Permit 1773 E Park Ter City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by.4he Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-54 Ole 1",
ax(901
Phone(904)247-5826 - F 4 - 8
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.0 r
APPLICATION REVIEW AND TRACKING FORM
Prope Address: Z �23 2? Yes No
rty )g::j-Z -7� P5Ft--m-�nt review required
U
Applicant: ("PlanQ!n�& onipT F
'���__ Wnistrator
-13-06-1ric WorO
Project: e L );7o 7r ,
Mlic UtilitLe5)
Public Safety
Fire Services
W. ,011�164-
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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 I
Other: I
APPLI,GATION STATUS
Reviewing Department First Review: [!3/Approved. E]Denied.
(Circle me.) Comments:
BU I I L D�DIN G
PLANNING &ZONING Reviewed by: /V/,i Date:
TREE ADMIN. /At e'ah ,, 0q
Second Review: [M(pp[ved as revised. RDenie/d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Aug 1'+ Vzo U4,44y
X�- T P, 3
A
k mat, K 3Y? lrf-)9 ,7,,
PARK TERRACE EAST
so. RIGHr-OF-WAY
NO,30358'55"E 99.41'
L?c CHORD
RADIUS—4-744.65' ARC==99.41-
DELTA==Ol
-12'02
209-41
BY pt
L4
30* allk—JXNC AESTRF"OM LINE
ONE STORY BRICK U)
RESIDENCE NO. 1773
Z CD
00
'Lo
00
24 rn
co
CA SCALE
(A (A
0) ii n :F-,
0
L2
S01*4224"W 97-96
c)
aPjUlD 016, -A *W�-�
-2aine Aan.LS A umn<AUMM<(320�MKA)saNnciijootid xoN3okisvia v
can T-QAI;7p aTojeu s- TeQ
f lalleak
Support Structi.ire
BEAM SPAN TABLE \V;III III(it Mansard Rctullido
\111111illimil 1`1%1111.�ioll 60O5-T'_) Malisald 0.83 0
1,111111IS 7
Malclials based on E' lojoo,om) p"I Wind Speed 120 MI)l I
Fill ��Oksl* (ATNI Pal( L\ Tabic :1.3-1) 2007
Fi�N 2JksI jacksomille, I'l
I)csl,,Il Load[APostirc B Wind Mimix
Hmizontal F1xdIU;IIC Sill 11 did HCOJISIN' SCIMN11C \11;IINSIS Jol ;III Primal-N StIlIcIllrd MCIIII)CIs
Wind -\Vml pst,
Comellirl(ed h�cl,oad
Willd-I'mird L" I)SI (.\o combinations)
Vertical VcIfical Loads 011IN
'illd-Ver(Ical I psl
Allowable Spans
SMB Sedlons (Slitchinga( 2 1"Io 2x8) (20&, 2x 10 12"Siilchinq)
SMB scol0lis
Bending Strcs4s])
Vertical I oa( Spans (Moment fb)
Size 10 12 11 16 18 JO 52 Fb (Allow)
2x I ,39.2 Il 6J.1,10 7 1.67 78.33 85.29 92.5.5 100,11 8.737
2x,-) 119.23 1 11.2,-) 17.16 56.19 61.29 66,29 9.203
2\6 30.17 11�'L_)9 36.87 113.88 17.6 1 .31.V) 8.960
2x7 21.12 26,92 29.55) 32.30 3,5.17 K 16 11.27 9.192
2x8 1 11�.10)1 1 1.70 16.1 1 17.6 1 1,().91 20.81. 22.51 15.013
20 Q.67 10.67 11.71 12.79 1 1,11.9 1,� 15.12 1 6.11J) 20.180
2\10 7.00 7.72 8.17 9.26 10.08 1 O.Q I 11.8 20.660
Point Load (300 HIS Ime Load) (_'CIIICI Of Beam
it.
Size 10 12 11 1 18 JO J2 Fb (Allow)
2x 1 36.00 117.8 0 V9.6 0 11.10 [3.20 ---16.80 8.737
2x,-) 2 Il.8 1 2.-).0:1 9-6.23 27.12 28.61 29.80 '))0.99 9.203
2\6 18.,-)2 19.11 20.37 2 1.30 99.99 Z 1.1 J 2 1.0 7 8.960
2x7 11.81 IJ.J9 1 17.07 17.81 18.5.5 1 Q.1,10 9.192
2x8 8.11 SJ)l 9-32 9,73 10.13 10.,-)1 15.013
20 5.88 6.17 6.17 6.76 7,06 7.3.3) 7.(11 20.180
2x 10 1.25 1.17 1.68 L89 5.11 2 _)3 20.660
Fb Fc�/11\
Fc\ 30 ksl .\Ilaksls Based oil 600,,)-T.-) �\1111161111111 Malcl Ell
IIN I.6,-) Jsi/c 2x7 8 W
DOCHIlille lit,11(jilIg S(I-CSS I
�\Ilm\;Ible bcIlding, Stle"s- 9.19 21 1 0 1 20.180
Fb 18.18 ksi S�,s I \llw%;IbIc slical,So uss I�2 81 -) 1'2 7..-)7
Fb- 12.J ksi S I-,S�S2
1111)(vilic Calculations Beall) N:Ildiii4
Load Width spall-011.) Load(11),11) Tolal 0d) -, 11)( ST _V
(k) I S k,'
6.17 19.00 11cildill" (W) 21.68 88,89 112.91 18.15) 1.-21 0.311
6.07 p).()() Li\cloaddbs) "WO 7
11.10 /.2o 0.08
h 07 19.00 11cliding;(W) 26.08 12.01 8.13 3.0
1().()() Li�cloaddbs) 300 1 1.2o -
/2, 0,1- Vl�
/.21
Page 1
Design Calculations
I lalleak
Stipport Structiire
Slichill". I'm 20SNIB 1,, 12 111(lics.
icani'Suppol All(mablc A A(111;11 A SI/C (SMB)
I'oiII1 6�illd) 7.35) 111 2.1�8 2x!) Wind Load
DGId 1,0�1(1 2.00 Lb,,Tl. 2\1) �lcighl of matcil;d 2 ]b.s/h.
