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Permit 800 Seminole Rd
�F r J CITY OF ATLANTIC BEACH A ' 800 SEMINOLE ROAD s X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 ' 01111. Application Number 08- 00000529 Date 4/22/08 Property Address 800 SEMINOLE RD Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 1404 Application desc WINDOW REPLACEMENT Owner Contractor WINDOW WORLD OF JACKSONVILLE 8535 BAYMEADOWS ROAD UNIT 12 DBA NATIONAL HOMECRAFT JACKSONVILLE FL 32256 (904) 443 -7001 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type UTILITY & MISCELLANEOUS Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 4/22/08 Valuation . . . . 1404 Expiration Date . 10/19/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS 2004- FLORIDA BUILDING CODE -Sec. 1609.1.4- Protection of openings,.. "glazing shall be impact resistant or protected by an impact resistant covering" in this wind borne debris area of ATLANTIC BEACH. Protection shall be installed at the time for final inspection. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. a .,:ti- "r' BUILDING PERMIT APPLICATION - p CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 • � �'119 ` r Office: (904)247 -5826 • Fax: (904) 247 -5845 lob Address: 8 0 D Serr t n bi t Ile\ P W& t' eah Permit Number: :,egal Description 00,o .k.._ CA.s sr-e_1,1 Par k Valuation of Work (Replacement Cost) $ / 4 D '/. ?b ▪ Class of Work (Circle one): New Addition f Alteration j Repair Move • Use of existing/proposed structure(Circle one): Commercial A� ential • If an existing structure, is a fire sprinkler er system installed? (Circle one): es o • • Is approval of homeowner's association or other private entity required? (Circle one): `es describe in detail the type of work to be performed: b3tr) dt>t c e_pla ce_ on_ € V ' roperty Owner Information Same: t-` r9A C.. Q Ea C..1 \ Address: O o S e rv1 1 ✓N o Le )Z C.I. :ity 4 k\ c. _ 64 a cle■ State Ft Zip ra,P.g33 Phone At a S 3 9 — 3 3 o8 - 2 o ntractor Information: Jame of Company: L7. " etszi t&Do-r lcA fi y Qualifying Agent are e qt.-Ir.& Ft -€._ address: g 11 O Cy of e s.S ft a a o ■ Or sae. OS City Jet c,k a ,,.I kst St e F L Zip 3 QS )ffice Phone y y 3- 7 (pc) 1 Job Site/Contact Number 4 4 4 -13 - 7 0o / :ta.te Certification/Registration # C. c. / a$ 03 3. 1 Office Fax # y L/ 7 77 78 architect Name & Phone # ngineer's Name & Phone # (pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or 7stallation has commenced prior to the issuance ea permit and that all work be peiformed to meet the standards of all zws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) tonths, or if construction or work is .suspended or abandoned for a period of six (6) months at any time af work is ommencecr I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, W ells, Pools, 7 urnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY LESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 1EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. hereby certify that .I have read and examined this application the same to be true and correct. All provisions of 2Ws and ordinances governing this type of work will be co Nether specified herein or not. The granting of a ermit does not presume to give authority to violate or provisions of any other federal, state, or local law egulating construction or the performance of cons ignature of Property Owner: Signature of Contra r: kk -, ‘, wo and sub . be • befo me Sworry4" and subscri i d • e o e vas r4 Day of .!–tra this 4 of 1fIw . L p SH : L. ( RAHAM ' �., o Publ 1 i • /s�. =te of Flori �� EWE otary Pubh . L i - co missio Ex • re , , • ' ; y1 l+ V , . .� +�'� '� �"- :. , DD 518533 Ci7n, /i� . �. 111.1111111111."— •":► ■ .l N. A n. �TYOF �,��.��i►, +��'�� O D 1,� EVIS i °.. :art <: '4 ,,$. SEE PERM ►i • c L�3'.'l.� . .I Nota A i�►. REQUIRE NTS AND CONDITIO NS. F IL E C OPY REVIEWED BY: DAB s iC �o u e AM 9:79 , r I l 6Z:80 LO 6Z W 4' w-srr��a.,�.a�a�ca�aa�, . . (ncoo? F= oc 4 e ti$ S a , Par bbd S...evvvtr,,olsi., , Windo orld of Jacksonville, Inc. A4-- l o+n)-t c_. IQeQ _ t Fe_- 0 Cypress Plaza Dr., Ste. 405 Jacksonville, FL 32256 (904) 443 -7001 3 S ilt) -I 5 3r Size. • 1/. ogiNt-.) 3 ' / k -t L o N P`( o 35 l la. X - 70 3/ o Ac'o 7P 4 4 55 X -- 7't S ly 049Ab Q u o t aS 3 A4 - 7o3A-1 02A0 ez-y sip 35 3/ 4 x 1 o aA ? _ i P c n (31 Car ‘7 • • i •I j ai Florida Buielding Code Online Page 1 of 3 fi C omm u ri ityAffaurs I. c , .,. ` , BCIS Home i Log In i Hot Topics j Submit Surcharge I Stats & Facts 1 Publications I FBC Staff I BCIS Site Map I Links I Seat l °, Approval '� � "USER: Public User / wry - U ,d1111111111 ... Co i unity Affairs product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL1093 -R1 ii eCVN LJM °I '' Y rt- .NkI NS Application Type Revision *1-CL'IZINC S. COWNliNr1 Code Version 2004 DEVELOPMENT Application Status Approved t EVER 3 E '1'7. Comments ,.......... Archived , EEICCEOFTIE aECRETAR' - Product Manufacturer Alside Window Company Address /Phone /Email 3773 State Road Cuyahoga Falls, OH 44223 (330) 922-2108 mfernbaugh @alside.com Authorized Signature Marsh Fernbaugh mfernbaugh @alside.com Technical Representative Marsh Fernbaugh Address /Phone /Email 3773 State Road Cuyahoga Falls, OH 44281 mfernbaugh @alside.com Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /NWDA 101 IS -2 1997 http: / /www.floridabuilding.org/pr /pr_ app_ dtl. aspx? param= wGEVXQwtDgvihT9G9wJ1k3J % % 4/11/2008 Florida Building Code Online Page 2 of 3 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/14/2005 Date Validated 08/05/2005 Date Pending FBC Approval 08/09/2005 Date Approved 08/24/2005 Summary of Products 1 FL # '°Model, Number or Name 1ODescription 11093.1 10100 INew Construction: 52x77 DP25; 1/8" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 0100:52x77 (1/8" annealed) DP25 Created by Independent Third Party: Evaluation Reports • Created by Independent Third Party: 11093.2 110100 'New Construction: 48x77 DP25; 3/32" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 0100:48x77 (3/32" glass) DP25 Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 1093.3 01HP New Construction: 52x77 DP30, 52x61 DP35, 44x60 DP45, 36x72 DP55; 1/8" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 01HP:52x77 (1/8" annealed) DP30, 52x61 Created by Independent Third Party: (1/8" annealed) DP35, 44x60 (1/8" annealed) Evaluation Reports DP45, 36x72 (1/8" annealed) DP55 Created by Independent Third Party: 1093.4 02A0 Replacement: 52x78 DP, 52x61 DP35, 44x77 ...1V DP30, 44x60 DP35, 36x72 DP40, 36x60 DP50; 3/32" glass L imits of Use ( See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 02A0:52x78 (3/32" annealed) DP25, Created by Independent Third Party: 52x61 (3/32" annealed) DP35, 44x77 (3/32" Evaluation Reports annealed) DP30, 44x60 (3/32" annealed) DP35, Created by Independent Third Party: http:// www. floridabuilding .org /pr /pr_app_dtl. aspx ?param= wGEVXQwtDgvihT9G9wJlk3 J %2fMmLh %2f... 4/11/2008 Florida Bu,lding Code Online Page 3 of 3 36x72 (3/32" annealed) DP40, 36x60 (3/32" annealed) DP50 1093.5 07HP Replacement: 52x77 DP30, 52x61 DP35, 44x60 DP45, 36x72 DP55; 1/8" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 07HP:52x77 (1/8" annealed) DP30, 52x61 Created by Independent Third Party: (1/8" annealed) DP35, 44x60 (1/8" annealed) Evaluation Reports DP45, 36x72 (1/8" annealed) DP55 Created by Independent Third Party: Back I I 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 -2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: M4tMi1�I Secured a � VERIFY ► -.,ate' ,°. http : / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx? param= wGEVXQwtDgvihT9G9wJ1k3J %2f1V1mLh %2f... 4/11/2008 4 Architectural Testing AAMA/WDMA/CSA 101/I.S.2/A440 -05 TEST REPORT ALSIDE WINDOW COMPANY SERIES/MODEL: 02A0/S140/S144/S146 PRODUCT TYPE: PVC Single Hung Window Report No.: 70677.06 - 501 -47 Test Dates: 01/17/07 Through: 01/31/07 Report Date: 12/18/07 Expiration Date: 01/31/11 1140 Lincoln Avenue Springdale, PA 15144 phone: 724- 275 -7100 fax: 724- 275 -7102 www.archtest.com .* Architectural Testing AAMA/WDMA/CSA 101/I.S.2/A440 -05 TEST REPORT SUMMARY OF RESULTS Summary of Results Title Test Specimen #1 Test Specimen #2 Test Specimen #3 Pri Product Desi nator H -R15 1321 x 1981 H -LC25 1321 x 1981 H -LC30 1321 x 1549* g (52 x 78) (52 x 78) (52x61*) Design Pressure 720 Pa (15.0 psf) 1200 Pa (25.0 psf) 1440 Pa (30.0 psf) Negative Design Pressure 720 Pa (15.0 psf) 1200 Pa (25.0 psf) 1440 Pa (30.0 psf) Operating Force (in motion) 135 N (30.0 lbf) 135 N (30.01bf) N/A Air Infiltration 0.7 L/s/m 1.1 L/s/m2 2 N/A (0.14 cfm/ft) 2 (0.22 cfm/ft ) Canadian Air Infiltration/Exfiltration Level N/A N/A N/A Water Penetration Resistance Test Pressure 360 Pa (7.5 psf) 290 Pa (6.0 psf) N/A Uniform Load Structural Test Pressure 11080 Pa (22.5 psf) 11800 Pa (37.5 psf) 12160 Pa (45.0 psf) Forced Entry Resistance Grade 10 Grade 10 N/A , Summary of Results Title Test Specimen #4 Test Specimen #5 , Test Specimen #6 Primary Product Designator H -LC30 1118 x 1956 H -LC35 1118 x 1524* H -LC40 914 x 1829* (44 x 77) (44 x 60 *) (36 x 72 *) Design Pressure 1440 Pa (30.0 psf) 1680 Pa (35.0 psf) 1920 Pa (40.0 psf) Negative Design Pressure 1440 Pa (30.0 psf) 1680 Pa (35.0 psf) 1920 Pa (40.0 psf) Operating Force (in motion) N/A N/A N/A Air Infiltration N/A N/A N/A Canadian Air Infiltration/Exfiltration Level N/A N/A N/A Water Penetration Resistance Test Pressure N/A N/A N/A Uniform Load Structural Test Pressure 12160 Pa (45.0 psf) 12520 Pa (52.5 psf) 12880 Pa (60.0 psf) Forced Entry Resistance N/A N/A N/A 1140 Lincoln Avenue Springdale, PA 15144 phone: 724 - 275 -7100 fax: 724 - 275 -7102 www.archtest.com Architectural Testing AAMA/WDMA/CSA 101/LS.2/A440 -05 TEST REPORT SUMMARY OF RESULTS Title Test Specimen #7 Primary Product Designator H -LC50 914 x 1524* (36 x 60 *) Design Pressure 2400 Pa (50.0 psf) Negative Design Pressure 2400 Pa (50.0 psf) Operating Force (in motion) N/A Air Infiltration N/A Canadian Air Infiltration/Exfiltration Level N/A Water Penetration Resistance Test Pressure N/A Uniform Load Structural Test Pressure ±3600 Pa (75.0 psf) Forced Entry Resistance N/A Test Completion Date: 01/31/07 Reference must be made to Report No. 70677.06 - 501 -47, dated 12/18/07 for complete test specimen description and data. Architectural Testing AAMA/WDMA/CSA 101/LS.2/A440 -05 TEST REPORT Rendered to: ALSIDE WINDOW COMPANY 3773 State Road Cuyahoga Falls, Ohio 44223 Report No.: 70677.06 - 501 -47 Test Dates: 01/17/07 Through: 01/31/07 Report Date: 12/18/07 Expiration Date: 01/31/11 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Associated Materials, Inc. to witness tests on seven Series /Model 02A0/S140/S144/S146, PVC single hung windows at their facility located in Cuyahoga Falls, Ohio. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #1: H -R15 1321 x 1981 (52 x 78); Test Specimen #2: H -LC25 1321 x 1981 (52 x 78); Test Specimen #3 H -LC30 1321 x 1549* (52 x 61*); Test Specimen #4: H -LC30 1118 x 1956 (44 x 77); Test Specimen #5: H -LC35 1118 x 1524* (44 x 60 *); Test Specimen #6: H -LC40 914 x 1829* (36 x 72 *); Test Specimen #7: H -LC50 914 x 1524* (36 x 60 *). Test specimen description and results are reported herein. The sample was provided by the client. General Note: An asterisk ( *) next to the performance grade indicates that the size tested for optional performance was smaller than the Gateway test size for the product type and class. Test Specification: The test specimens were evaluated in accordance with AAMA/WDMA/CSA 101 /I.S.2/A440 -05, Standard/Specification for Windows, Doors, and Unit Skylights. Test Specimen Description: Series/Model: 02A0/S 140/S 144/S146 Product Type: Poly Vinyl Chloride (PVC) Single Hung Window 70677.06- 501-47 Architectural Testing Page 2 of 14 Test Specimen Description: (Continued) Test Specimen #1: H -R15 1321 x 1981 (52 x 78) Overall Size: 1321 mm (52 ") wide by 1981 mm (78 ") high Sash Size: 1260 mm (49 -5/8 ") wide by 972 mm (38 -1/4 ") high Daylight Opening Size: 1197 mm (47 -1/8 ") wide by 902 mm (35 -1/2 ") high Screen Size: 1226 mm (28 -1/4 ") wide by 972 mm (38 -1/4 ") high Overall Area: 2.6 m (28.2 ft Test Specimen #2: H -LC25 1321 x 1981 (52 x 78) Overall Size: 1321 mm (52 ") wide by 1981 mm (78 ") high Sash Size: 1260 mm (49 -5/8 ") wide by 972 mm (38 -1/4 ") high Daylight Opening Size: 1197 mm (47 -1/8 ") wide by 902 mm (35 -1/2 ") high Screen Size: 1226 mm (28 -1/4 ") wide by 972 mm (38 -1/4 ") high Overall Area: 2.6 m (28.2 ft Test Specimen #3: H -LC30 1321 x 1549* (52 x 61*) Overall Size: 1321 mm (52 ") wide by 1549 mm (61") high Sash Size: 1264 mm (49 -3/4 ") wide by 756 mm (29 -3/4 ") high Daylight Opening Size: 1200 mm (47 -1/4 ") wide by 686 mm (27 ") high Overall Area: 2.0 m (22.0 ft2) 70677.06 - 501 -47 Architectural Testing Page 3 of 14 Test Specimen Description: (Continued) Test Specimen #4: H -LC30 1118 x 1956 (44 x 77) Overall Size: 1118 mm (44 ") wide by 1956 mm (77 ") high Sash Size: 1060 mm (41 -3/4 ") wide by 962 mm (37 -7/8 ") high Daylight Opening Size: 994 mm (39 -1/8 ") wide by 889 mm (35 ") high Overall Area: 2.2 m (23.5 ft Test Specimen #5: H -LC35 1118 x 1524* (44 x 60 *) Overall Size: 1118 mm (44 ") wide by 1524 mm (60 ") high Sash Size: 1064 mm (41 -7/8 ") wide by 745 mm (29- 5/16 ") high Daylight Opening Size: 997 mm (39 -1/4 ") wide by 673 mm (26 -1/2 ") high Overall Area: 1.7 m (18.3 ft Test Specimen #6: H -LC40 914 x 1829* (36 x 72 *) Overall Size: 914 mm (36 ") wide by 1829 mm (72 ") high Sash Size: 860 mm (33 -7/8 ") wide by 897 mm (35- 5/16 ") high Daylight Opening Size: 791 mm (31 -1/8 ") wide by 826 mm (32 -1/2 ") high Overall Area: 1.7 m (18.0 ft Test Specimen #7: H -LC50 914 x 1524* (36 x 60 *) Overall Size: 914 mm (36 ") wide by 1524 mm (60 ") high Sash Size: 857 mm (33 -3/4 ") wide by 743 mm (29 -1/4 ") high Daylight Opening Size: 794 mm (31 -1/4 ") wide by 679 mm (26 -3/4 ") high Overall Area: 1.4 m (15.0 ft2) �14k. 70677.06 -501 -47 Architectural Testing Page 4 of 14 Test Specimen Description: (Continued) The following descriptions apply to all specimens. Finish: All PVC was white. Glazing Details: The sash was exterior glazed and the fixed lite was interior glazed with nominal 19 mm (3/4 ") thick, sealed insulating glass fabricated from two sheets of 2.5 mm (3/32 ") clear annealed glass, a "U" shaped steel spacer system embedded in sealant, single sealed. The insulating glass was set against a double -sided adhesive tape and secured with rigid vinyl glazing beads. Frame Construction: The PVC frame was constructed using mitered and welded corner construction. The fixed meeting rail was coped and fastened to the jambs using two screws at each end. Sash Construction: The PVC sash were assembled utilizing mitered and welded corner construction. Screen Construction: The screen was constructed with extruded aluminum. The corners were miter cut and secured using plastic corner keys. The fiberglass mesh screen cloth was held -in -place with a flexible vinyl spline. Weatherstripping: Description Quantity Location 4.7 mm (0.187 ") backed by 2 Rows Sash stiles 6.6 mm (0.260 ") high pile with center fin 4.7 mm (0.187") backed by 1 Row Lock rail, exterior meeting rail 6.6 mm (0.260 ") high pile with center fin 4.7 mm (0.187 ") backed by 1 Row Sill, exterior meeting rail (exterior) 8.9 mm (0.350 ") high vinyl jacket/foam filled bulb 4.7 min (0.187 ") backed by 1 Bottom rail 10.2 mm (0.400 ") diameter vinyl jacket/foam filled bulb 70677.06- 501-47 Architectural Testing Page 5 of 14 Test Specimen Description: (Continued) Hardware: Description Quantity Location Metal cam lock and keeper 2 Lock rail, one 216 mm (8 -1/2 ") (Test Units #1, 3, 4, 5, 6, 7) in from each end Metal cam lock and keeper 1 Lock rail, at mid -span (Test Unit #2) Constant force balance system 2 One per jamb with locking tilt shoes Plastic tilt latches 2 Lock rail one at each end Cast metal tilt pins 2 Bottom rail, one at each end Drainage: Description Quantity Location 25.4 mm (1") wide by 4.7 mm 2 Exterior face of sill, one at (3/16 ") high weepslot (with flap) each end 25 mm (1") wide by 2 Intermediate sill wall, one 4.7 mm (3/16 ") high weepslot at each end 31.8 mm (1 -1/4 ") wide by 4 Sill/interior jamb track, 12.7 mm (1/2 ") deep weepslot one at each end 12.7 mm (1/2 ") wide by 2 Sill screen track, one 4.7 mm (3/16 ") high weepslot at each end 9.5 mm (3/8 ") wide by 2 Bottom sash rails, 4.8 mm (3/16 ") deep weepslot one at each end 70677.06 - 501-47 Architectural Testing Page 6 of 14 Test Specimen Description: (Continued) Reinforcement: Test Specimen #1: The lock rail contained a custom shaped, formed steel reinforcement measuring 22.2 mm by 11.7 mm by 1.2 mm (0.875" by 0.461" by 0.047 "), reference Drawing No. UY0095. The sash stiles contained a custom shaped, formed steel reinforcement measuring 22.2 mm by 12.0 mm by 1.5 mm (0.875" by 0.473" by 0.059 "), reference Drawing No. UY0094. Test Specimens #2 through #7: The lock rail contained a custom shaped, formed steel reinforcement measuring 22.2 mm by 11.7 mm by 1.2 mm (0.875" by 0.461" by 0.047 "), reference Drawing No. UY0095. The bottom rail and sash stiles contained a custom shaped, formed steel reinforcement measuring 22.2 mm by 12.0 mm by 1.5 mm (0.875" by 0.473" by 0.059 "), reference Drawing No. UY0094. Installation: The unit was installed in a wood buck constructed of Spruce- Pine -Fir construction lumber and secured through the jambs to the buck using four #8 x 64 mm (2 -1/2 ") long screws, one at the top and bottom of each jamb. The exterior and interior perimeter was sealed with a silicone sealant, with the exception of an approximate 150 mm (6 ") long void at each interior sill corner. A nominal 5 mm (3/16 ") gap was maintained at the perimeter between the buck and window frame. 70677.06- 501 -47 Architectural Testing Page 7 of 14 Test Results: The results are tabulated as follows: Paragraph Title of Test - Test Method Results Allowed Test Snecimen #1: H -R15 1321 x 1981 (52 x 78) 5.3.1 Operating Force per ASTM E 2068 Open Initiate motion 144 N (32 lbf) N/A Maintain motion 135 N (30 lbf) 135 N (30 lbf) Close Initiate motion 45 N (10 lbf) N/A Maintain motion 68 N (15 lbf) 135 N (30 lbf) Locks Open 68 N (15 lbs) 100 N (22.5 lbs) Close 68 N (15 lbs) 100 N (22.5 lbs) Latches 5 N (1 lbf) 100 N (22.5 lbf) 5.3.2 Air Leakage Resistance per ASTM E 283 75 Pa (1.6 psf) 0.7 L /s /m 1.5 L /s /m (0.14 cfm/ft (0.3 cfm/ft max.) Note #1: The tested specimen meets (or exceeds) the performance levels specified in AAMA/WDMA /CSA 101 /I.S.2/A440 -05 for air leakage resistance. 5.3.3 Water Penetration Resistance per ASTM E 547 (See Note #2) Note #2: The client opted to start at a pressure higher than the minimum required. Those results are listed under "Optional Performance". 5.3.4.2 Uniform Load Deflection per ASTM E 330 (Deflections were taken on the exterior meeting rail) (Loads were held for 10 seconds) 720 Pa (15.0 psf) (positive) 14.0 mm (0.55 ") See Note #3 720 Pa (15.0 psf) (negative) 15.0 mm (0.59 ") See Note #3 Note #3: The deflections reported are not limited by AAMA/WDMA/CSA 101 /I.S.2/A440 -05 for this product designation. The deflection data is recorded in this report for special code compliance and information only. 70677.06 - 501 -47 Architectural Testing Page 8 of 14 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #1: H -R15 1321 x 1981 (52 x 78) (Continued) 5.3.4.3 Uniform Load Structural per ASTM E 330 (Permanent sets were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1089 Pa (22.5 psf) (positive) 0.5 mm (0.02 ") 5.1 mm (0.20 ") 1080 Pa (22.5 psf) (negative) 1.5 mm (0.06 ") 5.1 mm (02.0 ") 5.3.5 Forced Entry Resistance per ASTM F 588 Type: A Grade: 10 Tests Al through A7 No entry No entry Lock Hardware Manipulation Test No entry No entry Sash/Panel Manipulation Test No entry No entry 5.3.6.2 Thermoplastic Corner Weld Test Meets as stated Meets as stated 5.3.6.3 Deglazing Test In operating direction - 320 N (70 lbs) 0.8 mm (0.03 ") 11.4 mm (0.45 ") /90% 0.8 mm (0.03 ") 11.4 mm (0.45 790% In remaining direction - 230 N (50 lbs) 0.3 mm (0.01") 11.4 mm (0.45790% 0.3 mm (0.01") 11.4 mm (0.45 ") /90% Optional Performance 4.4.2.6 Water Penetration Resistance per ASTM E 547 (with and without insect screen) 360 Pa (7.5 psf) No leakage No leakage 70677.06 - 501 -47 Architectural Testing Page 9 of 14 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #2: H -LC25 1321 x 1981 (52 x 78) 5.3.1 Operating Force per ASTM E 2068 Open Initiate motion 144 N (32 lbf) N/A Maintain motion 135 N (30 lbf) 135 N (30 lbf) Close Initiate motion 45 N (10 Ibt) N/A Maintain motion 68 N (15 lbf) 135 N (30 lbf) Locks Open 68 N (15 lbs) 100 N (22.5 lbs) Close 68 N (15 lbs) 100 N (22.5 lbs) Latches 5 N (1 lbf) 100 N (22.5 lbf) 5.3.2 Air Leakage Resistance per ASTM E 283 75 Pa (1.6 psf) 1.1 L /s /m 1.5 L /s /m (0.22 cfm/ft (0.3 cfm/ft max.) Note #1: The tested specimen meets (or exceeds) the performance levels specified in AAMA/WDMA /CSA 101 /I.S.2/A440 -05 for air leakage resistance. 