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Permit Folder 1650 Beach Ave F. SfTEPLAN NOTES: 41 . 4 MOOTM3 TWO STOW MAM l a <o 0 d- o :a a NEW m DDI TIO 41 . 85 ' { 1654 5EACH AVENGE. NEW EX18T1NS LOT SQ. FT. 4,004 LOT SQ, FT: 4,004 ACREAGE .09 ACREAGI=- 09 NEW COVERED AREA 1135 EXISTINS COVERED AREA 1400 i, OF COVERED AREA 43 i, OF COVERED AREA .35 SCALE OCEAN 1 =20'-O" GROVE UNIT 1 *-F I I n N A n N I nATF nRAWM RY 15-82 09-2S-29E .092 Real Estate No. OCEAN GROVE UNIT NO 1 SID PT LOT 7 a PT LOTS T8 RECD O/R 9239-2244 169573 0020 BLK 6 m D GINSBERG LINDA G . - -- — 1654 BEACH AVE CIA k A i toSD r�vec�t�,►A+�� 3 ATLANTIC BEACH FL 32233-5841 LOT 6 Of N 84'SW02` E BLDCtt'6 .. 93.48' (DEED) N 8458'36' E S6,OQ' (CAI. LA7m) ss+wrm lnnos u 614W --- -- b �•.. 1.ncas u aor Z y tir W4Cwo W +' TWO STORY - °�''ao tiuj > � FRAME I b Q .- Z' AOORE:SS NOT PO �. xSLY v Z ao 2 � �I � f ice'' •. ��caQ + m or wr POINT OF BECtNNI ~ fl+1MO t/X MOM prX t d✓ %TAW= Ifts Saw S 85IS02 w W I I •46' (CALC"TED) S 613'OZ" W 97.45' (DEED) Twb SHAY FRAMIZ POSTED 1650 2 � • LOT 8 I LOT 7 M� BLOCK 6 BLOCK 6 r � I 5 pp � Y N )t s w IL is w f I=� POINT OF REFERS) 9CYItiw Cmix WT fcum 11r t DEWEES AVENUE t:>PAM .A LA Ow (OLW MW OF war) yf.ya', CITY OF ATLANTIC BEACH 1 O� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(9(M)247-5645 VWM..COAB.US UFtl� - BUILDING PERMIT APPLICATION DUVAL COUNTY ' O�yiDtARE,SS..I• pra�u,�.`�.!5„�r"�;����' "��� �,Fr���fe M�. 2,1t�LtJAT,1.Q.NiQ,ffil. f2K' 'a�� 9,Sk�FT_UNDEJ2„�217D�� ���". ',h` ,+i £�! A��. fi W.4AEGALI9ESCRIE'TION'r�'�.�`: �>' 'tn�'��:i�ri„��4���Ta `��"��.�;``w ,� a:Cl!ASS RIS1��„" Pra�"'r ,�!` "` � ��JSEOF:STRUCTURI� ': y} ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT a BLOCK SUB DIVISION C '�r � �r�"� ( �PDDITION E3 CONVERTING USE ❑COMMERCIAL C� 7fi DESCRIPTIQi1 Rk< & .a s 9 w` H 1 � ELALTERATION 11 ACCESSORY BLDG. B FIRE SPRINKLER„/ ❑REPAIR ❑POOL/SPA ❑YES ff44A A-X/e-q St li V r J ❑MOVE ❑OTHERBWO * �ROPER7Y OWNER � .Pi tea° CONTRACTOR�� � - 4 , F 1,ARCHITECT!::ENGINEER f 1 9.NAME: 15.COMPA Y NAMEi 23.COMPANY NA 16..N_AME: i 24.LICENSEE N � 16 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF A LICENSE NO.: k 5 1U1 1 CJS S d e I�h I+p e-, 18.ADDRESS: 26.ADDRES . 0 / 1IQn17�G� FG- 3993.3 Qy 4x GG ire, -?ZZ,T 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: NO.: Z37—`LZ2,Z7-11(<<�`3613 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: ga ¢- e8-/-el 4 7 L37 zzZZ 14.EMAIL ADDRESS: 22 EMAILADDR�SS 30 EMAIL ADDRESS � 4:0.4,Jl lw- iLf,44— E IM LETJ LE OLDER '' r OORTGAGE LENDER n. n. BONDING&140A, M 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if 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 LENUER ORAN/ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. E � r`AGEN1 .0 " . NIRA T09,55 I' MII ..h of tto. roLlb9en y eq O +'3n. ietterR. u tQualifieGanly j. . ., r X Date: R A* P0/o Signed: Dater ZU lU Before me this lay of 2010 in the county of Before me this 2 day of 2010 in the county of Duval, ate of Florida,has personally appeared Duval,State of Florida,has personally appeared Z 1 16A G . G 1)-s 0902-G-- 7 �AYrs herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. —711) true and accurate. Notary Public at Large,State of 7T County of Notary Public at Large,State of r�� County of ❑Personally Known �y / ,/, y rsonally Known Produced Idenf ce' n 7ri�c/�-+ ✓ ✓�` d `�� �� ❑Produced Identification-. yr-rs Notary Signatu Notary Signature: r Pte, DEBORAH A.WH D FOR CODE C MY COMMISSION#D ,= X634126 @; EXPIRES:May 21, 11 CITY OF AT XPIRES:Ma 21,2011 `I s Bldg Permit Applic 1 Bonded Thru Notary Public U nvrllere SEE PERMITS FOR Bonded Thor Notary P uc undenarlters ` �"'�"'� REQUIREMENTS AND C s �•••.� REVIEWED BY: DATE:' "/) �•Iz.... . /VJfe NOTNOT / � uoc#2010044969,OR ESK 161666 Page"2140, 1 Number Pages:1 ; Permit No. Recorded 02/26/2010 at 11:41 ANI, FEB 2 JIM FULLER CLERK CIRCUIT COURT DUVAL 6 2010 COUNTY State of Florida, County of Duval RECORDING$10.00 By THE UNDERSIGNED hereby give notice 1 be made to certaan r grope Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property(legal description of property and address if available): !g� ?l' 4 9 61X 6: 06?,z 7 6yue..149a-Alp /1, 2. General Description of improvements: Z)t 7?o.J 3. Owner Information: a)Name and Address: Z/»d. &,ae,�h AV4•,, , FG 3o7o`Z33 b)Interest in property: ,t>c j e_r � c)Name and address of simple titleholder(if other than owner): 4. Contractor Information: A -'D a)Name and Address: ' �J U� U , jM 1 ��. 'kx ��� C� b)Phone Number: 5. Surety Information: a)Name and Address: /E/ /�- b)Phone Number: c)Amount of Bond: $ 6. Lender Information: a)Name and Address: d�o/12- b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7,Florida Statutes: a)Name and Address: b)Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates AJ n e- of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13 FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COM1VIENCEMENT MUST BE RECORDED AND POSTED ON THE JOB.SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSU,T,T WITtf YO LENDER ORATTORNEY BEF NCING WORK OR RECORDING YO OT F O CE Q ya avrN g, A26 l J A. o aI" 'Y tJ,Y S�MP ? �10�s L, ;c N`�- �( �i��fyk'`-�"`-' S' fore of weer or Owner's A rized Offic o Mager Signatory's Printe,�i,Name&T' e/O a The foregoing insttr6�� ument was acknowledged before me this dayof n-LClit-� ,20% , by kl(141 U- as 6'7.( X9_1 for �-G Gia . !� (Name of Person) (Authority Type,i.e.Officer/Attorney) (Name of Party Instrument was Exec to for) Property Appraiser- Property Details Page 1 of 2. GINSBERG LINDA G B/E Primary Site Address Official Record Book/Page Tile# 1654 BEACH AVE 1650 BEACH AVE 3 09239-02244 9409 ATLANTIC BEACH, FL 32233-5841 Atlantic Beach FL 32233 1650 BEACH AVE Property Detail Value Summary RE# 169573-0020 _ 2009 Certified i 2010 In Progress Tax District ;USD3 Value Method !i CAMA CAMA _-. _._. ------ Property Use 0100 SINGLE FAMILY _. Building Value i$212,840.00 $188,270.00 #of Buildings 1 Extra Feature Value $20,350.00 ;$16,764.00 _ _ Land Value(Agri.) Legal Desc -_-_ _ _ .___._ _ $226,800.00 $226,800.00 15 82 09-2S-29E 092 Land Value(Market) -- OCEAN GROVE UNIT NO 1 S/D PT LOT 7 $0.00 $0.00 Subdivision 03096 OCEAN GROVE UNIT 01 Just(Market)Value '$459,990.00 $431,834.00 The sale of this property may result in higher property taxes.For more information go Assessed Value(A10) $285,891.00 $293,610.00 to Save Our Homes and our Property Tax Estimator.Pro party - -" --- values,exemptions and --Exemptions $50,500.00 See below other information listed as'In Progress'are subject to change.These numbers are -- - -(--- ---------- part -part of the 2010 working tax roll and will not be certified until October.Learn how the Taxable Value $235,391.00 !See below Property Appraiser's Office values property. Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value S]RWMD/FIND Taxable Value School Taxable Value Assessed Value I ....................$293,610.00 Assessed Value .................................$293,610.00 Assessed Value .............................................$293,610.00 Homestead Exemption(HX) $25,000.00 Homestead Exemption(HX) -$25,000.00 Homestead Exemption(HX) $25,000.00 Amend 1 Homestead(HB) -$25,000.00 Amend 1 Homestead(HB) -$25,000.00 Widow(WF) $500.00 Widow(WF).,................. ..............................$500.00 Widow(WF)........................... $50o.00 Taxable Value $268,110.00 Taxable Value $243,110.00 Taxable Value $243,110.00 Sales History _kookBook/Page Sale Date Sale Price Deed Instrument Type Code 1 Qualified/Unqualified Vacant/Improved --- ---..---- - - - — -- 09239.02244 3/24/1999 $255,000.00 MS Miscellaneous Mill Qualified Improved ved 07102-01323 5/2/1991 $100.00 MS-Miscellaneous Unknown Improved 06237-01486 11/20/1986 $175,500.00 WD-Warranty Deed Unknown Improved Extra Features Feature Code _ FeatureDescription Bldg. Length Width Total Units Value 1 FPPR7 Fireplace Prefab 1 0 0 1.00 $1,056.00 _..,. --- ---- 2 DKWR2 Deck Wooden 1 0 0 172.00 $588.00 3 SPARS Spa i 1 0 0 12.00 $15,120.00 Land&Legal Land Legal LN;_Code i Use Description Zoning Front Depth Categorlr Land Units Land Value 1 LN Legal Description 1 0100 RES LD 3-7 UNITS PER AC ARG-2 42.00 96.00 i Common 42.00 $226,800.00 1 15-82 09-2S-29E 092 2 OCEAN GROVE UNIT NO 1 S/D PT LOT 7 3 PT LOTS 7,8 RECD O/R 9239-2244 4 BLK 6 Buildings Building 1 _ Building 1 Site Address Element Code_ Detail 1650 BEACH AVE nor a 14 4 PEP J _ Atlantic Beach FL 32233 `Exte -Wll 1Wood Shingle.. Roofing Structure 3 3 Gable or Hip -� Building Type 0105-TOWNHOUSE SOH Roofing Cover 3 3 Asph/Comp Shingle - BAS;FUA Interior Wall 5 5 Drywall i Year Built 1986 , . f�—�=----- .__-------_—� �Int Flooring 14 - 14-Carpet Type Gross Area' Heated Area 9 15 15 Quarry/Hard Tile I { Base Area 1030 1030 I Heating Fuel 4 4 Electric I, Finished upper story 1 1030 1030 Heating Type 4 4 Forced-Ducted J Finished End Porch 90 0 ,Air Conditioning 3 3 Central Finished Garage 48 0 Finished Open Porch 48 0 Element Code http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1695730020 2/26/2010 Property Appraiser- Property Details -Page 2 of L Finished Garage 204 0 Stories 2.000 2009 Notice of Proposed - -----... .----- Base Area 12 12 Bedrooms 3.000 Propedy Taxes Truth in Finished Open Porch 12 0 Baths+ - 2.500 Milia a Notice A - Deck 83 10 Rooms/Units 1.000 Finished Open Porch 8 0 Finished Open Porch 12 0 Total 2577 2072 Taxing District Assessed Value Exemptions Taxable Value i last Year Proposed Rolled-back Gen Govt USD2 2A,26,3,4 $285,891 00 $50,500.00 $235,391.00 $1,221.00 $1,282.41 $1,282.41 -- _ ----------__. - - - - -- - -- - ---- Public Schools:By State Law $285,891.00 $25,500.00 $260,391.00 $1,329.66 $1,323.83 $1,433.17 By Local Board $285,891.00 $25,500.00 $260,391.00 $637.00 $650.46 $686.60 FL Inland Navigation Dist $285r891.00 _--, � $50,500.00 $235,391.00 y$8.11 -_- ;$8.12 ;$8.83 Atlantic Bch $285,891.00 $235,391.00 ------------ $50,500.00 $235 391 00 $704 71 $742.73 $742.73 Water Mgmt Dist.SIRWMD $285,891.00 $50,500 00 $235,391.00 $97.76 $97.88 $110.59 School Board Voted $285,891.00 $25,500.00 $260,391.00 $0.00 $0.00 $0.00 Urban Service Dista $285,891.00 $50,500.00 $235,391.00 $0.00 $0.00 $0.00 General Gov Voted I,$285,891.00 , $50,500 00 �$235,391.00 '$0.00 $0.00 ;$0.00 Totals $3,998.24 $4,105.43 $4,264.33 Just Value Assessed Value Exemptions Taxable Value Last Year $467,670.00 $285,606.00 !$235,106.00 Current Year $459,990.00 $285,891.00 $50,500.00 !$235,391.00 Property Record Card(PRC) The Property Appraiser Office provides available historical record cards(PRC).The Property Appraiser's Office no longer uses PRCs;therefore,there will be no PRCs available from 2006 forward.You must set your browser's Page Set Up for printing to Landscape to print these cards. 2005 12004 12003 12002 12001 1 20001199911998119971199611905 More Information Parcel Tax Record I GIS Mae I Map this property on Google Maps http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1695730020 2/26/2010 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 81 The lower the EnergyPerformance Index, the more efficient the home. 1654 Beach Ave, 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.Frame-Wood,Exterior R=19.0 1021.40 ft' b.Frame-Wood,Adjacent R=11.0 150.66 ft' 3. Number of units,if multiple family 1 c.N/A R= ft' 4. Number of Bedrooms 2 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 826 a.Under Attic(Vented) R=30.0 590.00 ft2 b.N/A R= ft2 7. Windows" Description Area c.N/A R= ft2 a. U-Factor: Dbl,default Adjusted 58.40 ft2 SHGC: Clear,default 11.Ducts b. U-Factor: N/A ft2 a. Sup:Attic Ret:Attic AH:Attic Sup.R=6,165.2 ft2 SHGC: 12.Cooling systems (combined) c. U-Factor: N/A ft2 a.Central Unit Existing Cap:60.0 kBtu/hr SHGC: SEER:13 d. U-Factor: N/A ft2 13.Heating systems (combined) SHGC: a.Electric Heat Pump Cap:60.0 kBtu/hr e. U-Factor: N/A ft2 Existing HSPF:7.7 SHGC: 14.Hot water systems 8. Floor Types Insulation Area a. None a.Slab-On-Grade Edge Insulation R=0.0 236.00 ft2 b.Floor over Garage R=19.0 145.00 ft2 b. Conservation features c.N/A R= ft2 None 15.Credits None I certify that this home has complied with the Florida Energy Efficiency Code for Building 4114.E S7, Construction through the above energy saving features which will be installed(or exceeded) 1,0 in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant f atures. Builder Signature: > Date: Z ZG i © 0 0 Address of New Home: f�J--- �x,4704 City/FL Zip:/-// V� 7/ S Z,Z.-�1, 0 WE *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 **Label required by Section 13-104.4.5 of the Florida Building Code, Building, or Section 82.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge@ USA-FlaRes2008 -�- wrightsoft® Project Summary Job: Date: 2/25/10 2nd Floor Addtn. By: M.Ellis Energy Design Systems, Inc. ' • - • • For: Ginsberg Addition 1654 Beach Ave,Atlantic Beach, FL Notes: Front door faces West. Existing 1 st FI 2 ton A/C unit to also service the new 1 st FI Addition. Ebsting 2nd F13 ton A/C unit to also service the new 2nd FI Addition. -Design Information Weather: Jacksonville, Int'I Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 72 OF Inside db 72 OF Design TD 40 OF Design TD 21 OF Daily range M Relative humidity 50 % Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 5161 Btuh Structure 4628 Btuh Ducts 467 Btuh Ducts 1113 Btuh Central vent(10 cfm) 0 Btuh Central vent(10 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 5629 Btuh Use manufacturer's data n Rate/swing multiplier 0.98 Infiltration Equipment sensible load 5626 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 752 Btuh Ducts 246 Btuh Heating Cooling Central vent(10 cfm) 0 Btuh Area(ftz) 590 590 Equipment latent load 998 Btuh Volume(W) 4779 4779 Air Changes/hour 0.47 0.25 Equipment total load 6623 Btuh Equiv.AVF(cfm) 37 20 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a Coil n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0.000 cfm/Btuh Air flow factor 0.000 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat n/a Load sensible heat ratio 0.00 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. -rk wr1Whts3oft- Right-Sufte Residential 6.0.119 RSR29764 2010-Feb-25 15:37:06 AM E:\EDS\Current\Residential Manual J\Ginsberg Addition,1654 Beach Ave,Atlantic Beach.rrp Calc= Page 1 wri htsoft® Project Summary Job: 9 2/25110 1st Floor Addtn. By:• M.Ellis Energy Design Systems, Inc. For: Ginsberg Addition 1654 Beach Ave,Atlantic Beach, FL Notes: Front door faces West. Ebsting 1 st FI 2 ton A/C unit to also service the new 1 st FI Addition. E)asting 2nd FI 3 ton A/C unit to also service the new 2nd FI Addition. Design Information Weather: Jacksonville, Int'I Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 72 OF Inside db 72 OF Design TD 40 OF Design TD 21 OF Daily range M Relative humidity 50 % Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 6576 Btuh Structure 1479 Btuh Ducts 595 Btuh Ducts 356 Btuh Central vent(4 cfm) 0 Btuh Central vent(4 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 7171 Btuh Use manufacturer's data n Rate/swing multiplier 0.98 Infiltration Equipment sensible load 1798 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 615 Btuh Ducts 98 Btuh Heating Cooling Central vent(4 cfm) 0 Btuh Area(ft2) 236 236 Equipment latent load 714 Btuh Volume(ft3) 1912 1912 Air changesthour 0.96 0.50 Equipment total load 2512 Btuh Equiv. AVF(cfm) 31 16 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a Coil n/a Efficiency n/a Efficiency n/a Heating Input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0.000 cfm/Btuh Air flow factor 0.000 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat n/a Load sensible heat ratio 0.00 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. A� -Ord- wrightse ft- Right-Suite Residential 6.0.119 RSR29784 2010-Feb-25 15:37:06 AM E:\EDS\Current\Residential Manual J\Ginsberg Addition,1654 Beach Ave,Atlantic Beach.np Calc= Page 2 FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Ginsberg Addition Builder Name: Street: 1654 Beach Ave Permit Office: Atlantic Beach City,State,Zip: Atlantic Beach,FL, Permit Number: Owner: Ginsberg 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.Frame-Wood,Exterior R=19.0 1021.40 ft2 b.Frame-Wood,Adjacent R=11.0 150.66 ft2 3. Number of units,if multiple family 1 c.N/A R= ft' 4. Number of Bedrooms 2 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 826 a.Under Attic(Vented) R=30.0 590.00 ft2 7. Windows Description Area b.N/A R= ft2c.N/A R= ft2 a. U-Factor: Dbl,default Adjusted 58.40 ft2 SHGC: Clear,default 11.Ducts b. U-Factor: N/A ft2 a. Sup:Attic Ret:Attic AH:Attic Sup.R=6,165.2 ft2 SHGC: 12.Cooling systems (combined) c. U-Factor: N/A ft2 a.Central Unit ExUng Cap:60.0 kBtu/hr SHGC: SEER:13 d. U-Factor: N/A ft2 13.Heating systems (combined) SHGC: a.Electric Heat Pump Existin Cap:60.0 kBtu/hr e. U-Factor: N/A ft2 g SHGC: HSPF:7.7 8. Floor Types Insulation Area 14.Hot water systemsa. None a.Slab-On-Grade Edge Insulation R=0.0 236.00 ft2 b.Floor over Garage R=19.0 145.00 ft2 b. Conservation features c.N/A R= ft2 None 15.Credits None Glass/FloorArea: 0.071 Total As-Built Modified Loads: 21.54 PASS Total Baseline Loads: 26.64 I hereby certify that the plans and specifications covered by Review of the plans and O41t1E STq?� this calculation are in compliance with the Florida Energy specifications covered by this Code. 2 calculation indicates compliance 1' with the Florida Energy Code. PREPARED BY: Before construction is completed DATE: 2/25"0 this building will be inspected for f4 a compliance with Section 553.908 I hereby certify that this building, as designed, is in compliance Florida Statutes. with the Florida Energy Code. C0WE OWNER/AGENT: -- BUILDING OFFICIAL: DATE: o DATE: /0 2/25/2010 3:37 PM EnergyGauge®USA-FlaRes2008 Page 1 of 5 PROJECT Title: Ginsberg Addition Bedrooms: 2 Adress Type: Street Address Building Type: FLAsBuilt Conditioned Area: 826 Lar# Owner: Ginsberg Total Stories: 2 SubDivision: #of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: 1654 Beach Ave Permit Office: Atlantic Beach Cross Ventilation: County: Duval Jurisdiction: 261100 Whole House Fan: City,State,Zip: Atlantic Beach, Family Type: Single-family FL, New/Existing: New(From Plans) Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp 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 Perimeter Perimeter R-Value Area Joist R-Value Tile Wood Carpet 1 Slab-On-Grade Edge Insulation 79.6 ft 0 236 ftZ 0 0 1 2 Floor over Garage 145 ftZ 19 0 0 1 ROOF / Roof Gable Roof Solar Deck 1/ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Hip Composition shingles 660 ft' 0 ft' Medium 0.96 No 0 26.6 deg / ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Vented 300 590 ftZ N N CEILING # Ceiling Type R-Value Area Framing Frac Truss Type 1 Under Attic(Vented) 30 590 ftZ 0.11 Wood WALLS Cavity Sheathing Framing Solar # Ornt Adjacent To Wall Type R-Value Area R-Value Fraction Absor. 1 S Exterior Frame-Wood 19 443.07 ft' 0.23 0.75 2 W Exterior Frame-Wood 19 410.67 ftZ 0.23 0.75 3 N Garage Frame-Wood 11 150.66 ftZ 0.23 0.01 4 N Exterior Frame-Wood 19 167.67 ftZ 0.23 0.75 2/25/2010 3:37 PM EnergyGauge®USA-FlaRes2008 Page 2 of 5 DOORS # Ornt Door Type Storms U-Value Area 1 W Wood None 0.460000 20.09999 2 N Wood None 0.460000 13.39999 3 W Wood None 0.460000 6.699999 4 W Wood None 0.460000 6.699999 WINDOWS Orientation shown is the entered,asBuilt orientation. Overhang # Ornt Frame Panes NFRC U-Factor SHGC Storms Area Depth Separation Int Shade Screening 1 W Vinyl Double(Clear) No 0.87 0.66 N 45 ft' 1.3 ft0 in 2 ft 0 in HERS 2006 None 2 S Vinyl Double(Clear) No 0.87 0.66 N 13.39999 10.2 ft 0 i 2 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 Wafts Default 0.00036 780 6.99 42.8 80.5 0 cfm 0 cfm 0 0 GARAGE # Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation 1 253.011 ft2 108.011 ft2 36.4 ft 8.1 ft (invalid) COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Ducts 1 Central Unit None SEER:13 24 kBtu/hr 720 cfm 0.75 sys#0 2 Central Unit None SEER:13 36 kBtu/hr 1080 cfm 0.75 sys#0 HEATING SYSTEM # System Type Subtype Efficiency Capacity Ducts 1 Electric Heat Pump None HSPF:7.7 24 kBtu/hr sys#0 2 Electric Heat Pump None HSPF:7.7 36 kBtu/hr sys#0 HOT WATER SYSTEM # System Type EF Cap Use SetPnt Conservation None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF None None ft 2/25/2010 3:37 PM EnergyGauge®USA-FlaRes2008 Page 3 of 5 DUCTS ---supply-- ----Return---- Air Percent V/ # Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 165.2 ft2 Attic 41.3 ft2 Default Leakage Attic (Default)c (Default)% TEMPERATURES ProgramableThermostat: None Ceiling Fans: Coding [[XX]]Jan [[XX]]Feb [[XX]]Mar [[XX]]Apr ((XX]]May [[XX]]Jun [[XX]]]]Jul Ri Aug ��XX]]Sep [[XX]Oct P[X(1 Nov ((XX]]Dec Heatin [X]Jan [X]Feb [X]Mar [X]Apr [X]May [X]Jun [X]Jul Aug [X]S� [X]Oct [X]Nov fX]Dec Venting [[XX]]Jan [[XX]]Feb [[XX]]Mar [KI Apr [[XX]]May [[XX]]Jun [[XX))Jul Augu [[XX]]S [[XX]Oct ((XX]]Nov [[XXJJ Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Coding(WD) 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 Coding(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 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating(WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 2/25/2010 3:37 PM EnergyGauge®USA-FlaRes2008 FORM 1100A-08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 1654 Beach Ave 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. X 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 X top plate. Floors N1106.AB.1.2.2 Penetrations/openings> 1/8"sealed unless backed by truss or joint members. X 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 X 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 X 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. X Additional Infiltration regts N1106.AB.