Tolal(D t L) 8.81 In, < 6.1--) Inches- )K
iL';III1 SIII)I)OI Allomiblc A A(Imil A SI/C (SM10
Point 3.80 111 1.30 Slioll
('1111,01111 1.117 FBewn/Post 2x9 2x7SMB
Total Vcllical hcssmc
IM0 Wilt) AII(SO Load(psf)
V-1.2-5) 19.00 2119.2,-) 1 8477.0
Reaclion." (110-Front Wall
604.7
Vcllft-al Reaullons (ibs)-1111criol licanis
1,01) P1 1)(11 V-Rca(lioll
19.00 1.00 0.7 60 1.66
Vcriical Reaulion (11)") Cm Iicr Column
60 1.66
Non-Flow'I'llm Loads
Ilorizowal Reaction SLI111111mv
flosi 786.06 Tm) I Iosj IjL,;jIII (COUple)
Froill 0.00 Fowc III ;t( C�wh lichn-11 Wall
I lol[/()Ill;ll I'lessure
H t.(110 WOO L(ft) Man(ft) Ain Awn A-m
9.83) 19.00 13.2,J) 1 609.65 181.130 79 1.IJ
Total I Ioi i/ontal Noii-Flow'l lit if Load (Ib';) S I 11)1)o I I S
101123.9 1 7J) 17.07 fbs/siippoll 60 1.66
FoIccS al Middle of Front Wall
11
FI 11 18,-).10 12.83 2371.833
F]12 "�70.20 11.811)) 1:')7().166
Fl 1; 6-16,-) 3708.709875
FlObs) 11.-)6.88 I:M7.876109
1 WHO -L-)1.00
Sumnial of I lost (11) and 1`1 ont (F) I fol 1/onlal Non-11(m 'I III ti Loads (lb")
112 1111-11 W fill 1112
78(;.()()' 0.001 1 o 786.06'
2 F"�-F I F1'2
-11-)1.001 -302.0022188
I"lo%l Thru I Iol Volital Load
I'lojecled Alea
\if' ANI
18 1.67 1 [7.00 i 2 8.67
Page 2 Design Calculations
f lallcak
Support. Structure
8172,7 lbs Tolat Flo%I Thm Load
III.-host I I 10.8() I hs
Nlollicill 0.00 lb-It
V-Rcalioll 0.00 lbs
N,Cv1i(;1I Rk'actioll S11111111all - FI(m (lbs)
Localloll Lcvlvald
Middle 0.00 0.00 lbs
hill Oill FOICC Oil I"AlSliligS1111chilval Fach conlict-tioll Poilll
Post ConlivOloll to Collcletc
I*pIlfi Load Width Load (I)SO Load hillit (1 0 Total Q,bs) S F
F-111) 6.17 1 21.,-) 60 1.7 3200.0
F-01, 6.17 15.00 1.9 L-) 1.-)1.8832,5) 1000
\,(,I 11cal \V111d 61,10.00 Ills Total Vcrtic;d Force
SIlC;1r �100 lbs 9-1-00 Lile Load
Front Post Support Design-Axial Compression +Bending
F\PC I IcIgIlifft.) 100 1]1. Total Size
2x7SMB 9.83 1 113.83 2x4 2x5 2x6 20
AlL';l 0.92 sq.iii. 11)(ksi) 13.11 8.88 6.90 _).,_),9)
Coltmill S11-css I;t(ksi) IJ)3 I. 0 1.17 0.97
Desi"'ll Load k S 1); (1't.) Total Del'.010 0.96 1 0.21")
I)-.N,l;ix 0.60 19,00 9389.3 lbs
Nlax. Mollic I III-Kips IM'. Allow 2.07
fi-lbs
M;Ix. 1) 119 1.6 1 lbs Allollable
k I Fc(allml) 1 3.2J) Fb (ksi) 8.7 1 9.20 8.96, 9.19
2.I'l,-) 2x6 F;i (ksi) 0.742 1.151 1.538 1.517
117.9(1 1'(, (acl) I 169 Fk- (K) (L-180 1.0,36 I.J71 1.861
kl,/l 50.1
Cal IN 11cam 2x8 SN1111 VUl I i(Al ,1,0;j(j 11)(ks,i
spall 20 li *vl;lx Mo. 18."N In-kips 0 ksl 10.89
I'();1d Widill I0.T_)O It All(mablc 3.00 0
I fol iz('11(at Mlol (in-k) Beallis Bcam M Ib\ (k�l)
80.625) 18.1175) 15 3.23 2.
Allowable
0.000 Ihs BC;1111 2x7 2x8 2xO 10
AllmNAdc Fb (k,,0 9.1-Q2 15.013 20.180 20.660
N111 0.000 M-kps S I i c ss 11) (ksi) 10.89 7,90 .-).72
Page 3 Design Calculations
flafleak
Support Structure
IL dcI (111) 1.()1 0.52 0.3 1 0,20
WHO - VcI I dcl (111) 1.81 0.93 0.56 0.,;6
Fc\ 3, k s i
N. Dc Uc
'c -)2 k,
I ,i All(mable S�,s 1 8.7 0.03 1 18J)
Fc 3.13 ksi
fc. 0.13 ksi A
sl 61.350 178J2
S2 I 3�'16").1 1 06�
Posts provide adequate resistatice to the applied load corlditions.
N"
4
'k "4,
Girt Member Design (Chairrail)
I fol-W)II(al \VIIldh)ad
M
W1 (in-1 w2 (in-lbs) L (in) at (in) s I 011) s2 (in) P (psO M Uri-k)
71.01 10.98 —18 1J) 2.9 1
3001,1) hwload
Largesi
I J.N/l (in-k) Largcsi slical.
300 71.01
Size Fb (ksi) Sx (in�,3) Sx-Wind Sx-LL 14 (MAQ-- DJW611) DEF-111.
2x2 16 0.215 0.182 0.35 0.1-19 8.1 E+09 0.1192 0.599
2x3 17.2 0.416 0.169 0.32 0,59 IAE+10 0.272 0.126
A 1 16.3 0.649 0.179 0.34 1.271 2.,-)1,*,+10 0.126 0.197
1)(Alcololl C Allowable
1 j80- 0.926
128282189 12.7,-) 1..-)0 182771'32�3)16.70
-G;16 196 22.61 0.06 1278WO980
3 1 0611��11)526.9 1
Purfin Check
I lol lZollial Wil Id Load
h"''-))/2 1--i�2(1")l!'2-1;12, )/,21
wl (iii-lbs) w2 (in-lbs) F L (ill) —[—al (ill)
2 (in) s I (in) s2 (in) I (Irl-k)
Page 4 Design Calculations
Halleak
Support Structure
8 -T OJ8 81 21 21
0.9 1
1001,I) I'INd(U()11(cIlIlawd h)ad
I'm"'CS1
p
300 81
m
Size Fb (ksi) Sx Gn ,3) Sx-Wind Sx-LL 1.1(InAQ —
2x2 16 0,2 L5 0.059 0.39 0.119 8.1 E 09 0.1(il 0.875
2x13 17.2 0.416 0.055 0.37 0.59 1.11" 10 0.115 0.622
2\4 16.3 0.64.9 0.058 0.39 1.271 2.5 F,+10 0.051 0.288
290 12)IQ()' 22.,-)0 0,06 6.-),-)271�H()'.00
29012 196 22.50 0.06 6.-)J 2 7 1"1)16
11,1(G)12632.00
DcIIC(-1l()il C, Allmlable
1,,80 LOJO In.