5.3.3 Water Penetration Resistance per ASTM E 547 (See Note #2) 5.3.4.2 Uniform Load Deflection per ASTM E 330 (Deflections were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1200 Pa (25.0 psf) (positive) 26.2 mm (1.03 ") See Note #3 1200 Pa (25.0 psf) (negative) 30.0 mm (1.18 ") See Note #3 5.3.4.3 Uniform Load Structural per ASTM E 330 (Permanent sets were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1800 Pa (37.5 psf) (positive) 1.0 mm (0.04 ") 5.1 mm (0.20 ") 1800 Pa (37.5 psf) (negative) 2.3 mm (0.09 ") 5.1 mm (02.0 ") 70677.06 - 501 -47 Architectural Testing Page 10 of 14 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #2: H -LC25 1321 x 1981 (52 x 78) (Continued) 5.3.5 Forced Entry Resistance per ASTM F 588 Type: A Grade: 10 Tests Al through A7 No entry No entry Lock Hardware Manipulation Test No entry No entry Sash/Panel Manipulation Test No entry No entry Optional Performance 4.4.2.6 Water Penetration Resistance per ASTM E 547 (with and without insect screen) 290 Pa (6.0 psf) No leakage No leakage Test Specimen #3: H -LC30 1321 x 1549* (52 x 61*) Optional Performance 4.4.2.6 Uniform Load Deflection per ASTM E 330 (Deflections were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1440 Pa (30.0 psf) (positive) 31.2 mm (1.23 ") See Note #3 1440 Pa (30.0 psf) (negative) 33.5 mm (1.32 ") See Note #3 4.4.2.6 Uniform Load Structural per ASTM E 330 (Permanent sets were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2160 Pa (45.0 psf) (positive) 2.8 mm (0.11") 5.1 mm (0.20 ") max. 2160 Pa (45.0 psf) (negative) 5.1 mm (0.20 ") 5.1 min (0.20 ") max. 70677.06 - 501 -47 Architectural Testing Page 11 of 14 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #4: H -LC30 1118 x 1956 (44 x 77) Optional Performance 4.4.2.6 Uniform Load Deflection per ASTM E 330 (Deflections were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1440 Pa (30.0 psf) (positive) 15.5 mm (0.61") See Note #3 1440 Pa (30.0 psf) (negative) 21.3 mm (0.84 ") See Note #3 4.4.2.6 Uniform Load Structural per ASTM E 330 (Permanent sets were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2160 Pa (45.0 psf) (positive) 1.5 mm (0.06 ") 4.3 mm (0.17 ") max. 2160 Pa (45.0 psf) (negative) 2.0 mm (0.08 ") 4.3 mm (0.17 ") max. Test Specimen #5: H -LC35 1118 x 1524* (44 x 60 *) Optional Performance 4.4.2.6 Uniform Load Deflection per ASTM E 330 (Deflections were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1680 Pa (35.0 psf) (positive) 15.2 mm (0.60 ") See Note #3 1680 Pa (35.0 psf) (negative) 16.0 mm (0.63 ") See Note #3 4.4.2.6 Uniform Load Structural per ASTM E 330 (Permanent sets were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2520 Pa (52.5 psf) (positive) 2.3 mm (0.09 ") 4.3 mm (0.17 ") max. 2520 Pa (52.5 psf) (negative) 2.3 mm (0.09 ") 4.3 mm (0.17 ") max. 70677.06 - 501 -47 Architectural Testing Page 12 of 14 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #6: H -LC40 914 x 1829* (36 x 72 *) Optional Performance 4.4.2.6 Uniform Load Deflection per ASTM E 330 (Deflections were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1920 Pa (40.0 psf) (positive) 8.6 mm (0.34 ") See Note #3 1920 Pa (40.0 psf) (negative) 10.9 mm (0.43 ") See Note #3 4.4.2.6 Uniform Load Structural per ASTM E 330 (Permanent sets were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2880 Pa (60.0 psf) (positive) 1.0 mm (0.04 ") 43.5 mm (0.14 ") max. 2880 Pa (60.0 psf) (negative) 1.0 mm (0.04 ") 3.5 mm (0.14 ") max. Test Specimen #7: H -LC50 914 x 1524* (36 x 60 *) Optional Performance 4.4.2.6 Uniform Load Deflection per ASTM E 330 (Deflections were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2400 Pa (50.0 psf) (positive) 9.7 mm (0.38 ") See Note #3 2400 Pa (50.0 psf) (negative) 10.9 mm (0.43 ") See Note #3 4.4.2.6 Uniform Load Structural per ASTM E 330 (Permanent sets were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3600 Pa (75.0 psf) (positive) 1.5 mm (0.06 ") 43.5 mm (0.14 ") max. 3600 Pa (75.0 psf) (negative) 1.0 mm (0.04 ") 3.5 mm (0.14 ") max. ' A °I li■- 70677.06- 501-47 Architectural Testing Page 13 of 14 Drawing Reference: The test specimen drawings have been reviewed by Architectural Testing, Inc. and match the test specimen reported herein. Detailed drawings, data sheets, representative samples of test specimens, a copy of this report, or other pertinent project documentation will be retained by Architectural Testing, Inc. for a period of four years from the original test date. At the end of this retention period, such materials shall be discarded without notice and the service life of this report will expire. Results obtained are tested values and were secured by using the designated test methods. This report does not constitute certification of this product nor an opinion or endorsement by this laboratory. It is the exclusive property of the client so named herein and relates only to the specimen(s) tested. This report may not be reproduced, except in full, without the written approval of Architectural Testing, Inc. For ARCHITECTURAL TESTING, INC. V1/41\pAAIS5. Wi lly r. L ynn George • Sandy L DICaro Dlpifaay Signed by: Michael L Lynn George Michael L. Mackereth Project Manager Director - Operations Attachments (pages): This report is complete only when all attachments listed are included. Appendix -A: Alteration Addendum (1) Appendix -B: Drawings (12) J� f- 6 f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 3 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 * - 1 -J1tl '- INSPECTION EMAIL REQUEST: Building- dept @coab.us Application Number 08- 00000324 Date 3/12/08 Property Address 800 SEMINOLE RD Application type description RIGHT -OF -WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc comcast underground facalities Owner Contractor COMCAST COMMUNICATIONS 5934 RICHARD ST JACKSONVILLE FL 32216 (904) 380 -6423 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 3/12/08 Valuation . . . . 