Permit Folder 1989 Brista De Mar Cir CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
mi
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000167 Date 2/16/10
Property Address . . . . . . 1989 BRISTA DE MAR CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 12700
----------------------------------------------------------------------------
Application desc
REROOF PERMIT ARCHITECTURAL SHINGLES 5444 . 1
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BROMMER BRUCE & MCBRIDE CINDY HOWARD CONSTRUCTION LLC
1989 BRISTA DE MAR CIR 580 WELLS RD STE 3
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 541-1112
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 12700
Expiration Date . . 8/15/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 115 . 00 115 . 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
Date: to ROOFING PERMIT APPLICATION
Job Address: N0\1��()� 6
Owner of Property:ICLU-�- C,mmex 'A &r\ CR C- C\Q-
Address: V�PPCli`\ �6P �An C CAcc ILL --Telephone: qOLA— J:�Q
Roof Contractor: LLL State License Number:
Contractor's Address: 15P)G�7ss -\�-OCAC� i0ciry-\ae —k-�"L6L , CL-
Telephone: qoL-li\5L41 -m2, -Fax: 00� SLI I - I I U 3 Email: 0a.').(-Uvv.\
Scope of Work: - V-00-�) Roofing Material VLL1YLA I
FL Product Approval# �W Valuation of Work: $
Required Inspections: Sheathing/in Progress-Dry In /Final
Ifre-roof: Assessed Value of Structure:_<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"'WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER ORAN ATTORNEY B NG YOUR NOTICE OF COMMVENCEEM T" .
dO7NZ
SIGNATURE OF OWNER: Date:
AS TO OWNER:
day of (OVIIIA-0A 20
�ta Iol1W&rFP0M%UW?Jr1da
Jennifer Koski Notary's Signature:
%,C-W ff My commission DD928560
0 Fov Expires 10/27/2013 P sorwy known�
Rk V'Produced identification
Type of identification produced_
SIGNATURE OF CONTRACTOR:
lu
AS TO CONTRACTOR:
Sworn to and subscribed before me this dayof qJOM&LAL 2
State of Florida,County of Duval Notary"s Signatur ._(��
4OTP Notary Public State of Florida �tersona known'
41411-1
Jennifer Koski
My Commission DD928560 11 Prod ucevidentification
-4,,OF ,of Expires 10127/2013
Type of identification produced
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800-Fax:(904)247-5845
F:\roof permit applicaton.docx 7/28/09
bib,
HOWARD
Cons,truction
I,, ILLC
HOWARD CONSTRUCTION, LLC
580-3 Wells Road
Orange Park, Florida 32073
License#CBC058529/CCC1326844
License#CGC1512840/CCC1327900
Phone#904-541-1112
Fax#904-541-1103
Howard*howardnow.com
February 16, 2010
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, Florida 32233
Re: Permit Applications
ALL ASSOCIATED UNDER:
Howard Cummins - CBC058529, CCC1326844
Don Towery - CGC 1512840, CCC 1327900
Please note the names below as authorized persons to pull permit applications
EFFECTIVE IMMEDIATELEY:
Howard Cummins
Don Towery
Scott Shannahan
Mike Galaska
Anthony Reed
7
Before me this da ofCtWft&w'W1'D By:
in the county of State of CA--
has personally aNppeared TN A I0A4A
herein by himself/herself and affirms that all Title:
statements and declarations herein are true and
accurate.
L
Alic at Arge,Sfatjot F'U,County of Notary Public State of Fioridi
im
is jennifer Koski
my 0 sion expires;&)( My Commission DD928560
Pers U01y Known V I
Expires 10127/2013
Produced Identification
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of FLORIDA County of
To whom It may concern:
The undemigned hereby Informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 40-37 09-2S-29E
SELVA NORT UNTT TWC)
Address of property being improved: 1989 BRISZA DE MAR CIRCLE
----C BEACH, FL 32233-4525
General description of Improvements: RE-ROOF
Owner BRUCE A BROMMER & CI-11 RIDE
Address 1989 BRISI�A DE MAR CIRCLE A IC BEACUT L-T- -2-1-
Owner's Interest in site of the improve OWNER
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor HOWARD CODISTRUCTION LLC
Address-- 580-3 WELLS R ORANGE PARK. FL 32073
Phone No. 904-541-1112 —FaxNo. 904-541-1103
Surety(if any)
Address unt of bond
Phone No. — -- Fax No.