I'muldalioll Load
Till 11 d(m 11 sc(tl()Il
L();IdArca 1)-1, lbs/fi FootillgArca lmad(lbs,/11)
VvIlic;1I Loa, 12.50 10,7 1 T �3,-) 1199 Sil-cs's oil I'lli'lld(mil 'scclioll
) -0
Wilid Load 12JO.00 1 J000 133.1) 1 1 S(ICSS;ldd(.-d b\ Willd
.\,I;lx Slicss 19 PS F
I fori/(mlial-Load
Willdload PSF
I F W Load Alca
I fol Suppol-I 28 13.83 6.17 8 3 1111 2�389.2708
F(m)IIII,Stress
WiddlOO Lcil-Ilidi) SticsAp"O
A11(mablOpSI)
0.67 1 13.2,-) 9.2 2000
1'14111 1-C I Igt I I(fi) Widill Depill
Foollil", 1 386.,W 1,3,2�-) 0.67 0.��3
Slab 1,-)!),-)7. 1,-) 13.2.5 23 0 33 RtImShl)
-Slilicturc 9-,-)()()
Total 198 ll..02 h--jigili(to Widill I plih (I)SI)
Uplift :�200,50 I 1';.2, 18--M 1
0.6D+\V 11.81 ()K S F
Liteiial
Slical.
Page 5 Design Calculations
Halleak
Support Structurc
900 andiol
800 �mwlwl 1I I"��till 2 L'2"cinbcd (V cdgc
Tclisioll
900 saillc
Sliding
W I owl (PSI") I holls Rcsimall(C
28.12 28 111 10. 1 1136,00
Rcsi"[11110 HIS DI,
C'micicic I M 106.1 S11, 0
I 1()St 3500
Total 109 106.1
A cI(III'lling
F-ot (I)SI) I It. (it) A11111 (Sl) Mo (fi-lbs)
28.0 1 1 399.28 78Z_)8.88
Rcsisfing XIo (fi-lbs) SF
slab 2,192,907.18 28
Colillcutioll 5 1 I,Q,50,00 7
1'sc 1/8" Diallictcl.SS Cable Raicd sllcll�llf 2100 lbs
RACKING LOADS
Cable Nccds
Col I let.Cabic I'();Ids Paralict Host
I I Widill 00 �\'IIRIMIPI(I)Sl Dist. (lbs)
111.83 19.00 15 1:� 0.25) 17 1,3.69
Collicl.CA& Load pardlel to host
17 1"�.69 2(ablcs i cquil-c(I SF- 1.6
ALI AVABIA" 11/8"CABI Y, 1 100 LBS )K 2-icquircd
' P�_, W,
A
Sidoi III Suppoii P()s( Check
\VilldLoad (11on/oll(al) WHIdload
I I Q.8 I'd Width 0 it.
I'd WAIII 7 It sImil 7 It.
Milm\. 1.27 Fi.-KII)s Pimix. 86. 1 lbs
I -)-2 2 hi-Kips
SI/C Allw\Adc Fb (ksi) 11) (k SO Fa ks 0 I'l (ksO
2x 1 8.737 15.22 ().,-)8 ().I I()
2xJ) 9.203 10.08 1.06 oj)�)1.
2x6,,,, 8.960 7.83 1.57 0.085 OK
'SI1I)I)()I I C(AIIIIIII lot Gn 1, Bcam Minax. (in-k)
—1) (lbs) 8.8 17
Page 6 Design Calculations
flalleak
SUI)POrt Structure
Fl 7 1—') lbs Flom C;lm Bcmll (;00 11)
"300 1 J)." Fnmi StdolAl Stipp)]I hmlt I�();Id Rcaclvm cI
2011)
SIM 11) (kSO 11) (1,S0 Fa (ksl) I'd (ksi)
2\1 S.737 8.8.-) 0-58 9.620
9.203 J.86 2.211")
2x 6 8.960 1. 1,37 9.00,
,2\7 1).192 1.86
1.6 8
Page 7 Design Calculations
flalleak
SUPport Structtire
FSh,,uIder Load
11111 Spacill; (11) \V\V (I)SI) 10all Obs) M (k-ill)
6.17 9.8"I
Windward
Load (I)II) Spall 10all
Leeward
80.21 0,00 Full Mall"ald
SMB Properties for Design 2 1.06
A Ix Sx Ix IN S\ 11
S2X 1 2 16 100 0.782 9.000 1.000 1.6,00 0.170 0.171 0.7..T-)
S2X,-) 2 0.11 0-917
S2XO' ().,-)!)2 0.,-)92 0.800
,-)x ff; 0-120 1.022 2.,)), 0.68.3 0,(;8,-) 0.8 19
,S2X7 2 7 1.229 8.172 9
S2X8 .12.- 2.626 0.8 19 0.8.50 0.8
8 0.072 1.817 16.- 7 1.111 2.99 1,
2
S2X9 9 1.21.-)
0-082 0.306 1.21,5 o.81o.9
27.1 6.1 2� 1..-)21 2 6 0.801
S2XIO 1) 1 0-092 12.282 8.162 1.7 16 1.(
5T5 Results
Membe Fc Fa Fbx Mx Fby My
S2X4 0-742 0.58 8.74 8.74 5.38 2.53
S2X5 1.151 1.06 9.20 13.90 6.08 3.60
S2X6 1.538 1.57 8.96. 17.42 5.03 3.45
S2X7 1.517 1.86 '19 22.29 4.72 4.01
S2X8 2.0 3.78 15-01 66.67 11.10 13.49
S2X9 2.300 5.42 20.18 120.97 16.45 25.10
S2X1O 2.512 7.57 20.66 165.41 )n.71 39.88
Page 8 Design CalCUlations
City of Atlantic Beach APPLIQAT-ION'NUMBER
Building Department
(To be assigned b�'the*Buildhd De�aftment:)'
800 Seminole Road
Atlantic Beach, Florida 32233Z445 9
Phone(904)247-5825
Fa�'(904jl 247-i451 ,
Date r6u 6
E-mail: building-dept@coab.0!i,�1,": t 12
City web-site: hftp:/Iwwvv.coab.us
APPLICATION REVIEW Aft" 01" TRACKING FORM
operty Address: —/77 3 7a�ele 7el- Department review required Yes No
Building
iplicant: A/ —Prd I;w elo,*Z e i; A Planning&Zoning
Tree Administrator
Dject: Public Works
Public Utilities
Public S�fety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified BV
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
viewing Department First Review: DAPProved. %Denied.
(Circle one.) Comments:
BUILDING
.ANNING&ZONING Reviewed by: Date: 2-4�3
TREE ADMIN. Second Review: ZApproved as revised. 7Denied.
PUBLIC WORKS Comments:
V�,� /�6 ( 0171�V�JKA
IUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. 7Denied.
