c.j+ A vE Subdivision: r�trc,grsr�c.$�gckt Lot#/Block#: R.E.#: 1(,'n 7Q 1-0202 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2001, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as"CITY"and .c kaefl KE:K..Rt..Er_ of Atlantic Beach, Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: 1 rtST�,i.� i�C-� ,c�r►L Q.ETl+ �'�,VE RS Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30)days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: Z-0-0s 0EAC-i1 AV>✓ P�-U-rAt.JTtc. 5F_A CAI FL 37-7-35 The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code,and all other land use and code requirements of the CITY,including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this�" _day of WOW— L"I"' , 200 . Bv: Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this _1__` day of \b--^✓ , 200y, personally appeared before me, a Notary Public in and for^ said County and State, k)P 555 AU. C4 r1-- the property owner of , Atlantic Beach, Floridown to me to be the persons described in and who executed the foregoing instrument; who acknow a ged to meta e executed the same freely and voluntarily and for the uses and purposes therein mentioned. • bi Notary Public in for said County and State now IMM-WAO M ft* • CITY OF ATLANTIC BEACH, FLORIDA, a 0 municipal corporation: f1wN �Mhh► A4L. /t er, Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: aim Hanson,City Manager Page 2 of 2 .�.�! r M Erosion Control Plan Reichier Residence-2025 Beach Ave Atlantic Beach, FL 32233 1) The slit fence will be install from East to West along the North and South property line,then turning back to the North and South until meeting the driveway concrete at the street. 2) The slit fence fabric will be 2'wide with 1"x1"stakes installed at 8'on center,the bottom 6"of the fabric will be installed in a 6"deep trench and backfilled. 3) The slit fence will be inspected daily and repairs made as necessary to maintain the integrity of the slit fence. 4) Additionally the slit fence will be inspected after each rain event of more than X"to insure It has not been breached,repairs made as necessary. 5) The French drain system will drain below grade into a 2'x2'x2'gravel pit installed at the end of the French drain system on the East side of the garage addition. qr Ar CJ - A C7uquOL t>rz y wry" s kro)q Public Works Plan Review Comments Date: 11/6/09 Initials• Project Name/Address: 2025 Beach Ave. Application Permit#: 09-1820 Check Boz Application Tracking Comments to Add Commeqt Provide predevelopment impervious surface calculations. (What is change in Moor impervious area?) 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, including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 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 ❑ _per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for Paver Driveway. A Revocable Encroachment Permit must be obtained. Pool—Wellpoint (if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). 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 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P - Roll off container company must be on City approved list and cannot be placed on City right-of-way. ;�el Provide drainage details showing discharge locations for CMU wall drainage pipe. If paver installation is desired, provide installation detail showing drainage bed under pavers. Otherwise, considered 100% impervious by Code. �/ CITY OF ATLANTIC BEACH Q_ I I ( I P7800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE:(904)247-5826•FAX NO.:(9D4)247-5845 BUILDINGDEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: - 2.VALUATION OF WORK: 3.SO,FT.UNDER R F ?.�2 5E vE 2�Z 3�Z 13 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.U E OF STRUCTURE: ' ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_ LOCM_SUB DIVISION ' TL.At�1'f 1G )� ❑ADDITION El CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ACCESSORY BLDG. S.FIRE SPRINKLER: t 1-APAmwr_i, IBD W 1 ❑MOVE ❑OTHER 13 ❑NO WA PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: ,WAME: 15.C MPANY ME: 23.CpMPANY NAME: lcµa�p ��IGI�t_�R, l-D vvs T c 1L7AIA 16.NAME4 24.LICENSEE NAME: c- Qu c. s, 10.ADDRESS: 17.STAT F FLORIDA LICENSE NO: 25. TATE OF FLORIDA LICENSE NO.: 7,dzS7 13E•ACH kVIF I G G 1Z5o O ARIP' -49 A" -V L ' •TIC, `� 17 G' eAKI`j�E Ip LVD 26.ADDRESS: #AT, 2.233 �4 amu 3 J 4c I.1 �225-0 3fo1 4 FFL s. . 3�5"o 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONED 20ti AX NO.:��� 27,OFFICE PHONE: 28.FAX NO.: 13,CELL PHONE: 21, LL PHONE:at Z94t_Jl 29.CE ONE: 5�5 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: �O 30.EMAIL ADDRES 111 I ots� FEE SIMPLE TITLE HOLDER; BONDING COMPANY or OTHER rww ov�Nenl : MORTGAGE LENDER: 31.NAME:: A 33.NAME: 35.NAME: NAkik 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated, i certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-1 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: Tk*Tfr 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. OWNER or AGENT CONTRACTOR /(If Agent,Powerof Attomey or Agency Letter Required) I fierOn / Signed: r / Date: 9 V 67L O g Signed: Before me this I 'I day of_(_.IMI10- 2009 in the coun of Before me this da of .-DnvatState of Florida,has -T� tY y 2009 in the county of personally appeared Qu -6to or Flori ,has ty appea k�.� herin by himself/herself and affirms that all statements and declarations are herin by himself 1 herself and off s that all statements d declarations are true and accurate. p p1 true and accurate. 1 Notary Public at Large,State of r L County of i" 1 Jtr��.� Notary Public at Large.Stafe of � C of vo/v ,Z+ersonally Known LN ❑Produced Ident�catio Ida caiion- Notary Signature: i,_ Ty ''Jj, n `s � ature: ,�..��"";� KAtFN.EENf1MtEf101 111"�i SHIRLEY L. GRAHAM 1' NoWy PUG•MAG of Florida : Notary Public-State of Florida 5LDG01 Permq.Applica5on Bldg:RE MY Com111 UW EXO O$Jnf 20,2011 = ••-My Commission Expires Feb 14,2010 =+, COMITNUton 9 DO 699662 %9Y _ Commission#DD 518533 BedThroughNatiorlalNotarygssn, �� ""' Bonded By National Notary Ass ss n. lk f' Jia It CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001820 Date 2/25/10 Property Address . . . . . . 2025 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 252302 ---------------------------------------------------------------------------- Application desc GARAGE ADD DETACHED W/ LIVING SPACE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Sub Contractor . . AIR SOLUTIONS HTG & COOLING Permit Fee . . . . 91 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/24/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified teester and a copy of the results sent to Public Utilities . PERMIT IS C[ g) 4PjWiWgCVaWDtLscIDijsat Abe cpa'pmrartit&WII IX"IN& aSg�Nj)t'@MFLORIDA BUILDING CODES. ° f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00001820 Date 2/25/10 ---------------------------------------------------------------------------- Special Notes and Comments development fees paid. 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 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. p � O O 0 W 7 ~ z U FZ� y W ? U gr J oQo►W- w a �� w (7 1A LL a�3 w� c� P. wZ wm O Oa0 O m� z mw. 