Name and address of any person maldng a loan for the construction of the Improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the uenor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date o��Ing unless a
different date is specified):
THI PACE FOR RECORDER'S USE ONLY NER
Signed,
Elefbre nm*wifils day L==2�2 or/or
C in the
Doc#2010034979,OR BK 15156 page 197, hinisell/herself and affirm that all staternents and decla
Number Pages:I are bim and accurate Notary Public State of Florida
Recorded 02fl&Mlo at 11:23 AM Jennifer Koski
JIM FULLER CLERK CIRCUIT C6URT DUVAL COUNTY My Commission DD92856o
RECORDING$10.0o Ory Expires 10127t2o,3
P tote
MY Plr-
Personally
Produced
2 DEPARTMENT OF BUILDING 8024
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 9-17-86 19
F109P,f) TL
Valuation$ $ 50.00 654b I A 11 /1 3/13f
This permit not valid until above fee has been paid to City Treasurer,and is 919 24
subject to revocation for violation of applicable provisions of law.
This is to certify that TAYLOR H.A.R. 1 IS 9 8 1
has permission to buddx— INSTAL1, HEAT & AC
Classification Zone
Owned by
Lot Block SA:)_
House No. 1989 BRTSTA DEEMAR CIRCLE
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
z
_q from this work must not be placed
in public space, and must be cleared
up.,=4 hauled away by either con-
c�t or owner..
�Ting Official.
FOR OFFICE PERMIT DATE CONTRACTOR
_HSE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
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 1, 11, 111, and IV.
Street Address: 7� -C-1)
LOCATION
OF Intersecting Streets: Between
BUILDING
Sub-division
11. 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 attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good.practice listed therein.
Name of Mechanical Contractors
Contractor (Print) Master
K
Nam* of
Property Owner 0 Lk "j
Of 0-n:,,
Signature of
!=izod Aq n Architect or Engineer
Ill. GWINAL INFORMATION
A, Type of heating W: B. IS OTHER CONSTRUCTION BEING Dqw;ON
(I,41actric THIS BUILDING OR SITE?
C) Gas—(3 LP El Natural E3 Central Utility U
IF YES, GIVE NUMBER gF CONSTRUCTION
09 PERMIT
CI Other — Spec*
IV. J4011ANICAL LgUIPMONT TO It INSTALLED NATURE OF WORK
(Previlde complete list of components on back of this form) El-�Residential or El Commercial
Arl_"t E3 Space 0 Recoss" CK_'Centni 0 Floor j4�-�6w Building
13 Existing Building
A3"—A;r Condiflioning: 0 Room 4a-'C_'&ntreI ' /P
&'D.Ct I D W C_T? "r d,- 1 0 Replacement of existing system
System: Materw Thickness.-_
Malrofflum capacity c.f.m. 9--N-ew Installation(No system previously InstalkKo
11 Extension or add-on to existing system
C) 0 Other — Specify
(3 Cooling towor: Capacity 9-pin.
C] Fire sprinklers: Number of h".
I C] Elevator 0 Menlift CI Escalator— (number) THIS SPACE 00111t OFFICE USE ONLY
Q':ressolims pumps (number) (Resolved)
13 7641 (number) Remarks
13 LPG cont4i .(number)
0 Unfired pressure vo"
Permit Approved Date
C3 boilers
Other Specify Permit Fe.
UST ALL EQUIPMENT
AIIR CONIXT111OMNG AND REFRIGERATION EQUIPMENT
cq"ty Approvilng
NumberUnft Model Number Manufacturer
11�11crlpuoft (7101111111) Agency
X�> Z) �<�o "Pq"L
W h'_q 11 4--
o 0_ryi� Y�i 4 6
ele dY,
-S FIE- -1,47e�l
CITY OF
4&4^40 Be4404- (0 L j I'l L2
Off Ice of Building Official
REQUEST FOR INSPECTION
Date--/—z Aq, (�n Permit No.
Time A.M.
i P.M. District No.
Job Address
Owner's
N
ame Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing 0 RoughWiring %el' Rough 0 Air.Cond.& 43-�'
Re Roofing D Slab 0 Temp Pole U, Top Out Heating
Lintel 0 Final 0 Fire Place 0
Pro Fab
READY FOR INSPECTION A.M.
Mon. Tues. Thurs. Friday_P.M.
A.M.
Inspection Made P.M.
Inspector Final Inspection 0
Certiticate of Occupancy
Date
CITY OF
4&4^4'c BeacA-&74M.4&
Office of Building Official
REQUEST FOR INSPECTION
Date ePll Permit No. —1i
Time A.M.