Comments,
Revfevtred by: Date:
sad OWUM9
City of Atlantic Beach APPIL[CATION,NUMBER
(To be a ss.1 1 gned b)(the'Buildfn* Da�a�tment:)'
Building Department 9
800 Seminole Road
Atlantic Beach, Flodda 32933-5445
Phone(904)247-5826 - Fax(904)247-5845
.......... .........
E-mail: building-dept@coab.us Date routed 12
City web-site: http://www.coab.us —1
APPLICATION REVIEW AND TRACKING FORM
operty Addreas: /773 ;?ax,,e Zer Z Department review required Yes No
Building
iplicant: Planning&Zoning
Tree Administrator
Oject: Public W6rks
Public Utilities
1--public Safety
I Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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
APPUC"T ON STATUS
viewing Department First Review: 12�proved. 7Denied.
(Circle one.) Gamments:
BUILDING
_CNNI�G &�ZONIN Reviewed by:_ 'foa'e_� Date:/Z —04V-4'?
TREE ADMIN. Second Review: []Approved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: 7Approved as revised. F[Denied.
Comments:
Rav(evvred by: Data:
ised 05MA1,09
CITY OF ATLANTIC BFACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 . 09- ,
OFFICE:(904)247-5826 0 FAX NO.:(9D4)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SO.FT.UNDER ROOF
�-�a-3 0��f,Y, -k'� e- `110 " 0 0
4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.Uy-OFSTRU2TURE;
11 NEW BUILDING [3 DEMOLITION EIRE TID T, L
LOTJ BLOCK JL_�SUB DIVISION 11 ADDITION 13 CONVERTING USE Q COMMERCIAL
7.DESCRIPTION OF WORK 0 ALTERATION 43 ACCESSORY BLDG. 8.FIRE SPRINKLER:
13 REPAIR 0 POOL/SPA 13YES W/A
?no o:5 V, 0 MOVE 0 OTHER I ONO
PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER:
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
_P%ad \Aak�emv' Aiii fr_p Enclowtos . )rc
16.NAME,
24.LICENSEE NAME:
V�S
10.ADDRESS: 17.STATLOF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
13 3-40
26.ADDRESS:
'bcVj, IFL _Y
'3-D-?33 5�r. 37-612.
11.OFFICE 14NE: 12.FAX NO.: 19.OFFICE PHO�E: 1:L0.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
Dq_3 3 -a3vidi ft 0 q- 73,6-L1q 0 3
13.CELL PHONE: 21.TLL P - (0 29.CELL PHONE:
0 q'_1 3
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
MN��tnc 1 05V(If S Co M
FEE SIMPLE TITLE HOLDER:
OWNER) MORTGAGE LENDER:
(IF OTHER THAN BONDING COMPANY.
31.NAME: L-kin e, 33.NAME: 35.NAME:
P. � 4 4
32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 7T
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,Heatem,Tanks, Air Conditioners,etc.
OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR:,
(If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only)
Signed--P�Cf_\*
Date: (A Signed: Date:
Before me'this __�5 d.\y tk 9? C e fn� 009' in the county of Before me this 11) day of 04 C eM 19 f 2009 in the county of
Du ally appeared
gal,State of F�dda has per Duval,State of Florida,h 11 d
y
W
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....E�A)I�j Not Public at Large,State of County of
Personally Known ;;7Personally Known
Produced Identificatitkn-Ft, 11 Produced Id-ffficallon-
A INotary Signature: IA& Uf�lqi
Notary Signature: A A I f\ V I I
I 1%_/ v %.Iw I V
NOTARY PUBLIC-STATE OF FLORIDA NOTARy PUBLIC-STATE OF FLORIDA
Lauren May Ledbetter
Lauren May Ledbetter
BLDG01 PerrnitADplication Bldg V9 COnIrnission#DD691796
Teb�ffilffffn#DD691796 Expires:
........�"Expires: JULY02,2011 JULY 02,2011
1301�BFD 7URU AMANTIC BONDIIJG Co.,INQ BONDED THR U ATLANrTIC BONDING CO,,INC,
I W..
Aug 14 09 02.22P
PARK TERRACE EAST
W RiGnT–or—wAy
NO3�3555"E 99.41" CHORD
RADItJS=4744.658 ARC--99.41'
.v DELTA-01*12"02"
2 9.41 By pL
Cie
T
3W BUWNG REMCMW UNE
71
2&X 15.-V
15.2' P,
as
ONE STORY BRICK U)
RESIDENCE NO. 1773 CD
z w
OD
r46
00
m EMS SCALE
_.. s-, !A
(A J1 -lb-
El
v wccl*0 flERM
S01-4224"W 97.96'
CA
�nlm AWA
sn 42 ROM
HaReak
Support Structure
BEAM SPAN TABLE I W111111(filMansard Retul-1100
A111111illittlyl 1"MI'llsioll 6005 T5
J- mallsard
3.5
6.t 9Z
Materials based oil 10,100,000 psl Wind Speed=
120:MPH
130ksi
FtLl �- I -F 11-1 IA'I'Ible 3.3-1) 2007 FBC NAY 2009supple ents
Fly 12 5ksi
Atlantic Beach, Florid,7i ____
D-CsIgIl Loat 1"Xpolml-re Wind
Hofizontal EvAluatc Sinitiltalleollsly Separate Analysis 1,01-all Piimary Structural-members
Willd- ;t I psf 300 LBS Collcentnated LivcLoad
VN�illd_uvllr( 1-3 (N-0
Ve_r6c_al_
N'C F I",I ad" )Illy
I pst,
AHowable Spans
SMB Sections (Slitchingal 2 I"to 2x8) (20&A 10 12"Stitching)
Bending Stress(ksi) --------------
Vertical Loai Spans(Moment fb)
Size 36 38 10
t8 Fb (Mow)
2xI 0.92)1 13
6 1-W 67.95 1 74.57 8 1.5,1 88.75)
--- I L 8.737
33.06 _36.84 1,0.82 1,-5-.0 07
1939 53.981 58.77 9.203
2x6 25.68 28.61 31.70 3 1,.95)
8.,3t;,---- 15.65 8.960
9 7 20_58 22.93 25.11 28.02 30.
Z�' 1 751 33.6 1 36.59 9.192-
2x8
11.2t 12.52 13.88, 1 T)-7-!)'- 18.3. _19.98 15.013
()X( -9.081 :31 180]
1-0.0-7 '12.18i '0.