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. X 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 X 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. X 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 X N1102.B.1.1 sides. Common ceiling&floors R-11. 2/25/2010 3:37 PM EnergyGauge®USA-HaRes2008 Page 5 of 5 _a Y � - BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats @ Facts Publications FBC Staff BCIS Site Map Links Search Product Approval �`► ze� F, USER:Public User • Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL1097-R4 Application Type Revision Code Version 2007 Application Status Approved .. Comments Archived Product Manufacturer Andersen Corporation Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 abarstad@andersencorp.com Authorized Signature Alan Barstad abarstad@andersencorp.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Window and Door Manufacturers Association Referenced Standard and Year(of Standard) Standard Year 101/I.S.2/NAFS 2002 101/IS2/A440 2005 ASTM E1886 2002 ASTM E1996 2002 Equivalence of Product Standards Certified By Approved Testing Lab FL1097 R4 Eguiv AAMA 101-IS2-A440 Equivalence.pd Product Approval Method Method 1 Option A bttp;//www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlkw... 2/26/2010 Florida Building Code Online Page 2 of 5 Date Submitted 07/01/2009 Date Validated 09/11/2009 Date Pending FBC Approval 09/14/2009 Date Approved 10/13/2009 Summary of Products Go to Page ip 0 Pagel/20 0 FL* Model,Number or Name Description 1097.1 200 Series 33611 A HP 200 Series Hinged Patio Doors-Inswing Limits of Use Certification Agency Certificate i Approved for use in HVHZ: No FL1097 R4 C CAC Hallmark CCL 01-19-09 16 Approved for use outside HVHZ:Yes 78807.odf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +35/-35 12/31/2011 i Other: Hallmark Certificate 129-H-788.07 Rating is Installation Instructions SHD-LC35 FL1097 R4 II 200 Series Hinged Patio Door- Inswina.pdf Verified By: Window and Door Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: i 1097.2 200 Series 3380 A HP 200 Series Hinged Patio Doors-Inswing Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1097 R4 C CAC Hallmark CCL 01-19-09 16 Approved for use outside HVHZ:Yes 78804.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/-30 12/31/2011 Other: Hallmark Certificate 129H-788.04 Rating is SHD- Installation Instructions LC30 965mm x 2426mm FL1097 R4 II 200 Series Hinged Patio Door- Inswing.odf Verified By: Window and Door Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 1097.3 =1200 Series 3380 S HP 200 Series Hinged Patio Doors-Inswing Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1097 R4 C CAC Hallmark CCL 01-19-09 16 Approved for use outside HVHZ:Yes 78904.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/-30 02/24/2011 Other: Hallmark Certificate 129-H-789.04 Rating is SLT- Installation Instructions C30 956mm x 2426mm FL1097 R4 II 200 Series Hinged Patio Door- Inswing.Ddf Verified By: Window and Door Manufacturers Association j Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 1097.4 1200 Series 60611 AP 200 Series Hinged Patio Doors-Inswing Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1097 R4 C CAC Hallmark CCL 01-19-09 8 74903.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 02/19/2011 Design Pressure: +35/-35 Installation Instructions Other: Hallmark Certificate 129-H-749.03 Ratings is FL1097 R4 II 200 Series Hinged Patio Door- SHD-R35 1810mm x 2092mm Inswing.pdf Verified By: Window and Door Manufacturers Association Created by Independent Third Party: j Evaluation Reports Created by Independent Third Party: 1097.5 1200 Series 6080 AP 200 Series Hinged Patio Door-Inswing Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1097 R4 C CAC Hallmark CCL 01-19-09 16 Approved for use outside HVHZ:Yes 78701.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/-30 02/19/2011 Other: Hallmark Certificate 129-H-787.01 Rating is Installation Instructions SHD-R30 1810mm x 2426mm FL1097 R4 II 200 Series Hinged Patio Door- Inswing.pdf Verified By: Window and Door Manufacturers Association Created by Independent Third Party: Evaluation Reports i http://wwW.floridabuilding.org/pr/pr_app_dtl.aspx?paratn=wGEVXQwtDgvihT9G9wJlkw... 2/26/2010 FL 1 o9l- R4 Installation Guide Installation Guide Andersen for Andersen° Frenchwood° Patio Door Sidelights and Transoms WINDOWS-DOORS INSTALLER: Please-leave this guide with the building owner to file for future reference. Congratulations! You have just purchased one of the many fine Andersen®products. Proper assembly, installation and maintenance are essential if the benefits of your Andersen product are to be fully attained. Therefore, please read and follow this instruction guide completely. If your abilities do not match this procedure's requirements, contact an experienced contractor. You may direct any questions about this or other products to your local Andersen dealer,found in the Yellow Pages under"Windows" or call Andersen WindowCare®service center at 1-888-888-7020 Monday through Friday, 7 a.m. to 7 p.m. Central Time and Saturday, 8 a.m.to 4 p.m. Central Time. Thank you for choosing Andersen. Important . and Installation Information Every assembly and installation is different(windloads, structural support, etc.). Andersen strongly recommends consultation with an Andersen supplier or an experienced contractor, architect, or structural engineer prior to the assembly and installation of any Andersen product. For installation methods not covered in this guide, (i.e.through jamb) please visit the Architect Detail File on the web (www.andersenwindows.com). Andersen has no responsibility in regard to the post-manufactured assembly and installation of Andersen products. VITIA a]Z IHE • Using ladders and/or scaffolding and Improper use of hand/power Weight of window/door unit(s) working at elevated levels may be hazardous. tools could result in personal and accessories will vary. Use a Follow equipment manufacturer's injury and/or product damage. reasonable number of people with instructions for safe operation. Use extreme Follow manufacturer's sufficient strength to lift, carry, caution when working around window and instructions for safe operation and install window and door door openings. Falling from opening may of equipment. Always wear unit(s) and accessories. Always result in personal injury or death. safety glasses. use appropriate lifting techniques. AWARNING Unless specifically ordered, Andersen windows and doors are not equipped with safety glass, and if broken, could fragment causing injury. Many laws and building codes require safety glass in locations adjacent to or near doors. Andersen windows are available with safety glass that may reduce the likelihood of injury when broken. Information on safety glass is available from your local Andersen dealer. A@ cTU@H • Andersen®Head Flashing and Installation Flanges 00 NOT take the place of standard window and door flashing. Unit must be properly flashed and sealed with silicone for protection against water and air infiltration. Use non-reflective flashings. Highly reflective flashing tapes can raise the surface temperature of the vinyl to the point where vinyl deformation and product damage may occur. • Do not apply any type of film to glass. Thermal stress conditions resulting in glass damage could occur. • Use of movable insulating materials such as window coverings, shutters, and other shading devices may damage glass and/or vinyl. In addition, excessive condensation may result causing deterioration of windows and doors. "Andersen" and "Andersen WindowCare"are registered trademarks of Andersen Corporation. All other marks where denoted are marks of Andersen Corporation. 02002-2006 Andersen Corporation. All rights reserved. 1 Instruction Guide 0005335 BB Revised 06/13/06 Installation Guide Steel will corrode when used with ACQ Pressure Treated Lumber. Obtain and use the appropriate size stainless steel fastener as called out by the installation guide to fasten unit to any rough opening made from ACQ Pressure Treated Lumber. Failure to use stainless steel fasteners for the installation could cause a failure resulting in injury, property, or product damage. Parts Included Component Identification (1) Side I ig ht/Transom Unit Side Installation (2) Head/Sill Installation Flange (Transom Unit Only) Flange (1) Head Installation Flange (Sidelight Unit Only) Head/Sill (2) Side Installation Flanges Installation Flange (4) Interior Panel Stops (1) Screw Pack (1) Instruction Guide Side Installation Head/Sill Flange Tools & Supplies Installation Flange •Safety Glasses Transom Unit Exterior Side Up •Hammer •Tape Measure • Level •Flat Blade Screwdriver '005, • Phillips Screwdriver •Small Pry Bar •Caulk Gun •Silicone Primer Interior Panel Stops •Silicone Sealant •Wood Block •Shims •Nail Set Side Installation •1-1/2" 6d Finish Nails Flange Head Installation ( ) Flange •1" (6d) Finish Nails (Sidelight Unit Only) Side Installation Flange Sidelight Unit Exterior Side Up Interior Panel Stops 2 1• Prepare Rough peening Installation Guide � A � 0 DO NOT install unit directly on mason full length barrier(i.e. treated wood, ta�/concrete surface. Place a between unit sill and mason paper, ice/water membrane) opening barrier and sealingit to mason/concrete surface. Failure to use result in product and/or property ry/concrete surface and unit sill may width sealed to masonry/concretes ae tohelpprevent y Rough damage. Entire barrier must be Opening infiltration. Barrier thickness must not exceed 1141j. water Height i • Frame rough opening to dimensions from the table according to unit size. below Standard Construction • Check sill plate for level. Sill must be level, shim sill I necessary, plate if • ough Check rough opening for plumb and level. If rough opening Renin not plumb or level, correct as necessary. Opening p ng is wiarn • Check opening for square by measuring diagonally, u Rough lower right and upper right to lower left corner. If Peer left to Opening measurements are the same, opening is square. If rough opening is not square, correct as necessary. MMMMMMM Unit No.Designation Masonry/Concrete Construction 1368 1768 13611 17611 1380 1780 Rough Opening Width 1'-31/2" 1'-71/2" 1'-3112" 1'-71/2" 1'-31/2" 1'-71/2" Rou h i Installation Guide 1. Prepare Rough Opening @1UV0@a 00 NOT install unit directly on masonry/concrete surface. Place a Rough full length barrier(i.e.treated wood,tar paper, ice/water membrane) Opening between unit sill and masonry/concrete surface. Failure to use Width Rough barrier and sealing it to masonry/concrete surface and unit sill may Opening result in product and/or property damage. Entire barrier must be Height sealed to masonry/concrete surface to help prevent water infiltration. Barrier thickness must not exceed 1/4". Standard Construction • Frame rough opening to dimensions from the table below according to unit size. • Check sill plate for level. Sill must be level, shim sill plate if necessary. Rough Opening • Check rough opening for plumb and level. If rough opening is width not plumb or level, correct as necessary. Rough Opening • Check opening for square by measuring diagonally, upper left to Height lower right and upper right to lower left corner. If I() measurements are the same, opening is square. If rough opening is not square, correct as necessary. Masonry/Concrete Construction SIDELIGHT Unit No. Designation 1368 1768 13611 17611 1380 1780 Rough Opening Width 1'-31/2" 1'-71/2" 1'-31/2" 1'-71/2" 1'-31/2" 1'-71/2" Rough Opening Height 6'8" 6'8" 6'11" 611" 8'0" 810" Approximate Weight(Ibs) 55 70 57 73 67 84 1 so T.11 1 Unit No. Designation 1311 1711 1316 1716 13110 17110 Rough Opening Width 1'3-1/2" 17-1/2" 11-1/2" 17-1/2" 1'3-1/2" 17-1/2" Rough Opening Height 1'-1 1/2" 1'-1 1/2" 1'-61/2" 1'-61/2" 110-1/2" 110-1/2" Approximate Weight(Ibs) 9 11 12 16 15 19 TRANSOM Unit No. Designation 2111 2711 2911 3111 (2)4111 (2)5011 (2)5411 (2)6011 Rough Opening Width 2'1" 27" 2'9" 3'1" 4'1" 5'0" 5'4" 6'0" Rough Opening Height 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" Approximate Weight(Ibs) 15 18 19 22 29 36 38 43 Unit No. Designation 2116 2716 2916 3116 (2)4116 (2)5016 (2)5416 (2)6016 Rough Opening Width 2'1" 27" 2'9" 3'1" 4'1" 5'0" 54" 6'0" Rough Opening Height 1'-61/2" 1'-61/2" 1'-61/2" 1'-61/2" 1'-61/2"" 1'-61/2" 1'-61/2" 1'-61/2" Approximate Weight(Ibs) 20 25 27 30 40 50 53 60 Unit No. Designation 21110 27110 29110 31110 (2)41110 (2)50110 (2)54110 (2)60110 Rough Opening Width 2'1" 27" 24' 3'1" 4'1" 5'0" 54" 60" Rough Opening Height 1'-61/2" 1'-61/2" 1'-61/2" 1'-61/2" 1'-61/2"" 1'-61/2" 1'-61/2" 1'-61/2" Approximate Weight(Ibs) 25 31 33 37 49 61 65 73 3 Installation Guide 2. Prepare Unit AWARNING of Frenchwood®Patio Door Sidelight and Transoms Units will vary. Use a reasonable number of people with sufficient strength to lift, carry, and install unit(s). Always use appropriate lifting techniques. ACS OOH If your Andersen Frenchwood Hinged Patio Door Sidelight Unit will be equipped with Exterior Extension Jambs or Exterior Sill Extension, these accessories must be applied to the Sidelight Unit/Transom Unit BEFORE unit is installed. • Remove unit from carton. Exterior Side Up • Place unit on a clean flat work surface, exterior side up. • Remove packing blocks. 3. Apply Installation Flanges Head Installation Flange A&MUPH Head Installation Flange must overlap Side Side Installation Flange Installation Flanges to the exterior to help prevent water infiltration. • For Transom Units, apply Sill Installation Flanges to kerf in frame. Position short leg of Installation Flange toward interior, centered on bottom of Sill. Place wood Sidelight unit block against short leg of Installation Flange and tap, full length, until seated. (Sidelight Units do not use Sill Exterior Side Up Installation Flanges.) Repeat procedure for Side Installation Flanges overlapping Sill Installation Flanges to the exterior. � Hammer • For Sidelight Units, apply Side Installation Flanges to kerf in frame, positioning short leg of Installation Flange toward interior, and positioning flush with bottom of sill. Place wood block against short leg of Installation Wood Flange and tap, full length, until seated. Block • Repeat for Head Installation Flange Hammer using the same procedure. Make sure Head Installation Flange overlaps Side Installation Flanges to the exterior. Sidelight Unit Side Installation Flange Flush Wood Block With Bottom of Sill 4 Installation Guide 4. Install Unit • For Sidelight Units, apply three 3/8" beads of Silicone Rough Sealant to bottom of rough opening in all areas that will Caulk Gun Opening come in contact with the bottom of unit, as shown. • Apply 1/4" Silicone Sealant bead, full perimeter,to back of Installation flanges or around rough opening 1/2" from edge. t � / 1/2" Weight of Frenchwood® Patio Door Sidelight and 2" Transoms Units will vary. Use a reasonable 3" number of people with sufficient strength to lift, carry, and install unit(s). Always use appropriate Silicone lifting techniques. Sealant ASheathing Support unit in rough opening at all times until secured. Failure to support unit could result in unit Exterior View falling out causing personal injury, product, and/or property damage. • From the exterior, lift and center Sidelight/Transom Unit in rough opening. Silicone Caulk Gun Sealant Installation Flange Caulk Gun Silicone Sealant Sidelight/ Exterior View Transom Unit 5 Installation Guide 5. Plumb Unit • Check unit, from interior, for plumb and level (vertical, front to back, and sideways). Unit must be plumb and level. Correct if necessary. Level Interior View 6. Shim and Secure Unit Head Jamb A 3"Screws / Steel will corrode when used with ACQ Pressure Treated Lumber. Obtain and use the appropriate size stainless steel fastener as called out by the installation guide to fasten unit to any rough Shims opening made from ACQ Pressure Treated Lumber. Failure to use stainless steel fasteners for the installation could cause a failure resulting in injury, Side Jamb property, or product damage. ,la►�a��aoa Shims must be applied between jambs and framing to prevent bowing when frame is secured. • Insert shims from interior between rough opening and Interior View Sidelight/Transom Unit. Place shims near each fastener hole of unit. Shimming prevents jamb bowing when unit is fastened to rough opening. • Fasten to rough opening through all predrilled fastener holes in jambs,from the interior, using ,M x X'Screws. For Sidelight Unit fasten sides and head. For Transom Unit fasten sides, head, and sill. 6 Installation Guide 7. Apply Interior Panel Stops Transom Units Head/Side Jamb • Apply Interior Panel Stops to sides first, then to head and sill. Fasten using 1-1/2" (4d) finish nails. Interior Panel Stop • , (Head/Side) • Apply Interior Panel Stops to sides first, then to head. 1-1/2"(4d) Fasten using 1-1/2" (4d) finish nails. Finish Nail • Apply Interior Panel Stop to sill using 1-1/2" (4d) finish nails cut to 1". DO NOT nail into area 3/4"from Panel to avoid nailing into aluminum, as shown. 3/4" 1" Finish(Vail / (1-1/2"(4d) Finish Nail cut to 1") 1 Interior Panel Stop (Sill) Sul Sidelight Unit Cross Section 8. Apply Exterior Finish and Silicone Sealant • Apply exterior finish over Installation Flanges leaving1/4 1/4" between unit frame and exterior finish. 1/4" 1/4" • Apply a continuous bead of Silicone Sealant around exterior perimeter of unit between frame and exterior finish. Silicone Caulk Gun Sealant Exterior Finish Exterior View 7 ee 9. Insulate Around Unit Installation Guide AGAUJVQOa Putty Knife When insulating between the unit's frame and rough opening, or between units when joining, DO NOT overpack batt insulation or overfill with foam. Bowed jambs will result, affecting product performance and/or proper unit operation. Batt • Insert insulation on interior side of unit between frame Insulation and rough opening. DO NOT over pack batt insulation or overfill with expandable foam. Interior View Finishing, Cleaning, and Maintenance Instructions A@mv u Unw INTERIOR FINISHING Read and follow finishing manufacturer's instructions • DO NOT expose unfinished wood to high and warnings on each container of finish material for moisture conditions, excessive heat or humidity. priming, Finish interior wood surfaces immediately after Painting, staining, and varnishing. installation. Unfinished wood surfaces will CLEANING discolor, deteriorate, and/or may bow and split. Clean exterior frame, sash members, and insect screens • DO NOT stain or paint weatherstrip, silicone using a mild detergent-and-water solution and a soft beads, vinyl, glass, or hardware. cloth or brush. DO NOT use abrasive cleaners or • Acid solutions used to wash masonry/concrete solutions containing corrosive solvents. For persistent will damage glass, fasteners, hardware, and dirt or grime, use a nonabrasive cleanser or a mixture metal flashing. Follow the acid solution of water and alcohol or ammonia. manufacturer's instructions carefully. Protect MAINTENANCE and/or cover Andersen products during the Immediately sand and refinish any interior wood that cleaning process to prevent acid contact. If acid becomes stained or mildewed to prevent further does come in contact with unit, immediately discoloration and/or damage. For further information, wash all surfaces with clean water. contact your local Andersen dealer. Dealers can be found in the Yellow Pages under Windows. s qVVV. Florida Building Code Online Page 1 of 3 SCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BC; Product Approval Q c., 4USER: Public User Product Approval Menu > Product or Application Search >Application List>Application Detail Ow = FL# FL9108-R1 q. aA" Application Type Revision r Code Version 2007 Application Status Approved �n Comments Archived Product Manufacturer Andersen Corporation Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 abarstad@andersencorp.com Authorized Signature Alan Barstad abarstad@andersencorp.com Technical Representative Steve Berg Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-7425 steve.berg@andersencorp.