Received M. District No.
Job Addres§ Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 RoughWiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 01 Top Out 0 Heating
Lintel 11 Final 0 Fire Piece 0
Pro Fab
READY FOR INSPECTION A.M.
rM—o—n Tues. Thurs. Friday—P.M.
Inspection Made
Inspector— Final lnspectioa4F��
Certificate of Occupancy
Date
CITY OF
4&n4c Be=4-0;&,m*&
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.— 6-110
Time A.M.
Received P.M. District No.
X,(�- mall-
Job Address Locality
Owner's
Name— contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECH-,,,
Framing 0 Footing 0 RoughWiring 0 Rough 0 Air.Cond.&
As Roofing 0 Stab D Temp Pole E Top Out 0 Heating
Fire Place 0
Lintel 0 Final Pro Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. A.M P.M.
Inspection Made............................... Of— - -
Inspector-- lnspectwr�,
Certificate of Occupancy
Date
CITY OF
4&4494.0
Office of Building Official
REQUEST FOR INSPECTION
C7
Date Permit No.
Time A.M.
Received P.M. District No.
-/�Fop� Bvql S 7-11 D,f Z,2A P<-
Job Address Locality
Owner's
Name tractor
raclor
C-0—U I L D I N--0 CONCRETE :ICA�L NG MECHANIC
N*�j�g Footing 0 3 ghWIring Air.Cond.&
Heating
Re Rooting 0 Slab 0 Temp Pole 0, Top Out
Lintel 11 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Wed. Thurs. Friday—P.M.
Inspection Made P�
Inspector Final inspection 0
Certificate of Occupancy
Date
tratr of Mrruvaltrij
CITY OF
0044suo &4A . Rai&
lgrpartmmt of 'NuilbingInsprIrtim
This Certificate isstied pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Use ciawfication Bldg.Permit No.
Group_-Type Construction-Fire District
Address
Owner of Building
Building Address Locality
Date:
FOOT IN A CONSPICUOUS PLACK
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested: january 21, 1987
Building Contractor: Hardmna Builders
Building Permit Number: 8023
Address: 1989 Brista De �Iar Circle
Legal Description: Lot 94, Selva Norte Unit II
Improvements to the above described property have been completed
in accordance vith the terms of the permit and is certified to be
ready for occupancy as SINGLE FAT-,=
Comments:
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY:
Fire Chief 1/21/87
---------------
-- ----- ----
Public Works 1/21/37
---------------
Planning Director 1/21/87
...............
Building Inspector 1/21/87
...............
CITY OF
716 OCEAN BOULEVARD
L L P.0.BOX 26
I - ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
January 16, 1986
Third Floor
Pre-Service Section
Jacksonville Electric Authority Building
233 West Duval Street
Jacksonville, Florida 32202
The following final inspection has been made and is
satisfactory:
Permit #5110 1989 Brisat De Mar Circle
Permit issued to Bivins Electric Company.
ZSinc ly,
�Rene'
len Angers
Comm i
Community Dev opment Director
cc:building file
7-r
'ATLANTIC BEACH, FLORIDA
CITY
AoPnmd by
APPLICi�ICIN FOR ELECTRICAL PERMIT
TO THE CMEF ELECTRICAL INVECTORl." DATE:
IMPORTANT NOTICE:
INANSIDERATION OF PERMIT biVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOVANG, 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.
ELECTRICAL FIRM: MAS*Eb ELECTRICIAN SIGN;Q'RE JOURNEYMAN
LRFQ—BOX—
NAME 'LLADDRESS:—
BLDG.SIZE BETWEEN:
APT.( COMM.I PUBLIC( INDUS.I NEWI OLD( HEW.
HE&(
ADDITION TRAILER I TEMP.1 141" SIGNS ( —SCL FT.
SERVICE: NEW( INCREASE I REPAIR I FEE
CONDUCTOR SIZE AMPS COPPER f ALUM.
SIVITCH ON BREAKER AMPS PH W VOLTI RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLTI RACEWAY
FEWERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALED1 OPEN TOTAL
0-30 AMPS. 31-100 AMPS,
INCANDESCENT.
IFLUORESCENT&M.V.
FIXED 0-100 AMPS. I OVER
-AIRMIANCtS BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.Pi AGE PHS NO. I H.P. "VOLTAGETPHS1
=- VOLT
CITY OF
'ATLANTIC BEACH ' NO' , 3 6 0 2:,
FLORIDA
January 23, 19 7
NAME HARDMAN B1101 R9, INC.