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T T T T T T T / 0 O o Z `r+ ZO m M cn g N m M --� Q C � R x m gg �QQ`�5 6 RmA3Ao N ��� UG ENGINEERING, INC. 419 SOPHIA TERRACE ST AUGUS'TINE, FL. 32095 ENGINEER,, OF RECORD : LOUIS GABRIEL, P.E. # 39476 PH. #: (904)825-2325 2- (il'o Agm �N1,3J, Q xi )nlm ins Q "' rvrww� '1 xg s d�fi�ds }, ll 6 P� 6 t 'Tf) � O m O�OZ g t 933 l **eve o LJG ENGINEERING, INC. 419 SOPHIA TERRACE ST AUGUSTINE, FL. 32095 �N ENGINEER OF RECORD : LOUIS GABRIEL,.P.E. #39476 lu\ PH. #: (904)825-2325 Ze Ij a i ' yt a N n � � y 71 v 1 .� t s CTN x �1 ?? o71 x ' 1 =�ti It SII Ttdl � , 2z1ylt/r /cam�. a N mm�OoZ ornCox_ -� Et N-nz-4m c7 vi o;o Oom0 N_ N .. -IM ' ..a� • C 40 P ..� �h LJ �4AILEt> Ot A 16 0 rC 1 r-)OT LJG ENGINEERING, INC. LOUIS J. GABRIEL, P.E. #39476 419 SOPHIA TERRACE 3T. AUGL0'.-471NE FLORIV� 5FEB 1 .2010 �� By ---------- 'J� "rd rz. 5552193 r y Q Gn C QX a�a� d 3'�`. 1 3• I m gnu G iia C0. 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CD f Tl (� C t rri ski 1 t 9 \ a x ' 4 N rn - 103 16° R7 a -1 CL 3 I t City of Atlantic Beach APPLICATION NUMBER Building Department (To be assig d by the Building Department.) 800 Seminole Road /� _ / h Atlantic Beach,Florida 32233-5445 t / (f Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: httpJ/www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: jDapartment review required Yeo No Building Applicant: anning&Zoning Tree Administrator Protect: " D - Q Public Works Public Utilities Public Safety ( Fire Services fee:$ ..:-Dept Signatui°e -. .- Other Other Agency Review or Permit Required Review or Receipt ate Of Permit Verified B Florida Dept.of Environmental Protection " Florida Dept of Transportation St.Johns River Water Management District d� Army Corps of Engineers Division of Hotels and Restaurants ; Division of Alcoholic Beverages and Tobacco Other. �/rC APPLICATION STATUS ReviewingDepartment First Review: " Depa [�]iApproved. ❑Denied. (Circle one.) Comments: BUIL PLAN G&ZONING Reviewed by: Date: 02 TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 .� CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001820 Date 2/16/10 Property Address . . . . . . 2025 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 252302 ---------------------------------------------------------------------------- Application desc GARAGE ADD DETACHED W/ LIVING SPACE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . KNIGHT ELECTRIC LLC Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/15/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS A sewer cleanout must be installed at the property line . Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified teester and a copy of the results sent to Public Utilities . PERMIT IS QP-M09% &�LyjM9C&Mt"VcFi '1 A'De Cf MPaMtANW BlatI3]MIJINAXIdS.SYS111MFLORIDA BUILDING CODES. , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00001820 Date 2/16/10 ---------------------------------------------------------------------------- Special Notes and Comments development fees paid. 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 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: f,�- I it -/0 Prep"Address: Owlser: Telephone#: Coitnctor: k LA ,c, L-L 1/a c-4 IC,c. T�,L C Telephone#: a 4 7-Q S S F_ Contractor Address: Fax#: 1 L/ 7-2,9y-3 Co rector Si tare: In cneulxation of permit givcn for dautgth work Zudescribod in the above statement, we hereby agree to potfo m Wd work in aoMR'danc0 wtth fixe attached plans and specifications which are a part hereof and in aoeordaace with the Chy of Atlantic Beach ffdfte and etandsfds of good pmeticelisted therein Brading: Building Type: ❑ 'frailer Service: 4 d an this i, Cl Now Residence ❑ Teak. Cl New Or Sit d0"`M b dbuildingg tilt' Old ❑ Commercial O Signs ❑ IncMase p sut im O Rye-wite O Addition Sq.Ft. ❑ Rep* O d�xff r conouctor size: AAPS: O© COPPER D ALUMMM- Swifch or i Br9ilker A •g pg W VOLT WAY E41111bg ServiceRA Y 3btit . AKPS �I VU PH W 3 VOLT WAY MdW Nu ber F NO. SIZE NO SIZE NO SIZE Li&bft Outlets Q CONCEALED U OPEN cs CONCEALED OPEN switict� Incapclescemt Fivameent & M.V. Fixed 0.100 AMPS OVER BELL A TRANSFER. Air H.P.RATG H.P.RATING CEILING KW-FEAT IN conditiowAll COMP.MOTOR OTHER MOTORS AMPS HEAT mows 0-1 H.P. IVOLTAGE PH I NO. OVER l H.P. PIIS ,f,,�r,,;Q�OV _— OVElt600 - �sfatmcrs NO. KVA NO. KVA No. eon Transf. �a. s• Miat�uan�us 800 Seminole Rend-Atlantic Seacb,Florida 32233-5445 Pbone:(904)247-5800- Fal: (904)247-5845- WE)://www.ci.aHanttc-bee__d -us Reviled 1104 s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5826 ,i# Application Number . . . . . 09-00001820 Date 2/11/10 Property Address . . . . . . 2025 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 252302 ---------------------------------------------------------------------------- Application desc GARAGE ADD DETACHED W/ LIVING SPACE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc ADD 6 NEW FIXTURES Sub Contractor ADVANTAGE PLUMBING Permit Fee . . . . 97 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/10/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified teester and a copy of the results sent toPublic Utilities . PERMIT IS A%JMS 0 14YI' AC(M&ANCE % Ah eCIYf]BKTLtAeNli &%% IVAN AWf t&nLORIDA BUILDING CODES. ill-�'-1.r`.l- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00001820 Date 2/11/10 ---------------------------------------------------------------------------- Special Notes and Comments development fees paid. 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 97 . 00 97 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 97 . 00 97 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .. Sar, CITY OF ATLANTIC BEACH 09- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826*FAX NO.:(904)247-5845 *' BUILDING-DEPT(QCOAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY .1:'JOB ADDRESS.' 2:15 THIS'ABUB PERMIT.',,,',,-.., 4 Y S PERMIT#: �. 11 NO IBM ., = PROPERTYl9INNER..: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.:S 9.STATE OF 0LOkibA LICENSE NO: 10.CELL PHONE: , 11.FAX NO.: C S 13.OFFICE PHONE 14- -70 / 12.EMAIL ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE' NATURE`OF WORK: 16,=< 7S - iS_CURRENT CODE 0 NEW ❑'06 FLORIDA BUILDING CODE- 0 RE-PIPE PLUMBING ❑OTHER: 19 NUMBER OF FIXTURES.- ' BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS L AUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN 20 PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 //ll TOTAL FIXTURES: �_ �r $7.00 (PER FIXTURE) + $35.00 ELDG03 Pcrr'nit App!icatiion Plumb:12h 312008 CITY OF ATL NTIC BEACH i 800 SENIINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000050 Date 2/22/07 Property Address . . . . . . 2025 BEACH AVE Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 ---------------------------------------------------------------------------- Application desc DUNE WALKOVER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CHANDLER, JR. , JOHN B. JOEL RICHARDSON 2025 BEACH AVENUE 107 PARK AVENUE ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32085 (904) 692-3932 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00 Issue Date . . . . Valuation . . . . 12000 Expiration Date . . 8/21/07 ---------------------------------------------------------------------------- Special Notes and Comments DUNE WALKOVER TO BE BUILT IN ACCORDANCE W/ SEC 6-24 (6) ATLANTIC BEACH CITY ORD. HANDRAIL DELETED 2 . 15 . 07 PER ATLANTIC BEACH CITY CODES ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total 45 . 