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Window and Door Manufacturers Association Referenced Standard and Year (of Standard) Standard 101/IS2/A440 ASTM E1886 ASTM E1996 Equivalence of Product Standards Certified By ttp://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE... 2/26/2010 Florida Building Code Online Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 04/16/2008 Date Validated 06/16/2008 Date Pending FBC Approval 07/13/2008 Date Approved 09/15/2008 Date Revised 01/23/2009 Summary of Products FL# 114odel, Number or Name Descri tion 9108.1 3862 HPIR TW3862 Stormwatch Tilt Wash Double Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL9108 R1 C CAC CCL for Anderser Approved for use outside HVHZ: Yes Quality Assurance Contract Expira Impact Resistant: Yes 01/31/2011 Design Pressure: +50/-65 Installation Instructions Other: FL9108 R1 II TW Stormwatch Instal Verified By: Window and Door Manufi Created by Independent Third Party: Evaluation Reports Created by Independent Third Pa 9108.2 1 3862 Lami Mono PVB TW3862 Stormwatch Tilt Wash Double PVB Glazing Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL9108 R1 C CAC CCL for Anderser Approved for use outside HVHZ: Yes Quality Assurance Contract Expira Impact Resistant:Yes 01/31/2011 Design Pressure: +50/-65 Installation Instructions Other: FL9108 R1 II TW Stormwatch Instal Verified By: Window and Door Manufi Created by Independent Third Party: Evaluation Reports Created by Independent Third Part 9108.3 3862 Lami Mono SGP 3862 Stormwatch Tilt Wash Double with SGP Glazin Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL9108 R1 C CAC CCL for Anderser Approved for use outside HVHZ: Yes Quality Assurance Contract Expira Impact Resistant:Yes 01/29/2011 Design Pressure: +50/-65 Installation Instructions Other: FL9108 R1 II TW Stormwatch Instal Verified By: Window and Door Manufi Created by Independent Third Party: Evaluation Reports 16- Created by Independent Third PartL. Back7 F Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824,Fax(850)414-8436 ©2000-2010 The State of Florida.All rights reserved. http://www.floridabuilding.org/pr/pr_ap-p_dtl.aspx?param=wGE... 2/26/2010 Installation Guide installation Guide Andersen® for Anderse400 1oWindows with ProtectionStormwatch 1. R . Design P wiHoows•000ns Upgrade . . '1 Monolithic ImpactResistant Glass) INSTALLER: Please leave this guide with the building owner to file for future reference. Congratulations! You have just purchased one of the many fine Andersen°products. Proper assembly, installation and maintenance are essential if the benefits of your Andersen product are to be fully attained. Therefore, please read and follow this Instruction Guide completely. If your abilities do not match this procedure's requirements, contact an experienced contractor. You may direct any questions about this or other products to your local Andersen dealer,found in the Yellow Pages under"Windows" or call Andersen WindowCare®service center at 1-888-888-7020 Monday through Friday, 7 a.m.to 7 p.m. Central Time and Saturday, 8 a.m.to 4 p.m. Central Time. Thank you for choosing Andersen. Important Impact Resistant Glass used by Andersen is not hurricane proof or shatter proof, and may not offer a high level of security. Proper installation of window and door units with impact resistant glass is as important to product performance as the glass. Every assembly and installation is different(windloads, structural support, etc.), and Andersen strongly recommends consultation with an Andersen supplier or an experienced contractor, architect, or structural engineer prior to the assembly and installation of any Andersen product. Andersen has no responsibility in regard to the post-manufactured assembly and installation of Andersen products. t A - 71mproper - ' • ® Using ladders and/or scaffolding and working of hand/power Windows and doors can be heavy. at elevated levels may be hazardous. Follow sult in personal Use safe lifting techniques and a equipment manufacturer's instructions for injury and/or product damage. reasonable number of people with safe operation. Use extreme caution when Follow manufacturer's enough strength to lift, carry and working around window and door openings. instructions for safe operation install window and door products Falling from opening may result in personal of equipment. Always wear to avoid injury and/or product injury or death. safety glasses. damage. AWARNING Unless specifically ordered, Andersen windows and doors are not equipped with safety glass, and if broken, could fragment causing injury. Many laws and building codes require safety glass in locations adjacent to or near doors. Andersen windows are available with safety glass that may reduce the likelihood of injury when broken. Information on safety glass is available from your local Andersen dealer. A FTE l� • Andersen°Head Flashing and Installation Flanges DO NOT take the place of standard window and door flashing. Unit must be properly flashed and sealed with silicone for protection against water and air infiltration. Use non-reflective flashings. Highly reflective flashing tapes can raise the surface temperature of the vinyl to the point where vinyl deformation and product damage may occur. • Do not apply any type of film to glass. Thermal stress conditions resulting in glass damage could occur. • Use of movable insulating materials such as window coverings, shutters, and other shading devices may damage glass and/or vinyl. In addition, excessive condensation may result causing deterioration of windows and doors. "Andersen:'the AW logo,and"Andersen WindowCare"are registered trademarks of Andersen Corporation. All other marks where denoted are marks of Andersen Corporation. ©2003-2007 Andersen Corporation. All rights reserved. 1 Instruction Guide 0005366 BB Revised 02/19/07 Installation Guide DO NOT install air conditioning unit in window. Unit DO NOT attach objects to unit other than Andersen® could tip or fall causing severe injury and/or product products specifically designed for unit. Product damage. damage could occur. AWARNING NOTICE Metal fasteners and other hardware components • DO NOT remove banding tape until unit is installed. may corrode when exposed to preservative treated . Support or Impact Resistant Joining Kit must be and fire-retardant treated lumber. Obtain and use used when joining multiple units. Please check for the appropriate metal fasteners and hardware as availability called out by the installation guide to fasten unit . DO NOT apply Extension Jambs prior to unit to any rough opening made from pressure treated and fire-retardant treated lumber. Failure to use the installation. appropriate materials for the installation may cause a failure resulting in injury, property or product damage. Head Installation Flange Parts Included (1) Installation Pack Side Installation Flange (Instruction Guide,Jamb Clips and Screws) Upper Sash Tools and Supplies Outer Frame •Safety Glasses • 1-3/4" Roofing Nails Member Bracket •Tape Measure • 1-1/4" (3d) Finish Nails Lower •Hammer •Wood Block Sash Sill Bracket •Level • Insulation •Shims • Power Drill •Caulk Gun • 1-1/4" Screws (minimum) Exterior View • Utility Knife • Backer Rod Upper wind •Silicone Sealant Load Bracket Options and Accessories ZA •Extension Jambs • Insect Screens Lower Wind Load Bracket Interior View •Grilles (Impact Resistant Only at Sill) 1. Prepare Rough Opening Tape Measure • Check sill plate for level. Sill must be level. Shim sill plate if necessary. • Check rough opening for plumb and level. If rough opening is not plumb or level, correct as necessary. Level • Check opening for square by measuring diagonally, upper left to lower right and upper right to lower left corner. Measurements must be within 1/8". If rough opening is not square, correct as necessary. 11L11 U NOTICEY7 For masonry installations using wood bucks follow procedure for wood frame construction. wood Frame/Buck Construction Masonry Construction Interior Views 2 Installation Guide 2. Prepare Unit • Remove unit from packaging. Place unit interior side up on a clean, flat work surface. NOTICE - DO NOT remove banding tape until unit is installed. Packaging Blocks • Remove wood/foam packaging blocks and staples. Interior Side up • Close and lock sash to keep unit rigid and square during installation. ° NOTICE Installation Flanges are factory applied to fit 4-9/16" wall thickness. Installation Flanges may be reversed to fit 4-1/8"wall thicknesses. Packaging Block ' Wood Frame/Buck Construction • For 4-9/16" wall thickness, proceed to Step 3. Wood Frame/Buck Construction • Remove Installation Flanges by pulling outward and reverse end for end. • Replace Sill Installation Flange in kerf centering along sill. Tap in place until fully seated using a wood block 0 and hammer. • Repeat for Side Installation Flanges positioning flush Head with bottom of unit and overlapping Sill Installation Side Installation Flange equally to the exterior. Installation Flange • Repeat for Head Installation Flange, centering along Flange head and overlapping Side Installation Flanges equally Interior Side Up to the exterior. Construction/RepMasonry [a cement Installations requireof g• NOTICE Removal of Installation Flange may be necessary for some masonry installations, replacement U installations, and/or where exterior finish (siding, Installation Flange brick veneer, stucco) is already applied. (4-9/16"wall) • Remove Installation Flanges by pulling outward. Q Installation Flange Wood Block (Reversed for 4-1/8"Wall) 3 Installation Guide 3. Apply Jamb Clips acs o @TV&M • Number of Jamb Clips and/or Screws is based Jamb Clip on maximum unit performance design pressure 1'1/8" (DP) rating. Use correct number of clips and4Jamb screws listed. Ke • If structure is rated at a design pressure (DP) below maximum listed (DP), altering number of Jamb Clips and/or screws may be approved by consulting an architect or structural engineer. 5/8"Screw(for head/side jambs) Interior Side Up 1-1/4"Screw(for sill) • Position Jamb Clips in kerf on back side of jambs, long leg to interior, extending 1-1/8" above jambs. • Locate three Jamb Clips on head jamb 8"from each side and one at center. Center • Locate four Jamb Clips on side jambs, 8"from top, 8" bottom, and remaining two clips 1" above and 8e e - m8 1" below Wind Load Bracket at Check Rail. • Fasten Jamb Clips to head and side jambs using two 8" 8" 5/8" screws. • Locate three Jamb Clips on sill 8"from each side and Check Rail one at center. • Fasten Jamb Clips to sill using two 1-1/4"screws. 1° ° 1° Wind Load 1„ _ 1" Bracket Jamb Clip TT 8„ $„ 8„ 8.. Interior View 4 Installation Guide 4. Install Unit Installation AWARNING Flange Windows and doors can be heavy. Use safe lifting ° techniques and a reasonable number of people with enough strength to lift, carry and install window and door products to avoid injury and/or product ° damage. @&WO@H • DO NOT set window unit directly on sill plate. 1/4°Bead Elevate unit on shims at side jambs. Sill plate may Silicone Sealant bow and interfere with window operation. Caulk Gun • Unit must be properly shimmed. Failure to do so 4 could result in product damage. • Provide a minimum clearance of 1/2"from top of brick/masonry to the bottom of any portion of sill. Failure to do so could result in product damage. Sill Backer Rod / Silicone Sealant Interior View 1/2"}______ -- Shims Brick O O Veneer Side Jamb • Apply 1/4" silicone sealant bead, full perimeter, to back side of Installation Flange or around perimeter of rough opening 1/2"from edge as shown. • Lift unit into rough opening and center side-to-side. Shims Shims For Wood Frame/Buck Construction,from the exterior, fasten one upper corner of unit using a 1-3/4" roofing nail through Installation Flange. Level • Check level of unit from the interior . Shim only at Tape Measure corners of sill under Side Jambs to level unit, if needed. sill Plate For joined units, shim must be placed under joining post(s) at sill. • Measure diagonally across unit, upper left to lower right and upper right to lower left corners. If measurements are within 1/8", unit is square. If unit is not square, Shims Interior View adjust by inserting shims between Side Jambs and rough opening (full depth) near unit corners. 5 Installation Guide 4. Install Window Unit (Continued) • Measure across head, center, and sill of unit from . . . . exterior. Center dimensions should match head and sill dimensions. Shim to straighten Side Jambs if needed. instai►ation • Shim from interior between unit frame and rough Flange Tape opening (full depth) at Wind Load Brackets using flat, Measure not tapered, shims. Exterior View Shim Upper Wind Load Bracket Lower Wind Load Bracket Interior View 6 Installation Guide 4. install Window Unit (Continued) Outer Frame AWARNING Member Bracket Metal fasteners and other hardware components may corrode when exposed to preservative treated and fire-retardant treated lumber. Obtain and use the appropriate metal fasteners and hardware as called out by the installation guide to fasten unit to any rough opening made from pressure treated and fire-retardant treated lumber. Failure to use the appropriate materials for the installation may cause a #8 x 3"Color failure resulting in injury, property or product damage. Matched Screw • For Wood Frame/Buck Construction, fasten unit to wood frame rough opening using two 1-1/4"screws through each Jamb Clip. Secure Outer Frame Member Brackets to rough opening using#8 x 3" Color Matched Screws. • For Masonry Construction, fasten unit to masonry rough opening using two 1-1/4" (minimum) masonry anchors through each Jamb Clip. Remove existing 3" Exterior View Color Matched Screw and secure Outer Frame Member Bracket to rough opening using 3" (minimum) masonry anchor. • Remove banding tape. Jamb Clip Jamb Clip(bent into position) Jamb Clip s. ;e. ti Y >i •• . 4 a Outer Frame Y Member Bracket Outer Frame Outer Frame #8 x 3"Minimum #8 x 3"Color Member Bracket Member Bracket Masonry Screw Matched Screw (by others) (provided) utility Knife Interior View Banding Tape Installation Guide 5. Apply Flashing Tape Unit must be properly flashed and sealed for protection against water and air infiltration. Use non-reflective flashings. Highly reflective flashing tapes can raise the surface temperature of the vinyl to the point where vinyl deformation and product damage may occur. NOTICE • This instruction step depicts one of many options for proper flashing. • Moisture infiltration problems in any type of building can be reduced by properly flashing and/or sealing around all building openings, including windows and doors. Proper flashing under and around window and door openings can reduce moisture problems, but the performance of any building system depends upon the design and construction of the building system in its entirety,which should address local environment, climate, building codes and product and material limitations. The design and installation of flashing and sealing systems are the responsibility of the architect, contractor, installer, and/or the manufacturer of the building exterior specified for the project. • Apply flashing tape over Installation Flange at sill. Flashing Tape Head • Apply flashing tape over Installation Flange at sides, (Apply third) overlapping flashing tape at sill. • Apply flashing tape over Installation Flange at head, Sides (Apply first) overlapping flashing tape at sides. Sill (Apply second) 6. Insulate and Seal Unit Sill Side Jamb Cross Cross Section Section When insulating between unit frame and rough opening or between units when joining, DO NOT Backer,,� overpack batt insulation or overfill with foam. Rod Bowed jambs will result affecting product performance and/or proper operation of unit. Silicone Backer NOTICE Sealant Rod Silicone A minimum space of 1/4" is required around Sealant exterior perimeter of unit between frame and siding. Masonry/Brick Veneer installations require a minimum 1/2" space along sill and 1/4" space around the remaining perimeter. Siding Brick Veneer • Insulate between frame, extension jambs, and rough opening c on all sides from the interior. DO NOT overpack or overfill with insulation; bowed jambs may result. DO NOT apply foam behind wind load bracket areas. Insulation may expand and affect proper operation. • Apply backer rod and silicone sealant around exterior Exterior View perimeter of window after siding (or other finish) is applied. 8 installation Guide 7. Attach Interior Casing (supplied by others) ' Nail • If optional Sill Stop, Stool or Sill Extension Jambs are to be Interior used, refer to their specific instruction guides available at Casing your Andersen Dealer or at www.andersenwindows.com. Side,lamb Install on unit before Interior Casing is applied. k{ When applying Interior Casing, carefully read and s follow directions and illustrations. Failure to do so may result in damage to Sill and Jamb Liners. • Fasten Interior Casing to sill using 3d (1-1/4")finish nails. Nail 2-3/8"below top of Sill Stop. • Fasten Interior Casing to side jambs and head using 3d(1-1/4") finish nails. Nail 1"in from outside of Head and Side Stop. Sill Stop • Set all nails to approximately 1/16"deep below wood surface. Apply wood filler to nail hole. Sill 2-3/8" I' Nail at Q 150 Angle Casing AWARNING All Brackets must be flipped out when not tilting or cleaning. If Wind Load Brackets are not flipped out, window /i could blow in resulting in ' potential injury and/or product damage. Flipped Out Flipped In 9 SITEPLAN NOTES: ; 41. 40 j z f yie i cfl o d- o rn � a� E f 41. 85 1ror:)4 5EACH AVENUE NEW EXISTING LOT SQ. FT. 4004 LOT SQ. FT. 4004 ACREAGE .09 ACREAGE .09 NEW COVERED AREA 1400 EXISTING COVERED AREA 1400 qe OF COVERED AREA 35 qo OF COVERED AREA 35 OCEAN -00 GROVE UNIT I 1, r IBLOCK r E ` I d. �_. LOT 1 4 6 6 6 Ouva I CO., FL. City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building De ailment) r1 Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 ri ,3� E-mall- buffding-dept@coab.us Date routed: City web-site: httpJ/Www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � % A6 „ De rtment review re aired Yes No Building Applicant: �S Planning&Zoning • Tree Administrator Project: Public Works Public Utltities Public Safety Fire Services R�vle it fe $ '- Dep S gra Lire 1 x 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 Tobac oo Other_ APPLICATIOKSTATUS Reviewing Department First Review: proved. []Denied. (Circle one.) Comments: CLANBUILDING NING&ZONIN Reviewed by 2A4A-A-- Date: zS Z.Z�o %D TREE ADMIN. Second Review: A roved as revised. ❑ pp Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ODenied. Comments: Reviewed by: Date: Revised 05114/09 City 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)247-5845 E-mail: buffding-deptcQcoab.us Date routed: City web-site: hffp:/hvww.mab.us Ar APPLICATION REVIEW AND TRACKING FORM Property Address _4De rtment review required Yes No Building Applicant: Planning&Zoning /� � Tree Administrator Project: o Public Worcs Public Utllifies Public Safety Fire Services Review fe��„'� �eR�Signa�tlre - `� ,—c 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 Amry Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other_ APPLICATION STATUS Reviewing Department First Review: QApproved. []Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: QApproved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ODenied. Comments: ,l Reviewed by: Date. Revised 05/14109 CITY OF ATLANTIC BEACH 10- 800 0- 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5B45 r V4M COAG US BUILDING PERMIT APPLICATION DUVAL COUNTY �� .,.V,,,U 1 OF,,,,R � •� 3�SO Fr_U.pERROOF+ti����rlr�;a��"' �.�.+1 sx t MONO,y:� � r_� r Ac�i f L)A-"- �� tr( 3z / S cx��' �!J ni�'�arx�.:;a r��`s�";c +.. '- -' .+.: ,tJSE IDETRUCTURE,' 5?LEGAL C2ESCRII?SI0J1. ? '�*si. �,_. ❑NEW BUILDING ❑DEMOLITION 0 RESIDENTIAL [3 CONVERTING USE ❑COMMERCIAL -7 C� C , ADDITION ❑ACCESSORY BLDG. 8.FIRE SQRINKLERa3 r '. LOT/ 3 BLOCK l0 SUB DIVISION C� �/A �x:. ON O.,,VtiORkG15i ? 8?zS� 7ak Y} .sStiY� d� � k_'; 0ALTERATION ❑YES ❑REPAIR ❑POOL/SPA t°w .+•N<1 nn�cJ 1 cavo c l rO ❑OTHER .®.b0 7 � Se><:Qf�U�c•v-Jcx-- /dJ<<eA Sl ��- V �c)� ❑MOVE �.. aPRQP,.;ERTY.41fV.NERrl'ar' " fii , ;CONTEACTPR":,t � �uw "�� A.',RCHITECTJ,ENGINEER191 � �°�. 23.COMPANY NA 15.COMPANY(NAMi� r �/ �S 1 ' Q 1� /,\ �!N/✓/7 C7 U�N 5V E/� G 16. ME: i 24.LICENSEE - 25.S TATE OF A LICENSE NO.: sF 17.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: 'fv rG('1 1 `& S / e each�e, 18.ADDRESS: 26.ADORES � l o ��f lSl�f F� 3aa3.3 t��I Pe.j,au tj 9R 'o eY !rTI 4X GGA r NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 11.OFFICE PHONE. 12.FAX NO.: ��/U Z3 7.-2,7-2,1, �`�j 29.CELL PHONE: 21.CELL PHONE: 13.CELL PHONE: A a _ ��� ` J O ¢-"• 8 O��� � � L3 7 y � 30.EMAIL ADDRESS� J 22.EMAIL ADDRESS v e 14 EMAIL ADDRESS: , ins S i U�'it - er .usc�sir�+ +.}"+'%+�' C"t°-- ' MORT..GAGELENDER - E tMPLE TI LE"HOLDER, BONDING,Cn M -3 35.NAME. 33.NAME 31.NAME: 3 34.ADDRESS: 6.ADDRESS: 32.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 ork is not commenced within six(6) months, or if construction or work is suspended or jurisdiction. This permit becomes null and void if w 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 art the be one in countial milliinspectionscewi are all applicabanle laws regulating construction and zoning.I will not occupy or use the referenced building or any p prior to obtaining a certificate of occupancy or completion issued by the building official,as required flaw. �r,+r WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ECORDED AND POSTOPERTY. A NOTICE ED ON THE JOB SITEBEFORE COMMENCEMENT MUST BE R BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR RORATTOR" EY BEFORE RECORDING YOUR NOTICE OF COMM ENCEMENT LEN TRAOT-- NE PrI ,tro,..? nL��9eY..atter Re9uare X a pZIP v*��D Signed: Date: Zi ZUIV Date: .�� �., da of ��-// ,2010 in the county of Before me this y of ,2010 in the county of Before me this 2 Y Duval,State of Florida,has personally appeared Duval, ate of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by cu lff/herself and affirms that all statements and declarations are true and true and accurate. —�,{//, _ �/9" ,Countyof k� L` / ,Count of_ Notary Public at Large,State of Notary Public at Large,State of Y rsonally Known / 13Personally Known f� �/ /_��`��� ���� ❑produced Identfiration- rs o/J A M! IfProduced Iden' ca` n rul -'V Notary Signature: Notary Signatu e' DEBORAH A.WHITE Y,,,•,. DEBORAH A V4�HITE MY COMMISSION#DD 834126MY COMMISSION#DD 63412 -"` EXPIRES:May 21,2011 a EXPIRES:May 21,2011 Bldg Permit Applii� Bonded Thru Notary Public Underwriters ........ f Bonded Thru Notary Public Underwrhers A/j L Property Appraiser-Properly Details Tile* Official Record Book/Page_ 9409 Primary Site Address GINSBERG LINDA G B/E 1650 BEACH AVE 3 09239-02244 1654 BEACH AVE FL 32233-5841 Atlantic Beach FL 32233 ATLANTIC BEACH, 1650 BEACH AVE Value S_ummarY__----------- _____ 2009 Certed Property Detail LAMA Value Method I CIA___,___ - - 169573-0020 _..-__ ---. '; 188,270.00 RE# --- - Building Value ,$212 840 00 USD3 _ _._ - -- __ - -_ -----r 16,764.0 Tax District Extra Feature Value $20 350.00 . 0100 SINGLE FAMIL - ___- _.... Property use _ _. _. _ - 226,800 --. --- Land Value(Market) $226 800 0 #of Buildings - --- -- ---value _ .__.. Land Value(A9� 15 82 09-2S-29E.092 __ $431,834.00 --_ Legal Desc. OCEAN GROVE UNIT NO 1 S/D PT LOT 7 ______ --- 7ust(Market)Value $459,990 00 $ -._._ -- 293,610.00 -- - J-- 285,89100 $ of this property 03096 OCEAN GROVE UNIT Ol Assessed Value Subdivision --- - See below Exemptions ,$50,500-00 Exempt -- -' may result' higher property taxes.Fvalueseexemrptions and _ _ -. -- The saleTaxable Value ,$235,391.00 See below to Save our Homes and our P ooe_ X�S�b�ect to change.These numbers are other information listed as'In Progress- part of the 2010 working tax roll and will not be certified until October.LeamhoW the Pro e A raiser's Office values prooertv ry box. Taxable Values and Exemptions—In Progress the same as f there are no exemptions applicable to a taxing authority,the Taxable Val ue'Sdble Value the Assessed Value IS hool Taxable Value bove In the Value umma I S]RWMD/FIND Tax 293,610.00 County/Municipal Taxable Value $293,610.00 Assessed Value...........................I.................$ 25 000.00 Assessed Value................................................$293,610.00 Assessed Value............................................. . $500.00 $25,000.00 Homestead Exemption(HX).........................$25,000.00 Homestead Exemption(HX).,...,,.,,..,.......:$ .... Homestead Exemption(H�........"..............: 25,000.00 Widow(WF)............................................. ... 25,000.00 Amend 1 Homestead(HB).......................... $ $500.00 268,110.00 Amend 1 Homestead(HB)............................$ - Taxable Value $ -$500.00 Widow(WF)............................................... .... Widow(WF)................................................ Taxable Value $243,110.00 Taxable Value $243,110.00 Code QualWed/Unqualified Vacant/Improved Sales History ��Price-,-.Deed Instrume�rt7Y1>e__. _-.-.--�- -— --- Improved _ Book/Page `Sale Date Qualified - 09239 02244 3/24/1999 i$255,000.00- MS Miscellaneous Improved Unknown _ MS-Miscellaneous 07102-01323 -5/2/1991 $100.00 _ _ ----------- -- ` j Unknown Improved ------ 01486 11/20/1986 $175,500.00 1.WD-Warranty Deed 06237 Extra Features Length Width Total units_, -_ Va ue Feature Descrion __,-_-.__ f_Bid9•_..._� _O�.____-1.00 $1,056.00 W i Feature Code 0 _. --- -- Fireplace Prefab„- �_ -- ---- --�� 1 FPPR7 _ _ _ - - 172.00 $588.00 _._ 0 _ ��_ 1 0 Deck Wooden 2 DKWR2 -_ 12.00 $15,120.00 _ - --- - 0 ------ -��Spa--- 4 10 3 SPARS Land&Legal — —e_--— w T LLN gal Zoning ;Front Depth Category Land Units Land Value LN Legal Description Land LN Code i Use Descnption __ 1 ',0100 4 RES LD 3-7 UNITS PER AC ~t ARG 2 42.00 ?96.00 I Common 1 42.00 $226,800.00 15 82 09 ZSZ9E.092 71 OCEAN GROVE UNIT NO I SSD PT 2 1 LOT 7 PT LOTS 7,8 RECD OAR 9239-2244 iy s d I� 'i 'i ti !i Property Appraiser-Property Details Page 1 of2 Tile# GINSBERG LINDA G B/E Pr 0 BEACH AVE dress official 09239-02244 9409 Book/Pane 9409 1654 BEACH AVE ATLANTIC BEACH, FL 32233-5841 Atlantic Beach FL 32233 1650 BEACH AVE Property Detail Value Summary 169573-0020 2009 Cert�ed ; 2010 In RE# _ ____ _.._-- ._..-- Value Method CAMA CAMA Tax District USD3 -- Building Value $212,840.00 $188,270.00 Property Use 0100 SINGLE FAMILY - _ - - -- -- - - - - Extra Feature Value $20,350.00 $16,764.00 #of Buildings 1 ..__. _ ---- - Land Value(Market) i $226,800.00 $226,800.00 15-82 09-2S-29E.092 Legal Desc. OCEAN GROVE UNIT NO 1 S/D PT LOT 7 Land Value(Agnc) $0.00 $0.00 Subdivision v 03096 OCEAN GROVE UNIT 01 Just(Market)Value $459,990.00 $431,834. 00 $285,891.00 $293,610.00ssessed Value(A10) ! The sale of this property may result in higher property taxes.For more information go A ----- - to Save Our Homes and our Property Tax Estimator.Property values,exemptions and Exemptions i$50,500.00 See below other information listed as'In Progress'are subject to change.These numbers are Taxable Value !$235,391.00 See below part of the 2010 working tax roll and will not be certified until October.Learn how the Property Appraiser's Office values property. Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SIRWMD/FIND Taxable Value School Taxable Value Assessed Value ..............$293,610.00 Assessed Value........................I........................$293,610.00 Assessed Value..............................................$293,610.00 Homestead Exemption(HX)......................:$25,000.00 Homestead Exemption(HX) .................I..:$25,000.00 Homestead Exemption(HX)...................;$25,000.00 Amend 1 Homestead(HB).................... $25,000.00 Amend 1 Homestead(HB) ........_ ......:$25,000.00 Widow(WF) $500.00 Widow(WF)............................................................:$500.00 Widow(WF)...................................I.........................$500.00 Taxable Value $268,110.00 Taxable Value $243,110.00 Taxable Value $243,110.00 Sales History Book/Page :Sale Date_ Sale Price -;_Deed Instrument Type Code __- !Qualified/Unqualified Vacant/Improved _ -_- 09239-022 3/24/1999 $255,000.00 MS Miscellaneous ,Qualified -- ,`Improved ---..------------ ___,__. T_--e--_- !Unknown Improved 07102 01323 i 5/2/1991 $100.00 MS-Miscellaneous_ - -_-,_--- —_ 06237 01486` 11/20/1986 $175,500.00 !WD-Warranty Deed _i Unknown Improved Extra Features LN !Feature Code -_^ Feature Description -_!-Bldg _I Len th Width 1 Total Units _- Value --- - 1.00 $1,056.00 _ y -- 1 -I FPPR7 Fireplace Prefab 1 0 0 ---___ 2 DKWR2 Deck Wooden 1 a 0 ;0 172.00 T !$568.00T- 3 ;SPAl23 ` ' Spa 1 0 lo j 12.00 -- ------,$15,120.00 Land&Legal Land Le al LN __pt _ _ Depth _ - __ - --. 9.Legal Description-- .. Code I Use Descn tion Zoning ,Front De- ,Category Land Units Land Value LN _,_-- 1 0100 LD 3-7 UNITS PER AC Fr T42.00 i 96.00 Common 1 42.00 $226,800.00 1 " 15-82 09=25 29E.092 2 I OCEAN GROVE UNIT NO 1 S/D PT LOT 3 PT LOTS 7,8 RECD O/R 9239-2244 4 !BLK 6 Buildings ... Code - _F Building 1 -------- Building 1 Site Address Element Code Detail 1650 BEACH AVE F- F Wall 14 14 Wood Shingle Atlantic Beach FL 32233 Roofing Structure 3 3 Gable or Hi Building Type �T19 TOWNHOUSE SOH Roofing Cover 3 f 3 Asph/Comp Shingle eas:rua '-- ""—"- Interior Wall 15 5 Drywall Year BuiR --. - ---- - - --- ()5 Int Flooring 14 -- 14 Carpet^ - e ;Gross Area+ Heated Area -Int oring 15 15 Quarry/Hard Tile TYP._-__ _ ---- ---.-_-_,-------- - --- -- _ -- _. I _.�..-- FbR Base Area ! 1030 ' 1030 Heating Fuel 1 4 4 Electric `- ---'-- -- Finished upper story 1 1030 ! 1030 - _ Heating Type —J 4 Forced-Ducted I 4 - Finished Encl Porch- 90 0 Air Conditioning 3 j 3 Central - -� -- - Finished Garage l 48 0 Element Code Finished Open Porch48 10 http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1695730020 2/26/2010 Property Appraiser-Property Details Page 2 of 2 Stories 2.000 12009 Notice of Proposed Finished Garage 204 o 4 _ -- _ 1 Propedy Taxes(Truth in _ Base Area 12 12 Bedrooms 3.000 Miiiage Notice) Finished Open Porch 12 0 Baths 2.500 - 83 0 Rooms/Units 1.000 Deck Finished Open Porch 8 0 Finished Open Porch 12 0 ------ Total 2577 2072 Taxing District Assessed Value Exemptions— Taxable Value -Last Year Proposed Rolled=back Gen Govt USD2,2A,26,3,4 $285,891.00 $50500.00 $235,391.00 $1,221.00 $1,282.41 • $1,282.41 _. - - -- -- Public Schools:By State Law $285,891 00 $25,500 00 $260,391.00 $1 329.66 $1,323 83 _^$1 433.17 —. .. - — _ �' $68660 By Local Board ' $285,891-00 $25,500-00 $260,391.00 $637 00 $650.46 I _ FL Inland Navigation Dist $285,891.00 $50,500-00 $235,391.00 $8.11 $8.12 $8.83 Atlantic Bch _ $285,89100 $50,500 00..__.__ -$--23--5-,3-91.00 ---- 391 00 $704.71^ x$742.73 :$74 - -- _ ---- . - -- Water Mgmt Dist.SJRWMD $285,891.00 $50,500.00 $235,391.00 $97.76 $9788 i$110.59 School Board Voted j$285,89100 $25,500.00 $260,391.00 - _ $0 00— $0.00 $0.00 School - — — -- Urban Service Dista I$285,891.00 $50,500.00 $235,391.00 i$0.00 $0.00 _ $0.00 --- ---- - --i -- General Gov Ve $50,500.00 d +$285,891 00 j $235,391.00 $0.00 $0.00 ot -�"- Totals $3,998.24 $4,105.43 $4,264.33 Just Value I Assessed Value —— EI xemptions Taxable Value Last Year I$467,670.00_ — ^ 285,606.00 - - -- 1$50,500.00 $235,106.00 - — - -- -- Current Year $459,990.00 j$285,891.00 $50,500.00 J $235,391.00 Property Record Card(PRC) The Property Appraiser Office provides available historical record cards(PRC).The Property Appraiser's Office no longer uses PRCs;therefore,there will be no PRCs available from 2006 forward.You must set your browser's Page Set Up for printing to Landscape to print these cards. 2005 12004 12003 12002 122001 1 2000 ( 1999 11998 1 1997 11996 1 1995 More Information Parcel Tax Record I GIS Map I Mao this property on Google Maps http://apps.coj.net/pao propertySearchBasic/Detail.aspx?RE=1695730020 2/26/2010 City of Atlantic Beach APPLICATION NUMBER Building Department (ro be assigned by the Buildin Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date road: City web-site: httpJ/www.mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /450 Aha* �3Department review required Owfes 11No Building Applicant. ew • zwo*S Planning&Zoning • • Tree Administrator Project. �r'�� Public Works Public Utilities Public Safety r Fire Services Review fie�Y$ - . i�ep�-:Signature = _ � _ 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 Amry Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPUCATION STATUS Reviewing Department First Reviews Approved. Denied. (Circle t one.) Comments: n _ . W oY'a 4., C ,I tG A S far BUILDING Cit 5,11 v T OfN '3S 4e / C. Jrp k" PIA &ZONING Reviewed by: 'Ar Date: 41 TREE ADMIN. Second Review: QApproved as revised. QDenied_ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05f14109 City of Atlantic Beach 'w , APPLICATION NUMBER _ Building Department ; E.,` (To be assign by the Building epartment.) 800 Seminole Road 3 Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)2410 3 r ri-IDT E-mail: buUding-dept@coab.us �� Date routed: City web-site: httpJ/www.mab.us APPLICATION REVIEW ANIS TRACKING FORM Property Address: 14sb Arta, Department review required Y No Building ov- Applicant: �'v 4 • ' Planning&Zoning /� • Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services -,--- Other Agency Review or Permit required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Pmtection Florida Dept of Transportation St Johns River Water Management District Amry 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: BUILDING ter % PLANNING&ZONING Reviewed by Date: TREE ADMIN. Second Review: WApproved as revised. QD nied. PUBLIC WORKS Co en : �,` a lu A✓wto Q PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: 10 Date. I T FIRE SERVICES Third Review: DApproved as revised. QDenied. Comments: Reviewed by: Date: Revised 05/14109 CITY OF ATLANTIC BEACH 10 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 .. r WWW COAG US BUILDING PERMIT APPLICATION DUVAL COUNTY OBADDRESS� prYa.47. '� i ' „ a¢ cp ls�f4r, wE rkr�T9 2_VALUATINOFWORY5° xe..s,3'$Q ET_UNDERRODFI�"�^r., �sGi� .«l 4' GAL D.ESORIPTIQN '.r`rVYt7RIC�sx fa " 'n s k,b �ts;:.,USO,F.STRU6TURa`:' I ❑NEW BUILDING ❑DEMOLITION aRESIDENTIAL LOT 7-YBLOCK &SUB DIVISION CX-e-t0J �rc ` ADDITION ❑CONVERTING USE ❑COMMERCIAL DESC131PrION OF VubRK�s111. .CamP* ,r lAik u � a E�,ALTERATION ❑ACCESSORY BLDG, 81 F(R SQRINKLEFt �t ; ❑REPAIR ❑POOL/SPA ❑YESN/A /CA St �i" v �G)J ❑MOVE ❑OTHER BLU0 1 } 'E r PROPERTY OVH�IER' � a s s w ."GON�RACTOR���tl � M,ARCHITECT/,ERGMER Y9.NAME: 15.COMPANY NAM f 23.COMPANY NA Z//44)/f3 6 �!N 5 g E/2 G A 0, 16. AME: i 24.LICENSEE N flt�l LC 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF A UAENSE NO.: Q,� �c�S6 tJ rE e-ach/7P�' 1B.ADDRESS: 26.ADDRES . ,O J AWdnVic-6-h►jGL 399 'ext` pc��trjR� 11.OFFICE PHONE: 12 FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: NO.: 23 7-�Zz,Z z�c c)jC 3 /!N 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: .1-0 ¢- 99L/-9 /v 7 L-3 7 14.EMAIL ADDRESS: 22 S EMAIL ADDRES30.EMAIL ADDRESS a 4/ EE tNIPLETITLE.HOLDER"= ?" t +s""° oila -M RTGi4GE.LENDER s n.Es.TI . BONDING:C MPANY 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if 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. *>rr* 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 r YOUR NOTICE OF COMMENCEMENT LENWR OR A TTORNEY BEFORE RECORDING YO �- ME " G�E� p r° d CONTRAGTOIZ.` Y,'If, n. nc.: er.:,t2010 e: � Signed:Before me this y in the county of Before me this 2 day of / 2010 in the county of Duval,Sate of Florida,has personally appeared Duval,State of Florida,has personally appeared //t/aA G D Yis herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. .—�,//'�_ true and accurate. Notary Public at Large,State of / County of-s Notary Public at Large,State of I'`� County of �k� ❑Personally KnownL-7 va-y� rsonally Known rs o I A / I�Produced Iden' ra' n v a 11Produced Identification- Notary Signatu a Notary Signature: ttz r py-•.,, DEBORAH A.WHITE =0A MY COMMISSION#DD 634126 EBORAH A•WHITE EXPIRES:May 21,2011 MMISSION#D1Bldg Permit Applic ' Bonded Thru Notary Public Underwriters PIRES:May 21,2011ru Notary Public Unde,wr ters .9 CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD s� ATLANTIC BEACH,FL 32233 PHONE (904) 247-5800 March 3, 2010 Linda G. Ginsberg, B/E 1654 Beach Avenue Atlantic Beach, Florida 32233-5841 RE: 1650 Beach Avenue #3, RE: 169573-0020 Lot Pt Lots 7, 8 Block 6, Ocean Grove Unit No 1 Atlantic Beach, Florida Dear Ms. Ginsberg: As per your request,the property address for 1650 Beach Avenue C has been changed as follows: OLD ADDRESS NEW ADDRESS LOCATION ID# RE# 1650 Beach Avenue C 1654 Beach Avenue 5898 169573-0020 It is your responsibility to paint the correct address on your meter can in black enamel and install four inch(4") address numbers on the front of your house in a contrasting color. Should you have any questions,please feel free to contact our office (904) 247-5826. Sincerely, Michael Griffin, CBO, CFM Building Official Cc: Duval County Property Appraiser, US Postal Service, 911 Coordinator, Public Works, Public Utilities, Police Dept, Finance Public Works Plan Review Comments Initials: �— Date: 3/2/10 Project Name/Address: 1650 Beach Ave. #3 Application Permit#: 10-219 Check Bog to Add Application Tracking Comments Comment Provide existing and proposed impervious surface calculations, including all paving, decks, etc. 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 X_ un aved ri ht-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 er 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 use A Revocable Encroachment Permit must be obtained. Pconcrete 1point(if used)must discharge into vegetated area 10' minimum from ❑ aina a feature (swale, structure or lagoon). driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from ❑ the pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW (Commercial driveways–6"thick)- Any hick).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. **Construction parking cannot block Beach Avenue at any time. 51TEPLAN NOTES: •EXISTING TWO STORY FRAME z EXISTING WOOD DECK f Lu n y_ n O a O v J I� U O U ih EXISTINCs B IC tR, E 'r 1 41 . NEW EX15TING LOT SQ. FT. 4,004 LOT SQ. FT. 4,004 ACREAGE 0e ACREAGE -01B NEW COVERED AREA 1400 EXISTING COVERED AREA 1400 °ro OF COVERED AREA .35 90 OF COVERED AREA .35 SCALE OCEAN 1" =20'-O" CxROVE UNIT I . H 0 P SO (� DATE DRAWN BY BLOCK 6 RESIDENTIAL DESIGN 'S INC. ��zz�,m �JT LOT -> a PLAN NO. TD�o9�o Duval GO., FL. PLAT BOOK 15 PG. 82 51TEPLAN NOTES: •EXISTINCs TW STORY FRAME 41 . 40 '.s ... EXISTING: WOOD DECK .; 3 U 0 U 0 cn EXISTING ,p CR t � � ,B IC RI vE l NNw 41x85 _ . G---+4-;4V- ENU NEW EXISTING LOT 50. FT, 4,004 LOT 50. FT. 4,004 ACREAGE .013 ACREAGE Og NEW COVERED AREA 1400 EXISTING COVERED AREA 1400 io OF COVERED AREA .35 io OF COVERED AREA 35 Qs SCALE OCEAN 1" =20'-0" GROVE UNIT 1 THOMPSON DATE DRAWN BY BLOCK 6 RESIDENTIAL DESIGN 'S 122"� T LOT ->' 4 a PLAN N0. rD�9� Duval CO., FL. PLAT BOOK 15 PG. 82 FF 41 . 40 TWO$TORY FRAME tat EXISTING WOOD DECK C) �r V- o tu U 8 in EXISTING CONCRETE cv BRICK DRIVEWAY 41 . 85 , 1(o5-4 f5E,4C�4 4VFENUE NEW EX15TING LOT SQ. 1=T. 4,004 LOT 50. FT. 4,004 ACREAGE 09 ACREAGE •01B NEW COVERED AREA 1135 EXISTING; COVERED AREA 1135 'ro 01= COVERED AREA .43 ro 01= COVERED AREA .43 SCALE OCEAN CzROVE UNIT 1 (\ I DATE DRAWN BY SLOGK (o T H 0 M N 1/22/10 GJT LOT -1 4 s RESIDENTIAL DESIGNS INC. PLAN N0. Duval CO., FL. TD�o9b PLAT BOOK —LEI-PG. 82 City of Atlantic Beach APPLICATION'NUMBER Building ©apartment (To be assign th.2 Building Department) 800 Seminole Road o � Atlantic Beach,Florida 32233-5445 AW" /id z� Phone(904)247-5826 - Fax(904)247-5845 - 0"Ir E-mail: buffding-deptQcoab.us Date routed: 0 City web dw. hftp-/hvww.mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /40raDepartment review required Yes No C Building Applicant: xW #*- Planning&Zoning Tree Administrator Project: e���,o� Public Works Public Utiliffes 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: Approved. ❑Denied. (Circle one.) Comments: f BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: QApproved as revised. QDenied. PUBLIC ORK Comments: PUBLI U PUB �� Reviewed by. Date: FIR ERVI S Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 65114f€t9 CITY OF ATLANTIC BEACH 10- rias- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5626•FAX NO.:(904)247-5845 V*WV COAG US BUILDING PERMIT APPLICATION DUVAL COUNTY OBPD EBS. =" mr E n x s t a W fi� 2 VALt1T10NOFWfRI �rmaY tk ,3'SQ'E7-UN9Ef2RODFc1 CCR� Fxx'i r �J 17,� ltiaa .xy ..rte t ` �M Ta GLPS.S.. ,oVVL�R " r Axl ks '3 .'L5EOF.S.TI2UCTURE� `41JFSCRIPJI0009NA01 ❑NEW BUILDING ❑DEMOLITION aRESIDENTIAL LOT BLOCK (Q SUBDIVISION CY--e—O"-J �rc/ ADDITION ❑CONVERTING USE ❑COMMERCIAL c7�ESCWf?, IQN OF;WORK, -" e-"'',� M.MMI%4'4�NMM90q�N�ff �d`r),iI�ALTERATION El ACCESSORY BLDG. 171 REPAIR ❑POOL/SPA B❑YES SRtNK:CE(N2/A R� ❑MOVE ❑OTHE ®d0 ° PROP,.,]=�7Y OWNER V ac 3,�,'�." ac, rx, ��w TRA P,,,0K�;?,,fit kl�� ��'r�,SRC}tITECT.I ENG..INEER.�Wa airy CON 9.NAME: 15.COMPANY NAM � n, ��S 23.COMPANY NA ,4//N/J/9 G. G!N5BE/cG 'DA, . 16. ME: i 24.LICENSEE N ea N 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF A LI ENSE NO.: 167 S ,6 6&ch/fie 1B.ADDRESS: 26.ADDRES . ,O / A�1�n�i�G��► ,�` 3aa3s I�ot p�.�, /J ey U i 4x G!n Wil, �2.LSo 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: NO.: Z,3 7.2,7 Z. 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: .70 ¢- 9 g/'C/ /a 7 L-3 7 zZz,z� 14.EMAIL ADDRESS: 22 EMAIL ADDRESS Cn 30.EMAIL ADDRESS � ins? 6��/S n� ��•=.�A s�a.a� y �.�8w J EE IM2LE TI LE HOLDER" t4'l a B NDIN�COMP4 MORTG GENDER MIN ;.,.,�....� ;owNER) 6 �'" i Y. . _ .. . . n Uzi... ". 31.NAME: 33.NAME: 35.NAME 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 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 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. r 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 LENAER OR A TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT NE "RET 09P T T �l v� wane Quahfier:Onl '. II en a-. er tfo,.e.oLforallL ttef,Requ/re./: I. . Ci X _ Date: Signed: Dater Before�thisy 2010 in the county of Before me this 2 day of ;!'7e_ / 2010 in the county of Duval,Sate of Florida,has personally appeared Duval,State of Florida,has personally appeared ZltlaA G G.�--� -nG- 0�;s herin by himself/herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accurate. ' Q true and accurate. rte,'/ Notary Public at Large,State of 7-,County of� �� Notary Public at Large,State of f 14_ ,County of ❑Personally Known ry Known ` TProduced Idenar4Zy_ sz�� El Identification- /l o—s 0 q A Notary Notary Signature: r0rssas Py•,, DEBORAH A.WHITE DEBORAH A WHITE MY COMMISSION#DO 634126 •� _., =•: Y MY COMMISSION#DD 634126 EXPIRES:May 21,2011 ''�. 4= EXPIRES:May 21,2011 Bldg Per-nitApplic P' ti. rRr Bonded Thru Notary Pu Underwritersy'I°f4Q' Bonded Thru Notary Publ c Underwriters 9 t. Nv A 6'r- OAK ♦ < CITY OF ATLANTIC BEACH ..f a s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 10-00000219 Date 3/17/10 Property Address . . . . . . 1654 BEACH AVE Tenant nbr, name . . . . . . X REF 1654 Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 125000 ----------------------------------------------------------------- Application desc ADDITION ------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- D.L. DAVIS CONSTRUCTION CO. 1301 PENMAN ROAD STE D JAX BEACH FL 32250 (904) 237-2222 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . 555 . 00 Plan Check Fee 277 . 50 Issue Date . . . . Valuation . . . . 125000 Expiration Date . . 9/13/10 ------------------------------------------------------------------------ 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. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Avoid damage to underground water/sewer utilities . Verify vertical and horizontal locatino of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Existing sewer main and sewer service located on west side of property. Roll off container company must be on City approved list PERMIT IS OV'1L�D"(i&� W KC (S?rkT';khlk IVE414foR"A&9W AND THE FLORIDA BUILDING CODES. Iz� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 10-00000219 Date 3/17/10 ----------------------------------------------------------------- Special Notes and Comments Construction parking cannot block Beach Avenue at any time. No parking on pavement on Beach Ave. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. --------------------------------------------------------------------- Other Fees . . . . . . . . . BD PLAN REV. 2ND SUBMITAL 50 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 555 . 00 555 . 00 . 00 . 00 Plan Check Total 277 . 50 277 . 50 . 00 . 00 Other Fee Total 50 . 00 50 . 00 . 00 . 00 Grand Total 882 . 50 882 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. +CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033648 Date 8/07/06 Property Address . . . . . . 1650 BEACH AVE UNIT 01 Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ELMORE OCEAN STATE HEAT & AIR 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 -------------------------- -------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/03/07 -------------------------------------------------- -------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WTI'H ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES 1 ADDRESS A) 5 BUILDING PERMIT NUMBER INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB G FRAMING / — IZI COVER—UP — r -9 INSULATION _c7 FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # 15— a 3 INSPECTIONS ROUGH ' FINAL '�!ECEANTCAL PERMIT P LUMQ T N, PERMIT # NOTES F6 . f; 'fi y t t CITY OF ATLANTIC BEACH J 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027114 Date 10/21/03 Property Address . . . . . . 1650 BEACH AVE UNIT 01 Tenant nbr, name . . . REPLACE WATER HFATER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- ------ - - - - ------ - - - -- - - - - - - - - - ---- - - ----- ----- ELMORE, KELLY DAVID GRAY PLUMBING INC. 2730 FOREST MILL LANE 8850 CORPORATE SQUARE CT. JACKSONVILLE FL 32257 JACKSONVILLE FL 32216 (904) 246-6219 (904) 744-7255 -- ----------- ---- -- --- -- - ----- ------- ---- -- ----- ---- - - - - -- - --- ---- -- ---- ---- Permit . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----- --- --------- -- ------- - --- - -- - -- - - - - ------ - -- --- - ---- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL � (•S r�`f fin Jam' -._� =::.`•� CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date:----�!�� �----- Job Address: Owner of Property: &Azl- Plumbing Contractor: DAVID GRAY PLUMBING, INC . Contractor's Address:__ —F-L_32216 Telephone: 724 7211 Fax: 723 5668 State License Number: CFCO22586 Edo%% many o f the fo(lo wimg fixtures (.w4 ): Sinks Showers \Fater Lavatot­% Heaters _ _ Hose Bib Bathtubs Dishwashers Se��er Disposals Closets Washing Machine Shower Pans Floor Drains (List fixtures being re-piped) total 1'Ixtures: STOO (lt) Pcrtt)it i-c� Signature ��fC ��ntract��r avid F . Gray III�Iallat1U11 t�f hltl[1)hlni' and (I\1Ur S n1US1 1)C In aCCU[danCC with the Most rC,:CW cdi!MP' 01 tl)c SOUthCr[l St.indard Plunnhin�, Codc Gall a day ahead to scl)cduk. inspcc,tions: (904) ?47-5820 Sot) Seminole Road • mlantic Beach, Florida 32233-�;44-� Phone: (904) 247-SS00 • fax: (904) 247-SS45 • httt�:1/w���c.ci.atlantic-hcail�.11.u> CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24582 Address: 1650 BEACH AVENUE Permit Type: RIGHT-OF-WAY/DRIVEWAY *** ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: 15 Proposed Use: Lot(s):7 &8 Block: 6 Section: Square Feet: Subdivision: OCEAN GROVE UNIT 1 Est. Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION Date Issued: 8/02/2002 Name: ELMORE,.KELLY Total Fees: 50.00 Address: 1650 BEACH AVENUE Amount Paid: 50.00 ATLANTIC BEACH, FL 32233 . Date Paid: 8/01/2002 Phone: (904)246-6219 Work Desc: CHANGE OUT DRIVEWAY, PERMIT FEE DBLD, AFTER THE FACT PERMIT CONTRACTOR(S)__ PPL[CATION FEES: . PROPERTY OWNER 50.00 1 .: PP4 amu' . ' a .&.4en a fx tr ' §f ;yi`n•F" ' t NOTIC N BUILDING MATERIA. . :` PACE, AND I MUST BE CLEARED' y x. "FAILURE TO COM �'. HE PROPERTY:OWNER P ISSUED ACCORDING TO.APPR EJECT TO REVOCATION .FOR VIOLATION OF APPLICABLE ***ANY REMOVAL, DAMAGE OR MAINTENANCE OF BRICKS WILL BE AT OWNERS EXPENSE. BRICKS MAY BE REMOVED BY CITY FOR PARKING OR ,ROADWAY. CONSTRUCTION. AREA REMAINS PUBLIC RIGHT=OF-WAY. G� ATLANTIC BEACH 6UILDIN • r4 W,I I d 10 1 94C- J,FAN lei • • • w • • • • • • w • • of • • - • a OR I -coNTRACT R(S) - .�- ,H•.. �i."'iK � 4 ikr �,,���Y "@'"fir �,�. - .,.c �'3.n �. n • P• � f ,3 t! :vim.,. P 3, r �"�' r �•i..�t w"�•°• 7'e .<y�3 r�u^,�,?f " '"'��+ �,� ,��, _ s TV •'*. _ _ r,�_ 't ".yG. ,mow �-`A: b y, y r. z !zx- k- ��` y`�x,,�'���^n'"' l��• '�r''cy.m a?4g���.�rc "..�j'°'N s � � � � .«�. � • ; "-c� --'s '. -CY n •_tti/nsud��.tira�• tiv1. B a,-r,-„�'avk4� ,, '.......... {'�'���"�'”` ax` •�...°"�.` ��sG��p,��`r,✓`3y� �"�'^�4� t..yt"�"3F '�'F�S!�fhz�'f•y'�'�*c" �^•,a"_- . - ; °-� � ra-s„'yz llE` ^`.;�Se�.•�'''� � s'� -Ca I"` .�.,.'4 -`✓"sro al M, Unite tea,_ .. w�•L�r•k-t�€s'-+.�-� �� --��-w- rte;r.n �:` "�54�'w� *•n'",� _ � • � ��'.,Y� �r'k. a 3�g`� �T��j lI E 7. �°� ,i '�r� w S � � dd : }t r a x..c: • . 1 11 -7 n Ai a _ - SE�- .e,W��.* ��yy qqua`. .�C. ,�„'Y y+ �' ..+AU -s' � �t�q� ai ti sw.:;' ,�1.r e^ � .y, .�..�.•., hr� V��,�,�..�•,'�, r ,.�5 �it."+:a''�'".s�a'�'`j'` � n""y,�.�m� T'`aa�,�."dSis..`"xati „` .aka § � r5.5. 6` 'xF,vr _, a"'.,*' r gem- " xa i ,M1� ,, wg- 5 � M1k Y,rr 1 s • � d k&"R` d 2 # ��,,,,��'iiyy"�� ..y�� Q�I7, �:. t s ,t ��. �..,�.F "'Y.Jk•`" z u.�'�'�.�� • '�-- �:tF ..t y��,✓,� �� ti�f��n �� .l}. S.-n � J.a�itu;� rF�a��az�,..� d y ZIV • • ` i VU UTILITY SERVICE A'G'REEMENT INFORMATION SHEET Date Executed �` 3- ------------------------------------- � -:.�s C---eL Z V .e ��G z L G �a% �C-6`zt. Developer/User ---- ------ - ---------- -----------f----------- ---_ ------------------------------------------- ------------------------------------------------ ------------------------------------------------ Development Name ------------------------------------------------ ------------------------------------------------ ------------------------------------------------ Type Development ^ ------------ ------------------------------------------------ ------------------------------------------------ Location of Development sl' �__ ------ G'- ��K-f-I -- 3 --------- ------------------------------------------------ -------------------------------------------------------------------------- FEES AGREEMENT AMOUNT PAID DATE PAID RECE r Inspection $ $ k6 # Water Impact $ $ 5 . o o Sewer Impact Water Meters $ $ 5 .�v 1 d / i 7/ # Miscellaneous $ $ / / # TOTAL $---------- ------ --------------------------------------------------------------------------- Notes: Hydrolic Share: Not Applicable----- Payment Due-----/ Refund Owed-----: EXISITING LANAI PORCH WITH WOOD RELOCATE EXISTING ANDER50N DOOR DECK, SCREEN WALLS (DEMOLISHED) AND GLASS PANEL FLUSH WITH EXTERIOR AND SHED ROOF (REMAINING) WALL. SEAL, PRIME AND PAINT INTERIOR SIDE SURFACE NEW ANDERSON DOUBLE WINDOW TO MATCH. SIDING TO BE *I BLUE LABEL FREPL ICE \ CEDAR SHAKE WITH STAINING OIL TO MATCH EXISTING SIDING LIVING ADDITION ROOM REMOVE EXTERIOR WALLS AND RELOCATE EXISTING WIRING TO LOCATIONS AS DIRECTED B7 OWNER 1 AND RU55 LINE IFLOOR EXTERIOR WALL ewe�P ROVED CIS ..0 ATIAVC BEACH DINING \. BUILDING OppiCEE ROOM JUN 15 199 O �55ATH OW LCL= RECEIVEu 1Ar7s=r11-fi KITCHEN ,JUN 15 1993 � DAU City of Atlantic Beach SLAIV — Building and Zoning °T l0°Ec T uv L-- —_ c °nu RANGE O OFTAEr�nooej BREAKFAST - �- ROOM AVENUE --- - _. rt'r� +kw C6� - uck ''l--- GARAGE FROi=OSE D AD D I T I ONS Piubv Zx to CIoS�i-�- -____ 10 Lo'• K4 VOiey - (o'- 16' Zx4 WW4, . vAA-L wig clot SIGafe-owv -%"co)e mv., (5(b-req • �+vlid r�a� ( wat! Zgr � �,�j(� 2x� _ 3/� Gal v• G�i u.�5 Gc{s -(6 0,� � 1 _ 2n I Kif AMS�Cv nv-}' loel-f- TVtiCA44 (e~ ur YvGVV' % P5 1 11 IAre + - ACr/ala4A BOO P51 6*nG 4- 4*e- I CITY AT! AINTIC G=Asee! - �. �.r.r�.v7.1'at 6ds9 K4r� ` f-%=:M w r-%-W-0 ar► - UF BULDING Ann CFNAInL c ROAD AT'—A R=TIn oc�wnee 3 -v.- _ ---- .r� �:.i moi: C i'.v—F ) � PERMIT iNFAR�11�'rllli►1 - _--�-- OCA T OSIC ii'sGi'vi���i!#4 i i�iii CPerinst Number- ?ncr� -- —. �� �- A IL- — ---- ....-. .acn s^7r,+^+e a w' ase - 7`air IGi !%-J JV 0CJ"°-or`, vE114IJE 41 f I Permit Tvnp• FFNr..F AT: w 1sTs^ ^• ° r• M.i1:.Y I Cl ass of Work: NEW T.Y -5-L_. Range: L:ofJI(: 5 I Pmoosed Use: -SING E MGi,,:: 0 3ectionz j i ) SqFu�a+re�t�-��_.Ya�.,•x utCfvisloi: OCEAN GVL,fF )NI PBFC$6 1 i itii3iii�CF: i ...4.... z. Cost2,VVV.V_' OWNER INFORMATION . !+ [,)atz :Issueu•. {-- _—_ iVai°ne: i=LPv1t3RE, KELLY � l TVLaI Feei:: 1-u.0u i Ad-dress: 1650 BEACH AVENUE w�._.--a�_• - r MI—la utit raid: tU.iv j ATLANTIC BEACH, FL 31233 Daie Paid: t0Et,uUi.____ Phone: (9t34)24n-6 19 +i ork De ERECT 4-FOOT AND U+00-1- FENCE - SEE NOTES ON APPROVED PLANS -_— CONTGTOR(S i— APPLICATION SEE i i PROPERTY OWNER PERMIT i 4 � f ) I � I I 1 j I I ! I � I ! siiiections Dred _ I Fitiot Ri iii ninir.:-- - --- -�_�-- ---- i j I I I I I I i lsv=" :e+r+s7Pns�-:!>+r4oi:�slaVsJn IaNsl: omT BE REQUESTED E utSTE u— t 14 HOURS PRIOR TO INSPECTION i AS Rtyiti niNf_A.1 TERIAL 00 19—B1SH r.�sn DE Ffm a-e-: ..,.......,,a a>t ersa? A%J1v. .n.` vi,�rc�:.:%BUST ;VL BE 'tJif:Fli iIV i=v�r3LiC SPAC E,AIvG j I MUST RF Ca FAPFn ii iP ANn WA..tscn AIArnv pV C/Te src, .-�_zY r. .: u: �::n�r�L'—,V::SAC T OR OR OWNER i r-^IL1vs%= Toa) COAMOr-L Wi i H THE CONSTRUCTION ION LIEN LAW CAN RESULT IN THE PROPERTY i_. %JWt`+Itt R ■ AYING TVI ICI_ FOR BUILDING IMPROVEMENTS" ; I i l �SSuF:�>�Ct;c�RU:�U C APPROVED PLANS WHICH ARE PART OF THIS PERMIT AplC3 Sl tR.t�C`T T!1 RG��Oc a ciYai ri3K iiIYi.!fti iUfV .)r- APPLICABLE PROVISIONS OF LAW. ) I � i i i i Operator: SHAWHA --- -t` /`�- �'._ 1^�^'� �- Date: 9/27/68 81 Receipt: 689217 ATINNTIC BEACH P1711 ClNlG �T Total Payment t18° �8 APPLICATION FOR FENCE PERMIT Owners Named Phone J*hAd&es& �P� Lot 7J" * -Block and/or Unit # Subdivision lalep Contractor if.different-fram, owiter 0U*UW' Valuation of fe=e-$- ?50f)-O Corner or interior-Lat 60roe� Type of Construction V, M*%Igunq Show location and height of fence as well as location of street(s). C� Owner Signature Date Contractor Signature Date, MAP SHOWING SURVEY OF A PART OF LOM 7 AND 8, WXICK 6, OCEAFI GINE UNIT ND. 1 AS Ru00RDFA IN PLAT DOCK 15 PAGE 82 OF TIM CUP Wr PUSLEC REODRDB OF DWAL COWIN, FLORIDA. (SPF AVACHED LWGAL DESCRIPTION) �..'uJ tor s 6•tlr�tIrvCAsfa1ENra6 PCAr °. ) oto c 1� r t , cor 9 .8 11•/3'02"E• 98.33' 1 POOR Ise 2 STORY v s• RRAMC • :�; ss' No.1630-I Q a ss S 84'58'02'W. /00.00' N Rr OF BEAR/N0S ARt 8ASE0 ON JELVA MARIV4 UN/rs, P,lA34, Pat.Si,51 A.V8. NO B.R.L.AS PER .PLA r. rNl$ /$A VO&WDARY' JVRVf V. 6o'R/w O/Rr Raw DEWCE's AVENUE I HF1iFl3Y CERPIFY 1HAT 'DA: PRO6'F,RTY 51134, flrAU ON LIES :N F100D YANK "C' AS SlUgN ON llal VIAOD HAZARD 13OUNDARY MAP FOR JACKWINVILIA, FLORIDA. I HEREBY CERTIFY TO MARK 4 MARY.LEE COUGHLIN AND 'PROFESSIONAL LAND TI7LE INSURANCE TAT I HAVE SURVLYED THE LAND AS SHOWN IN IIS A90V$ CAPTION-AND'U AT THIS MAF' IS A TRUE AND CORK= RWRESFNYATION OP THAT SURVEY AND MIAT THE SURVEY REPRESEWM HF.=1 MFT 11W- MINVIN 1W&lCAI, STANWIRW OF THE FT,ORIDA ADMINISTMTIVE CODE CHAFFER �1-121,6 AND THE b'LORIDAAAND T1'1`LR ASSOCIATION. THIS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL RECHECK: EL EC :AV 26,519 OF SURVEYOR SIGNED HEREON DONNW.BCATWRIGH , L•.S. /r/A/AG SuwvGr� FLORIDA;REO.LAND SURVEYOR No.8206 GL^7'OB�R.5Q/986 SCALE: /•:ao; 'BOATWRIGHT`LAND''SURVEYARS.INC. , DRAWN BY:-74r, 1301 PENMAN ROAD SUITE O 8HEET.A—OF F.B.♦: ���� JACKSONVILLE BEACH;FLORIDA 2418660 {zr�. YRoP�C'Y 1,tN� Io"44MCWV V; GAP $" GMV t/�cLL •� f #' t�. � �2i Zq• O.G• PILI-ev G*w w/MaCrA-M �L. GOPtN`► aw. • • l% Nb 4f. .. , • moo !°5l SONG, PT6. � el•. ,, 'ee N �t C-7F6`C'1 c2 MA60NJZ.Y � WALL • rr 9 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247-5877 ELECTRICAL PERMIT ERIIIIIT INFORMATION, LOCATION INFORMATION Permit Number: 21016 Address: 1650 BEACH AVENUE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: POOL Township: Range: Book: 15 Proposed Use: POOL/SPA Lot(s):7 &8 Block: 6 Section: Square Feet: Subdivision: OCEAN GROVE UNIT 1 Est.Value: Parcel Number: Improv. Cost: OWNER INFTION Date Issued: 11/20/2000 Name: ELMORE, KELLY Total Fees: 35.00 Address: 1650 BEACH AVENUE Amount Paid: 35.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/20/20W Phone: (904)246-6219 Work Desc: WIRE FOR SWIMMING POOL _App""V1011-FEEg DAVID PRUETTE'S ELECTRI AL SERV. PERMIT 35.00 FINAL ELECTRIC GROUNDING POOL NOTICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. A1C BEACH B Mtt= it/am tt �t35.N 14 WING T. R�cei � Nt392/ CITY OF ATLANTIC BEACH, FLORIDA Avva•a by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM. SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. � VtiTf i�I Les �. ELECTRICAL FIRM: MASTER E CTRICIAN SIGNATURE nn JOURNEYMAN NAME I M OTB ADDRESS: lk 5D L . RFD BOX BLDG.SIZE BETWEEN: RES.(1,K APT.( ) comm.( ) PUBLIC( I INDUS.( ) NEW( I OLD( 1 REW.( ) ADDITION 1 I TRAILER( 1 TEMP.( ) SIGNS ( I SO.FT. SERVICE: NEW( ) INCREASE( I REPAIR ( 1 FEE CONDUCTOR SIZE Z AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH 3 W Z`°VOLT 'W L- RACEWAY EXIST.SERV.SIZE ) AMPS PH 3 W Z 4Z)VOLT S£O RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS ii CONCEALED OPEN TOTAL RECEPTACLES I CONCEALED OPEN TOTAL 0.90 AMPS. �t•100 AMPS. SWITCHES I INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES I I BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 AVER MOTORS H.P. VOLTAGE PHS NO. i H.P. VOLTAGE PHS Z yo MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER' EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 N-gg Permit Number: 20908 Address: 1650 BEACH AVENUE Permit Type: SWIMMINQ POOL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 15 Proposed Use: POOL/SPA Lot(s):7 & 8 Block: 6 Section: Square Feet: Subdivision- OCEAN GROVE UNIT 1 Est. Value: Parcel Number: Improv. Cost: 15,000.00 W N M t N- No Date Issued: 11/03/2000 Name: ELMORE, KELLY Total Fees: 255.00 Address: 1650 BEACH AVENUE Amount Paid: 255.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/07/2000 Phone: (904)246-6219 Work Desc: SWIMMING POOL FEE DOUBLED WORK COMMENCED PRIOR T ERMITTINQ ik PROPERTY OWNER PERMIT 255.00 COVER UP FINAL BUILDING STEEL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $255.8014 Date: 11/09/00 01 Receipt: 00655.'32 L CHECKS 24.`,7 ATLANTIC BEACH I§UILDIN(J-DEPT. 00100003221000 RECEIVF 2, �ao� CITY OF ATLANTIC BEACIi City of gtlantic APPLICATION FOR POOL PERMIT puilding and Job Address I to saaCl 1/e Lot # 4 e7Block ,� Subdivision OceAo e4wy Owner k1dill I ac E ,t L Address Befit( 4✓e Contractor John barkSw Pk/6 b4 Jo An - a,-kSU✓1 Address 13917 � adk 9/vol hV?111 FG 3aaay /!T License dumber CPC OOQ59� valuation $ 1 %001? Gallons SITE PLAN front E, 1650•{ �, ae_ rear Signature Owner ° Date Signature Contract Date / y ` �-7 �� RECEIVEDCITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT NOV 2 2060 City of Atlantic Beach Job Address 1 to 60 aaad], Ove . Building and Zoning Lot # Qj Block # Subdivision OCewo A,6y W4 1 Owner Address l650 &072 Q'✓e Contractor John filar }P60/6 b_V Joh,+_? (9,atksoa Address �?�9q"1- �/�' Q�(!ftiIg/val. y ' �SC1Y1Vi��tFG 3,90794 License Number Valuation $ �t'J1(J0fl Gallons t i SITE PLAN front �, 165 •1 �, . foo rear Signature Owner Date OV Signature Contract MAP SNOWING SURVEY OF A PARI' OF LOM 1 AND 8, DLGCK 6, OCEAN G= UNIT NO. l AS RI700itDF.0 IN PLAT GOOK 15 PAGE 82 OF THE CUKRBNP PU86EC RFXMW OF DWAI, COUNTY, FLORIDA. (SF:F ATTACHED LEGAL DF aCRIPTION) xEC v�H, 2 U 2000 J City of Atlantic Be h Bkiwing and Zoni g Lor a 't •w` a'1lrI4/TV fASENENT B6 PLAt la , ja • �i c W { tl Q LorZ•'°"��E` �N.9 �•J3'02"E,1 h. • N � ��/ � 2 StORY• aY • .•,.e�or� � 3 FRAME as v �► a zt • ; r RESIDENCE g a.s° Na/6S0•I � . � Q O N rottOte" O 1 w .N , ai°� fs01 � f?OJ y Ina tie•cR� `.'.rim! S.B4•5B'02"W, 100.00' ox �, ry�r1 / /�"� iNr o, BEARINGS ARE BASED ON SELVA (MARINA utur s, P,Ad4. Pot.Si,5/A.$18. NO B.R.L.AS P.ER .PLAr. rN1$ /$A BOUNDARY SURVEY. 60'R/w OJRf *440 DEWE'ES AVENUE I HF°RQ'bY CERTIFY THAT 'nit; P"E"I 51130 IYYAiBON LIES .N FU= &ONE "C' AS S1iom ON WR F7000 WARD HOUNDARY K4P FOR JACKSOAVILIA, FLORIL)A- I HEREBY CERTIFY TO MARK & MARY.LEE CMXVIIN AND .'PROFESSIONAL LAND TILE INSURANCE TAT I HAVE SURVEYED IM LANDS AS SON IN 'PHE ADM CAPTION AND THAT THIS MAP IS A TRUE AND COW= WRESENYATION OF THAT SURVEY AND THAT THE SURVEY REPRESMNMED HEREON WXI'S 111F MINI" 9WINICN, STANM W OF THE kLORIDA AAMINISTRATIVE CODE CRAMR.;Y-4*" AND M k'IARIDIA'LAND T1w. ASSOCIATICN. I - THIS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL REV sE0 RAVa ECHEMV: 26. 1090 OF SURVEYOR SIGNED HEREON DONN W.BOATWRIGhT, L.S. ;F. pR10A REG.LAND SURVEYOR No.9206 8CALE:!?a;.. BOATWRIGHT LAND SURVEX,06$+MRC. DRAWN BY'° ��.. 1301 PENMAN ROAWSUITE­D� SHEET-1—Of F.B.•: .—� JACKSONVILLE BEACH:FLORIDA` 241-8660 s CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS DATE 1-7 4 z © PERMIT NO. g a4i!Stl�0 BY THE CITY 1 7 JOB ADDRESS (4 J D ' giee� UAT1ON $ 1, PERMITTEE PERMITTEE ADDRESS L I RzeVk4% 4UlrjA&okG, TELEPHONE NO. %(p•jtaZit REQUESTING PERMISSIO FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT t mow, LOCATIONS: (REFERENCE TO CROSS-STREET) ' I 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: JACKSONVII I F ELECTRIC AUTHORITY YES ( ) NO 0`1 DATE: BELL SOUTH TELEPHONE COMPANY YES ( ) NO ( VS DATE: FERRELL GAS YES ( ) NO ( %A DATE: MEDIA ONE CABLE TV YES ( ) NO ( Vf DATE: Z. 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 DEPARTMENT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF OWV% I (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT "^A#_ 4CjL6L&1S TELEPHONE NO. 741o'�701 4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBUC 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 OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT, 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN ` DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN_ 3 0 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 PUBUC 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. J. THE DIRECTOR OF PUBUC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK AND AGAIN IMMEDIATELY UPON COMPLETION. SUBMITTED BY: 12. rV - (PLACE CORPORATE SEAL IF APPLICABLE) SWORN TO AND SUBSCRIBED BEFORE ME TI-11 S41 C- �.) NOTARY PUBLIC =*: A MYCOMMIMN# CC947012 EXPIRES August 27,2004 Q ��/ R BONDED 1NRU TROY FAIN INSURANCE,INC. DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE J� r�. ATLANTIC BEACH,FLORIDA 32233-4318 1S1 TELEPHONE:(904)247-5834 ;^' J FAX:(904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us May 22, 2002 Comments on Permit Application dated May 17, 2002 for 1650-1 Beach Avenue, Kelly and Lee Elmore, submitted by Public Works Dept. 1. Driveway has already been constructed prior to application for permit. 2. Any removal, damage or maintenance of bricks will be at owner's expense. Bricks may be removed by City for parking or roadway construction. 3. Area remains public right-of-way. JUN-12-97 04 :30 PM ACM SURVEYING INC 904 3541255 P. 03 MAP SHOWING BOUNDARY SURVEY OF A PART OF LOTS 7 & 8, BLOCK 6, OCEAN GROVE, UNIT NO. 1, AS RECORDED IN PLAT BOOK 15, PAGE 82, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF BEGINNING, COMMENCE AT THE SOUTHEAST CORNER OF SAID LOT 7; THENCE SOUTH 84 DEGREES 58 MINUTES 02 SECONDS WEST, ALONG THE NORTHERLY RIGHT OF WAY LINE OF DEWEES AVENUE (A 60 FOOT RIGHT OF WAY AS NOW ESTABLISHED), A DISTANCE OF 100 FEET; THENCE NORTH 05 DEGREES 01 MINUTES 58 SECONDS WEST, ALONG THE WEST LINE OF SAID LOT 8, A DISTANCE OF 42.1 FEET; THENCE NORTH 85 DEGREES 13 MINUTES 02 SECONDS EAST, A DISTANCE OF 98.55 FEET; THENCE SOUTH 07 DEGREES 01 MINUTES 58 SECONDS EAST, ALONG THE WESTERLY RIGHT OF WAY LINE OF BEACH AVENUE (A 30 FOOT RIGHT OF WAY AS NOW ESTABLISHED),- A DISTANCE OF 41.7 FEET TO THE POINT OF BEGINNING. CERTIFIED TO: KELLY R. & LEE S. ELMORE MARINE MIDLAND MORTGAGE CORPORATION STEWART TITLE OF JACKSONVILLE, INC. WATSON & OSBORNE, P.A. LOT 6 BLOCK 6 50.00' f� 46.00 i k,"'k r:7 IV I ' /ABANDONDED BY OFFIOAL RECORDS E5-e7-15 I/ As FUER aTY OF A1WJM KACN 5 LOT 8 LOT 7 BLOCK 6I BLOCK 6 LOT 9 BLOCK 6 I y N 8513'02" E 98.55' TOWNHOUSE SET 1/2-REBAR ml ACM LB 6702' W FOUND 1/2' PIPE b STAMPED 'Pl5 LB 5295' 0 1M000 WALX ;.�';' N W r e "s' TWO STORY 1z; `� 4 ol 2.N FRAME Woo wi2.0• TOWNHOUSE N r LLl P b POSTED M 1650 1 '� R t IS POSTED # 1650-1 170' � �•PADS � ONDIWONER F— X Qb to oa00000 V oa00000 oa00000 Q z w oa00000 FOUND f�I. �t+------ m STAMPED •PLS LO 3205•` MOO as 3�84*58'02" W 61iN/— 0.00' T 1/2'REBAR oa00000 . ,� e00000c � STAMPED ACM t8 6702' oa00000 (,.� F-- t8'----� DEWEES AVENUE 8" (80.0' RICHT OF WAY) of r __—O£ -&('-(QIrf- DG WrP �7v1� t..... ._ ._ .► _ S ��kI NOTES, I A Y: f--- t2' ---•.� LEGEND: JUN-12-97 04 :30 PM ACM SURVEYING INC 904 3541255 P. 03 MAP SHOWING BOUNDARY SURVEY OF A PART OF LOTS 7 & 8, BLOCK 6, OCEAN GROVE, UNIT NO. 1, AS RECORDED IN PLAT BOOK 15, PAGE 82, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF BEGINNING, COMMENCE AT THE SOUTHEAST CORNER OF SAID LOT 7; THENCE SOUTH 84 DEGREES 58 MINUTES 02 SECONDS WEST, ALONG THE NORTHERLY RIGHT OF WAY LINE OF DEWEES AVENUE (A 60 FOOT RIGHT OF WAY AS NOW ESTABLISHED), A DISTANCE OF 100 FEET; THENCE NORTH 05 DEGREES 01 MINUTES 58 SECONDS WEST, ALONG THE WEST LINE OF SAID LOT 8, A DISTANCE OF 42.1 FEET: THENCE NORTH 85 DEGREES 13 MINUTES 02 SECONDS EAST, A DISTANCE OF 98.55 FEET; THENCE SOUTH 07 DEGREES 01 MINUTES 58 SECONDS EAST, ALONG THE WESTERLY RIGHT OF WAY LINE OF BEACH AVENUE (A 30 FOOT RIGHT OF WAY AS NOW ESTABLISHED), A DISTANCE OF 41.7 FEET TO THE POINT OF BEGINNING. CERTIFIED TO: KELLY R. & LEE S. ELMORE MARINE MIDLAND MORTGAGE CORPORATION STEWART TITLE OF JACKSONVILLE, INC. WATSON do OSBORNE, P.A. LOT 6 BLOCK 6 — _ — .50.00' _ — � � — _ 46.00' - - Al i I I I i ADAMMOM!Y CMAL ROM 85-e7-0 AS►ER QTY OF ARMITIO KACH LOT 8 II LOT 7 BLOCK 6 II BLOCK 6 LOT 9 I I BLOCK 6 I N 85'13'02" E I) 98.55' TOWNHOUSE SET 1/ AR i STAMPED ACM Lo 670Y ; . cm FOUND 1/Y WOM PIPE ye ST/WPED 'P�f tM 329S' r E, W000 1MAUC ;V d N r ,0• i 11.5' Ito' TWO STORY 2d FRAME r • N°0D o. 