ADDRESS 161LA Park Tp_rraea West
Afkart'h IfInriAit 12233
a ry Atlanyle
83*75 TL
3602 *OOCAM
I I a 14! 1/23/07
$83.75
3/411 Water Tap for IrrilgatiOU J%ter-
' Job address: 1989 Brista Do Mar Circle
When Signed,, Dated and Numbered, This Becomes an Official Receipt
Recewed Payment
MAKE CHECKS PAYABLE TO
CITY--OF- ATLANTIC BEACH,- FLORIDA' ,` 7.RFASURER
F",
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DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- 8025
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 6400 TL
9-17-86 r3 Ir,*ri 03 rKT t
'7!3 1 f
Date 19— 4� I I i I(1/pn/9
66.00 14710 2 71 OCCACI-
Valuation$ $ 1 407, 9
21 1 A I wrlo/qf
This perrnit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that STEEG PLUMBING
has permission to b
Classification RV�RTT)WTTAT Zone
Owned by HARDMM BUILDERS
Lot Block S/D
House No. 1989 BRISTA DE MhR CIRCLE
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material,rubbish and debris
-Z from this work must not be placed
in public space, and must be cleared
up and hauled away by either con.
or owner.
V
__�Jng Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACT
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTICIBEACH
APPLICATION. FOR PLUMBING PERMIT
'''�.'4.,�JOB LOCATION
PLUMBING CONTRA CTOR___/19e
LICENSE NUMBERS
Fc, .0
OWNER
�-,i;�� BUILDING CONTRACTOR
TYPE OF BUILDING Z5
SINKS
SHOWERS
LAVATORY
WATER HEATERS ' � '.,`
BATH TUBS DISHWASHERS
-URINALS DISPOSALS '
I-) CLOSETS ' 'WASHING MACHINE :
FLOOR DRAINS
OTHER
_Z&OTAL FIXTURE COUNT
�JNSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITHJ '
,-4
-EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
THE MOST RECENT
_ 7
TLANTIC BEACH, FLORIDA
CITY OF
A' ION FOR RKTRICAL PERMIT
A
AVWft
TO TM CHIEF ELECTRICAL IMPECTONfl' DATE:
NOTICE:
bom siDERA-noN or Piftmrr!i�j EN 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.
<51
'J
,,_�_l ';_�_ I �I
RWRICU FIRM: AMStERILLECTRICIAN$10 RE__
fill" ------JIOX_
-!&ADDRESS:
6LJ4.linje BETWEEN:
An.I
COMM. I
lift OUSLIC I INDUS. NEW ftA OLD I REW.
ADDITION TRAILER TE*.I I SIGNS ( sm FT.
FEE
W�A .SK*Vidl: NEW f I E( REPAIR I I
AMPS
COPPER I I AL
'77 7,
SWITCH RACEWAY
OR BREAKER PH W - VOLT
AMPt' PH W VOLT
RACEWAY
__�URV.SIZE
otram No. NZE he. SIZE NO. SIZE
OPEN TOTAL
UNITING OUTLETS 6(�6ALED
COkEALEDI TOTAL
OPEN
O-SO AMPS, 31-100
0.100 AMPS. I OVEW11-
BELL TRANSF.
-AIR'-'-- 'H.P.RATING 7H.P. RATING
TIONING COMP.MOTOR- -,'bTHER MOTORS AMPS CEIL HEAT: KW-HEAT
KID._- __VWMXTAG OVER E"PM
PHS 17; VOLTAG
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 8023
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date Sept, 17, 1q86 05*37 T
415*37CKT
Valuation$ 118, 831.05 $ 405. 37 ILI 8 11 1 9/19/9
UIU3 .11'0CA
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that HARDMAN BUILDERS, 11INC.
1644 I'ark Terrace West
Single Family NHme as per plans
has permission to build-
Classification Residential Zone RSI
Owned by Herb Sang
Lot 94 ____Block Unit II S/D Selva Norte
House No. 1989 BRISTA DE MAR CIRCLE-
According to approved plans which are part of this permit
NOTICEILALL CON' CRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PEP-MIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 00 4 10 0 Building material,rubbish and debris
z from this work must not be placed
in public space, and must be cleared
up and hauled away by either con.
tractor o owner.
B3*g Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATAER
Adriress T- q /0�
, Heated Square Footage 17 er sq ft $ &)
Z
(:!�NWhed -5- —per sq ft $
Carpor�� per sq ft $
'7 Y-
$ per sq ft $
Patio $ er sq ft $
TOTAL VALUATION: $
sz ' .