00 45 . 00 . 00 . 00 Grand Total 135 . 00 135 .00 . 00 . 00 PF;IIBMIIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH f S PLAN REVIEW SHEET e LA Vr Building Department Public works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D.Kaluzniak .(904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# 4 7- DDD.5'0 Property Address 262 5- -EEC-R C 11 TT d Applicant: Jo-C L —pie� a/ Project: a7 This permit applita7tion has been: Approved as noted by the Department Final application approval must coifie from the aiding Departmen Reviewed and the following items need attention: Se.r-Le 4A Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being,issued. Reviewed By: Dom`'— Date: Z - Date Contractor Notified: Jan 30 07 01 : 28p Coastal Consult. (904) 829-0p851Q p, 2 BUILDING PERMIT APPLICATION •' � CITY OF ATLANTIC BEACH 1 107 800 Seminole Road,Atlantic Beach FL 32233a Office:(904)247-5826 • Fax:(904)247-5845' - � 00 Job Address: f. 1S't C/ �� Permit Number.. - Legal Descriptions Valuation of«Worle(Replacement Cost) $ ©,0 "' } Class of Work((Circle one): Addition Alteration Repair Movk.�} � ■ Use of existing/proposed structure(s)(Circle one): Commercial II'an existing structure, is a fue sprinkler system installed?(Circle one): Yes No gN/ • Is approval of homeowner's association or other private entity required?(Circle one): ?o Describe in detail the type of work to be performed: 1I Property Owner Information Name:— C 4 tdl' Address: ��-�UiJ City State Fa--iZip <Ai4 Phone Contractor Information: Natmme o#'Comnmpany: � Q rJ /C✓ Qualify' Agent: % Address: City State F' Zip 3 2j?7 Office Phone Job Site/Contact Number ` - 66c - State Certification/Registration# Office Fax# Architect Name&Phone# N �Q Engineer's Name & Phone f�1t+ Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has coninienced prior to the issuance o'aFermit and that all work wdl be performed to meet the standards o�all laws regulatin construction in this.1•urisdiction. 1.1tis permit becomes null and void if worlc is not commenced within six(6)months,or if construction or worlc is suspended or abandoned for a period of six(6)months at any time ager work is commenced. I understand that separate perntits inust be secured forElecttical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks andAir Condition s,etc, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 herebyy certify that 1 have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this�pe orkrviil be complied with whether specified herein or not. The granting ofa permit does notoresunte to give authority t=,,,i„i.,- ,. !•! -••-•...._ o4w w Feb 02 07 02: 49p Coastal Consult. (904)829-0851 p. l FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION. Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd-MS 300 PYrrNit Na mbirr -0021899 F OR q Tallahassee,FL 32399.3000 (830)488-7708 No.of Pa rsAa7wked: FIELD PERMIT PUiirSUANT TO SECTION 161053 or 161.0.42,FLORIDA STATUTES FIND94GS OF FACT AND CONCIA MOMS OF LAW: The twgnat fey a pont was eartidaa' by the deff daipoo of the Deputra t of EnvirommW Proom im and find b be in eompdis w wilt do tags of ChapW 62B-33,Florida Adn*idm m Code(FAC.} Approve(it spaa'fiatly dotatod to the adivity M the sgled foeation and hi tmipli, .sWov'W plew Csf any),aftd ed aprAud eotdi6=6 and any epwW mAtime sbftd befog pu:waM to Pmapaph 161.053(3 Fw"Sbodes. Tiw pomit may be mrpaded or my W is awadame with Section 62• 4.100.FA.C. PROXCr LOCATION: , V , z w ,r. rttoJECC Da pir77om _ Alt t : A TJ U,.,gl=— ,')li 2.f o , �kz; C� kwfz l;z IZ/W sir.. l —'-"r- Si id ML PflRWffr CON KIMONS: This pormit is"M Orly aft 0"on"Ddaal,Mdo6 and load pwnft in obbiskad and dog rot saw= contmvadm of load aedadk vagaaematoe or n i%or bwldi g ooda. 'Chis pnwt and public wAw did be poalod on die sib immWoMy upon smaa and*AD rernsin postod alone wilt coal approve)sem do compia6aa of wy nlivity audwiaed by thin permit Other spaoid condit ion of tins permit iae)ude: irmm ARD rLRMCt CONiK1'tliNlS: The pa can sial comply with des sib"almdod Saki peewit wnditiom. APPLICANT RWORMAT1014: I bsteby eatify Mat I am eiqw (la)die aww cfd a-A",'property g (1 b)I baro die vwnee's ooaaa d to seoww>i d�ia pm&on dm awnm"a bdmK gad (Z)I shad obta,a gay applioa6ls ioneaer orpanenM iii any be wgWmd by fidwW.ddv wv*,or muniap.l kw pior b ooeeonoetoseeesM d pee vnordS (3)I seknowledMe deet the aatadt eiaed waeic>t whd 1 requedad;and(4)t aaoept easporwbitity for eoMpdiaaoe withi2 all Appbmfs 34peelute I J, b`?Tabpieao N,o../ App wanCs Punted Name k ao t� t`A 0 L.- Addy 42'50 4 (�yQr'1 LLQ . C )fngplicaat i$ere ageMt t 1 /!� 7 sJ priebdraaee propsrryavwss► prepwtg�onwesr'i p qww s as UNPARTMENT MAL ACMN AND f1tHMG AND ACIO10W1,11 DGMRKI': •Phis Edd peessit is appro�red an behalf of do Dq wbnw4 of Environm"W Probdion by the uadaeip W doff 1,eilp gad did an dds dsb.pwraM is asotion 1?A FS.,widt do wAmip W dwipusod Deputy Chk eeodpt of is hereby=bwwkdlpd. J 4D C44.011tIlIr Alk i W- 0-1 DW PUB NOTICE 15 ON THS RACK Of THIS P& MIT. i311MMATION DATB: 1`Z AIY-n (Emereggeaeneccyy peewits issuod to Seotion 62&33.014,FA .,aro olid for no mono dean aiaety days and offer' s 6 u ""U6 Wr so mom than 12 etwathe. The doff x ,may spedry a snarler tiara ) smt3>D6CYPFiwT:(3 =10 NO AppmvedpimsawiWelot C1w N610 AND PUBLIC NOTICE CONSPICUOUSLY ON TSE SITE DEP form 73-122(Updated 01106) ffd11Cg1gP-r 11ab eesW COW] R8ft►CqWA1>Pi&WW ~t,4W44rPM4rft1 Apr 14 04 03: 22p RCM SURVEYING 904-389-6175. Ti T , II I I { II IR . 'etPA 4w. I I I I « q r •L_N;�:i ..t�I h' • # Y •fie Si'���.. 1 i 1 , Y� f•�'y rte. ` •b»I �". H d lyt`y.,t f� \ •' '!fig} � �� •, fn S16�.�3�w �` .c "� 1 7, CITY OF ATLANTIC BEACH PLAN REVIEW SHEET a o: �r Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane �Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# 4 7— 0 ,04-5-0 Property Address 2t25- Ym e ll i✓ " Applicant: _Wi.C"fie QJ97n �n/v Project: Ts /'V'q&6 VuL This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need V . tqll Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting-them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: Jan 30 07 01 : 28p Coastal Consult. (904) 829-0851 p. 2 BUILDING PERMIT APPLICATION µ " J� CITY OF ATLANTIC BEACHa r rj,,t 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax:(904)247-5845 Job Address: %' �fQU t �`� �- t� Permit Number: . Legal Description s (�! . ,� ' itffic f>r,Ie JL W—t`fX/JT 3 Valuation of:Work(Replaccment Cost)$ /&oZ,n a Class of Work((Circle one): (:S;;) Addition Alteration Repair Mov ■ Use of existing/proposed structure(s)(Circle one): Commercial _ ■ Van existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A • Is approval of homeovaier's association or other private entity required?(Circle one): �To Describe in detail the type of work to be perforined: / oP AT -moi e A, 1�'t)A( `�r1,1,04- ft—# 4 _Property Owner Information Name:_ C > �. f2z4/54--Address: City State&Zip Phone - Contractor Information: Nainze of•Conipany: 6R,--( Orj -- Qualify' Agent: Address: ! m ,e.°' City State t'=�c- Zi 3 2:177- Office Plxone _ - �2., - U5"g Job Site/Contact Number 6 State Certification/Registration# Office Fax# Architect Narne&Phone# A.