'TOWNHOUSE :? POSTED # 1650 ° o 3 ` o.s POSTED # 1650-1 Z.1 a�rPADS x �+ = rui T�E`Y f! t W Ys d ..". • 6 Q AN �`�'� 16.1• i' Q 1[� b• 0000aoo ' U 0000000 0000000 Z oa by m .. o STAMPEpI�* s 18 3295' 0000000 G� W ,�,00' 6"h/ SET 1/2'REYAR 0'00000°0o I STAMPED Apt V 670Y IAS`-- 41 DEWEES AVENUE r!` � (60.0' RIGHT OF WAY) ` ,� Vrtfr bE +— 22' «--.—:p LEGEND: 660 P3R '_4 pEpApTMENI Of BUILDING CITY OF ATLANTIC BEACH 77 PERM , I1��"ORI�IATION ---- It, -- Fe CAT ! NFORMAT IOXA .�� jt� t mbar: if ' LAN' AC ' FLO tII�A 32233 P+ersnit Type:DECD LEGAL, DZScRIPtl0N - -,� -- 1 36 4 Nark:RRLMOLEL an t r: Type:WOOD 'RANI B I ock"6 Lat ;PT.1 2wp r 4 � o�P rsed fje w SINGLE TAI�ILY', sectio>�x,. C Sul R bwel 1 i s t3 ubdi v3 a cin tC.4 .0 ROUE �SI!I T . ESt Va1Ue; C1 .IJ CI T! tal Fees € ,4o i Arn+ It P d: ,.k 30''00 r Date Pe tai k S STO'Ry I�ECIC_ APPLIGATI iN FE`Okl Ox-o ON .. .a t� ER � . fi � A+G" r "rC3�t IPI ',322 'd � 30 -60 MUZ Al � aa l s6 �, A.T I ON _. r co _.. Mme: PROP R Li cl Exp+; ` , n.''a�i' ''d'a'_ NOTES: t NOTICE-INSPECTIONS MUST BE REQUESTS©AT LEA 24 H 16tRS.PRtAR TO INSPECTION BUILDING MATES IAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN,PUBLiC SPACE,AND MUST BE CI EARED UP AN0 HAULED AWAY BY EITHER CONTRACTOR OR OWNER 1 f4FLURE T© C4�l1iL' WITH THE MECHANICS' LIEN L.AV1f SAN RESUT IN 114E PROPER" OWNER' PAYING TV1�,ICE FOR BUILDING IMPRt3V�MEN S� r ISSUED ACCORpING.To APPRoveo.PLANS'WHICH ARE PART OF THIS PERMIT,AN SUBJECT TO,,FIEVOCATI4N FOR YIflLATION-OFAPPLICABI=E PfICVI91C1N:3'of;LAW. '#3,; `t4, ` C-Taw" fexp z E rani ATLANT. BEACH BUILD N, DEPA TMENT BY* ' to CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address— z (2 1 6F- A-cct kc— (1ej!q Ft-061\, Date ( - - Heated Scruare Footage per sa = S Garaae/Shed 2—:1 t;- Carport o r c e sq Pato . P e 1: S,3 TOTAL V AL UAT CDN 0 /J /S— Tr.ta', Va , uat , on ist Remaining Value $J . per thousand or Part-ion thereof TOTAL BUILDING FEE + 1/ 2 Filing Fee Fireplaces @ $15 , 00 $ BUILDING PERMIT FEE S WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TAP CAPITAL IMPROVEMENT SEWER TAP S RADON (HRS ) . 0050 SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION ) SURCHARGE . 0050 OTHER GRAND TOTAL DUE 5 ADDITIONAL PERMITS OR FEES : Mechanical_; Plumbing Electric/New Electric/Temp_; SwimminqPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : e RECEIVED CITY OF ATLANTIC BEACH jUN, 15 1998 PERMIT APPLICATION REMODEL, ADDITIONS, OR yTg i' WSeach MOVING, DMIOLITIONS Building and Zoning Owner(s) : fzpl/Ce'd, c./ . 4��(-' Address: �L ( .W,44t4A k-Ve ._Phone: � �• 6 Z(qQ 730° 13;&0 Lot # V Block or Unit # (a Subdivision: MAW4CLA1A-1 Contractor: State License # Address: �� Phone No: Cir.y State Zic Code Describe work to be done: a. 100 ed, Present use of building: 4U, L 4q!fP;jC444df, Valuation of Proposed Construction: r (ZIf Proposed use: �j��Q Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled?�D^ New electrical (or increase) ? _ New plumbing fixtures? 40 New fireplace?KO New Heat/AC? 1`6 SUBMIT THREE (COMMERCIAL) TWO (RESIDENTZA,L) COMPLETE SETS OF PUNS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF C0Mh4WCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Vik 1?4( Date: ti Signature CONTRACTOR", Date: �i Sworn to and subscribed before me t 's d of 19� y — — dQc r NO'I' Y PUBLIC ATE F FLORIDA AT LARGr Zia .....•.... VEDA L.BEANSTEIN V stir ,� MY COMMISSION k CC 446182 soEXPIRES:May 21.1999 BOINbd ThfU Notary PuEWc Undeiwrlmm ITY OF ° b�ertc.� - �earccda S0i) �EJIIVOLE ROAD A"I'L:ADTIC [3E.A('E�. I�LURID�\:;'';i;-.��-).i --- - �-- -— -, :-v u() P:A\ 90+ 2 1, >805 I '�5'-:),S CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU OC NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION-IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK 15 IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228( 1 ). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA."CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5626) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE .REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ROPE OWNER/BUILDER W ADD ES TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS /79DA OF 19 -vaU NOTARY PUBL NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES920 ARE EMPHASIZED BY THE BUILDING ....... .BMSTEIN DEPARTMENT. SSION N CC'�'�1�:May 21,1999tuy Pubic Under CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : 1 L Address: J& I Fe4e(Av�yWP..� Phone:rhr4s of /_ Lot # V0_ Block or Unit # X� Subdivision: Cr-42 ' b✓yYe Contractor: State License # Address: r Phone No: Z6� ' g6�? 0g. 2• ���� /Iti• City 6�5alq (L' State ��Oy( Zip Code Describe work to be done: Wi`� 1 �y1 CYC ✓ //1'W Present use of building: o n '1'4 Valuation of Proposed Construction: Proposed use• `I,' riU16N OeSICk� Is this an addition? Y<<j If yes, what are the dimensions of the added space: 10 ft. X to ft. Will the added area be heated and cooled? Y,�Lj New electrical (or increase) ? 1q4 AA'' New plumbing fixtures? go New fireplace?JqV New Heat/AC? NY�O SUBMIT THREE (CORCIAL) TWO (RESIDENTIAL) CCNFLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF Ca&dEENCEWNT, AND OWNER/CONTRACTOR. AFFIDAVIT, IF OWNER IS CONTRACTOR, -- Signature OWNER: ►-` YYvt/Y� Date: T�+i ��/�7 Signature CONTRACTO Date: Sworn to and subscribed before me this i day of — 19'�?l NOT Y P STATE FLORID AT LARGE ON ��' �'\� s�`• �; SALLY L.DIEFENDERFER City of Atlantic t e ti J =•: ;*_ MY COMMISSION N CC+sonO EXPIRES jr nasi a,1999 Building and Z o n i n '�Rf hd'` BONDED THRU TROY FAIN INSURANCE,INC. 0� . +r pSF$e3$44 � D>EPARTMENT OF gUIt.I�ING r' CITY OF ATLANTIC BEACH NISt?RI�iAT�ION . PERMIT INFORMATION - Address. E� �� SEA:Cli AVENUE permit Number:= 1233 1�ECHP` ?R �A 32233 Permit TyP :ELECT'RICAL �. �� LZC14L �}E�1tIF'�It��l .� � .»------- 1sfr t A1?UTICN Lai C,onstr } TypeY400 ? FRAME B1�a k., proposed Use;SINCLE FAMILY Se0t�.c►n. o Sti !k>a l Sub4iv' 'i Si on- Dwellings : 0 Est. Value' 0 •00 I�nProv. Cast; 0 .00 Tata) Fees Amount Pa I at �a �� l 997 xd wo- rkADDITION � � IOIt 3> ---------- APPLICATION FEES _, ,._ f „� ._ . 29.10 { E a t tipp,, ,y 11� 7 .Pr wb a i I!I� t PAS Ax t�4 ELECT y '�INC Adr' 1199 6....w ' II Types NOTES: y V k k NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION r BUILDING MATER•f ,RUBBISH.AND DEBRIS FROM THIS WORK MUST NOT BE PLACED-IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO C�MPL.Y WITH TWE MECHANICS' L;IEIV LAW CAN RESULT IN THE PROPER T ` QWNEA PAYING TWICE I=OR 3UILONG IMPROVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV{?CAT10N FOR VIOLATION OF APPLICABLE PROVISIONS OF:LAW. ,- 'I Lamal ` w 86tI1�9B ATLANTk BEACH BUILDING DEPARTMENT BY CITY OF ATLANTIC BEACH, FLORIDA i Apptevwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: -- IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. �AM62k5 K ELECTRICAL FIRM• MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME �C _�k'r C—L-VVIo2'; ADDRESS: �'6S- 7�'�_.�-�'F .,A `�.�' _ RFD-BOX- BLDG. FD BOXBLDG.SIZE" -BETWEEN: RES.pal APT.( 1 COMM.1 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD( 1 REW.( 1 ADDITION (k ol' TRAILER ( ! TEMP.1 1 SIGNS ( 1 SO. FT. SERVICE: NEW( ! INCREASE( 1 REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE old v AMPS PH 3 WVOLT 2t1 RACEWAY FEEDERS I NO. SIZE' NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS, SWITCHES INCANDESCENT 4 FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES I L I BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT ' 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS DEPARTMENT OIF BUILDING CITY OF ATLANTIC BEACH PERMIT< INFORMATION - ...... LOCATION �NFORMA ION _ --� _w k Permit Dumber: 15213'F Address: 1650-1 BEACH AVENUE Permit Type:MECHANICALATIsAHTI BEACH, g'LORIDA 32233: f Class of Work:ALTERATION - - - L�C�AI: DESCRIPTIC}N ,..: Constr. Type;WOOD FRAME EIock: 6 Lot.PT:70 Twp: 0 I Proposed Use:SINGLE FAMILY Station: 0 Subda I+nv. Dwellings. 0 subdivisiow.00LAN GROVE "UNIT i Est. slue: 0 ;00 Improv Cast : 0 .00 1 Total Fe* 251.00 lP Amount 4 kph„Yy ' 0' 26.00 a 1 K r A "« ION 'Cf y� s�t� tft T ty �Y�p, �t ..�.... ... a` ION �"' ., �.. APPLICATION iT TwrF7 .... �.,.. Na wr NE P�"IT ' 26.00 13 C�°k FLORIDA lZv ' F e , 41 xV Pho A 3 ' R� RMA`,1'IO Name: HU 1 I .AIR x G JACKSON 4 BEACH IFL 32250 L1 e,:e` � 5 Epp v.. , NOTES: C " NOTICE-INSPECTIONS MUST BE REOUESTED.AT LEAST 24 HOURS PRIOR;TO INSPECTION w j BUILDING MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE PLACEI ,tN PUBLIC SPACE,AND MUST B0 CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNIE'R a i *FAILURE TO COMKY WITH THE MECHANICS' LIEN" LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR SUiLDING l " ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN WWfgx4TP REVOCATION 0O f VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTI BEACH BUILDING DEPARTMENT y.u. 7 �r BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV, LOCATION Street Address: l('.S© OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attactled plans and specifications which are a part hereof and in accordance witk the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors w C Contractor (Print) Mester � Name of Property Owner ©de Signature of Owner Signature of or Authorized Agent Architect or Engineer Ill. GENERAL INFORMATION A, Type of hosting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON 12/ Electric THIS BUILDING OR SITE 7 [3Gas—❑ LP ❑ Natural b icentra) Utility ❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other — Specify IV. MICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed 41"'Central O Floor ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Centre) 1�1 Existing Building ❑ Duct System: Material Th;cknesu �f Replacement of existing system Maximum capacity c.f.m, ❑ New installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling (ower: Capacity q,p,m, ❑ Other — Specify ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Monliff ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (111to'eelva'd) ❑ Tanks (number) Remarks ❑ LPG contains K (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Dot• ❑ Other — Specify Permit Fe. LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT CasciNumber UnitA Description Model Number Manufacturer (!gna)Y A=roving cY PSR-3844 t DEPARTMENT OR WILDING CITY OF ATLANTIC BEACH ,. PETI T. INFORMATION -- _- .---- 'LOCATION; INFORMATION �- ..__- Par t I� mba 15146 Address : 1650-�1 BEACH AVZNgZ Permit,, ge:ROOM ADDITION ATLANTIC BEACH, , FLORIbA 3223$ Cl;a W k<ADL)TTION LEGAL DESCRIP'TL13N _ Cc?nstr� T"yp :WOOD FRAME -Black: 6 Lot ,PT, 7&8 . A ,Twp: _- . ; Proposed, Uge:SINGLE FAMILY Section: 0 ubd Dwell tl ,ingrs 0 SubdiJ.l�lot:OCEAN GROVE UNIT 1111 -0100 � Xmprov. Cqift : 'dotal 75.00 Amount 75 .44 Sh ��n _-....�«._ TION - y} - APPLICATION FEES. _ ,. Ad r!: 15 �lENUE' 75.44 Phar 6 q f A Q- . C A; R ` GRMAR"I O Name: Ply Add°r-- yw rdk d..:^r A I e k w r r ,_.._ n.Q e-.a,._ .,,.a.,,av . ....� nen ; ,�-ate• NOTES: ,t r i NOTICE-INSPECTIONS MUST 8E REOUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST 8E CLEANED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAIL.URE T©,COMPLY WITH THE MECHANICS' LIEN LAW CAN. RESULT IN THE PRQPEPTY NER PAYING TWICE FOR `�il C)VU BUIL©ING IMp�CWNTS.'' 1 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND'SUBJI;CT *0 "I VK?LATI4N OF�AOF (CABLE PROVISIONS OF LAW, ATLANTIC BEACH BUILDING DEPgRTt�1ENT 13Y• CITY OF A/TLANTI/C BEACH PERMIT CALC/U'LATION SHEET Address Date Heated Sauare Footage @ $ per sq ft = S Garage/Shed \1 @ $ per sq S Carport/Porch @ $ per sq ft = S r Deck C�� @ S per sa ft = $ Patio @ $ per sq ft = S TOTAL VALUATION : S _ 06r /J-. 0 Q Total ValWion 1st $ /000 Rema ning Value $,:00per thousand or portion thereof TOTAL BUILDING FEE $ S� •® + 1/2 Filing Fee $ 0 ( } Fireplaces @ $15 . 00 $ c7 BUILDING PERMIT FEE $ SOd WATER IMPACT FEE $� SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP S ( ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF >��as>tic z eac/ - �ev�zida 500 SEMINOLE ROAD ATLA'NIC BEACH. FLORIDA:;.:'';; 5145 TI LEPHONF 1904) 247-5800 FAX,904) 247-580-5 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON 15 A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5626) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPE OWNER/BUILDER W&� Aiy*t9-- 24Y (I ADDR SS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS AY OF 1 9�� i NOTARY OJBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING irj:Y°y''• SALLY L.DIEFENDEFifER DEPARTMENT. _ MY COMMISSION N CC450770 MRES *' Apol 4,1999 BONDED THOU TROY FAIN IWWANV-INC. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION RM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 0 Sm FOall Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB-93 or 600A-93. PROJECT NAME: aftep-27 recimemep, BUILDER: AND ADDRESS: PERMITTING CLIMATE OFFICE: CO) ,gCY1 ZONE: 1 ❑2 ❑3 OWNER: j��' PERMIT N0. JURISDICTION NO.: SMALL ADDITIONS TKO 1XISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form. Please Print CK 1. Renovation,Addition or Manufactured Home 1. Ac 1-60n 2. Single family detached or Multifamily attached 2. _5i oc ja, 3. If Multifamily--No. of units covered by this submission 3. tJ 1�6t 4. Conditioned floor area (sq.ft.) 4. 1 0cp 5. Predominant eave overhang (ft.) 5. '(01 6. Porch overhang length (ft.) 6. of 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq.ft. -�O sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8. .20 9. Floor type and insulation: a. Slab on grade (R-value) 9a. R= D 0 sq.ft. b. Wood, raised (R-value) 9b. R= sq. ft. c. Wood, common (R-value) 9c. R= sq. ft. d. Concrete, raised (R-value) 9d. R= sq.ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 10a-1 R= sq.ft. 2. Wood frame (Insulation R-value) 10a-2 R= ll_ 1\S sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 10C 11. Ceiling type and insulation: a. Under attic(Insulation R-value) 11a. R= 1g_ Iw sq. ft. b. Single assembly(Insulation R-value) 11b. R= sq. ft. 12. Cooling system* (Types:central, room unit, package terminal A.C., none) 12. Type: Ce h:6 4J SEER/EER: 10 13. Heating system*: 13. Type: htc.- Dur'- (Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTAC,none) HSPF/COP/AFUE: 14. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 14a. J_) 1� b. Ducts on marriage walls adequately seated* (Yes/No) 14b. 15. Hot water system: 15. Type: IJ (Types:elec.,natural gas, other,none) EF: "Pertains to manufactured homes with site installed components. I hereby certiItht e lans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance wirida Ener ode. rwith the Florida Energy Code. Before construction is co let ,this building will be PREPARED BY: DATE: �D ot ( inspected for compliance in a ance with tion .90 S. I hereby certifuil i is in lance with the Florida Energy Od@. BUILDING OFFICIAL:OWNER AGENTDATE: DATE: -1 - Climate Zones 1 2 3 TABLE 6C-1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(OW Sq.Ft and Less),RENOVATIONS TO EXISTING BUILDINGS AND SITE-INSTALLED COMPONENTS OF MANUFACTURED HOMES. MINIMUM INSULATION MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY Concrete R-7 a Central A/C-Split SEER = 10.0 SEER = J Frame,2'x 4" R-11R-19 • ' ? _ Sinq�le Pkg. ' SEER j 9;7 SEER = Common,Frame R-11" Frame,2"x 6" Room.knit or PTAC EER 8:5 EER = +, Common,Masonry R-3 Electric Resistance` ' "'ANY , Z Under Attic R-30 z Heat pump•Split HPPF =, 6.8 HSPF = z Single Assembly;enclosed R-19 Single Pkg. HSPF = 6.6 HSPF = U Single Assembly;Opened R-10 X Room unit or PTHP COP = 2.7* HSPF/ = Common,Frame R-11 L COP rn Slab-on-grade No Minimum a O co Gas,natural or propane AFUE = .78 AFUE Raised Wood R-19 Fuel Oil AFUE = .78 AFUE O Raised Concrete R-7 U_ Common,Frame R-11 � o w Electric Resistance EF = .88 EF = In unconditioned space R-6 Gas; Natural or L.P. EF = .54 EF = p I In conditioned space No minimum Fuel Oil EF = .54 EF = TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY See Table 6-3,6-7 Maximum percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient. Maximum%= Installed%= GLASS TYPE,OVERHANG,AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 509/0 Single Double Single Double Single Double Single Double OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC 1'-1.0 0 .90 2 1.0 1'-.90 3 1.0 2 .90 4 1.0 3'-.90 0'-.86 l'-.86 0 .70 2 .86 1'-.70 3'-.86 2'-.70 0'-.65 l'-.65 0'-.50 2 .65 1'-.50 0'-.45 l'-.45 0 .40 0 .35 Shading coefficients(SC)may be obtained from the manufacturer. Single clear SC=1.0,double clear SC=.90,and single tint SC=.86. TABLE 6C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints&Cracks 606.1 To be caulked,Basketed,weather-stripped or otherwise sealed. Interior Joints&Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed. Sole&Top Plates 606.1 Sole plates and penetrations through top plates of exterior was must be sealed. Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls&raised wood floors. Fireplaces 606.1 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances. Water Heaters 612.1 Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. Swimming 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 612.1 Insulation is required for hot water circulating systems,(including heat recovery units)and the first 8"of piping from the water heater(or until piping enters an insulated wall or slab). Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC Duct 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be Insulation&Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. GENERAL DIRECTIONS: 1. On Table 6C-1 indicate the R-value of the insulation being added to each component and the efficiency levels of the equipment being installed.All R-values and efficiencies installed must meet or exceed the minimum values listed.Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows,sliding glass doors and glass door panels. Double the area of all non- vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 6C-2.Prescriptives are given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficient(SC). For a given glass type and overhang,the minimum shading coefficient allowed is specified. Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 6C-2.All new glass in the addition must meet the requirement for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements.Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single-pane tinted,double-pane dear or double-pane tinted. 4. Complete the information requested on the top half of page 1. 5. Read"Minimum Requirements for Small Additions and Renovations",Table 6C-3,and check ail applicable items. 6. Read,sign and date the"Owner/Agent"certification statement on page 1. •' , -2- d r 'rG o'� N d o .Z o r .�y A J cr+ <Y i!1 r i� J tn to 14. VOR-1 ca 1 ;;Aa V m � yvn U IW i i DEPARTMENT OF BUILDING 8662 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. VV VV tVJ PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i9,51`1 T Date May 12 19 87 1!9 01?T 179 1 �. VIM Valuation$ 2,007.90 Fee$ 19-S0 36.5? *013CAC x'179 14 5/12/0 This permit not valid until above fee has been paid to City Treasurer,and revocation subject to revotion for violation of applicable provisions of law. 0 This is to certify that Mah= Dgye1nMent - i has permission to build 1 W0041 decks as pox Plain, ClassifiFation Residential Zone Owned by Pete Mabry Lot Block S/D House No. 1650 Reach AYenue Unit 172,3 According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,I AFTER DATE OF ISSUE Di z Building material,rubbish and debris Z from this work must not be placed in public space, and must be cleared = up and he away by either con- t r ner. R�_. Buil ng tial. i FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER r T' ..mss,_ ,".fin I',r!Aess• :D c 1 ,c� t? S /t 171 Heated Square Footage @ $ per sq ft. = $ . Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ per sq ft = $ 0D 7 �/( Patio —7 @ $ per sq ft = $ C� TOTAL VALUATION: $ 2 Qof , $ fo.��C Total Valuation 1st ,& $ Ci Remainder Valuation 3 ,66per thousand or portion thereof -------------------------------------------- Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIIZED + 2 Filing Fee $ ' Fireplaces @ 15.00 $ Mechanical r--- BUILDING1PERMCT FEE $ / Plumbing Electric/New ' ' • Electric/Tarp BUILDING PERMIT Septic Tank WATER METER CHARGE $ Well Stairrming Pool SEWER IMPACT FEE $ WATER IMPACT FEE $ Sign MISCELLANEOUS $ Water Connection $ Sewer Connection Water Meter Elevation Certificate ' GRAND-TOTAL DUE $ j CALCULATIONS and/or NOTES r • 4/4/88 USE THIS FORM FOR ESTIMATES ONLY 1" IRRIGATION METER Jim Naughton (ONLY IF NEW 6" Main at 1650-1 Beach Ave. (Corner of Beach & corner of Beach & Dewees Ph. 721-3143 Dewees) is available to this address) DESCRIPTION OTY. MATERIALS1 LABOR TOTAL 6" X 1" SADDLE PVC 1 13125 ill CORP STOP 1 22 36 11 1" MALE ADAPTERS PVC 1" 900 ELL PVC 1 1 20 1" PVC PIPE 12FT 7 20 METER BOX W LID II Sub Total $224 97 10% O.H. P2250 Total 47 2 men hand dig($12.94/ r) for 4 hrsl 51 76 30% O.H. 1E 53 Total -$y.