11.49 20.18
.;.9C 0
'XIO ----7-.281 8.03; 8.81 63 10.19
Poillf Load (100 lbs Live Load) Center officam
Size 36 38
12 18 Fb Mow)
1 16
9-x 32.101 3 1.2b 36.00 1 :37.801 39.60 ITJOI 43.20 8.737
2v3 22.6'31 2.5.03 26.23 27.t2 28.6 1 9.203
--2x-()' -7 -8-J-2
2 1.30 1 22.22 8.960
2x7
I t 11.811
L 17.81 9.192
j 7.30 7.70, 9 11
9"
_8 5 17 8.92� 9.73 15.013
'20 5.29 1 0. 8 6.17 6.1,7 6 76
I__-______- ____ _.__ �______ _F .. 7.06 20.180
2xIO 1.1.831 4.01, [.681 fx 5.11 20.660
l'b= !
Ily
Cy=
Analysis Based oil 600,34'5,kitt,Ili, Nfatcl-i'll
IS.
iy-- Ize 2x8 W 2xIO
ei-
CrIlime Allowable Bending Stress
Allowable bending Slrcss� 13.013 20.180 2 0.6 F)5)
18.18 Iksi s-,s I LkIlowable Shear Stress= 3.28 5.12 7.J)7
Fl)= 12.5 ksi S I<S<S2
Spe('Ili(�c"llculatiolls
Beam Bending
LOW].Widtll�sj In (11.) 7�7;.Imot) M(K-in.) Total (M) IJA�I) V W I'S(ksi)
ko)';' -
6.1.2 15.00 Bending(XA� 2.-).(;8 78.00 99J)I 16.25 TE[- 0311
6.Q 45.00 Liveload(lbs) 300 40JO lo.50 6.6 1 0.1 -6,68
6.12 18.(T(-) Bending 23).68
to 1 tor 6.89 2.77
Page 1 Design Calculations
HaUeak
Support Structure
6.1.21 19.(=.ivelo;1(1(11)s) 300 13.50 1:3.1130 8.91 0.15 0.16
Puct*cn,cd SlIching for 20SMB is 12 inches.
T-
Length
1C;IIII SLII)I)ol Actual A Size ('SM13)
oilit (willd) 8.6 f 111 20 �XWA�'ind
1.50 %wight ofnimerial 2 lbs/fit.
DC,ld IA);Id 31
Total(D+IJ 13.95 in.
LCI I 111 Allowable A al A Size (SMB)
3.60 Ili
I�olllt In
oI'll) 3.00 BeaiWPost 1 W 2x5SMB
Total VC11ical Pressure
-----------
W(fi) I)vdbs)
(k
3�8 10 1.1 4 4176.0
Velical Reactions (110-Front Wall
577.8
Vertical Reactions (110-Interlor Beams
1,00 I,,v -----------
3(EI
0.71 377.8
o
J )
-Verlical Reaction (lbs) Corner Colullill
Non ------
-Flow,riiru Loads
Hofizontal Reacli
Host I—A 11 Firs(Two Host Beam collim-tiolls
Front OJ WW-Fo-rceln—at-cac-1-111-eturn-\-A-,;Ilf
Hmizontal Pressure
H t.(ft) W(ft)
Ain Awn i Avn
�Uft)
6.55.00 133-00 788.00
Total Horizontal Non-FlowThru Load
)S) Supports
--10-9 14
ol lzol�
it,
";It\11(ldle ol'Front Wall
T
168J��! 1959.10,1125)
------ -------
337.05' 10.75i 3621.2875
72.3
FM 625.95
It 28.139[,513
HVIbs) 1 11
Sullllllal-�,ol'Hosl (H) and Front (F) Horizontal N on-Flow ThnU-Lo;1d1S----
(lbs)
g1-1 H2 11434110 H 12
75 1.1 0.00 It 28.139 15 0 75)1.11.
F1 2 F3-FIO Fit F12
0.001 6.771 -3.391 6.77109375) To.o'To
Thru f lol-i;,, 'I,
Flo%%
Vei tical Projc(ted Axea
Page 2 Design Calculations
HaUeak
Support Structure
Awl' Ail, Avf 1
169 00 [7.25 209.25
27203�_, Tot;II Flow'flini IA);Id
Hr-host 10.53.00 lbs
Monielit 0.00 Ib-fi
V-Reation 0.00,11)s
Vertic;il Re;wtioti Stjtiiiii;iiy- Flo""Flirti (Ibs)
Loc;ltioil Willdwird Lceward
MiddIc 0.00� 0.00 lbs
Pull Out Foi-ce on Existing S(rtictureit Each Connection Point
to Cow-rcte
I Tl)lif't Width Lowl (ps Lwd Limit (It) l'ot,11 (Lbs) 1-1/1111, SF
F-Up 6.42 9 211.1 t200.01 it
J__
F-01, 6.12T 433.35 10M)
coillicctio 50 10 Tot;d
�el"Cal Nk-11-I'd ;130.00 lbs I Force
300 lbs
2700 Live Lowl
Front Post Support Design-Axial Compression Bmfurtg__
TYPC Height 00 1(fi)
Sizc
;--
_2x"Sllt- 9 3.5) 2x4 2x5 T Zx6 I 2x7
Area- IR2Ts(I.in. tWksi)1 1.70 7.7.3 6.02! f.92
Column Stress -T
fi4si) 1.111 i 1.22 1.10 0.9 1
Design Lwd k spwl (it.) Tot;1I De 0.M 0.39 l 0.25 0.17
PALIX 0.58 115.00, 22)t7.0 lbs
'k1low 1 1.98,
11.7
INLIX. Moilic hi-Kips
t
fi-lbs
NI&X. P 1123.50 lbs
it
k ri.,25 I) (ksi) 8.7 t 9.20 8.96 9.19
2.63!�9_x6 I F;i (ksi) 0.742 1.151 1.538 1.517
1.099 Fc (K) 0J90 1.056
1.571 1.86 1
kl/r= H.1
C;11-IN, BC;I NA i Wrtical Lowl Allowable 11)(ksi)
Span: 0'ff NIo-'O
in-kips Oiksi 0.00
Lowl Widdil 0.000 It DC I'=10
o'
Fli=, 0.00011bs x8 providcd I'M-1101-1zolit,,11 1();I(I'1'1-;Illsf'
M11-1 0.00Win-kps
Page 3 Design Calculations
HaUeak
Support Structure
Check Buckling F(,y=1 35 ksi
- liy=� 1.61) S lic C
—F -
1.3.152 ksl S<SI 7.7,36 1 8.7 185
4-
3.47 ksi
fc- OJO ksi
.3
SI= (4- .3017 52
IS2=
13369.11063
equate resistance to the applied load conditions.