0 Expiration Date . 9/08/08 Special Notes and Comments Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed call 247 - 5834. See attached map for general utility locations. Water lines and fiberoptic cable are in area. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. March 11, 2008 City of Atlantic Beach 800 Seminole Rd Atlantic Beach, FL 32233 To Whom It May Concern: I am writing to inform you that Comcast Communications is proposing to install 165' underground CATV as shown on the attached plans. Please review the attached drawings and information to provide an approved permit. If any additional information is needed, please advise. I may be contacted as shown below. Thank you. Billie Lentes Authorized Agent of Comcast Cable Lentes Design, Inc. Special Projects Manager 4209 Baymeadows Rd, Ste 2 Jacksonville, FL 32217 (904)- 730 - 0068 -W (904)- 651- 7642 -C lentesdesign @comcast.net D 32-4 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904 - 247 -5800 � Atlantic Beach, Florida 32233 -5445 Fax 904 - 247 -5845 Date 3/11/08 _ Permit# Jot? MUUfess ouu riaZa ur Issueu is T r(\ I rim LA 1 T - Permitee: COMCAST Telephone # 904 280 - 6420 Permittee Address: 5934 Richard St, Jacksonville, I-L Requesting Permission to Construct: 165' Underground CAN facalities - Location: (Reference to Cross - Street) 800 Plaza Dr at Seminole Rd 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority Yes (X No ( ) Date: ___Z /11 /(MA Bell South Telephone Company Yes (X No ( ) Date: -- 3/11/08 Ferrell Gas Yes ( No ( ) Date: Com cast Yes ( No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone #: _ 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 30 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: __ Before me this day of in the County of Duval, State Of Florida, has personally appeared _ Notary Public at Large, State of Florida, County of Duval. My commission expires: Personally Known: or Produced Identification: Ad * 8 d a GLI N./. \ z�`I{C/ y of m - a .--7-1 o f \i\ \ d 04 / / \ / \\ n Nt E, i ; =\_ ` o z CIA 1 somoll " Q W W C a \ J N ,1\ U ' W Z -- m „,. 7/' ›.„ i .... ; 1 2 1 . p. / o O X O Y an ansun� N H F : 1311 11131 > iii . ` W w a. , ON 310NIYI3S y , 1 t an— - t ----4/11 I I r , � \ a I —_ 1 oil r, 4 05 1.. x r ,oa ,OL OL ,oa 5 g III i` : I I W al 1 H z. o d z I� It 0 ,F: . , . ::. I. 1 'll g r14 ° 114 ..1 I ( N i ' 4 o ± 1 A 't - - 1 GJ Fu. i d Jnln 0 I ' I 0 E 1 2, o w i i L . I I N i V 0! aig.... .. 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B. ii i ,L . ,,,,,,, 4 it O S 0 m 1 #a Wig 2 4 4 Public Utilities -- Distribution & Collection Date: - - Initials: Project Name /Address: A pplication/Permit #: Check Box Application Tracking Comments To Add Comment Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch -read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" must ❑ be installed in a vault as noted in JEA specifications. 0 ❑ 0 0 0 f ❑ ❑ 0 F:\PlanReviewComments- PU.doc i ys ���� ) �� CITY ` *I ATLANTIC •r�EAC H PERMIT •'4 - M a ' SS`' MA G / Z N ,T G i EP .TMENT APPLICATION # . 1 800 Seminole Road D — :> Florida y Atlantic Beach, Flor 32233 i (904) 247 -a .0„,of ( 904) 247 -5845 Fax w ww. coab.us . APPLICATION T":_ CK NG FQ " REQUIRED DEPT: Property D DD ° I" "t°I' Y N PLANNING BUILDING . ^ Y N PUBLIC MR. Applicant: • L4 e. f ` T 0 • Y N. -■: C S Y N FIRE DEPT. Project: /I Ch, 9 . -,d _ ,. ✓ V Y N PUBLIC SAFETY En •APPROVAL w 0 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w Y N D.E.P HUFS 1- I LER 2 = a Y N S.J.R.W.M. CARPER _ Y N ARMY CORPS of ENG CAPPER O Y N HOTELS & RESAURANTS HUFSTETLER • • A8 . APPLICATIC' ATUAK , CIRCLE ONE: SI = BUILDING DA A' REVIEWED BY: INITIAL: DAT : BA ® 15T REV ® �ii -�© /) d / • . PLANNING ' , PUBLIC WORFCS, 4 PUBLIC UTILITIES N PUBLIC SAFETY ' • • . • , n • • ., _ .r _ ,r,n__ =r_a^__,n,__.. --- 4..... ..,,.,,,a nq�R,,,, x11-.2,. ela .v/1 erwmrrnominrte sTuhrrn thra A 441(1 . , IN 1115 1 A - ,-----. g g , a 1 ' g ( al i k rt. I ' , • 1 ‘ - . \ . Vs ......... •.. • - ., li :,, ..;• -1'9 . I. 1 • - - i ll-- -1W i : r 0 ,0 ,, 1 ii ", 0 ,...,,.„..,,:, .,....._,..4.1. .. .11 Er Water P '..■ • , i ll tilliiiii5i.:?Cmiliclil 7 _ ____ -- PL ' : 1- iiit: i - ... le! -- A __ --- --- g a:1111111 , i '• - ,, lk 4).' ---"-- 6" Water -, 6" Water Fiberoptic Cable .0.. ..010.. Selva Lagoon .., . i x * % * , * 4.- ■ * * . ., # # : m 't, • ■-------- NA 4 . , V — -11- 4 , 4 I I 4 ' ' \ \ 1, \ s - ., • *r- \ ' ' ' I '''' 4 _.---.• II. ‘‘ -..---' ._•,- -- a. - " , *-- O ' J ..... ,.., -,.: y ...-.:: ..., It , t '''i i "`,' CITY OF ATLANTIC BEACH -� 800 SEMINOLE ROAD ;; ) ATLANTIC BEACH, FL 32233 ? - INSPECTION PHONE LINE 247 -5826 Application Number 04- 00029235 Date 11/05/04 Property Address 800 SEMINOLE RD Tenant nbr, name BLDG ADDT'N & ENTRY RENOV Application description . . COMMERCIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CITY OF ATLANTIC BEACH C. C. BORDEN CONSTRUCTION INC 800 SEMINOLE ROAD 1019 ROSSELLE STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 247 -5826 (904) 354 -3458 Permit BUILDING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 11/05/04 Valuation . . . . 0 Expiration Date . 5/05/05 Fee summary Charged Paid Credited Due_ Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING DES. J Y 1 N eg BUILDING OFFICIAL ©y CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION u, �t. (Alterations & Additions) 'E l9% Date: 11/1/04 Job Address: 800 Seminole Road, Atlantic Beach. FL 32233 Owner of Property: _ City of Atlantic Beach Address: _800 Seminole Road, Atlantic Beach. FL 32233 Telephone: _ 247 -5845 Legal Description: Block Number: Lot Number: Zoning District: Contractor: C.C. Borden Construction, inc. State License Number: CGC1506253 Contractor Address: 1019 Rosselle Street, Jacksonville, FL 32204 Telephone: _ 354 -3458 Fax: 354 -4770 Describe proposed use and work to be done: Building addition — entry renovation Present use of land or building(s): _City Hall Valuation of proposed construction: What are the dimensions of the added space: 50 feet x 50. feet Will the added area be heated and cooled? _,_yes New electrical or increase in service? no Add plumbing fixtures? no Add fireplace? no Add heating/air conditioning? _yes is approval of Homeowner's Association or other private entity required? no If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? (] NO. Applicant certifies that no change in site grade or fill material will be used on this project. ® YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ® YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and pmper setbacks for the proposed construction. If you are unsure of this information. please contact thc Planning and Zoning Department el 9004. 