✓ A Engineer's Name& Phone# /;��,� Application is hereby made to obtain a ernrit to do rhe work and installations as indicated. !certify that no work or installatiat has commenced prior to the issuance 'a permit and that aU work wi'be performed to meet the standards o all laws regulating construction in this Puri,diction. Phis permit becomes null and void if work is not commenced within six<6)months,or if construction or worlc is suspended or abandoned for a period of six(6)months at any titoae after work is commenced I understand that separate permits must be secured forElecirical Work, Plumbing,Sigtts,Wells,wools,Furnaces,Ifoilers,Heaters,Tanks andAir Conditiot',t ,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this pe of work will be complied with whether specifted herein or not. The granting ofa ermit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of constt•ttction. Signature of Property Owner: ` L Signature of Contractor: LX=4 - Sworn to and subscri ed befme Sworn tpond subscribes efore sne this Day oft beforeme this Day of_ cc�,u_c� 0 0`1 Notary Public / , d�- Ati Notary Public: 4�j /G ? J AL4A� Commis ' Z... Expires AprA ------kigdmoi6ii� ��Pi,�`i`�BondW Troy Pain•InxN101.* ao" 1�S �� i-e 3-WT,utr +i DO NOT WRITE BELOW TI RS LINE: OFFICE IJSE ONLY Review 1..esult Circle one): Feb 02 07 02: 49p Coastal Consult. (904) 829-0851 p. l ��nattcnor FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION b Bureau of Beaches and Coastal Systems _ 1 3900 Commonwealth Blvd-MS 300Perm Number. -n 0 218 92' FIQR A Tallahassee,FL 32399.3000 (830)488-7708 No.oJPagwAaadred: FIELD PERMIT PURSUANT TO SECTION 161,053 or 161.052,FLORIDA STATUTES FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request fqr a permit wa canidovd by the staff designee of the Department of Env6onmenW Prosection and found to be in compliance with the Mquiromeatts of Chapter 62.&33,Florida Administrative Coda(FA-C.). Approval is specifically bmited to the activity in the stated location and by the project deectiplion,approved plans(if any).attached standard conditions,and any special mw4tions stated below purrAwd to Paragraph 161.053(5).Florida Sb*tes. This permit may be suspended or revoked in acoordarm with Section 62• 4.100,FA.C. PROJECT LOCATION: 2n)-1971 -AV e lillr(�f,C�.C 5J` rZ 12 3 d 4 PROJECT DESCRIPTION: -- F.1,1-U4-ftrlT,) SPECIAL PERMIT CONDITIONS: This permit is valid only after 0 apptic"fbdond,scare,and load permit&are obtained and does rout authorvs contravention of local setback requirements or coning or budding codes, 'Chis pernut and public notion shall be posted on the site inunediatdy upon wm ance and shag remain posted dons with local approval until Wo completion of any activity sudwrited prmnit include: by this pamik Other speeds!conditions of this SCANDAIRD PERMIT CONDITIbNS: The permino,shag oomply with the a kdw skndatd field permit conditions. APPLICANT INFORMATION: I hereby oatify that I am either (ls)the owner otthe s�property g (lb)I have the owner's consent to scours this permit an the owtnot's bdndt;and (2)I s obput►any app6eabk licenses or permits may be requited by fadesal,stats,oounly,or municipal law prior to commen meant of the word; (3)I acknowledge that the a dour ud work is what I requested:sstd(4)1 aicoapt responsibility for oomp)wroe with all parn�d�' F. _.) . 1 App)icanCsSignature Kase I � G�If� � l TebptnonoN,o�/(�f) /��GI [')nom J Appllanfs Printed Name ��LZyi IJ A 0-1 dLt - Adds— 421 d Y Iyer Lza' ! r ]'1 (-!y&pr l rJ��'r If applicant is an agent it is 1!, l / �"y� ,lr� �"') -�,.,J p*aka rme q1p vpvr*o� prupw y owaa'i od� sr properW 'i+Yakphokk w,, DZPARTMENT MAL ACTION AND FILING AND ACKNOWUWGMWr: This field parnit is approved on behalf of the Dcprtnmt of Envumn=W Protection by the undenrigned doff designee,and Glad on 1hw dots.pursuant to motion 120.52,FS.,with the undersigned dagguisxl Dcputy Clock receipt of whit is hereby acknowledged, d1►6 p�h'C Prtnied Hain of Dr(rftilDWu Clerk Dale PUl3LNOTICE IS ON THE BACK OF THIS PZRMM ZX PIIRATION DATE.- `7 (I?mergency permits issued ppuurownt to Section 62&33.014,FA C.,aro valid for no morn than ninety days and oTurcr'w- are vaW for no maemac than 1 months. The staffdesarm may specify a droner tirne`7 0 EMERGENCY PMWT:0 YES NO Approved plats an attached: 1)VES N(Na AND PUBLIC NOTICE CONSPICUOUSLY ON THE SITE DEP form 73-122(Updated0V06) FhteCopy-Taflabas r0ffi-J [YellowCq*-Applkwql [PbskCom-StaBDeatgneel Doc # 2007039428, OR BK 13791 Page 2139, Number Pages: 1, Filed & Recorded 02/02/2007 at 01:41 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Jan 23 07 11 : 43a Coastal Consult. (904) 829-0851 P.2 NOTICE OF COMMENCEMENT State of ` l t7 -X I J A Tax Folio No. 16 q 70 County of u,zt4 L, 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 s4ded in this NO;TIT E OF 0 C NT // Legal Description of property being improved: r `� N, X//A z' KNE 3 Address of property being improved: General description of improvements: Owner: Address: ?-0 Zf' J et Z Owner's interest in site of the improvement: ver, 5 t w4lc Fee Simple Titleholder(if other than owner): Name: Contractor: p Address: 00 .� O� L �. Telephone No.: 9041-4(,f $� Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Nante of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be sery(A: Names Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive acopy of the Lienor's Notice as provided in Section 713.06(2xb),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): TH IS SPACE FOR RECORDER'S USE ONLY OWNER Sig[►cd: e-�- Date: e. 1 -7 Before we this 441 r A day o ina County of Duval,State Of Florida,has personally appeared i L :_. 1 4 r Notary Public at Large,State of- ori 130ftivW.F SAM M 'on ices: Personall Known: or to ced en' ication• Apr 14 04 03: 22p, ACM SURVEYING 904-389-6175 P. 1 1 � II i I L2 6sn vi Z i ' a ;.� �� 1����V��- of 1141 milmil i, Apr 14 04 03: 22p ACM SURVEYING 904-383-6175 P. 1 vi gT > El THIS INSTRUMENT PREPARED BY: Richard T.Morehead,P.A. Georgette Antolik 444 Turd Street Neptdne Beach,FL 32266 Book 11758 Page 850 RECORD AND RETURN TO: Richard T.Morehead,P.A. 444 Third Street Neptune Beach,FL 32266 RE PARCEL ID#:16970940000 C)6,1 70� WARPANTY DEED THIS WARRANTY DEEDm e this 14th day of April, 2004 by Helen Chandler \� Jason and Richard Jason, hereinafter ferred to as Grantor, whether one or more, and whose address is 781 Queens Harbor Blvd., acksonville, FL 32225, to Richard J. Reichler and Michelle D. McDonough, Husband an Wife, hereinafter referred to as Grantee, whether one or more, and whose address is 2025 Beac Avenue,Atlantic Beach,FL 32233 (Wherever used herein the term"grantor"an 'grantee"include all the parties to this instrument and tate heirs. legal representatives and assigns of itidividuals,and the successors and assigns of corporations.) TNESSETH: THAT Grantor,for and in consid xation of the sum of Ten and NO/100 Dollars and other valuable considerations, in hand paid b Grantee, the receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, rer tises, releases, conveys and confirms unto Grantee the60 following described land situate,lying an being in the County of Duval, State of Florida to wit: t CP Lot 68, North Atlantic Beacli Unit No. 3, according to plat thereof as ,l a recorded in Plat Book 15 pag4 93 of the public records of Duval County, Florida. SUBJECT TO taxes accruing su t sNuent to December 31,2004. SUBJECT TO covenants, res ' tions and easements of record, if any; however, this reference shall not operate to reimpose e. TO HAVE AND TO HOLD the a in fee simple forever. AND Grantor hereby covenants ith Grantee that Grantor is lawfully seized of said land in fee simple; that Grantor has good ri and lawful authority to sell and convey said land; that Grantor hereby fully warrants the title t said land and will defend the same against the lawful claims of all persons whomsoever;and t said land is free of all encumbrances. $ i�° 850 iQr7as� Ptl�es: Filed 1 Re M4M 011i9/�00� 10103:is AM ]Ill fILlER CLERK CIRWIT C07 i WL CWti 9.00 1.50 TW DEED 00C STAMP s 11,M.00 Page 1 of 2 Form software by:Automated)kcal Estate Services,Inc.