-?.9 MATERIALS IAnonTOTAL TOTAL $247147 $67129 $3.14 1 76 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES 4T00 1 Truck($10.00/hr) 4 h s 40 O TOTAL COST $354 76 TOTAL SELLING PRICE LESS TOTAL COST Gnoss PROFIT LESS OvCNHEAD COST OF SELLING PRICE TOTAL NET PROFIT OL- 00 % � / ' ~r FLA. 1947 LAWS l=J AAMCO FORM 400 FS 713.13 Aafilre o (� trxt�rt�raerrtaext vn4►wtc 1N ou►ucwl'4► �II fnhtmt � IItM� t��xttrrn: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property.... ..� .yLl........ Q ....8 ....4 ..... � � ......vYL1"1,.,,.... .� G..... 3u4-Y/..r... l.Q !. ..,r........`7 153 . '.... �G .....� /�� rte.✓..... .... ........ . . .. ..... ,-............................._................................................ 0 ...................................................................................................................................................................................._............_...............I........................... 0 p improvements C. �.r :�.- �w General description of i rovements. ... ......................................... .... 51. �el ra ...c 1.. ...CZvev ..1 ... ..... .....a cl...I 1......0:0.... 1�!,f... . ..... 1 ......................................................................................................................................................................... Owner.............. / t... j.. .:..............................,....................................................................................................................................... Address............... .....D. 4........ ...................................................................................... ....._._................................._............. Owner's interest in site of thq imprLxveq Ist ........ ' ��'1......y.T?�� ..........................».................................. fee Simple Title holder'(if olhe!rt'Ifian owne�r�'•"i Name.... ./ ).... .f..'..... !�1 '.'.................................................................................................................................................. Address........1..i ....... 11............. ...... .!...".. ...........!��..... �`f....T..�.....�7i2 �...... Contractor... ..P-V..... 1. .W :............................................................................................................................................. 4 47 Address..........k ........... 4....:. .............. ................�... r � .. rk4�. ..�C.». Z. ....» Surety (if any)............................................................................................................................................................_.._............................................... Address.....................................................................................................................................................grno+,x�t of bond i................................ Name of person within the State of Florida designated by owner upon whom notices or other doaxnents may be served: Name.......... ................................................................................................................................................................»........_...................................... Address.............................................................................................................................................................................................................................. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name............................................................................................................................................................................... ..__...._._................................... Address................................................................................................................. ..................... ........_.._............... .............................................. TH1e erACt FOR rltCo110[lt'e Wt ONLY I I /_/ P I - r - , CITY OF'ATLANTIC BEACH . APPLICATION TO H=, ADDITIONS OR AL'ITRATIONS Owner r l! � �'t'j Address i5z i /1`� 1-3 Phone Architect Address J Phone ✓ '�lj�w'f7C ,� 3G� Contractor r�xi/�,G�S Address '� � Phone Contractors License/Certification NLubers Expiration Date Property Address S � '� �^�' 1- 3 Zoning Lot # �� �' Blcok or Unit Subdivision �CEY}� ✓l v Valuation of Construction $ /eO0 � Type of Construction 1--L/� Describe Work to be Performed 2,ts/V41 c Materials to be Used Present Use of Building Inc,s 1 c C.c Proposed Use of Building Flood Zone �- Di -anions of New Area: IMAM GARAGE OR SIURAGE CARPORT OR PORQi . ICK PATIO YES NO NU1EiER Will there be an increase .in ntuber ,of units? Will there be a decrease in number of units? f Any additional plumbing fixtures? An71.new fireplaces? SUM11T TWO CONFLCIE SETS OF PLANS INCLUDING SITE PLAN Signature OWNERS�Cr Date ( Z � Signature CONTRACTOR Date \ I r yI LOT 6 N \ _ - 6' UTILITY EASEMENTS r ON } \ D n 20.7 n 1 9, 10 N 0 B b ` IV-' 1 2' I-0� L \ 1 \2. N 0 9.7' 21.2' N O_ N 4 LOT 9 LOT 8 ;n 2 7.7' 0 10 N LOV FRAME SHED o1 2' O 1.0' X LOT 7 'D �, 0 _ N LL W 17 = N \�1 O_ V N 2--STORY FRAME S Z BLOCK RESIDENCE 0 26'1 in 2• V N0. 39 v 7.6 9.9' a to 1.0� 2 1.0'� ?V�J N to M 9.7' Mi 17' O N 46• e4.!' 6 9ET 1/2' I.P. d FND 3/4"LP. 50.0 48.5` 1 `\e 50.0 ��� ' S 8411 58' 0211 W 148.51 01 s ( \0 RI ork 1 1 t \� °SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027861 Date 3/12/04 Property Address . . . . . . 1650 BEACH AVE UNIT 02 Tenant nbr, name . . . . . . INSTALL STORM PANELS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation 2797 Owner Contractor ------------ ------------ ---------------------- -- HARTLE, NAOMI (LIFE ESTATE) ROLL-A-WAY, INC. 1650-02 BEACH AVENUE 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 -------------- ------------------ -------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2797 Fee summary Charged Paid Credited Due -----------------• ---------- ------- --- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICHUZ THIS PERMIT S JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL C t CITY OF ATLANTIC BEACH CD. Ford r'i , BUILDING / ZONING DEPARTMENT Hi i 800 Seminole Road S. Doerr +j Atlantic Beach,Florida 32233 ' (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # n Z-7 S Property Address: L So- Z IS +. AU4E- Applicant: -� 'CZ- KIAU t-1 Ll Re Project: (t! T7 LL n- biz-•.t i�` °*JELs This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 4E Date: . ' ��/(b 0 `Af, CITY OF ATLANTIC BEACH PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYL dHTS AND Ib�uw GARAGE DOORS OF SINGLE -FAMILY OR TWO-FAMILY (DUPLEX)CONSTRUCTION Date: /J d Job Address: Z � AC,E,f 14✓t, _ /gTZAA)rir— BEACJ4 t- ,3Lt 33 Owner's Name: AIA0A I A ,RA MA _ L)Ag &szwE Address: f 6 !;-0 -2 Fe�a C,1', �nye, A-1-l a ft+1 c Phone: Legal Description: Block Number: L Lot Number: Zoning District: Contractor: 14 tex.S Aou-A-A AYState tNumber: $ee. o y 95-sy Address:jtS AIC Sr N/t- _ Phone: $�pO-$63-95-DS City: Sr State: Zip: Fax: W- Describe proposed use and work to be done: Ad! S7Ae.4- _gl—,OXO4f j-494A)gLs t. Present use of land or building(s): bJ1PLCX Valuation of proposed construction: -- Is approval of Homeowner's Association or other private entity required? A-00 _If yes, please submit with this application. Building Data: Mean Roof Height 20 (ft) Building Width Zeo (ft) Building Length _3C> (ft) Roof Slope & *Window Elevation from Grade 10 (ft) Window Height _(ft) Window Width (ft) Measurement from corner of building to window ? (ft) 5 o q is h � � a S S 800 Seminole Road -Atlantic Beach. Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904)247-5845 • thttp://rvww.ei.atlantic-heach.fl.us Page 1 Revised 1/27/03 • �""� '"M Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations 1 hereby certify that all information provided with this application is correct. Signature of Owner• 1 Date: 01-11-0t Q'�� ,4 • I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,rcdulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. 1 understand that the issuance of this permit is contingent upon the above information being tan rrect and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: / A46 Address and contact/Ormation of rson to receive all correspondence regarding this application (please print). Name: it) 0' CAA& J SYA� Mailing Address: /YY0 Tie1A_) Cr XA'C/c3oN✓)L.L* , /�C3 3Ztt> Telephone: (90y)Jif 3y-?;;�y$' Fax:`9�) 7 3l-0053 E-Mail: AW44.611,66 W-t zerr, .C8#7 AS TO OWNER: ` ,t Sworn to and subscribed before e this t day of 3 Ukk J'"Y 20 LA. State of Count of tt Florida, Y �Y •JA `t 't", �� f Notary's Signature wik ,/ ,<ai�:'vc. SH=GALBRAITHITH Personally know My CO109541 Produced identification . EX00E Type of identification produced oF F� Bonded ar writers AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 . State of Florida,County of Duval Notary's Signature: �+ tt WHARTON REID CRAWSHAW ..fir. MY COMMISSION#DO 090043 Personally known I EXPIRES:March 18,2006 ❑ Produced identification e«na9aT t'NOW-lublioundarmiters Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 - Irttp://www.ei.atlantic-beach.fl.us Page 2 Revised 1/27/03 Jerry E.Hicks,Contractor Customer Name: Q00*N,T#JWA SWProYaty Owner: Y49 Address: It 0•2 ( Adi Unit City,County An&8rr!5-:�ce5 - Phone#('9d'Y)2 f j• 23Y2 __ Single Family Residence&i/N I. STRUCTURE: Masonry_ Wood ✓ Concrete_ Aluminum Other (specify) (Window Frame: If opening varies from above materials,indicate indicate type: 2. ROOF SLOPE: Less Than or Greater than! 10 degrees 3. FIRE SPRINKLERS: Yes No 4. BUILDING HEIGHT Za 5. COASTAL ZONE Yes YNo 6. CONDOMINIUM/ASSOCIATION APPROVAL: Required Not Required 7. ARE SPECS AVAILABLE: Yes No 8. PSF-W-1 ALL DRAWINGS MUST INDICATE THE FOLLOWING: 1. CORRECT SHAPE OF BUILDING 2. ROOM TYPE(Kitchen,Bedroom,etc) 3. OPENINGS WHERE WINDOWS OR SHUT'T'ERS ARE TO BE INSTALLED. 4. WHETHER SHUTTERS ARE MANUAL OR ELECTRIC. 5. MAIN STREET. D&R.NOFL.60502 Roll-a-way Storm& Security Shutters Customer *I+ e?/- L" - � Address j(,e s O � -Za e� . n, City e4 Opening # Track Width Track Height Product type Plans ID z 26 8 3 3 8y � 8 .� 7 SV LI _ 3 d' 8 � 9 9 i7 2 0 All L- lee 3 �� The Drei m, Inc. D&R ShuMens,Inc. sarvkkw oW*k,Savannah, oloaevacy Jacksonville and ho Beaches Hllion Head,Beaufort A Chadaston F% sTi l from Amelia island to St Augustlne Home office& Showroom Rt. 1,Bax 75T(Hwy 462)•,4/dge/and, SC 29936 1-888-765-2929•Fax 1-843-717-1749 .. • �• � P►iONE BATE TO: $ G/QDAN S' S4lf�tl.S �r Z�`'►'��y�—/ /.�/D;✓ JCB NAME/LOCATION .add TAx-t �T't.AN7�� l�rtA���1- 3�•�.33 JCB NUMBEfi JOB PHONE it 4 v 19 20 q a � 00&400 Y 3 Authorized S4nature Date of AcrAiptance: Signature — Signature DURABLE POWER OF ATTORNEY FOR NAOMI A. HARTLE KNOW ALL MEN BY THESE PRESENTS: That I, NAOMI A. HARTLE, of Duval County, Florida, hereby make, constitute and appoint my son, JAMES F. HARTLE, JR. , of Duval County, as my attorney-in-fact to manage my affairs. This durable power of attorney shall not be affected by any physical or mental disabililt:y that I may hereafter suffer except as, provided by section 709.08, Florida Statutes, and ' shall be exercisable from this date. All acts done by my attorney-in-fact pursuant to this power shall bind me, my heirs, devisees and personal representatives. This durable power of :attorney is nondelegable. , I authorize my attorney-in-fact to exercise or perform any act, power, duty, right or obligation whatsoever that I now have or may hereafter acquire, relating to any person, matter, transaction or property, real or personal, tangible or intangible, now owned or hereafter acquired by me, including, without limitation, the following specifically enumerated powers. I grant to my attorney-in-fact full power and authority to do everything necessary in exercising any of the powers herein granted as fully as I might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that my attorney-in-fact shall lawfully do or cause to be done by virtue of this power of attorney and the powers herein granted. Without limiting the broad powers conferred by the preceding provisions, I authorize my attorney-in-fact to: 1. Manage my affairs, handle my investments, arrange for the investment, reinvestment and disposition of funds, exercise all rights with respect to my investments, 'including the authority to open any checking, savings or individual retirement account in my name, to make, receive and endorse checks and drafts, deposit and withdraw funds, acquire and redeem certificates of deposit, in banks, savings and loan associations and other institutions, and to otherwise deal with any other commercial or mercantile instruments. 2. Borrow money from time to time in my name on such terms and with such security as my attorney-in-fact may think fit, and to give promissory notes or other obligations therefor, and to deposit as collateral, pledge as security for the payment thereof or mortgage any or all of my securities or other property of whatever nature that my attorney-in-fact finds necessary or. desirable._ 3 . Have access at any time or times to any safe deposit box or other place of safekeeping standing in my name alone or jointly y, � 4 //f s with another, wheresoever located, and to remove all or any part of the contents thereof and to make additions, substitutions and replacements, and to surrender or relinquish said safe deposit box, and any institution in which any such safe deposit box may be located shall not incur any liability to me or my estate as a result of permitting my attorney-in-fact to exercise this power.. 4 . Redeem bonds issued by the United States Government or any of its agencies, any other bonds or other similar assets belonging to me. 5. Sell bonds, shares of stock, warrants, debentures or other assets belonging to me, and execute all assignments and other instruments necessary or proper for transferring them to the purchaser or purchasers, and give good receipts and discharges for all money payable in respect to them. 6. Invest the proceeds of any redemptions or sales and other of my money, in bonds, shares of stock and other securities as my attorney-in-fact shall think fit. 7. Purchase bonds issued by the United States that can be applied at face or maturity value on account of estate tax liabilities, commonly known as "flower bonds. " , 8. Sell, rent, lease for any term, or exchange any real estate or interests in it for. such considerations and upon such terms and conditions as my attorney-in-fact may see fit, and execute, acknowledge and deliver all instruments conveying or encumbering title to-,-property owned by me alone as well as any owned by me and another jointly or as tenants in common with any other person or persons. 9. Hold securities in bearer form or in the name of a nominee or nominees and to hold real estate in the name of a nominee or nominees. 10. Vote at all meetings of stockholders of any company and otherwise act as my attorney-in-fact or proxy in respect of my shares of stock or other securities or investments that now or hereafter belong to me, and appoint substitutes or proxies with respect to any of those shares of stock. 11. Execute on my behalf any tax return and act for me in any examination, audit, hearing, conference or litigation relating to taxes, including authority to file and prosecute refund claims, and enter into any settlements. 12. Forgive, demand, sue for, collect, receive, hold all sums of money, debts, dues, commercial paper, checks, drafts, accounts, deposits, legacies, devises, notes, interests, stock certificates, bonds, dividends, certificates of deposit, annuities, pension, profit sharing, retirement, social security, insurance and other contractual benefits and proceeds, all documents of title, all 2 - property, real or personal, intangible and tangible property and property rights, and demands whatsoever, liquidated or unliquidated, now or hereafter owned by, or due, owing, payable or belonging to, me or in which I have or may, hereafter acquire an interest; to have, use, and take all lawful means and equitable and legal remedies and proceedings in my name for the collection and recovery thereof, and to adjust, sell, compromise and agree for the same, and to execute and deliver for me, on my behalf, and in my name, all endorsements, releases, receipts, or other sufficient -- discharges for the same. 13. Apply for a certificate of title upon, and endorse and transfer title thereof, for any automobile, truck, pickup, van, motorcycle or other motor vehicle, and to represent in such transfer assignment that the title to said motor vehicle is free and clear of all liens and encumbrances except those specifically set forth in such transfer assignment. 14 . Employ as investment counsel, custodians, brokers, accountants, appraisers, attorneys at law,, firms or other organizations, as deemed necessary or desirable by my attorney-in-fact, and to pay such persons, firms or organizations such compensation as is deemed reasonable and to determine whether or not to act upon the advice of any such agent without liability for acting or failing to act thereon. 15. To sign, execute, acknowledge and deliver on my behalf any deed or other instrument of transfer or conveyance covering personal property or real estate wherever situate to the Trustee of the Naomi A. Hartle Revocable Trust executed by me by instrument of even date herewith, as such Trust Agreement may be amended from time to time. 16. Do anything regarding my estate, property and affairs that I could do myself. Any authority granted to my attorney-in-fact herein shall be limited so as to prevent this durable power of attorney from causing my assets to be subject to a general power of appointment by my attorney-in-fact, as that term is defined in Section 2041(b) of the Internal Revenue Code of 1986, as amended from time to time. The powers conf erred upon my attorney-in-f act extend to all of my right, title and interest in property in which I may have an interest jointly with any other person, whether in an estate by the entirety, joint tenancy or tenancy in common. This instrument is to be construed and interpreted as a general durable power of attorney. The enumeration of specific powers herein is not intended to, nor does it, limit or restrict the general powers herein granted to my attorney-in-fact. Third parties may rely upon the representations of my attorney-in-fact as to all matters relating to any power granted to 3 - �r. my attorney-in-fact, and no person who may act in reliance upon the representations of my attorney-in-fact or the authority granted to my attorney-in-fact shall incur any liability to me or my estate as a result of permitting my attorney-in-fact to exercise any power. This instrument is executed by me in the State of Florida, but it is my intention that this durable power of attorney shall be exercisable in any other state or jurisdiction where I may have any property or interests in property. Any act that is done under this power between the revocation of this instrument and notice of that revocation to my attorney-in-fact shall be valid unless the person claiming the benefit of the act had actual notice of that revocation. IN ESS WHEREOF, I have hereunto signed m name this day of , 199 Signed, -seale and delivered in the presence of: q - � NAOMI A. HARTLE Witnesses STATE OF FLORIDA COUNTY OF DUVAL he forego n instrument was acknowledged- before me this day of /'� , 199.x,­by NAOMI A. HARTLE. Name: a Notary Public, State of Florida Commission No. : .reS as TER`'di•: NOTARY PUBLIC, STATE OF FLORIDA .,� opo My Commission Expires May 11,1996 Personally known s`''►• •�` Commission No. CC 191075 Produced identificat n Type of identification produced 4 - NOTICE OF CUTAMENCEMENT RAMCO FORM 409 FS 713.17 �juats e-{enclose self-add esscd stamped envelop 1) 1-i� t>`}�"e r s C��C� L 111-(a _ ��(� Baak 11677 Page 1368 Name: Address: 74�0� 7— -� This Instrument Prepared by: n f� s 4&,4 i�r�2s b [� Q Doc# 2004078272 Name: Q- � Book: 1116767 7 Page: 1368 c Filed 8 Recorded Address: J ' � E'. 5 MIN. RETURN 03/09/2004 08:58:03 AN JIM FULLER �::� CLERK CIRCUIT COURT Property Appraisers Parcel Identification PHONE 7_st.r ' DUVAL COUNTY RECORDING $ 5.00 TRUST FUND $ 1.00 COPY FEE $ 1.00 CERTIFY $ 1.00 SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with chapter 713 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property(include Street Address, if available)/450-Z BEACH AA, AT&AArl JC $fACh?Fi' 3-ul 15- 8 Z 09=2S -29E OCC-A-J %Xoyf, OUIT i ;A PT 4ens . $ Rfieb ejR 8?Vb- )03y - atxc General description of improvements ,/AJS i'AZt_ SMA At 44)Et.S Owner's Name IVA e5A4 i A . 6 ML 4 1 AL AE4 r-4 i Address &EOe - .� l e-/Z-O-A MT?j")>-I 1-2- AL 4L_ 32 2 33 —Sd'S,/� Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Address Phone: Fax: _ Contractor '`/ _sha /7 e eS cue,_ o/l-a -4Lt!!