Posts provide a
d
Girt Member Design (Chairrad)
flolizontal WHOLoad
T
M--wIx(3U12-1-a,�,(2)72
wl. (in-lbs) w2(in-lbs) 1,OW a I (in) a2(in) s I (in) L s2(in) p(pso M( -
3.75 1.87.5 77.04 36 18 72 136 15 3.26
3001,1) LiveloI(I ---------- ---
L IM (in-k) Largest Shear
300 77.04 5.778 (W T—
........ -77- REQI IRED
Size Fmb-�Owa SX OUAM SX-WWd Sx-LL Def-W(in) DEF-11,
W Om
16 0.245 7-- 0.204 5.675,
0.41.9 8.1 E+09 0.463
f7.2 0316 0.190 0.59 LIE+10 , 0.329 0.480
0.649 0.200 0.3s 1.274 2.5E+10 0.162 0.222
2�4 16.8
Deflection C Allowable
T--
16.27 0.76
132098037
22f9f'),2f7
66011,9019 1 -9 2.K-9 0.05� 1,5101,50:-31(ij
3759582788.1131
61
Purfin Check
Hotizon(al
M=%i-lx(,Il��2-f;i'2)/2,1+%�,2(31,^2-1,t'-)/'),/2t
wl (in-lbs) w2 (in-lbs) I,Gn) a 1610 a2(in) s I Gn) s2(in) P(PSO M (In-k)
0.,;t 0J)1 77.04 19.26 19.26 38,52 38.52 1. 0.7"1
Page 4 Design Calculations
Halleak
Support Structure
3001,1) iv" --------
Load
-T
Largest T
M W40 Largcst Shear
f
300
77.04 .5. 78 1 0.3
REQ IRED
Sx]L�
Size sxlwwl—
W, -LL
6.-0—45, 0
8A E+
.419
34
IWO4
1 )987 2.50 0.0()-
88 1,'
T88 4-5986.6 92-50 0.06
t25212573.2
7
8
J0,125116,"0
01 N
0.963
Foundatimi 1,();I(I
down Section
Loa Area Lbs/fil
F Load(lbs/ll)
-I)+L A",--
Wrlical Loa ---4
12A! 10.71 33
I' ' 75� 33 3 199TStress oliTurlidown Section
'vVind Load -5000 -ess
I V)!Sh (I I)v Wind
maxstrcss
H-m-u—'ont-al-Load
Windload
AVind F fit. --T-
Hor Load,xml
H(o)Lis U 1)1)7)1 Di 1 -- --'-
i.[2 22 P
Fooling Stress
)4)
"Iddid'o -T- -
(I)SO
0.67� 11 20!
20,0: 200()'--
Check Fpiif'�Weiglit (lbs) (11) Wid I I
Fooling
i -0 0.674 1).
Slab
-)�00 23 0.13: 1 Pat o Slab
StItIclure 2,')00
Total;
2 1,393.19 Leligill(Il)
(I)SI
uput
9080.001 20 26.00
f t
13 tT ------
3-60 OK
SF-I
Check Laterial
Shear
Page 5 Design Calculations
HaUcak
Support structure
Shear
____-_+___ ___900 /allcllor
Uplift 800 1;l1l,:ft
or 2 1/2'el 13
c(Ige deal-alwc)
Telisloll
L
90)1 .....
Ht. ad (11SP) F-s
I
Lo,
COlillediolls ReSIS(Mice
28.1.
98 11().6 1
I- C 3136OW
Resi-Sling -- -----__LbS bL
Concrete i 1,9915.13.
+___- S
Siruct ).2 3.0!
000
Host
3500
Tol—al
Overi11riling j
t
F-ot (I)SI) Ht. 00 Area (sl)
0 )S)
980 399.28i
Resisling mo at-Iflo ------
Slab
1 f48 70(;w
Cmillectloll i'�3—o,800.0j4--
I Ise 1/8"I)i;llllcicl-SS C,-11)Ic--7------
Rated Strenghi -
G LOADS
Cable Needs
C o i—ii e-j,—C',11)1 -
e Lowls P,,)I-;Illel FIoS_(
Width (1j.) vuldward(I)SI, Icc�j,;ll-d(pSl)_t Dist.
Obs) j
12
18.00 1 115 13 1,37.5.00
Collie"Cable Loa—di)—aralic-.1—to I�Iost ---------
15 75.00
1 caL es Ic"Im, SF�I
S OK
A U)WABLE I
-B
-I c(plired
[Sidewall Support Post Clieck
111(iloil(IT
jwilldload Wel
licab
I'd Widdl=
I , .21 fi.
I'd Width 1 6.121 fi. t,—, - ---,,--- - -- --—_�
I I Spall
MIMIX. - I — 6.t2�fif.
Kips
82.11 lbs
III-Kips
H
k,-(,t
8
11.7()—
��77 7
F
o 1 4-
Size Allow;__
dA, 111) Cks_j)_�_ I ) &si) ,
FIa (k.si) Iii (ks
0
9 1
A I ------
9.7,371 11.7W,_
x )03 J8 0.10.;
A-5 9.203' 7.75 i
8
)K
6.02'_
1.5 7 h(114 1
Page 6 Design Calculations
HaUeak
Support.Structure
------.�Shoulder Load
ill,Spacin Eave Ht. (It) 'vVW(I)sl) Rwall(Ibs) ------
- M k-in)
6.12 9
133.35 18-20
-Tt--
�pwmdward
T-0;,A
Rivall
3.5
Leeward
-83.1�6
3.11)
1.53 �IUljvmallsard
Subtotal
SMB ProlvAres for Desiffl2 M;I.jo-i--Ax-l:s
A Ix Sx Sy ry
)00---T -77
S2X I 1 2 f 0.046 100 2.000 1.000 1.( )-.170 7).-17-1 0.
:�S72��; )44 L,315 1-993 0.591
2 F 5
S2X6
6 0.050 ! -F2 0 1.022 5.660
1.9 f1f 2.3, 7'75)
2 0-592 07)()
5 0.685) 0.819
-V2X7 1--2 7 0.0J.) 0120 1.22!)
8.02 1)A9 f 0.8,30 0.831
2X 2 8 0.07 -0. 1.8,17- 16.55 7
- S2,�--4-- - 1 2.99, 1.215 1.215 0.9109
9 i 2 9 10-082 0-.306 2.3 1
--- 27.16 6.123 3.395 1.521 -73-26 0.801
S2XIO 2 10 0.092 0.371 13.013 42.282 8.462 3.7 ff; 1-926 1.926' 0.8
5T5 Results-7-
Fe-M-be r-FC Fa F x Mx
"d-.742 0.58 .74 8.74
T1-51 1.06 .20 13.90 6.08 3.60
S2X6 1.538 7-57 -�9-6 17.42 --0-3 3.45
S2X T51-7 -T-86--!;.--I-g --T2--T-72 4.01
.29
-T7 --�6--67 --11 1-0 13.49 T-
-��2" 2 045 8 T5 01
S2 2.300 120.97 25.10
S2X1O 2.512 7.57 20.6 165.41 39.88
L
Page 7 Design Calculations
City of Atlantic Beach
Building Department AP..PL.1Q.Ai10N NUMBER
(To be assigged by'-the Buildi-ndD '
800 Seminole Road epartment)-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@0oab.us
City web-site: httP:/1wWw.coab.L1s
APPLICATION REVIEW AND TRACKING FORM
ouied-f LIZ j
operty Address: /77 3 7aee 7e'r ED
apartment review required Yes No
13
uilding
P
)pflcant: A1 _Pa 1,r72 elec�u Planning&Zoning
Qj6Ct: Tree Administrator
OL Publ -,-Works
Public Utilities
Public Safety
Fire Ser.vices
Other Agency Review Or Permit Required Review or Receipt Date
of Permit verified By
Florida Dept of Environmental Protection
Florida Dept of Transportation
St Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Resta-urants
Division of Alcohofic Beverages and Tobacco
Other:
APPUCATION STATUS
riewing Department First Review: XApproved. 7Denied.