-800.330.1295 File:04B243MS Hook 11758 Page 851 IN WITNESS WHEREOF, Grantor has signed and sealed these presents the day and year first above written. S' ,sealed and delivered in our presence: With • H Chandler Jason wl'thoss Witness Richard Jason Witness STATE OF Florida COUNTY OF Duval The foregoing instrument was acknowl p ged before me this 8th day of April, 2004 by Helen Chandl nd J n. He/ e/Trave produced drivers license as identification. Notsr3fPubfic,county and State A ai Notary Printed Signature My commission expires: �ritararyen J*A!k � ttaatt�w.a�taw Page 2 of 2 Form software by:Automated Rat Estate Services,Inc.-800.330.1295 File:048243MS CITY OF ATLANTIC BEACH PLAN REVIEW SHEET 0; Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane CarDer Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D.Kaluzniak .(904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# j} 7- Property Address 262- 5- ?�.q e f/ 4v'e Applicant: .�b G —�11 0 'A'edsi-n Ale, Project: permit application has been: Approved as noted by the 6,bliDepartment. CJ Final application approval must come from the Building Department. C { I Reviewed and the fopowing items need attention: Plans show handrails, application states timber walkover without rails . Handrails not allowed. See City Standard Detail. Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department,requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified:/l_ (e � : ( MA Led FEB 2007 Feb 02 07 02: 49p Coastal Consult. (904) 829-0851 p, l MAt1f11pt FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION 4 Bureau of Beaches and Coastal Systems 1 3900 Commonwealth Blvd—MS 300 802'1 a 92" FLA Tallahassee,FL 32399.3000 PertsarN«osier. (830)488-7708 No of PG$w Armehsd: FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052,FLORIDA STATUTES FINDINGS OF FACT AND CONCLUSIONS OF LAW: The t*WW fqr a pmt was considered by the staff doeipa of am of EnvwnmcnW Protection and found to be is complinwe with the mquirernents of Chapter 62&33,Florida Admu"Ittive Code(FA.C.) t a specifically limited b the activity in the stated location and by the project dowippon.approved plate(if any).attached slandered conditions,and an conditions stated below pursuant b Peragraph 161.053(5),Florida ShquOes. This permit may be>u,pwtded or nwoke,d lo a000rdanos with Section 62• specisi 4.100,FA.C. PROJECT LOCATION, . rQV 411 PrtQiECI'DESCRIPTION• 4 :54,oar;7 Ow"114— I SPECIAL PERMIT CONDMONS: Tian permit o valid only after o apoica*iledwW ddc,and load permits are obtained and doss not authorin conteavention of local adbuk roquiron ents or=miry{or Wilding oodss. This pennit and public notice shall be posted on the site inunedistoty upon peffnit induude renwin P with local aPPr�u l tele comld°ti0n ofm ectivily authorized by We permit Other WNW conditions of this 91'ANDARD PEdRMr1'CONDfI ibM. The peeam se chap oomph,with 1110 atbdW sbndard Sold pmts[o"bons. APPLICANT INFORMATION: I harol)'o10*that I am aidwr: (la)thea ntef cf the pop rty 1g (Ib}I have The ownar'a aonsa�t b secure this permit on the owner's bdw ,and (2)I shall obtain say applicable liosnaas or permih�h may be required by fadenl,ams.county,or muniapa) comlaw ms b oomerlenoonrent of the work t3)l�dW the sudwrizod work is what 1 requested;and(4)i ptianoe with all 't 1. accoPt+osponsibft for ApplicanCs SiErraAus 77 tt Telephone No. AppG=rs Printed Name f-4gyl tj Q Address 42 r4Vn-jj-k;W If upplicsnt is an agentG-: . AZIL Lk' _ 6104 7 vr0su+now qfPr+ovjv*oua►w• propwy owner's d� PrqftrWowm0Y-&kphcino. DHPARTMEINT FINAL ACTION AND 70MG AND ACIt1NOW1.MMM: This tied permit is approved on bohalt'of the Dep utnart of Env annmW Protection by undersigned gaff •mW OW on this des.pursuant to=96m120.5?,FB.,with the u detspned daiputod Deputy !pt whi is hereby s oknowleaeed. PUBL NOTICE L4 ON THE BACK OF T1fIM PtRMIT. 11:XMRATION DATE:t�r,)"q Doic (E-mergerwy Permib issued i+urtwant to Section 62B-33.014,FA C.,aro valid for no mora than tersely days and cow 'b a tV th.n I months. The staff -poe may specify a aiwas timet) F.MFRGSNCY pMtWT:O YES NO Approved plans ars atisohed: OYES N(NO AND PUBLIC NOTICE CONSPICUOUSLY ON THE SITE DEP form 73-122(UPdated 01/06) PN&Copy.raJlallos1100,0A rl (tsSorrCapPAPPlkadl /PimkCoy -siff"xdErsssl Rpr 14 04 03: 22p RCM SURVEYING 904-389-6175_ p. l I t 04,0 I I I 8 M 0 u I W y 1 1 Cs ei �\■ = > YYtvr �� n IS'.RA le.) •.! W7 I ~ ur�l'tP i e U.. � ' L+ nT rc N \Sy�T 'c SIA / 71- its zr vci - O Jan 30 07 01 : 28p Coastal Consult. (904) 829-0851 p. 2 i V t in S' BUILDING PERMIT APPLICATION bb J j CITY OF ATLANTIC BEACH! FOR- 800 Seminole Road,Atlantic Beach FL 3223.3 i00 Office:(904)247-5826 ■ Fax:(904)247-58�t51,'i, Job Addi ess: .0'.�� IQL� ��� V' Permit Number Legal Description s 17J /6�'d � �iG„+JJfi<^ /ele"NJL Valuation ofWorlc(Replacement Cost) $ jo'Z,0©d Class of Work(Circle one): iCSj;) Addition Alteration Repair M02va4 . ° Use of existhig/proposed structure(s) Circle one): Commercial ■ If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N 7/A�� ■ I.;approval of homeowner's association or other private entity required? (Circle one): r�"� Describe in detail the type of work to be-performed: --T� - �` (r6�oIpeted �G t/wv1�1i69— V)A kw — g `1 i- g Il iG Property Owner Information Naive:_01,_ Address: City—,46 ;.'C� StateFGZip Phone ° - /5 Contractor Information: Information: i Name of Connpany: t)l `•� , �+rJ�f-i(° ,/C'� Qualify• Agent: �%� Address= C2 7 ` ,c. City State F-'4-- Zip 3 2j 77 Office Ptione_ 3R6--3/0/492M- Job Site/Contact Number 0` a 6;C State Certification/Registration# Office Fax# Architect Nance&Phone#_ /—)Zg Engineer's Nairne &Phone# ) Applicatioc�is hereby made to obtain a h�ermit to do the work and installatiotas as indicated. I certify that no wor"a installation has concntenced prior to the issacance o�6Fernait and that al!worlttiuilt be performed to meet th88 standards o�all laws t^egulating construction in dais 1'urisdiction. 1'liis perrrtit becomes null and void if work cs not commenced w,hiia six(6)rtronths,or if construction or worlc is sctspended ar abandoned for a�pperiod of six(6)moaat/ts at any tr.'nte after work is cvr�cnaenced. I understand that separate permits must be secured forEleetricetl Work, Plumbing,Signs,Wells,IJools, FY�rtutces,Boilers,Heaters,Tanks andAir Conditioncts,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE OF COMMENCEMENT. _.. ------ �n,, ,,,;�,,,,.