Total Vdluation ls t $
-2 5.
Remainddr Valuation per thousand or
portion tbereof 3'
---------------------------------------------I Total Building Fee
ADDITIONAL PERMITS and/or FEES REQUMED
+ k Filing Fee $
Fireplaces @ 15.00 $ C)
Mechanical
$
BUILDING PErMT FEE ?
Plumbing
Electric/New L-------------------------------------------------
Electric/Temp BUILDING PERMIT $
Septic Tank WATER M= C1WZE $
Well SEWER IMPACr FEE, $ (163 -Y%
Swimming Pool WATER IMPACT FEE $ ,q 0 .�' -
Sign MISCELLANEOUS $ -x<
Water Comiection
Seder Cormection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $
--------------------------
-------------------------------------------------------- ---------
CALaff,ATIONs and/or NOTES
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERUT
Owner A-t4 C, Addres 8 J4 A ZiR Phone 7�32-dqgq
.Lb , ,
Architect L& tA 1, 1 Address lg
gj.01)- " J AX zip____Yhone_aJ_-:3 14-�L
lbq+ P4-su(, Rvra A- 6 zip
Contractor L�Wpwvj —Address- -322�33 Phone
Contractor's License NumberCkC C)6 S? Expiration Date G !R 7 Copy on File
Lo t Yt (I Block or Section # C J&i r Subdi-vis ion, f\'/") Zoning
___4 "U ftr
Street (3yls+&,J Be�ween 2c)t and -side-tde4-r
Valuation $ S7 I' "�ck-
ype of Construction �
Purpose of Building____ -cj) ___ Nunber of Units ireplaces
Utility Service: Water Sewer V111 —
If the City if providing water or sewer service, do we need to make taps?
Dimensions: BuildingIX&q Lot Size Footings, Re, Zo
Sz. Piers Sz., Sills Greatest Span Sills --
Sz. Ceiling Joists TOV-7 ,- Distance on, Centers 2-LF' Greatest Span
Sz. Floor Joists 5L-A a Distance on Centers Greatest Span
Sz. Rafters T W,u e7 Distance on Centers Greatest Span_'��*�.
Method of Heating P(AT (-^I)m 0 Solid-Filled Ground Foof—('-,
Flood Zone If located within a FLOOD HAZARD corrplete page 2
SUBKT: Two complete sets of plans, including a detailed site plan.
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections Required,
1. When steel is in place and ready to pour footings.
2. When steel is in place and ready to pour colums/lintel.
3. When steel is in place and ready to pour bearn.
4. When framing, mechanical, plunbing, electrical, fireplace, is conpleted and ready
to cover up.
5. Final inspection. SETBACKS
NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB.
In case of rejection, reLnspection MST be called for after Rear Lot Line
corrections are made. .33
In consideration of permit given for doing the Cn
work as described in the above statement, we FJ-
hereby agree to perfonn said work in accordance
with the attached plans and specifications,
which are a part hereof, and in accordance rt rt
with the building r gulations of Atlantic Beach.
(D
Signature Owner'7L CUA A
Signature 9=Lrac-
Front Lot Line
ENERGY DATA S11EET
NAME
/A/C-, DATE
JOB ADDRESS Z-oz EPI
1 Type Insulation In Walls/;� R
2. Type insulation In Ceilings R
3. Type insulation for Wood Floors R
4 . Concrete Slab Edge Insulation _R
5. Insulation Around Ducts 15- -In Condit. Space
6. Type Heating System COP
7. Type Cooling System 4,7,7 EER
8. Type Hot Water Heater
9 . Type Glass In Windows and Doors :
Double Glazed Tinted
Single Glazed Tinted
10. Type Exterior Doors
11. Fireplace? _jZ__y/Insjde Combustion Air
W/outside Combustion Air
12. Woodstove?
13. Are the dimensions of all windows and doors shown.; 44&
T . If not#
this is required either on floor plan, elevations or a ichedule.
14. Size of Roof Overhang? -2- 6
15. Are the washer and dryer located on floor plan?—
If Sol identify on floor plan.
16. Any ceiling fans?
17. is a multi-zone A/C system to be used?
18. Is the building oriented on plot plan with compass direction?
If nott draw in on plot plan.
19. Is there a whole house fan (attic-tyPe fan with 1. 5 CEM/SF) ?
I certify that the above is the correct data used to calculate
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION 9 —RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900-A-86 DEP'ARTMENT OF,COMMUNITY AFFAIRS NORTH I 2K'��
This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative
to this method for single-family detached dwellings,and multifamily attached dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater
than three stories must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained
from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301-8244.