(Circle one.) Gomments:
BUILDING
ANNING &ZONING
Reviewed by:_6�a? Date:
TREE ADMIN. Second Review: CAPProved as revised. 7Denied. _A7
PUBL C Comments:
'C
B LP
_U B ITIES
-to
tv
:1U Ll SAFETY Reviewed by: Date:
77IRE SERVICES Third Review: EApproved as revised. F_�Denied.
Comments:
Revfevv�ed by: Date:
ad MUM
CITY OF ATLANTIC BEACH
tA 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- -I-LL-L-J
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION
1 JOB ADDREFS-- DUVAL COUNTY
2.VALUATION OF WORK: 3.SQ.FT.LIND ROOF
Y,
4.LEGAL DESCRIPTION: 110 ,500 1 __'d-o ?5-
5.CLASS OF'WORK: 1 6.USF OF STRUCTURE:
LOT I BLOCK_1.L_jSI BDIVISION 11 NEW BUILDING 13 DEMOLITION - MESIDENTIAL
1.DESCRIPTION OF WORK 11 ADDITION 13 CONVERTING USE 0 COMMERCIAL
0 ALTERATION 'Cl ACCESSORY BLDG- 8.FIRE SPRINKLER:
0 REPAIR E3 POOL/SPA 13 YES 5W/A_
Cl\0:5 tk?-,P 0 MOVE 0 OTHER
PKUPERTY OWNER: --- El NO
9.NAME: CONTRACTOR, ARCHITECT I ENGINEER:-
15.COMPANY NAME: MPANY NAME:
All f)V_ nc 105 0 If 23.CO
16,�4Fi 5(,C F. t�,
J+V) V� 24,LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLO I NSE NO.: 25.STATE OF FLORIDA'LICENSE No
-+-q 3 ?a F,� 'Q'�e- - e - C6C- 175' 1 -3 3-0 __
AAria(4ic, bc�), IFL 18.VDRES('2,rf)5 Cer 26.ADDRESS:
y
11.OFFICE PHqNE' 2.FAX NO.: 19.-&F-FICE PHO�E: IZO.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE:_D304 fto q-Z311-,Vqb,; 1
21.ILL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 0q -q U I-3t)3 Z-
22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
CotY-j
FEE MPLE TITLE-ffo--LDER.. 7
(IF OTHER THAN OWNER) BONDING COMPANY- MORTGAGE LENDER:
31.NAME: 5 0-M e- 33.NAME: 35.NAME:
32.ADDRESS: t),Mf - P. � � 4 /1
34.ADDRESS: )\4 1 J4-y 36.ADDRESS:
Application is hereby made to obtain a permit to do the work an ---IN IT
d 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,Furinaces,Boilers,Heaters,Tanks, Air Condftloners,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 OWNEF'
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRAU�TOR.
(if Agent,Power of Attorney or Agency Letter Required) (Qualifier Only)
Signe6.::A Date:..12 /,A/.2 Signed: Date:
' �d�a�r���
Before me this day 009 in the county of Before me this day of
Du 1,State of F D-4 2009 in the county Of
,_Lprida,ha:ZrsT illy appeipired Duval,State of Florida haspe naWilappeared
A_K
irms that all statements and declarations are herin by himself/'herseff and affirms that all statements and declarabons are
herin by himself/herself and aff ?V�
\�t-�) �01
true and accurate. true and accurate.
Notary Public at Large,State of
Personally Known County of �j2j N ta P blic at Large,State of County of
Personally Known
Produced Identificati Produced Iden ion-
Not
Notary Signature:
0
ary Signature:
14EaL - , v_V V
XOTAPY PUBLIC-STATE OF FLOPJDA NOTARy PUBLIC-STATE OF FLOPJDA
uren All Y Ledbetter
BLDG01 Permit Application Lauren Allay Ledbetter a
Bldg #DD691796 '12IMisSi011#DD691796
-Expires: JULY02,2011 co .
Expires: JULY02 2011
'30011�TURU ATLANTIC BONDING Co.,INQ BONDED THRUATLAI�,nC BONDIN '
G CO.,INC.
CITY OF ATLAN71C BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
09
OFFICE:(904)247-5826 a FAX NO.:(904)247-5845
BUILDING-DEPT@CQAB.US
1.JOB ADDRESS. BUILDING PERMIT APPLICATION DUVAL COUNTY
2.VALUATION OF YOM: --13.SQ FT.UNDER ROOV_
_tjo .500
__I LEGAL DESCRIPTION: 1 0 -a 5-
�ASIDENTIAL
OF STRUCTURE:
5.CLASS OF
BLOCK 13 NEW BUILDING 0 DEMOLITION
LOT -ASUB DIVISION 7)kA�41�_ k�av'rs 6k- 0 ADDITION 0 CONV
7.DESCRIPTION OF WORK- ERTING USE 0 COMMERCIAL
- 0 ALTERATION 40 ACCESSORY BLDG. 8.FIRE SPRINKLER:
-ey'�CA 0 0 REPAIR 11 POOL/SPA 0 YES OW/A
Boo 13 MOVE 0 OTHER 13 NO
MOPERTY OWNER: kum:
9.NAME: 15.COMPANY NAME:
pre, 23.COMPANY NAME-
Pmad Ai� nC i 0�,0(eS' J'nC
16.NA 24.LICENSEE NAME:
061'C r-VA.S
10.ADDRESS: 17.S��e LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
18. DRES: Vtn5 1 26.ADDRESS:
Akiom4ic, b6l, 'FL W , 0C-_'C'r_ ?)�-Y)
3-;-233 :5N-- Xt'AA IAI�J vl.<-. IFI_
,11.OFFICEP NE, ,,42.FAXNO.: 19.OFFICE PHOAE: 20.FAX NO.: 27.OFFICE PHONE:
OH-334-D -4-Z.;A- q I-NO.:
13.CELL PHONE:
21.QELL Pt1ON1(,7-3,),,- 29.CELL PHONE:
14.EMAIL ADDRESS: 40 -
22.EMAIL ADDRESS: 30.EMAIL ADDRES'9'.