�n{lnws and ordinances eoverning this type KEVIN PARTEL COASTAL CONSULTANT 4230 MYRTLE STREET ST. AUGUSTINE, FL 32084 City of Atlantic Beach Pubic Works Department Mr. Rick Carper 800 Seminole Road Atlantic Beach, FL 32233 February 15, 2007 RE: RED LINED PLANS DELETING HANDRAILS AS REQUIRED REICHLER RESIDENCE @ 2025 BEACH AVENUE Dear Mr. Carper, Enclosed is a copy of the construction plans with the handrails red lined and the note has been fixed. I hope this addresses your concerns. Should you have any questions please feel free to call or fax (829-0851). As always, I greatly appreciate all of your help. Verytrul ours, Kevin Partel 16 ?✓0/ KEVIN PARTEL 4230 MYRTLE STREET ST. AUGUSTINE, FL 32084 City of Atlantic Beach Building Department Mr. David Hufstetler 800 Seminole Road Atlantic Beach, FL 32233 February 15, 2007 RE: RED LINED PLANS DELETING HANDRAILS AS REQUIRED REICHLER RESIDENCE @ 2025 BEACH AVENUE Dear David, Enclosed is a copy of the construction plans with the handrail red lined and the note has been fixed. I hope this answers the mail. Should you have any questions please feel free to call (829-0851). As always, I greatly appreciate all of your help. Very truly yours, e in Partel COP 1 CITY OF ATLANTIC BEACH =• 800 SEMINOLE ROAD ' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000360 Date 4/01/10 Property Address . . . . . . 2025 BEACH AVE Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc CONCRETE TO PAVERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/28/10 ---------------------------------------------------------------------------- Special Notes and Comments Ensure all meter boxes, sewer cleanouts, and valve covers are set to grade and visible . A sewer cleanout must be installed at the property line if not already existing. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • 1 >A >. � s �',t .�-� :._ - a cep n• •- til / � i J � ■:..= �,� T G:.-C / / ! ) =..s ,■?ir=--.1; _tci-JZ ,c.;a!s-I,.:_, ��rr��� ■ / • •, t s �irT�_''►� =til-�k �� -1`?�-a L��-Si'� y>�r�.�....: .-s c��.:�r�s.��'t''�.:� ,"r�S "L„ ,t� .,..� � � •-��cr '�- ,,��7. 7,77-7- ' 1I *'! ,•ice • _ " ,. 1=1{= a:r, �, 'i- _ ■ '.,, ■ as _ti - _.., �3-_' a, i f CD �:x I 1�li f�' •'\ aw'n���•�Y � � r 1 +i/ Iji, T A � �%{ :�y6 y'�\ 4y\cif' y��W . �:��: / 11 •., �1�' i�� ._ 1!1•M'.rl 1 •.N.f�N ! �4fiSriJttS wN't•••q I � � � ,. t �•y u 1 i s tii. �yl e ` ,<Ap I = 1III I •— ;al+nsvtwl.►r� I ! I I L I I I I I II li I 'd SL t 9-6BE-i06 SN I A3Amns Wad dzz :EO b0 4 i .,dd CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 SemMde Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904247-5845 PLEASE SUBMIT(3)COM77- TWES OF PLANS WITH APPLICATION. Date ems1u PERMIT# ISSUED BY THE CITY Job Address f3 09 4Permitee: $ Q G.D� £- e pho# �k �O 7(p 0 Permittee Address: Requesting Permission to Construct: r Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent)located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical,in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or In the city Right of Way are to be included with this application 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will,at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again Immediately upon completion. OWNER Signed: - G[� Date: 3 '1A % c Before me this X q day of in tie county of Quvak 0-SS;f-iA State Of Florida,has per ally appeared °i �t;c � Notary Public at Large,State of Florida,County off)wal.A/ SS. tt My commission expires: —Zq—I Q 0 ersonally Known: J Produced ++00 Pdft-wr r ll�oru, • *000ft we6""Judst3" Clow""0 00 am ��wrl>111rrrarwtVahllrA� R.O.W.Permit Attachment of for R.O.W.Permit# issued ,200_ A Beaclh FL 32233 Owner's Name: Property Address: 2G2 4 A 6 N Subdivision: Lot#/Block#: R.E.#: REVOCABLE ENCROACEMIETIT PERMIT THIS REVOCABLE .ENCROACHMENT PERMTP, issued on this day of 200, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CTI'Y does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: C_!!n" -� �..�-✓ �'"�K `a Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days notice by CITY to the USER,said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USEW s proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code,and all other land use and code requirements of the CITY,including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 1 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(3 0)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER DATED and SIGNED this ZS. day of 0-A, L ,209- Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL I b On this- day of � nally appeared before me, a Notary Public in and for said County and State, £ the property owner of Atlantic each, Florida, known to me to be the person(s) tell crib in and who ex uted the foregoing instn,Tment; who acknowledgedto me that he or she d s y d voluntarily and for the uses and purposes therein mentioned. SHI M L GRAHAM otary Publi in for County and State ._ �f 0D 967760 EXpFEsc F� 14,2014 IW" "T1 O KdoYUN%MW as CITY OF ATLANTIC BEACH,FLORIDA, municipal corporation: Approved: ZRic%kyL. arper,Public V o Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson,City Manager Page 2 of 2 CITY OF ATLANTIC BEACH } A CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS I® r ri 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)C772,974 TETS OF PLANS WITH APPLICATION. Date PERMIT# ISSUED BY THE CITY Job Address Permitee: •5 6 L // 7� eOle phone# Permittee Address: Requesting Permission to Construct: Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the Situ Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: ✓ / � Date: S z FX` Before me this day of in the County ofSS,�ze,2 State Of Florida,has perso ally appeared Notary Public at Large,State of Florida,County oUBt"I./ A"SS 4U My commission expires: ")—2-17—2-Q!i ersonally Known- Produced nown: Produu/ced�I1dttifi encati t�: y- cou"W bon id It 2"1 Cein NNeM 0 DD Ism �d�d7111101011 k Na1ryANn R.O.W. Permit Attachment of for R.O.W. Permit# issued ,200_ Atl71, Beach, FL 332233 Owner's Name: i0// Property Address: Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT TATS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach,Florida, hereinafter referred to as"USER'. WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: CV%Acra.4& -� Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repainng, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the pen-nit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page I of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(3 0) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. 10 DATED and SIGNED this Z11 day of Dam , 200 By: Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA d COUNTY OF DUVAL On this �5'Z- day of Q!� ersonally appeared before me, a Notary Public in and for said County and State, r the property owner of Atlantic Beach, Florida, known to me to be the person(s) describe in and who ex cuted the foregoing instrument; who acknowledged to me that he or she exe ed sarn reely d voluntarily and for the uses and purposes therein mentioned. r;''•., SHIRLU L GRAHAM otary Publi in for a County and State *: = My co MMlssloN n oo ss��so = EXPIRES:February 14,2014 Bonded Thru Notary Public underwriters CITY OF ATLANTIC BEACH,FLORIDA, municipal corporation: Approved: Ricky L. Carper,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 ,7t*A r. 4y4 ^IVY I'R rl q lil ,% .m QL - 14 ITT �a i�fLh�E NJ� ofl � - L oT 64 No g-r H -s UPrr N 3 ���•cH, d d Apr 14 04 03: 22p RCM SURVEYING 904-389-6175 p• 1 � I lit IN II II ' I { I 4 ; I a � 777¢i �• "Ni4 r � ••,�1`.,,� e� � ��My. `�fS� =fly. ��,o co �� ! � _¢r !!. N�� \ � �:i'�• a��� 2A Z-r Avc�vG "_ a i CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD =' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000447 Date 4/14/10 Property Address . . . . . . 