PROJECT NAME -.IrA ove, .4 C 4e I PERMITTING OFFICE: JA-)e--
AND ADDRESS: /-�o 7- JVO el*--1 CIRCLE CLIMATE ZONE: 1 2
BUILDER: WC-1- — PERMIT NO.:
OWNER: JURISDICTION NO.:
DETACHED CHECK IF WORST IF MULTIFAMILY, GLASS AREA AND TYPE
EVNEW [] ADD. CASE CALCULATION: NUMBER OF UNITS: CLEAR TINT,FILM,SOLAR SCREEN
ATTACHED CONDITIONED CEILING INSULATION
FLOOR AREA UNDER ATTIC SGL-ASSEMBLY SGL SGL
NEW F-] ADD. R R =ME L DBL
DBL
NET WALL AREA AND INSULATION
CBS R FRAME R= STEEL STUD R= LOG R=
[23 1 [ M
11 1 1 1 FTI 19:?F
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN UNCOND'
SPACE Eq"*cENTRAL R NONE ELECTRIC STRIP VHEAT PUMP 1C F� SOLAR
R =
5�.9 1:1 Room NATURAL GAS ROOM/PTHP R NATURAL GAS 0 HEAT RECOVERY
IN COND. PTAC OTHER FUELS D NONE OTHER FUELS 0 DED. HEAT PUMP
SPACE
R = SEER/EER 1ju COP/AFUE EF SF/EF
I mo I I NUMBER OF BEDROOMS
INFILTRATM
PRACTICE USED X 100 147.P
0 #1 0 #2 V #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1
I CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
In accordance with ?17 F.S.,I hereby that:e plans Review of the plans and specifications covered by this calculation indicates
c �S with
u��t'ioh ,
and specifications er by calculation are in the compliance with the Florida Energy Code.Before construction is completed,this
Flodda Energy IT building will be inspected for compliance in accordance With Section 553.908 F.S.
OWNER/AGENT. BUILDING OFFICIAL:
DATE:
DATE:
9A I PREEMSCRIPT MEAS (must ht met or ex�by all memences.)
OMPONENTS SECTION REQUIREMENTS
WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK.
EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SO. FT.OF DOOR AREA. INCLUDES SLIDING GLASS DOORS,SOLID CORE,
ADJACENT DOORS — WOOD PANEL,INSULATED,OR GLASS DOORS ONLY.
EXT.JOINTS& 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED.
CRACKS
MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND
WATER HEATERS 904.2 STANDBY LOSS REQUIREMENTS. SWITCH 08 CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUT-OFF L11
(GAS)MUST E PROVIDED. AN EXTERNAL OR BUILT4N HEAT TRAP MUST BE PROVIDED.
SWIMMING POOLS 904.3 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST IJA
&Sem HAVE A PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%.
HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT LOSS SHALL
PIPES BE LIMITED TO 17.513TU/H/LINEAR FOOT OF PIPE. AIA
SHOWER HEADS 904. _ WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 2Q TO 80 PSIG.
HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS&LOCAL MECHANICAL CODES.,DUCTS IN
lCONSTRUCTION .6 U NDITIONED SPACE MUST BE INSULATED TO MINIMUM R- 4.2&JOINTS MUST BE SEALED.
IHVAC NTROLS Z—-SEPARATE READILY ACCESSIBLE MANUAL OR AU rAT FOR EACH SYSTEM.
ICER thir,INSUL. 904,9 MINIMUM R-19,
-1.