0,\��I D co rn
FEE SUNU TM-914OLM: I -
(IF OTHER THM OWNER) SONDIM COMPANY: MORTGAGE LENDER:
31.NAME:
5ame- 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: -
6k M f-- - 1 36.ADDRESS: rT
Application is hereby made to obtain a permit t
o 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 t t all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECO __ ING YOUR NOTICE OF COMMENCEMENT.
OWNER-or AGENT
(11 Agent Power of Attorney or Age-y Letter ReWirao CON
"t P
Date, Signed: Date: 1 7- n
day-4
tBefore me this ]2�C?MJX_C�2009 in the county of Before me this dyfQfC Md9fe__2009inthecDuntyof
D State of ride has pe ally appeared Duval,State of Florida,has pelponally�ppeared
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 Note Public at Large,State of FL_
Personally Known Personally Known County of
Produced IdentificafiN 0 Produced Identfii n-
I A
Notary Signature: Notary Signature:
y
NOTARY PUBLIC-STATE OF FLORIDA NOTARY PUBLIC-STATE OF FLORIDA
BLDG01 Permit Apiplication B Lauren May Ledbetter U a
La ren M Y Ledbetter
#DD691796 I CO MissiOn#DD691796
r Ex 1� es: JULY 02 2011
........f Expires: JULY 02,2011 Expir
'30NDFD 7HRU ATLANTIC BONDING Co.,INC E11IRUA
TLANTIC BONDING Co.,INC,
CITY OF ATLANTIC BFACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.Fr.UNDER ROOF
\-4 Y, I 110 ,500 _ 1 ?57
4.LEGAL DESCRIPTION: 5.CLASS,OF WORK: 6.U_4E OF STRUCTURE:
LOT q-BLOCK JL__�SUB DIVISION 11 NEW BUILDING 0 DEMOLITION I�ESIDEN=IAL
7.DESCRIPTION OF WORK 11 ADDITION 0 CONVERTING USE 13 COMMERCIAL
11 ALTERATION C ACCESSORY BLDG. 8.FIRE SPRINKLER:
11 REPAIR OPOOL/SPA 0 YES W/A
C A o 0 MOVE 0 OTHER No
PROPER f OWNER: CONTRACTOR: ARCHITECTTO-EirGINEER:
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
P65a& "Ok�e_CXK At f)e-h EnC1050te's . Irc
16,qE:.5 I C ot 24.LICENSEE NAME:
t
10.ADDRESS: 17.STAFF OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
r+-33 C-sc, �o
�ES
'FL 26.ADDRESS:
A�lair4ic, bch, Y
-3';)- 3S 37-64T2.
11.OFF CE PqNE' 412.FAX NO.: 19.OFFICE PHO�E: 1:L0.FAX NO.: , 27.OFFICE PHONE: 28.FAX NO.:
C44M -DW "0 -Z -qqe
13.CELL PHONE: 21-CELL PL-IONE: 3 1
29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
Q,\� IR�00- Co fy-1
FEE SIMPLE TITLE HOLDIN'
(IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER:
31.NAME: 5a")6 33.NAME: 35.NAME:
32.ADDRESS: DRESS: \4 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.
OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with ail 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
LEND,ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only),
Sig Signed: Date: n
Before me this �d.y Beforemethis _\4) da;ofD C=bf
MD I State of F rida.has pe all f appea,red Duval,State of Florida,has onall red 9�,2009 in the county of
,Sar, r K, 9 7 V4-5
. " t IT �_rql �Z
herin by himself/herself and affirms that all statements and declarations are herin by himself Aerself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,Stat I a of County of_Du,�ix Note P blic at Large,State of County of
Personally Known + ;�PPersonallyl Known
Produced Identificati , , % ---+ - -- 0 Produced ldentIQ ion-
Notary Signature:_ \1 fAA I A 'V I X 1' ;'V A A
V
XOTAFY PUBLIC-STATE OF FLOPJDA NOTARY PUBLIC-STATE OF FLORIDA
Lauren May Ledbetter La Oren May Ledbetter
BLDG01 Permit Application Bldg I"' fllmissiOn#DD691796
� .-36bRiTffin#DD691796 CO
....../Expires: JULY02,2011 Expires: JULY 02 2011
i3ONDED THRU ATLaIMC BONDING BONDED 111RUATLANTICBoNDIN
�0-1 G CO.,INC,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001966 Date 12/18/09
Property Address . . . . . . 1773 E PARK TER
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation i6s6o
------------------------------------------------------------------------
Application desc
POOL ENCLOSURE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HALLEAK ALL PRO ENCLOSURES INC
1773 PARK TERRACE EAST 582 ST JOHNS PARKWAY
ATLANTIC BEACH FL 32233 ST AUGUSTIONE
ST AUGUSTINE FL 32092
(904) 962-3032
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 135 . 00 Plan Check Fee 67 . 50
Issue Date . . . . Valuation . . . . 16500
Expiration Date . . 6/16/10
-- --------------------------------------------------------------------------
Special Notes and Comments
Roll off container company must be on City approved list
and canno t be placed on City right-of-way.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . CITY RADON SURCHARGE . 50
ST CONSTRUCTION SURCHARGE 9 . 11
AB CONSTRUCTION SURCHARGE 1 . 01
STATE RADON SURCHARGE 9 . 61
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total 67 . 50 67 . 50 . 00 . 00
Other Fee Total 20 . 23 20 . 23 . 00 . 00
Grand Total 222 . 73 222 . 73 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
APPLICATIOWNUMBER
.5 Building Department
800 Seminole Road (To be assigned b�'the Building De�aitmeint:)*
Atlantic Beach, Florida 32-233-5445
L
Phone(904)247-582E5 Fax(904)247-5845
out6ed-
12
V. E-mail: building-dept9coab.us Dateraut AA*
City web-site: hftp:/Iwww.coab.us
APP* LICATION REVIEW AND TRACKING FORM
roperty Address: Department review required Yes No
177 3 Building
Planning&Zoning
pplicant: -1411 -Prd e/V A6
No
roject: Tree Administrator
I LOC Public W6rks
_�_ublic Utilities
Public Safety
S
Fire FServices
i�s w
I az wr
4-��W_M Or-
WnX g
r"NO`
-P I-s-i'll
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept of Transportation
St Johns River Water Management District
Army:,orps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPL ATION STATUS
viewing Department First Review: Approved. DDenied.
r Gomments:
��4�N
ANNING &ZONING
Reviewed by:
Date:...
tz=
TREE ADMIN.
Second Review: CAPProved as revised. []Denied.
PUBLIC WORKS Comments:
IUBLIC UTILITIES
:IUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ODenied.
Comments:
ReOevvfed by: Date:
ad 0511,V09