� ,_23�S �T JDN/U t.S �«c�,C 4,6 Address o•u 1'71lf &ZZ '1L Phone: Fax: Surety Phone: Fax: Address Amount of bond S Lender's Name Address: Phone: Fax: Persons within the State of Florida designated by owner upon Whom notices or other documents may be served as pro- ; vided by Section 713,13(1)(x)7, Florida Statutes. s Name AddressI I 11wone: Fax: In addition to himself, owner designates 14 i Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in rection 713.13(1)(b), Florida Statutes. x Expiration date of Notice f Commencement(the expiration date is 1 year from the date of recording unless a different date is specified) d 6u• 4 a r it t L� c Signature of wn ` Printed Name of Owner o NOTARY RUBBER STAMP SEAL l hav�e�r�[l)'ed upon the following identification or the AfFiant �l of .it+�" SHERRY L.GALBRAITH swot to bscribed e t day o 96 = MY COMMISSION#DD 109541 'eZ ;: EXPIRES:April 16 2006 S nal Bonded Thru Notary Public Underwriters r Printed Name . .. .od ipM CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING _ 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT _ PERIUliT IItIFtJt� #TIt1 LOCATION IMFORMATIpN Permit Number: 22432 R Address: 1650-3 Beach Avenue Permit Type: PLUMBING Atlantic Beach, FI 32233 Class of Work: NEW Township: Range: Book: Proposed Use: CONDOMINIUMS Lot(s): Block: Section: Square Feet: Subdivision: Atlantic Beach Est. Value: Parcel Number: Improv. Cost: - CYRfI�IC;�RIVIATION Date Issued: 8/01/2001 Name: Sam Gartner ' Total Fees: 25.00 Address: 1650-3 Beach Avenue Amount Paid: 25.00 Atlantic Beach, Florida 32233 _ Date Paid: 8/01/2001 Phone: (904)246-3610 Work Desc: WATER HEATER _ :WNTRAC'T - WPPLtCATIC3iN FEES 9 DAVID GRAY PLUMBING, INC. : PERMIT 25.00 ltd v« � M � � t NOTICE- INSPECT T BE 1REQu. EAT LEAST 24°H,(�IJRS R TO {I�PECTION BUILDING MATERIA , RUBBI `� DEBRIS FROM THIS WORK MUST T B€ VED IN PUBLIC SPACE, AND MUST CLEARS _a AND HA_, of.WAY BY EITHE NTRACOR OWNER "FAILURE TO COMPL TH TI N RFP&T IN THE j PROPERTY OWNER PA C FO t@L E ISSUED ACCORDING TO APPROVED AF P MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISI = p 1 1 &TIC � ACCH BUILDING DEPT. Dia e: 8/81/91 81 Receipt: IIM448 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 14117 Q < OWNER OF PROPERTY: ✓%'�/� �����' TELEPHONE NO. ��allJ PLUMBING CONTRACTOR DAVID GRAY PLUMBING. INC. CONTRACTOR' S ADDRESS: 8850 CORPORATE SQUARE CT. JACKSONVILLE, FL. 32216 STATE LICENSE NUMBER: CFC 022586/436 TELEPHONE: 724•-7211 HOW MANY OF TETE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE — $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: David Gray ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — (904) 247-5834 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001113 Date 9/18/08 Property Address . . . . . . 1651 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 218000 ---------------------------------------------------------------------------- Application desc ADDITION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRYAN, J SHEPARD CORNELIUS CONSTRUCTION CO. 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (9 04) 249-9706 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/17/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4 tits avey y CITY OF ATLANTIC BEACH _ f 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- `� %- OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US Ns}jt�' ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 4; ,°. , 77' _`.7 7,77770..i W* %O, MPARMkTil ���it 777 s i,�#.: ONO C-5 tI, PERMIT#: PROFERTY:i2,1"%, . -bAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: Ir If �hm„ O prPANY• .ADDRESS.: ( , V• 9. T F LORI ENSE O: ® 10.CSL PHO /� 11.FAX NO.: /rA 6 cz 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 15.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)montDp a any ti a er wo Is co enceg. CONTRACTORS SIGNATURE: 18NIE;�RN,I3MBERpi.j ,.wa.. 771 .,a ❑MULTI FAMILY-#OF UNITS: IDENTIAL ❑SINgILE"FAMILY ❑TEMP SERVICE ❑COMMERCIAL DITION ❑TRAILOR flf: �t►t,.1.. 1,.*I.4 MANOR Ni” ❑ALTERATION ❑SIGN ❑OLD W 13'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: . ,. .,h."qh'� .,��.a���?,�„�°""E�'b*r 3,»f�"it. �. ,�`.”' �,. �''"?"� I. ..'. `�.. 4� �n :�. x„ 'i ,��� ,~e�».. ,,. .k".�Y�' � '`�C�"�'•. t+...,.r�?`�a'».�Ar. 20.TYPE OF SERVICE: ❑OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: ZO 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: a ,z` ',.:`>: �,'r.',`a , i,,77 . ,77773r,< .xNi a`'y`'�':,¢",xwM.32� IR;+G".'.NQITIQ ING.��'d�7` *,! ;.=., � ++�'"" ... ,».:I� " 'r. �=, €'a�' 'rRt{d"'f #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: uta `.�"',i?x,' f.. ':.k»."'.r.v�., ,1'� ,'?`G�`, ," r'�,rvv,,,,r=z, w �33r;° fa, ,F.7h,,..Rk� .,.n Yi$3#Y7!�QT.Of"ar✓i.tiW r�r.,r .r�.�k'.rn° ,ks O ,�,a NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HIP: KVA: 34:TCfJ1NSFOR ERS .. UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: ., �"". .#+�+F i� DESCRIBE IN DETAIL: COAB FORM BLDG02:REVISED:1/10/2008 i I= CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 x INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001278 Date 9/17/08 Property Address . . . . . . 1651 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu 1 hs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRYAN, J SHEPARD ESTES HEATING & AIR, INC. P.O. BOX 330924 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (9 04) 241-6727 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 77 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/16/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 77 . 00 77 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. e r'` n CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: /(o 5-/ Owner: 432Y.�n/ /`7i=s ���:�cJ�h Telephone#• r Contractor: S t-i=S ff�^ /�6 <'ea -�' Telephone#: o`11"6 797 Contractor Address: �� A P S�� 07 Fax#: -2 4/"/— ��$a- In consideration of permit given for doing the work as descrbed 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 Beadh ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being date at this building or site;list the building pernik-number: OEle ctric LP Natural —Central Utility C'O R rt/F L/ U S C'O A.)S'712t.! /O.c ❑ Oil ❑ Other Specif — MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK 10 Heat _Space _Recessed = Floor Residential 0, Air Conditioning: !Room en JA Duct System: Material ' Thickness ❑ Commercial C1 Refrigeration Maximum capacity &0-0 cfin C1New Building ` ❑ Cooling Tower:Capacity am— ❑ g d Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation (3 LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ bion or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify. LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency CO Nt>c AJse1C lqt It 31>1S,4 -Wvq ot/,', t' HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Mamfscturdr BTUs Agency 914 �� �� 7Z11.) TANKS Nominal Capacity Type Liquid Saul Approving How Many Dimensions Contained Manufacturer No. Agency 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.cLadantic-beach.li.as 41 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD - ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001113 Date 9/19/08 Property Address . . . . . . 1651 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 218000 ---------------------------------------------------------------------------- Application desc ADDITION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRYAN, J SHEPARD CORNELIUS CONSTRUCTION CO. 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-9706 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/18/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O� I I I ss OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US .010" PLUMBING PERMIT APPLICATION DUVAL COUNTY PERMIT t#44ftf r ;3 Dq k' . tic Beach ❑FL 32233 NES PERMIT#: 0 / ! OWMR 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: i.p ,n_ . JNIBINGCONTRA �` � � 7. i O MPA i Ile 8.ADDRESS.: a, j 9. nEdFFJ�ORIDA LICNS 10.CELL PHONE: 11. NO.:` 7 1110 6/0 12. MAIL AD1DR✓ESC_6 I � 13 Qi O /HON, 0 14. N 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: 7 &05.NA 01.WORK.-W& �" �. ,.. .�. �r, , `,� 17 �. . .. x ;' x '4AUPJfZRENT CODI� � ❑ NEW ❑'06 FLORIDA BUILDING CODE ❑ RE-PIPE PLUMBING ❑OTHER: "• . ` ,_ ,; ,..I&.Nl1MBER OF,FlXTCIRESt`. W*, . .% 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 LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN =20.PLUMBING PERMIT FEES:, PERMIT ISSUING FEE: $35.00 - TOTAL FIXTURES. _ x $7.00 (PER FIXTURE) + $35.00 - • D MAP SHOWING BOUNDARY SURVEY OF ;T OF LOTS 7 & 8, BLOCK 6, OCEAN GROVE, UNIT NO. 1, AS RECORDED IN PLAT BOOK •15, PAGE 82, ,AE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED OLLOWS: FOR A POINT OF BEGINNING, COMMENCE AT THE SOUTHEAST CORNER OF SAID LOT 7; /ORTH CE SOUTH 84 DEGREES 58, MINUTES 02 SECONDS WEST, ALONG THE NORTHERLY RIGHT OF WAY LINE EWEES AVENUE (A 60 FOOT RIGHT OF WAY AS NOW ESTABLISHED), A DISTANCE OF 100 FEET; THENCE 05 DEGREES 01 MINUTES 58 SECONDS WEST, ALONG THE WEST LINE OF SAID LOT 8, A DISTANCE /OF 42.1 FEET; THENCE NORTH 85 DEGREES 13 MINUTES 02 SECONDS EAST, A DISTANCE OF 98.55 FEET; THENCE SOUTH 07 DEGREES 01 MINUTES 58 SECONDS EAST, ALONG THE WESTERLY RIGHT OF WAY LINE OF BEACH AVENUE (A 30 FOOT RIGHT OF WAY AS NOW ESTABLISHED), A DISTANCE OF 41.7 FEET TO THE POINT OF BEGINNING. CERTIFIED T0: KELLY R. & LEE S. ELMORE MARINE MIDLAND MORTGAGE CORPORATION STEWART TITLE OF JACKSONVILLE, INC. WATSON & OSBORNE, P,A'.' LOT 6 BLOCK 6 .._ ., 50.00' .— — '— 46.00' f I I ECEIVEDI ��ABANOpSD� CITY OFATLANTIC Ep1 Sp OIC 6� 07-IS I �I JUN 15 1998 O CK6 B 8 I I OCK7 B6 Cit of Atlantic Beach � B ilding and Zoning LOT 9 BLOCK 6 N 85`13'02" E I 98.55' TOWNHOUSE SET t/Z•REBAR STAMPED SET AC11 l8 4702' 1 WA FOUND 1/2•IRON PIPE 0 N1000 WAIK 'i WOOD STAMPED Ply l8 3I95' r n ,0 11.3 IL4' t4 TWO STORY — woad _s.o' FRAME p a z .o TOWNHOUSE b n W In POSTED # 1650 oi' ' o . f r Z) 3 $ " IS POSTED N 1650-1 '' 7.0 N Z 3 .ap C**AWONERSR N y W b —X—T PPA NtGl ( ONE STORY . d GMA • Q = t� 000000a � � Q o Z p W �- • oaoaaao to � FOUND 1/j'IRON PIPE oa°000°oo x STAMPED •PEs 18 329s• o00000o I S 84658'02' W 100.00' , SET 1/2' EeAR 0000 � STAMPED CM l702` ouo DEWEES AVENUE (60.0' RIGHT OF WAY) `\j LEGEND: �'y x— FENCE — '.•• - CONCRETE NOTFC• r3, 16613 f DEPARTMENT OFBUILDINGCITY COF ATLANTIC BEACH 4. r; *4 ,- �— kip•' v 5�w!P PERNIXT, INFO ATrON -- tNumb*, i 3 ------ LOCATION 1 NFORMA'T I ON `'` P FtIV T t` A dres : 1650-� BEACH AVE�1�tU - .,'Work,!.'ALTERATIONA'T'LANTIC BEACH, FLORIDA 32233 c a I r _.. �..� . . LEGAL DESCRIPTION - -- � P ;CONC'RE'TE B 1 c� k. 6 Leat :? f d Cie:DRIV�A ' Twp; � 1 w C Section: r Subd; R 0 SubdivisiOn OCEAN GROVE UNIT I000 3 v. Cost x } t?C -01 F .CC t - ^yyrlww /yy/ i A,ttl�t $zn P i a Yr 2 M.♦ 'S.* 1 4 P v IV CI -.. .. APP, ICATION PEES- ----- I _ I drN 1554. urti _ ~25.00 p� CRIDA .32:2 ° �� cxr III INS A'TICN Il trit`q ALSER' WA S .,,COritCR 'E u. E{ ry8�OOLEVAgD PLI �y " jj wr a7Exp .,"xd }MOTES: S� CLII ANOUT MUST 39 LEFT IN DRIVEWAY AND PROTECTED WITH CONCRETE AS IN SRW ' Cf�NSRUCTIgt� A alp B . AVENUE.. A ►pxcavl~z� Y IOt3Y 518198 F 1 NOTICE-INSPECTIONS MUST BE REOUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 1 BUILDING h4ATERIAL,'RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE. d CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR QWNER F/► LURE TO COMPLY WITH THE MECNAWGSA LAW A 98ULT 114 T`HI PROPERTY OWNED PAYING TWICE' 'O : .� !9$Uf3p ACCORDING:70 APPROVED FLANS WHICH Ail E PART OF THIS PERMIT AND SUSJEC7 7O R � I^Of VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC,BEACH BUILDING',DEPA MENT By: f f 77 e x! 1 �+� 4 } a �. a � � � *� t � } r Jun-05--98 08:06A P.01 CITY OF ATLANTIC BEACH FACMILE TPANMNM To FOLLOW r'r'r► � FAX# AY-7- 51q3 FROM: damb, PAGES TO FOLLOW Z DATE: _- -S-5 P MESSAGE: r• y� 4 cod I. ti ti a 90 t`��5 CITY OF ATLANTIC BEACH PERMIT APPLICATION REHODEL, ADDITIONS, OR ALTERATIONS MOVING,D&IOLITIONS Owners) : m P,-4 rn Rs cqc_,p,Udo vvkgsc,io Address : I6ILSO -2 6-mch Ag g Phone: (o35` 62-"39 Lot # 7 Block or Unit # C-0 Subdivision: dcm;() &RouE uri l -f I Contractor: k L621?-f ( ,& ) fttt & H pAC= 0fe State License # St �o h R3 S Co , 2 3 2 Address: 93 A k'b,S (C) Z BIVO Phone No: `- z r-` U� `. JCQ I.Com' F` ( l�(��vCae �`18 Describe work to be done: �F Y7 Q U� (5 K, ,S-//-k) 6 D9 I V1 Q A t j -T euSfAl1 Air- Doubly1U �� resent use of building: `valuation of Procosed Construction: Proeosed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled'? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? TE SETS OF P LURING p � z+t�ry rnnF' �'QRINS P�C�TT��F' C'n ND Signature OWNER: Date: Signature CONTRACTOR: 116Date: Sworn to and subscribed before me this day of 1 RECEIV,: NOTARY PUBLIC STATE OF FLORIDA Al LARGE P�,� pada Am i EXPIRES JUN - 4 1998 ANTRU 6Immo ,leo. fid;: gpNSlEDTkiHU IROV FAININSU City of Atlantic Beach 'wilding and Zoning MAI-' JI-IUVVINU SUKVtY UF- T Vi' L17I5 7 AND fi, BIA)CK b, CX.F:AN Gll:VE UNIT MD, I A-S R),C()RDED IN PLAT F3.JOK 15 PAGE. OF' I11E CURRWI' F'U81.IC. RL3-'ul DC; OP DUVAL, COUN`f, FL.ONIDA. (SEF: ATPA0n) LEGAL DF;SCRIYTI()N) d L O r 6 \ �I NO C4P (46) 61 UrILIrY EASEMENT dY piAr-'`I — -- - - -- — — I I I 0Q { I W FND.1/1*/. ~ N. t 1 .BS°l3/02'/ .� 97.451 ; D 1 `Na. .119! I W, N IV J295 hOD m 3.6' o ti /1..• .'wooP -s rORY 09'3 FRAAIEh RES No.1650'P .`lPP.3' /6.9 WOOD CO ffNCf,^_JSCRfCNEO�.�' WOOD PORCH 16./' ��j�.. p FND• 1/1" f.P. �- S� 8,5"13'02"W;98.55 D.1 V Nn. J193 O.3• -- I -� PO/Nr OF 1.6� i Q BEGINNING I AL1 I � � I (50) - _ - 4 998 FND.I/P /.P/ FND. NO CAP NO C -PO/l-- of At►antl _ DEWEE5 AVENUE REFEREN BGaCh NO re Budin BEARINGS ARE BASED ON SELVA MARINA UNIT E. � �nlTi� P S. 34, Py S. 5/,5/A,5/B. { NO B.R.L AS PER PLAT rN/S IS A LAND SURVEY 1 I{I:IltL3Y C_F:IYP1Pf 111A'P mi: 1'Itl)PEIrI"1 SHOWN FiiJ1IVN LIES IN FLLX)D ZONE AS SHItIN �N f1iT: F'I )/If IL4LARD I§OUNDA.RY MAV' ('Jiff JA'iC.` !J/I'.i,E, Fl-JORIDA. I HEREBY rzRTTFY Tv I`IMART) F. T`ORMOLI,FN, AMFJ2IFIRSP K)FZ'17AGFL' AND CHICAGO TITLE IN.SURAX.' ('q'4PANY THAT 1 HAVE SURVL''YFJ) THE LANDS AS SHOWN IN 'IHE ABOVE CAP'PION AND THAT THIS MAP IS A TRUE AND CORRk)CT R);YRESFWrATION OF T1iAT SURVEY AND IIIAT THE SURVEY REPRESENTED HEREON MCLPS 'IIiE MINIMUM STANDARD RW)IREW-Wl'S ADOP'T'ED BY 'IHE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAP'T'ER 21-HH AND"Il E FLORIDA LAND TI' ,E ASS,(X'IA'I'ION. THIS SURVEY NOT ✓ALID UNLESS SEALED WITH AN EMBOSSED SEAL FINAL SURVEY OF SURVEYOR SIGNED HEREON APRIL 2, 1967 DONN W. BOA'TWRIGHT, L.S. FLORIDA REG. LAND SURVEYOR No. 3286 SCALE: BOATWRIGHT LAND SURVEYORS, INC. DAT R/L z2. . DRAWN BY: c.c. 1301 PENMAN ROAD SUITE D SHEET _OF_�— F.B. f: /LE JACKSONVILLE BEACH, FLORIDA 241-8660 s� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000159 Date 2/03/09 Property Address . . . . . . 1650 BEACH AVE UNIT 02 Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TORMOLLEN, EDWARD F. THIGPEN HEATING & COOLING INC. 1650-02 BEACH AVENUE 2801 DAWN ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 448-1962 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/02/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. FROM THIGPEN HEATING AND COOLING IN PHONE NO. : 904 356 4247 Feb. 02 2009 10:52AM P2 CITY OF ATLANTIC BEACH ''. MECHANICAL PERMIT APPLICATION Date: 2 [owner: roperty Address: Telephone#: 2.►�1=1� � Contractom'-- �,,�,��,�_��,eds„.,� Telephone#: ��'1�-\��v� ? Contractor Address: %d\ �"”' ,� Fax#: In consideration of permit given for doing the wort as desenbed 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 ordmuaees and staodards of nice listed therein. Type of Hcsting Fuel: If other construction Is being done on this building or cite,list the building permit member: Electric D Gas: _LP _Nattrnal _Central tkility O Oil d Othcr–Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed A Central . _Floor RAiideadal ❑ Air Conditioning: —Room >,CentraI D Duct System: Material Thickness 13 Commercial Maximum capacity cfm • a Refrigeration D New Building , ❑ Cooling Tower:Capacity xnm Existing Building ❑ Fire Sprinklers:Number of Heads (3 Elevator: _– Maulift Escalator (Number) IacetnentofExisting Synern -❑ Gasoline Pumps (Number) a Tanks (Nlltnber) ❑ New Installation ❑ LPG Containers (Number) (No systcm previously installed) O Unfired Pressure Vessel d Extatsion or Add-on to Existing system D Boilers D Gas Piping O Otber.-Specify O other–Specify E LYS_ALL EQUIPMENT AIR Co'NDrrjo NG,REFRIGERATION EQUVMXNT k CONDENSOR'S APPS tab } Number Units Description Model M Mang6cluea Tnoa's 1 'Agency O - f F— IJU� 1 HEATING—FURNACES,8011Z"FIREPLACES&AIR SANDLER'S Approving Number Units Description Model N ManuBectura BTUs Agcocy j TANKS Nom final Capacity Type Liquid serial Approving How Many dr Dimensions Contained hunufaetursr No. ea s 800 Seminole Road.Atiaode Beach,Florida 32233-5445 Phone: (904)247-5800• Fal=: (904)247-5845. http://www.cLadaotic-beach.fLus ! - _ .._... ..-- i r CITY OF ATLANTIC BEACH Y H MECHANICAL PERMIT APPLICATION U!3 � Date: 47AEn Property Address: \l,? _ ,`. —,& . Owner: Telephone #: 2ACA=� Contractor: 1 4• ` Telephone#: 4A 6 Contractor Address: 22A--\ � Fax#: �►�g`�o� In consideration of permit given for doing the work as descnbed in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: —LP _Natural —Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ HeatSpace Recessed X,Central —Floor Residential ❑ Air Cond_itioning. Room Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfin El Refrigeration ❑ New Building ❑ Cooling Tower:Capacity >;Pm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) eplacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System i ❑ Boilers ❑ Gas Piping Cl Other.-Specify. U Other—Specify f LIST ALL EQUIPMENT i i AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton' s Agency C s OZ 1t'e-vr1(- �— �F� i HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Dcscription Model# Manufacturer BTU's Agency s k TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Ile r } CITY OF ATLANTIC BEACH f�Ss1 800 SENIINOLE ROAD yr ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034361 Date 12/14/06 Property Address . . . . . . 1651 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------- ----------------------------------------------------------- Application desc INSTALL SWITCHES FOR ELETRIC SHUTTERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRYAN, J SHEPARD MODULAR ELECTRIC CONTRCT. , INC Q/A ALLY, ROBERT A. ATLANTIC BEACH FL 32233 1215 ALTOONA AVE LAKELAND FL 33813 (352) 684-4739 ---------------------------------------------------------------------------- Permit . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/12/07 ------- --------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PIEII8AnT IS APPROVED ONLY IT ACCORDANCE VYI'A H ALL CITY OF ATLANTIC BEACH OR DEgANC ES AND THE, F LOREDA BUILDING CODES. J526837483 MODULAR ELECTRIC PAGE 82104 CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION ._... - _ — __ •.____....;....��...__...._._.._._,._._..- Date: O (� Property Address: A114, — f Owner. D Q.KJ Telephone#: Cantractar>r:Alvul Telephone#: conaroctoc Addressr .� / / Fax ft_ ' -�Y3711 con"etoir S!patum: In wirdti atim ut'permit given fur doing the work aw dcmribed hi the rbuve 41ktaanm4 we hereby mV=to pafwm mW work in aceotdaaee with the attached pias and gmcit9cadom which pwt hcrcd Bbd in accordance with the City of Admic Reach mdirraatec and of tood mallec tistcd thamkL Building: Duad9tag Type: U Trailer Service: tf cow connhaet" 'e V Ncw Residem O Temp. (a New dom nu fhk iwiidimS ow t=i Cemmercia t ❑ Signs 0 lncremic pt iifixnabcrwuing Re-wire 0 Addition Sq.Ft- Repair Conductor Size. AMPS: COPPER ALUMINUM SWWA or RACE: BMW AMPS Pict W 'VOLT WAY E1040119 Servile RACE Size AMPS AH W VOLT WAY M.ettr Number Fecaiern: Nt7, S17E NO SIZE NO: SIZE Lighting Outlets CONCEALED OPEN Rec tt!Slr.a CONCNAI.Kn — - � OPItN — Svvkdm ltu�ndescent _ • P'luoratccmt &� ...r'.--. ____•..__.... _ ..._._..._�___,.___.�.__._ .._._..,.____w.�w___..__._ —�.__ M.V. Fixer) 0.too AMPS OVER BELL tikes —.. xRANS):ER. Air KP-RATING H.P.TtATTNC V CEII iNCi KWON A'I Candiaiau' COMP.MOTOR O't HM MOTORS AMPS BEAT MaraRa 0-t ki.P. VOLTACrE irH Nt). OVBR I R.P. P.EIS ILr�Bb2oV �CB600V ,-______, Traasfonners NO. KVA TWp KVA No.Neon Tranof. Ba Si Miscctiancous 800 Scrainak Rond.Atiaatic React,pbrUs 32233-5445 ftme:(904)24'1-SM. Pnx: (904)247-5845• ititn://wtva s[,rtlatnHc.lfl as Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 3af } Application Number . . . . . 08-00000512 Date 4/17/08 Property Address . . . . . . 1650 BEACH AVE UNIT 01 Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL CU & AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ELMORE ONE HOUR AIR Q/A:EDDY, CRAIG FARREL 1015 ATLANTIC BLVD 249 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/14/08 -------------- ------------------------------------------ -------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r rt spa > CITY OF ATLANTIC BEACH 'w 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- , V OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PT@COAB.US +_ MECHANICAL PERMIT APPLICATION DUVAL COUNTY t(f j 5 0-- ERMIT#: q11 7/0 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: tZkM02E z6- 621 7.NAME OF COMP ,Y,,,,." e.I I 4 6 M � ,..Q�T 9.STATE OFF ORI LICENS NO: 10.CELL PWt}E:�� �� 11.FAX NO,: 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 1"T/ r.c y 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: /� Vii. ,s• L, WAMW " 0 NEW INSTALLATION ❑NEW RESIDENTIAL [3'06 FLORIDA BUILDING CODE- M%REPLACEMENT OF EXISTING SYSTEM IkEXISTING 0 COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER 19.HEAT: ❑SPACE O RECESSED CENTRAL ❑FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM gCENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: Spm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC, VALUE FOR OTHER ITEMS: IN ar "` '7 g MUM 1 NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY (� Aj0gv P 4 N 2yQ IOC10 > Ic 2 2 APPKUVINU NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY �e 3 3&Qif APPROVINU 361L NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAG FORM BLDG04:REVISED:111012008 e �