247.5826. In order to correctly verify zoning designation. please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or past- construction topographical survey or grading plan is required. (If not required. wtilt.en verification must be provided with this application,) The Department of Public Works is located at: 1200 Sandpiper lane. Atlantic Beach. Fi, 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to he removed or relocated. STEP 4. Pleas submit Building Permit Application. Energy Code Forms. Notice of Commencement. Owner/Contractor Affidavit if owner is contractor. and four (4) complete sets of constntctiun plans to the Building Department- which is located at thc Atinntic Beach City Nail. 800 Seminole Road. Atlantic Reach. FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone; (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.attantic- beach.fi.us Page 2 Revised 1/04 In 'addition to construction and engineering detail. plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should bc sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures. temporary and permanent. including setbacks. building height. number of stories and square footage. Identify . any existing structures and uses. 3, if required by the Department of Public Works. a pre- cnnstnution topographical survey. 4, Any significant environmental features. including any jurisdictional wetlands. CCCL. natuntl water bodies. 5. Impervious Surface arca calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total impervious Surface. 6. Other infomtation us may bc appropriate for individual applications. 1 hereby certify that all information provided with this application is correct. Signature of owner: _ Date: I hereby certify that 1 have read and examined this application and know the same to be true and correct. Ml provisions of the laws and ordinances governing this type of work will be complied with. whether specified hcrcin or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal. suite or local talcs. regulations. ordinances. or laws in any manner. including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the . above information tieing true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contraclor. --- Z �� Date: _11 /1/04 _ . Address and contact information of person to receive all correspondence regarding this application (please print). Name; C.C. Borden Construction. Inc. _ _.....__ Mailing Address: _ 1019 R.osselle Street, Jacksonville FL 32204 Telephone: _ 354.3458 Fax: _ 354 -4770 E -Mail: _ ccborden@ccbordcn.com • AS TO OWNER: Sworn to and subscribed before me this , day of . 20, State of Florida, County of Duval Notary's Signature: ❑ Personalty known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this _- _1st day of November , 20,,._04 State of Florida. County of Duval K. C.,.': /i Notary's Signature:, 0 WINK Iota 2. 1 U 0 Personally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlsntic- bescb.fl.us Page 3 Revised 1/04 C.C. BORDEN CONSTRUCTION, INC. 904 -354 -3458 PHONE 904- 354 -4770 FAX FACSIMILE TRANSMITTAL SHEET TO: FROM; Don Ford Allen Borden COMPANY: DATE: Atlantic Beach Building Dept. 11/1/04 FAX NUMBER: TOTAL NO. OF PAGES I.NCr UDING COVER: 247 -5845 4 RE: Mantic Beach City Hall Addition & Alterations D V RC: RN'1' FOR REVIEW C P1,1'.r\sI•: COMMENT ❑ 1'1.t:AS1'. Rr :t'LY ❑ AS REQUESTED STI'•D NOTES /COMMENTS: Please see the attached Building Permit Application. 1019 Rosselle Street • Jack onvi11e, Florida 32204 ° CITY OF ATLANTIC BEACH " '` r) BUILDING PERMIT APPLICATION CHECKLIST (For Alterations /Additions) AP PLICATION CIi]ECKLISTIREOU.T.RED SUBMITTALS ✓ 1. Building Application Form 2. Four complete sets of plans including detailed site plan* 3. Recent survey* 4. Owner /Builder Affidavit (required when owner acts as contractor) 5. Energy Sheets* _ 7. 6. Construction Site Management Plan _ 7. Recorded Notice of Commencement* 8. Tree Removal Application if trees are to be removed or relocated* (s;with'a.s(t *� :needlb be :submitted by Atlailitic tli �lttiti �oc+ess7 • SCHEDULED INSPECTIONS Requests for inspections are taken. from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247 -5826. Requests can he scheduled after hours by leaving a message on the voice mail system. Inspections are made the following working day; please specify a.m. or p..m...in..spection. When calling in an inspection, please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer /electric • 3. Slab 4. Cover up: Framing, Rough Electric, Mechanical and Plumbing. (This is different from other jurisdictions) 5. Insulation. 6. Final Inspection (includes drainage, trees. landscape and site inspection) Finished floor elevation survey required prior to issuance of. Certificate of Occupancy. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. Concrete cannot be poured and work cannot be covered up until building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $35.00 is charged for all re- inspections. • NOTE: This application may be subject to covenants and restrictions •for the permitted property. The enforcement of the covenants and restrictions are the responsibility of the homeowner's association. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1104 CITY OF ATLANTIC BEACH ,, ° ,° 800 SEMINOLE ROAD "' a n" d i' ATLANTIC BEACH, FL 32233 - ra , ' ,,,41.,,, INSPECTION PHONE LINE 247 -5826 Application Number 04- 00029235 Date 12/08/04 Property Address 800 SEMINOLE RD Tenant nbr, name BLDG ADDT'N & ENTRY RENOV Application description . . COMMERCIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CITY OF ATLANTIC BEACH C. C. BORDEN CONSTRUCTION INC 800 SEMINOLE ROAD 1019 ROSSELLE STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 247 -5826 (904) 354 -3458 Permit MECHANICAL PERMIT Additional desc . Sub Contractor . CERTIFIED AIR CONTRACTORS, INC Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 12/08/04 Valuation . . . . 0 Expiration Date . 6/07/05 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDIN ES. r a /11114)111* BUILDING OFFICIAL Deo 08 04 11:45a CERTIFIED RIR CONTRS INC 904 - 389 -4925 p.2 t s%a , lri., cr �:., CITY OF ATLANTIC BEACH V MECHANICAL PERMIT APPLICATION iViti9 Date: Az - Property Address: 8O0 g C c L Rd Owner: C.t"1 OF AT414N7ZZ. 7:4.+4 c-N Telephone #: (947" S If 2- D Contractor: ee Z T - C F . t O 6.171AcTaltc - a'Telephone #: bi? 9 - - 790 Contractor Address: 42S /n41Q.W -77Z 4 Vi Fax #: 38 $-1-9 2.5 'A --,e..