- WINTER POINT MULTIPLIERS
98 WINTER OVERHANG FACTORS(WOF)
ORIE1, 113VERHAN ATIO-- -- CLIMATE ZONkS 1 2 3
�1 118- 7 �3�6 ] iii:' -
TATI i 0.36- ��i 1-71- 0.84- 1.19- 1 1.73- [ -.74- 1 5.67-
0
0-17 0.26 0.46 0.57 0. .83 1.18 1.72 2.73 66
IN E Up
N 1 1.12 1.1 12 1.27 1. 1 1.. 1.45 1. 1 1. 7
N N 1 1. 0 1.2 1 1.39 1.45 1. 0 1
1 -.0 1.74 1 1.84 19.1
E/ W .1 0 -1.7
1.0 .77 .39 .2 A--0L-L--A&Lj
1.0 00 .84 .74 .60 .46 .29 .74
1. lJ3 1.19 1.25 DOL BLE PANE -- .67 .7
NE/NW 1.0 1. 3 1.35 1.31 1.37 1.42 1.48 1.58 69 1.7j�i.�
E/W 1.0 .62 .46 1.58 1.68 1.76 1.87 2.09 2.28 2.46 2.61
SEISW 1.0 .82 --_.2L_ .12 .05 .24 .59 .96 1. -1-56
.72 .61 .5-1 .40 .28 .03 .19 .40
G
1.27 1
1.45 1. 0
1. 1,7
.2 .1
.29 .13 .7
g 1* 1 1 3
1.0 1. 3
10 77
1.0
-S- 1.0 .94 .87 .78 .55 .41 .27 �04 .29 .40
OVERHANG RATIO LIH
L H L T
H F1 H
9C WALL WINTER POINT MULTIPLIERS(WPM)
FRAME CONCRETE BLOCK FACE B qICK
INT RIOR INSUL. EXT.INSUL. R-VALUE WOOD FA LOG
WOOD NORM WT. LT WT_ NORM LT WT 0- 6.9 12.6 6 INCH
R-VALUE EXT ADJ R-VALUIE EXT ADJ EXT EXT EXT 7-10.9 -A-2 R-VALUE EXT
0- 6.9 11.1 10.4 0- 2.9 11.2 6.8 8.8 11.2 8.8 11 -18.9 ---3-5'*) 0-29 4.5
7-10.9 4A 4.4 3- 4.9 7.3 5.1 6.1 5.6 4.9 19-25.9 2-2 3-6.9 2.8
11 -12.9 3.7 3.6 5- 6.9 5.7 4.2 4.8 4.3 3.9 26&Ug 1.4 7&Ug 2.1
13-18.9 1 3.4 3.3 7-10.9 4.6 3.5 4.0 3.3 3.1 --R-VA UE BLOCK 8 INC
19-25.9 2.2 2.2 11 -1819 2.6 2.8 2.2 -2.2- 0-2.9 -7.9 R-VALUE EXT
26&Up 1. 1.5 19-25.9 1.9 1.7 1.8 3-6.9 5.7 0-2.9
STEEL 2§ 1Z 1. 7.9.9 3.8 3..-6,9 2:Q2
R-VALUE EXT ADJ 10&-Up 3.0 7&Up 1.7
*0- 6.9 15.1 13.1
7-10.9 7.3 6.6 9E CEILING WINTER POINT MULTIPLIERS(WPM)
11 -12.9 5.7 5.2 UNDEF ATTIC SINGLE ASSEMBLY CON RETE DECK ROOF
1 j3-183 5.2 4.9 R:VALUE R-VALUE WPM CEILIN TYPE
4.6 4.4 C19-21.9" 2.0 5- 6.9 6.5 R-VALUE DROPPED EXP ED
CEILIN 4TYPE
26&Up 2.7 7- 8.9 4.3 10-13.9 2.9 3.3
26-29.9 1.4 9-10.9 3.4 14-20.9 2.0 2.1
30-37.9 1.2 11-12.9 2.9 21 &UD 1.3 1.3
.9 13-18.9 1 :.6 lam=
-25.9 2.
.0
JL 19 2L
90 DOOR WINTER POINT MULTIPLIERS(WPM) I 26&Up I -
000C®REXT MULTIPLIER FOR ATTIC RADIANT ABARRIEFRI .6545
DOOR TYPE EXT ADJ
9F FLOOR WINTER POINT MULTIPLIERS(WPM)
WOOD 13.3 SLAB-ON-GRADE RAISED RAISED WOOD
EDGE INSULATION CONCRETE (Some 90 2(e))
INSULATED 16.8 14.5 R-VALUE WPM R-VALUE WPM R-VALUE WPM
0-2.9 18. 0-2.9 9.9 0- 6.9 -8.3
3-4.9 3-4.9 5.1 7-10.9 3.0
.2
5-6.9 - 5-6.9 3.6 1
4
7&Up 7'0 7 1 1 I� 1.4
9G INFILTRATION WINTER POINT MULTIPLIERS 9H DUCT MULTIPLIERS(DM)
INFILTRATION PRACTICE R-VALUE With Retum W/O Retum
(See Table 9P) WPM Air Duct Air Duct
4.2-4.9 1.14
PRACTICE#1 10.9 �1.0---16 --5 1.12
PRACTICE#2 ;�'7A-� 6-71 Up 1.09 1,06
PRACTICE#3 Fr�] DUCTS IN CONDITIONED SPACE 1.00 1.00
WINTER CALCULATIONS CLIMATE ZONES 1 2 3
GLASS I BASE BASE GLASS SIN LE OR UBLE ;0 1 AS-BUILT
OR AREA x WPM WINTER OR AREA [-C -- WPM WPA_� x WOF = GLASS
- 4- 1 POINTS LEAR TINT** e!feLj�Qi` TINT* (9B) WIN.PTS.