2025 BEACH AVE Application type description IRRIGATION/SPRINKLER Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc irrigation ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- REICHLER EARTH WORKS DESIGN & 2025 BEACH AVENUE MAINTENANCE, INC. ATLANTIC BEACH FL 32233 11111-70 SAN JOSE BLVD # 297 JACKSONVILLE FL 32223 (904) 268-4866 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/11/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 62 . 00 62 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION J � a "J!3 Date: `'tJ)c Property Address: A o ), Owner: -Kc Telephone#• Contractor: i'1^_ Telephone#: 0-10- Contractor - Contraetor Address: 11 5 o I eka c , A(J a- ')-4 h 'Fax#: °�G _-0-119 In consideration of permit given for doing the work as desedbed 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 ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, 9' New list the building permit number: a Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees 5i5-"06 Permit Issuing Fee: Sp4 4 00 2 Total Fixtures: _ X$7.00 + $35.00= 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904) 247-5845- http://www.cl.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD a ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000439 Date 4/26/10 Property Address . . . . . . 2025 BEACH AVE Application type description SIDING PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 22250 ------------------------------------------------ ---------------------------- Application desc REMOVE/REPLACE CEDAR SHAKES ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 165 . 00 Plan Check Fee 82 . 50 Issue Date . . . . Valuation . . . . 22250 Expiration Date . . 10/23/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165 . 00 165 . 00 . 00 . 00 Plan Check Total 82 . 50 82 . 50 . 00 . 00 Grand Total 247 . 50 247 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 7,5- B EPC N A ✓1` Permit Number: Legal Description 15-`73 I-Z5-Z9F_ K. A Tt_,r,J TIG.gEAr-t{ Parcel# I VI 702-0000 Floor Area o — Sq.Ft. L,ut T w3 F-7- q.F�t Valuation of Work$ ZZ/'2-S o Proposed Work heated/cooled t,I T r.a non-heated/cooled Class of Work(circle one): New Addition Alteration epi' Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: RF_=-M o v E Lugo JNg K o a 1��S t t)4FN c c Property Owner Information: Name: a Address:- 4>Eoc+1 A� City N J ra e. g c u State FIZip 3�2,ZZ3_Phone_ Z Lf Z-0,5-o 1 E-Mail or Fax#(Optional) Contractor Information: Company Name: 141 , Ota Fil5CH b Qualifying A ent: I l tc14AEF Q)1C_r_ Address: `fZZ -S. 3t� 5T' City J c State Zip 3z_z5-b Office Phone 6,&5_21,c>6 Job Site/Contact Number Fax# State Certification/Registration# _ Architect Name&Phone# ISA Engineer's Name&Phone# Fee Simple Title Holder Name and Address K _ Amr. gas vj-_- Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 tf work is not commenced within siz(6)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after work is commenced. I understand that separate per must be secured for Electrlca!Work,Plnnrbing,Slgns, Wells,Pools, urnaces,Boilers,Heaters, Tanks and Alr Conditioners,etc WARNING TO OWNER: 11R EA TO RECORD A NOTICE OF COMMENCEMENT MAY RESU UN YOUR YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NXEND TO TAIN FINTlocance H YOUR LENDER OR AN ATT EY BEF RECO 1�VI�TC ENT, j 1 hereb cert that 1 have read and examined this a plicati V O ame o e L 0 c true and correct. rovtstons o aws and aFdni this type ojYwork wall be complied with whether speci ted herei or�Jt a g f a permit does not l the provisions of any other federal,state, or local law regulatingoQ tail the rmance of construch�9.*:^'+ Signature of Ownerl ¢ ignature of Contractor: Print Name / c l — O _ ......._ .... -1 ' t z�l 9 rint Name .. .lG !! 1-.._ ? U.f1 ............................__........._..._....._.. -�i... " Sworn to and subscribed before me Oworn to and subscribed before me -this Lq1"qDay of A Q _ jA P;4 �a is Lqt�Day of IPPR%%-, o ublic o L--k DONALDC.COMMIAI Donw nc.CONRAQ a W MY COMMISS14411 d"6101. .10 MY COMMISSION N DD94EXPIRES:November�,2013 EXPIRES'Noven�ef 30 2013 Bonded Thru Notary Public Undmvdtens Bonded Thru Notary Pudic unaelwfthm - Cfty cF Atlantic Beach n r Suifding Depa�ert APPLICATION i+4�IL�BER &DO Seminole Road (fl be assignad by the Bui€dfng Depar€rnenf.) Atlantic Beach,Florida 32233-5445 � O Phone(904)247-5826 - Fax(004)247-5845 E-mai[: r3"Ing d9pt rr coahms i3a€e ti ed: C$ty Web-sffe: hf P:Nrvw.mab.us APPLICATION REVIEW AND TRACKINGFOR �raperty Address" Z� Z 'Z�ke �l ent rear€e€ fred `i�� �0 c� AC l� IId6�� pf ra '�5Planning&finning Free Ad€ninisrator ��e$ Public Woft P ub€ic UtiC�ies Public Seie Firms Services _ �?e�.�++'z._.'tat:.-rc=-� Other Agency Review or Pew Required or Receipt Data r�ed y� Florida Dept of Emkonmentaf Fra ee ion of Per�€�Vs By Florida Deist of TransporMon St Johns Muer Wafer Uanagement Dis€rict AmW Corps of Engineers Division of Hotels and Resfauranfk, Di ion of AfrxsE o is Beverages orad Tobacco Othan APPLICATION STATUS eviewing Department First 1;Lvjew-.i [ Approved. []Denied. (Circle cine.) Comments.- s.- =BUILD&G:) `LAitlNING&ZONING Reviewed Ery Dafe�_Zd d TREE ADA€IML Second Revism ❑Approved as revised. DDenigl. PUBLIC WORKS Comments.- PUBLIC o a s.PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Date: FIRE SERVICES Third'Review.- []Approved as revised. []Denied. Go€- me€rts: Reviewed bv. zfsed 05flAiaq- Mar 04 10 03:09p Lisa Lawrence 912-449-2735 p•1 O -r Perm ' 14 MAR 0 4 2010 e k7- ,tet. G� Mar 04 10 03:10p Lisa Lawrence 912-449-2735 p.6 Property Isocyanate A 100 Resin 8 217-0 Color Brown Greenish Specific gravity 1.20-1.24 1.20-1.24 Shelf life* 6 months 6 months Mixing ratio(volume) 100 100 Vapor pressure @ 251C 10 7psi 7-9 psi *See MSDS for more information. Note:Store the resin at temperatures 59-779F(15-25-90.Keep away from direct sunlight. Imperial units Metric units Type of machine Graco°Reactor E-30 with Fusion gun and 02 Mixing Chamber Components A&B temperature 100OF 3811C Components A&B pressure 850—1000 psi 5860—6900 kPa Ambient temperature 730F 230C Thickness per pass I X inches 30 mm Number of passes 2 Substrate Polyethylene Board Cream time(s) Gel time(s) Tack free time(s) End of rise(s) 0-1 2 4-5 4 imperial units Metric units Mixing ration A:B 1:1 Mixing temperature 100—120°F 38—490C Mixing pressure 800 psi 5516 kPa Substrate&Ambient temperature >140F >(-10)0C Curing temperature >14OF >(-1o)`C Maximum thidatess per pass 2 in. 50 mm it is recommended that the foam is cowered with an approved thermal barrier in accordance to the local and national building codes when used in buildings and a protective coating when used outside. This product should not be used when the continuous service temperature of the substrate is outside the range of-769F(-602C)to 1769f(80°C).Spraying too thick sections too fast may result in charring of the foam,or in extreme conditions a fire may result. FEAT SOY The information herein is to assist customers in determining whether our products are suitable for their