- R_ 32-2.4 O to consideration of permit given for doing the work as described 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: PI' Electric ❑ Gas: _LP Natural _Central Utility ©tl - Dp Q c ' 1 a 6S CI Oil � ❑ Other- Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _ Space _Recessed )(Central _Floor ❑ Residential el. Air. Conditioning. _ Room X Central A Duct System: Material Thickness 14 Commercial Maximum capacity 52.06 cfin ❑ New Building ❑ Refrigeration ❑ Cooling Tower: Capacity gpm - li Existing Building • ❑ Fire Sprinklers: Number of Heads ❑ Elevator: _ _ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks • , (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ri Extension or Add 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 Com ° tfoiseLs 3W `11)803(Q 3 t tt) t i 38/316O2q 2 U. I-- HEATING — FURNACES, BOILERS FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency A A 1.114.. AV VAN ' M uz 2 la xw( a) Gc e_ ry YbN ., /s ,rwC ta) uL 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:pwww.ci.attantic- beach.1Lus Estrella Engineering Incorporated 1726 ICtagsleyAve., Saite 21 * Orange Party Florida 32073 Phone. (904) 269 7880 *Fax: (%4) 269-0619 — E- mail.• MailEstreJla- F.ngrueering.com August 18, 2004 • Mr. Don C. Ford, CBO Building Official City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 -5445 Project: HVAC Evaluation of Conference Rm., City Managers Office, and Building Operation (EEI.4012) Subject: Findings, Recommendations, and Probable Costs Dear Mr. Ford: I visited the building, observed operation of the HVAC systems, and calculated cooling requirements for the Conference Room and the City Managers Office. Building pressure was evaluated by comparing building exhaust requirements to ventilation air quantities. The cooling capacity of the existing systems was also evaluated in terms of supply air flow cfm (cubic feet per minute) and cooling tons per square foot of conditioned floor area. The impact of the future expansion was considered in reaching conclusions. Note that the second floor areas which have with separate air conditioning units were not considered in this report. Also, the report assumes that current supply air quantities are as indicated in the original design documents. These supply air quantities cannot be verified without testing the existing systems at each unit and air device. The following summarizes my findings and recommendations: 1. CONFERENCE ROOM: a. The required air flow and cooling capacity was calculated for a maximum occupancy of 15 people. Required air flow is 390 cfin as compared to 290 cfm currently supplied. b. The respective unit (AHU -2) thermostat is located in an adjacent corridor and not in the room, therefore the conditions in the Conference room cannot be regulated adequately. However, relocating the thermostat to the Conference Room is not a satisfactory solution for controlling temperatures in others areas served by AHU -2. Relocating the thermostat to a west perimeter office will improve conditions throughout the area served by AHU -2, but temperature control will suffer with large capacity meetings in the Conference room. Recommendation 1A: Provide a new 2 ton split system heat pump unit for the Conference Room. Probable cost is $ 4,000. August 18, 2004 Project: HVAC Evaluation of Conference Room, City Managers Office, and Building Operation Subject: Findings, Recommendations, and Probable Costs Page 2. Recommendation 1B: Relocate AHU -2 thermostat to the north wall of the City Clerk Office, several feet from the window and below the return air grill. The current thermostat location does not accurately reflect conditions in the occupied spaces along the west perimeter. Probable cost is $ 200. 2. CITY MANAGERS OFFICE: a. The required air flow and cooling capacity was calculated for a maximum occupancy of 2 people. The required air flow is 305 cfm, slightly above 290 cfm currently supplied. b. The respective unit (AHU -1) thermostat is located in an adjacent corridor and not in the room; therefore the conditions in City Managers Office cannot be sensed or regulated adequately. Relocating the thermostat to an area closer to the east wall of the office will improve conditions for this room and the entire east perimeter served by the unit. Recommendation 2: Relocate the thermostat for AHU -1 to the north side of the east wall in the City Managers Office, just below the existing return air grille. Probable cost is $ 200. 3. BUILDING PRESSURE: A. Observations: 1. Air handling units AHU- 1 & -2 have the �outside r damper clo sed. The position of outside air dampers for AHU -3 and -4 is eithe?fu11 open or full closed - uncertain from photographs. Consequent) ,design ventilation air quantities are not being provided by the systems. 2. Three of theour air handling units serving the building have the thermostat's fan setting in the "Auto" position and only one set to the "On" position. The "Auto" position allows the fan to go off when temperature is satisfied (as the compressor cycles off). With the fan "off`, the unit does not provide ventilation to the space. This operation violates the code requirement for continuous ventilation and results in a negative building pressure with the continuous operation of toilet exhaust fans. 3. Air from the outside was infiltrating the building at cracks of exterior doors of the main lobby. This indicates that the building is under a negative pressure and humid air is being drawn into the building. B. The existing building exhaust quantity is continuous at 830 cfm, and will remain the same after the new addition is completed. Existing "design" outside air quantities introduced by existing air handling units is 980 cfm. Actual ventilation air quantities are probably 0% to 50% of design. With any unit fan "off', or the with any unit's outside air closed, the building pressure becomes negative and humidity levels rise due to infiltration of outside air into the building. C. The building's future outside air quantity will be 1355 cfm if the existing units are reset for design outside air quantities. With continuous operation of all unit fans the HVAC systems will maintain an adequate positive pressure of 525 cfm. D. Continuous fan operation is required by code in order to meet ventilation requirements. However, continuous fan operation creates problems with indoor relative humidity if not measured and controlled. High humidity occurs when the compressor ceases cooling and dehumidification as the thermostat is satisfied. The time duration to restart of the compressor can be 5 minutes or longer. Meanwhile the air handling unit fan continues operation and introduces humid outside air into the building causing a rapid rise in relative humidity and discomfort. Relative humidity above 65% can result in mold and mildew growth, as has been noted on some interior walls of mechanical rooms. The newly replaced units AHU -1 and -2 are an exception in that they provide 2 -speed compressor 3 Sr, Cc /0? 