N 7.3 3("S7 I N _'r 0 - 13.8 13.6 -----7T 8.1 1-I_z_
NE 4.6 Al NE 10.7 10.5 4.6 6.0
E - 9.2 40 E &-V - 3.8 - 3.6 - 9.2 - 5.7 ' 00
SE -22.7 SE - 1 -18.1 -17.5 -22.7 -17.3
S -28.4 11193) S -24.0 --23.0 -28.4 -22.3 100[1
SW -22.7 Sw -18.1 -17.5 -22.7 -17.3 -.1
W 01 - 9.2 W_ 3.8 - 3.6 - 9.2 - 5.7
NW 4.6 NW 10.7 10.5 4.6 6.0
W -2 .4 H' -67.6 -59.1 -57.7 -45.0
COND. TOTAL 13ASE BASE ADJUSTED AS-BUILT
FLOOR + GLASS ADJ. x GLASS GL GLASS
I AREA I A5W I FACIPM, I 9OBTOTA� I AASE WP B1OTAk
.15
7-7- AS.
COMPONENT BASE WIN. BASE COMPONENT WIN.PT. BUILT
DESCRIPTION AREA x PT. MULT. WINTER DESCRIPTION AREA x MULT. WINTER
I POINTS (9C THRU 9G) POINTS
EXTERIOR 2.2 Yx X I
ADJACENT 3.6 _L__
I EXTERIOR 1 401 31 1 15.4 1
13.3
TUNDER ATTIC I fl,--7 nefa!� 1.2 (-1 Al I,- I qq Sk I
OR SINGLE 1,2
ASSEMBLY 1.9
SLAB 8.9 r-'x N I 4,4� r/30
RA15ED .96
FOR SLAB ON GRADE USE PERIMETER LENGTH ALONG CONDITIONED FLOOR IN PLACE OF AREA.
v v
INFI TRATION I le-1 7.4 1 of k4k Ij Ff or.., 1 -7,7 1 X ol Lf_z
USE FLOOR AAEA OF CON61TIONED SPACE.
v
TOTAL COMPONENT B SITS I T I IONENT AS-BUILTgWjLt_PQ= 1 3
TOTAL BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT
HEATING BASE HSM x BASE HEATING AS-BUILT x DM x HSM x HCM HEATING
SYSTEM WIN.PTS. POINTS WIN.PTS. (9H) 1 (91) (9j) I P IN ^
.59 3,; %4,0
BASE BASE BASE TOTAL AS-BUILT AS-BUILT I AS-BUILT TOTAL
COOLING + HEATING + HOT WATER BASE COOLING + HEATING + HOT WATER AS-BUILT
POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS
(From P.21 j lFrom P.21 (Enter on P.1) (From P.2) From R-21 I (Enter on It
liSl4ol It t4e�2 4 04� ]I I I I
H = Horizontal Glass(Skylights)
For Shading Coefficient less than 0.83.,see sec.903.2(a).Tint Multipliers may be used for glass with solar screens,film,or tint.
-4-
PLUMBING WORKSHEET
SINKS SHOWERS DlSH14ASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER BEATERS DISPOSALS
LAVATORY URINALS OTHER
14,4il<r=ile-
TOTAL FIXTURE COUNT
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE 'WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
2- BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT)
WATER CLOSET, LAVATORY, AND C)
BATH 'TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (� UNITI URINAL, WALL LIP
m A LK E
FLOOR DRAIN (I UNIT) (4 UNITS)
WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLO14OUT (,8 UNITS) WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK-OPERATED (8 UNITS)
(4UNITS)
2- SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISM,,'ASHER (.2 UNITS) KITCHEN SINK (2 UNITS)
RITCHEN SINK/t-.IASTE GRINDER
(3 UNI TS)
TOTAL FIXTURE UNITS $10..00 EACH 3 �-x
MAP SHOWING SURVEY OF
LOT 94, SELVA NORTE' UNIT TWO, AS RECORDED IN PLAT BOOK 40 , PAGES 37 AND
37A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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