applications.We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability.Nothing herein shall constitute a warranty,express or implied, including any warranty of merchantability or fitness,nor is protection from any law or patent infringement. All patent rights are reserved.The foam product is combustible and must be covered by an approved thermal hairier.Protect from direct flame and sparks contact. The exclusive remedy for all proven claims is replacement of our materials. Mar 04 10 03:10p Lisa Lawrence 912-449-2735 p•b HEAT. SOY is two component spray applied rigid polyurethane foam,green in color,having a nominal density 2lbs/ft'.This spray foam has been specially formulated to meet the intent of the International Code Council(ICC)building codes and is used primarily as a vapor barrier,air barrier and thermal insulation on above and below grade interior and exterior applications.Complies with FEMA requirements as a Class 4 insulation. is environmentally-friendly foam developed from recycled plastic materials and renewable soy oils, while the blowing agent is the HFC 245fa.Certified Insulation Material approved by California Department of Consumer Affairs_ GREENGUARD and GREJ:NGUARD Children and Schools certified. Metbod Description Imperial units Metric units ASTM D 1622 Density(core) 2.1-2.3 lb/ft' 34-37 Kg/m' ASTM C 518 Initial Thermal Resistance,1" 7.2ft�h4F/BTU 1.26 m'aC/W (R-Value) Aged Thermal Resistance,180 days bbl 232C,1" 6.6 ftZh'FJBTU 1.17 m=QC/W ASTM D 1621 Compressive Stiength 110%) 28.3 psi 195 kPa ASTM D 1623 Tensile Strength 51.5 psi 355 kPa ASTM D 2126 Dimensional Stability(28 days) %Volume Change (sample without any substrate) -44F(-2(WC),ambient RH -0.03 1762F(8000),ambient R.H. +2.9 1582F(7040),97%R.H. +9.8 ASTM D 2842 Water Absorption (Serves as moisture barrier) 0.8%Volume ASTM E 96 Water Vapor Permeance,1" (Note: is a vapor barrier of 1 1.2 perms,69ng/Pasm'@ 1" perm or less at thicknesses greater than 1.2"per IBC Section 202,Definitions) ASTM E 283-04 Air Permeance @ 75Pa,1"(Note: Air Barrier Association of O.00IL/sm'@ I" ASTM E2178-03 America approved air barrier) 0.000L/sm=@ 1.S" ASTM E 84-05 Surface Burning Characteristics,3"thick • Flame spread index 20 • Smoke development 450 CAN/ULC 5774 VOC Emissions from Polyurethane Foam Pass(1 day) ASTM C 1336 Fungi Resistance No fungal growth ASTM D 2856 Closed Cell Content >92% ASTM 0 6866 Bio-based Content 5% Mar 04 10 0110p Lisa Lawrence 912-449-2735 p.4 TECHNICAL DATA SHEET r4a- IDEMILEC(USA)LLC. SEALECTIONO 500 0LYURE7IfME SYS7EAAS MAW"CneEe INSULATION LIQUID COMPONENTS PROPERTIES PROPERTY ISOCYANATE A 500 Color RESIN B 500F Brown Transparent Clear Viscosity!)77OF 180-220 cps 150-3(10 cps Specific gravity Sbe f life" G months 1-09-1.11 Mixing 6 months ratio(volume) 100 100 "Dnun unopened,eonsu[t MSDS for more information. All Properties were measured on core samples processed with the parameters listed below: PROCESSING PARAMETERS Type of machine Greco Reactor E-30 with Fusion Gun and 02 Mixing chamber Primary beater(A&B) 1307 i 5°C Bose temperature 130"F .S0C Ambient temperature 70°F 21,C Thickness of passes Full thickness of application Full thickness of application Substrate Plaster board REACTIVITY PROFILE Cream time,s Gel time,s Tack free time,s End of rise,s 1 -2 3-4 ----+ 6-7 6-7 RECOMMENDED PROCESSING CONDITIONS Value Primary Heater 1 mor Hose temperature 130OF Pressure 1000 of Substrate&Ambient temperature >23°F Curing temperature >23°F GENERAL INFORMATION: It is recommended that the foam be covered with an approved thermal barrier in accordance with the local and national building codes when used in buildings. This product should not be used when the continuous service temperature of the substrate is outside the range of-60°F(-51°C)to 176oF(800C). 2925 GALLERIA DRIVE•ARLINGTON,TEXAS 76011•PHONE: (817)6404900•FAx: (817 633-2000 VWANDSM ILECUSA.CAq Page 2of2 Rev.3/08 Mar 04 10 03:10p Lisa Lawrence 912-449-2735 p.3 TECHNICAL DATA SHEET �`.WDEMTLECMSA)LLC. S'EALECTIONO 500 POLYURETHANE SYSTEMS UANUFACTVRER INSULATION SEMI-RIGID, SPRAY-APPLIED POLYURETHANE FOAM SF;ALECTIONO 500 is a two-component,open celled,spray-applied,semi-rigid polyurethane foam system. This product is a fully water-blown foam system having a very low in-place density. SF.ALECTIONO 500 meets dle off gassing requirements of CGSB 51.23-92 for new residential construction. SEALECTI0NIO 500 has been approved by the EcoLogo)" (formerly Environmental Choice) Program of Canada and is listed as a Certified Green Product. SF.4LECTION® 500 complies with the intent of the U.S. residential and commercial building codes for foam plastics insulation. PHYSICAL PROPERTIES ASTM Description Value D 1622 Density 0.45—0.5 lb/ft" C 518 Thermal Resistance 2 d Q,76°F, err inch 3.81 ft'.h"F/BTU Thermal Resistance 90 days ray 76*17,Ler inch 3.81 ft2.h°F/BTU E 283-04 Air Leakage Air Impermeable JAW 2006 IRC r irements 3.5"@D 75Pa(25 mph wind) 0.001 .tJs•m= 5.5"ra)75Pa(25 mph wind) 0.001 L/c•tm= IV(a)75 Pa(25 mph wind) 0.002 L/s-tW Sustained Wind Load for 60 minutes (a 1000 Pa 90 miles/hr.wind No Damage Gust Wind Load Test n 3000 Pa 160 miIcs/hr. No Damal;e D 1621 Compressive Strength 0.7 psi D 1623 Tensile Strength 1 IbsJini E 413, (1999) Sound Transmission Class (STC) 49.51 Based on Specific wall design C 423 Noisc Reduction Coctlicient(NRC) 75 E 96 Water VLaeor Transmission Class III Vapor Retardzr at normal installed thicknesses 3'5„ 6.6 Perms 5.5°, 4.2 Perms 7- 33 Perms 10" 23 Perms CGSB 51.23-92 Off Gassing Tests(VOC Emissions) Pass()\o toxic vapors) Surface Burning Characteristics(67) Class 1 E 84 •Flamc Spread Index 21 •Smoke Development 216 The information herein is ioaasist cusk>mcm in determining whuthm our products are suitable For tlxir applications.We regtast teat custonmers inspect and twat our products before use and satisfy themselves as to catttcnts and suitability.Nothinf hcrcin shall constitute a warranty,ctpwss or implied, including any warranty of mombanlability or(Inc s,nor is protection hom any law or patent inferred.All patentrights arc rMorved.The foam product is combustible and must he covered by an approved thermal barrier.The Mclusive remedy for all proym claims is re lactxncmt of our materials. 2925 GAUJEtzw DRIVE•AWntt,oat,TExns 76011 •pHONE: (817)M-4900-FAX (817 633-20W wlNw.DEMILEcUSA.cotA Page 1 of 2 Rev.3/08 Mar 04 10 03-.09p Lisa Lawrence 912-449-2735 p.2 17 rF.JttLECT/oN® moo Installed Insulation Statement Location of Insulation Thickness Total R-value Approximate Sq. Ft. Walls - x 3.81 = Attic-Floor or Roof Deck(drue one) x 3.89= ,: / x 3.81 - x 3.81 = x 3.81 = R-value= 3.81 per inch Tensile Strength= 5.6 psi Density=0.45-0.50 Ib/ft3 Compressive Strength= 0.7 psi DEMILEC Batch# Evaluations: ICC-ES ESR#1172 Andek Batch# �1 'fC/�jll.?L �Gyl,'�h'..:t�,�ri,G�• �I� _�7' .,�- -L (�+awc+o�e� CompaA Name Phgte Numper s/ APPm+tm aR •ate S+tqe y � �`._.�2'�7• _...vJ�l s'+7./fy�t��/�.. l,./•JUWNwla!Idd^V yyD� Andwoo i+Ct atN #4o1e9 OMIW30 !sd E'9Z =4>BUW3S aAMaJdwoD £ 191 E'Z-I.*Z=AvsuaO !sd S'65 =4;6u9jlS al!sual you!jad 9.9 =amen-b 9.9 x =9.9 x 9'9 x 6u!!!90 laipat4eO =9'9 x tauoar-"p}H090 loob Jo JoolB-o!8d Ovc.� =9.9 x �� f sIIEM Zd,b5 i4vwjxojddV amen-2i fe7o1 ssauN0141 uogelns lueu,e;eS uopelnsul pelle'39ul AUS •� 4 w •4; Z.- 9AO L,