4 'f (/' NF.. / Q/Rr tlt) -X s ,-(60 cV t1, a e ,,a S 4'4 August 18, 2004 Project: HVAC Evaluation of Conference Room, City Managers Office, and Building Operation Subject: Findings, Recommendations, and Probable Costs Page 3. operation and the manufacturer's "themperature and humidity ( "thermidifier ") control. As a result, the units provide 2 stages of cooling, longer periods of cooling and dehumidification, and much improved humidity control. With this system and continuous fan operation, the frequency and severity of high indoor humidity will be greatly reduced. Recommendation 3A: Set the fan operation to "On" during occupied hours for each air handling unit. No cost item. Recommendation 3B: Rebalance each existing air handling unit and ventilation damper for design ventilation air flow rate. Probable cost is $1,200 for all four units. Recommendation 3C: Provide a least cost solution to control indoor humidity for areas served by old units AHU -3 and -4. Provide controls to monitor indoor humidity levels and force each unit to run in cooling whenever relative humidity exceeding 58 %. In order to maintain temperature setting, provide reheat controls and utilize each unit's auxiliary electric heater to maintain set point temperature. Probable cost is $ 2,000 per unit. Alternate Recommendation 3C: Replace old units AHU -3 and -4 with new units employing dual compressors and humidity control (7.5 ton capacity each). Probable cost is $ 6,000 per unit. 4. AIR FLOW AND COOLING CAPACITY: A. Air flow per square foot of conditioned space was calculated based on original design air quantities. The results are noted in the following table. Based on experience and a survey of the spaces, the data is acceptable and indicates adequate conditioned air flow in the range of 1.1 to 1.57 cfin per square foot. This does not provide complete confidence that the systems are in fact balanced as designed, or that each space is provided with adequate supply air for its current occupancy and use. Calculation of room cooling requirements and test and balance of the system will be required in order to guarantee adequate air supply to each room. B. Tons of cooling per square foot was calculated for each system based on the original design for AHU -3 and AHU-4. The calculation for AHU -1 and AHU -2 was based on the capacity of recently installed replacement equipment. The results are tabulated below. Based on experience and a survey of building equipment and use, the values appear to be adequate. Unit Area, sf Tons CFM Airflow Tons Cooling Cooling / square foot / square foot AHU/HP-1 1,600 4.83 1.13 331 AHU/HP-2 1,600 4.83 1.10 342 AHU/HP -3 1,850 7.5 1.54 244 AHU/HP-4 1,850 7.5 1.57 244 Note: Area data included second floor spaces. Recommendation 4: Provide for testing and balancing of the four existing air handling units and associated rooms. Probable cost is $ 2,000 per unit. r 1 ON 7,. August 18, 2004 Project: HVAC Evaluation of Conference Room, City Managers Office, and Building Operation Subject: Findings, Recommendations, and Probable Costs Page 4. Note that the recommendations which address building pressure and humidity controls have other possible solutions such as the use of space dehumidifiers; or energy recovery units to pre -cool and dehumidify ventilation air. However, the recommendations selected provide the least first cost solution which maximizes the use of existing equipment, and minimizes impact to the appearance of the building. Please contact me if you have any questions. I will be available to meet with you to discuss my findings if necessary. In the meantime, I will await your direction as to how to proceed with these issues. Sin ,� i • 1 " Larry Estrella, PE Air System Sizing Summary for CONF RM UNIT Project Name: 4012 ABCH Prepared by: Estrella Estrella Inc. 07/22/2004 12:33PM Air System Information Air System Name CONF RM UNIT Number of zones Equipment Class SPLT AHU 1 Floor Area 276.0 ft Air System Type SZCAV Location Daytona Beach, Florida Sizing Calculation Information Zone and Space Sizing Method: Zone CFM Sum of space airflow rates Calculation Months Jan to Dec Space CFM Individual peak space loads Sizing Data User - Modified Central Cooling Coil Sizing Data Total coil load 1.9 Tons Load occurs at Jun 1700 Total coil load 22.5 MBH OA DB / WB 90.5 ! 76.9 °F Sensible coil load 13.5. MBH Entering DB / WB 80.3 / 68.2 °F Coil CFM af?Jun 1700 388 CFM Leaving DB / WB 48.1 / 48.0 °F Max block CFM 388 CFM Coil ADP 47.8 °F Sum of peak zone CFM 388 CFM Bypass Factor 0.010 Sensible heat ratio 0.600 Resulting RH . 50 % ft2/Ton _._ .147.2 BTU /(hr -ft2) Design supply temp. 62.2 °F 81.5 Zone T-stat Check 1 of 1 OK Water flow ig 10.0 °F rise N/A Max zone temperature deviation 0.0 °F Central Heating Coil Sizing Data Max coil load 7.5 MBH Load occurs at Des Htg Coil CFM at Des Htg 388 CFM BTU /(hr -ft2) 27.3 Max coil CFM 388 CFM Ent. DB / Lvg DB 55.9 / 73.9 F Water flow 20.0 °F drop N/A • Supply Fan Sizing Data Actual max CFM 388 CFM Fan motor BHP 0.80 BHP Standard CFM 388 CFM Fan motor kW 0.60 kW Actual max CFM /ft 1.41 CFM /ft Outdoor Ventilation Air Data Design airflow CFM 150 CFM CFM /person 10.00 CFM/ erson CFM /ft2 0.54 CFM /ft2 p • • Air System Design Load Summary for CONF RM UNIT Project Name: 4012 ABCH Prepared by Estrella Estrella Inc. 07/22/2004 12:33PM DESIGN COOLING DESIGN hEA TING COOLING DATA AT Jun 1700 HEATING DATA AT DES HTG COOLING OA DB / WB 90.5 °F 176.9 °F HEATING OA DB / WB 34.0 °F / 28.7 °F Sensible Latent Sensible Latent ZONE LOADS Details (BTU /hr) (BTU/hr) Details (BTU/hr) (BTU/hr) Window & Skylight Solar Loads 54 ft 1673 54 ft - Wall Transmission 209 ft 371 - 209 ft 335 - Roof Transmission 276 ft 651 - 276 ft 331 Window Transmission 54 ft 983 - 54 ft 2197 Skylight Transmission 0 ft2 0 - 0 fF 0 Door Loads 0 ft 0 - 0 ft 0 Floor Transmission 276 ft2 0 - 276 ft 523 Partitions r9' 0 ft 0 - 0 ft2 - 0 Ceiling 0 ft 0 - 0 ft 0 - Overhead Lighting 518 W 1454 - 0 0 Task Lighting 195 W 592 - 0 0 - Electric Equipment 0 W 0 - 0 0 People 15 1813 3075 0 0 0 Infiltration • 0 0 - 0 0 Miscellaneous - 0 0 - 0 0 Safety Factor 10% / 10% 754 308 10% 339 0 » Total Zone Loads - 8290 3383 3725 0 Zone Conditioning - 8772 3383 - 3795 0 Plenum Wall Load 0% 0 - 0 0 Plenum Roof Load 0% 0 - 0 0 - Plenum Lighting Load 0% 0 - 0 0 Retum Fan Load 388 CFM 0 - 388 CFM 0 - Ventilation Load 150 CFM 2693 5614 150 CFM 5781 0 Supply Fan Load 388. CFM 2036 - 388 CFM -2036 - Space Fan Coil Fans - 0 - - 0 - Duct Heat Gain / Loss 0% 0 - 0% 0 - » Total System Loads 13500 8996 7541 0 Central Cooling Coil - 13500 8996 - 0 0 Central Heating Coil 0 - - 7541 - » Total Conditioning . ' • - 13500 8996 7541 0 Key: Positive values are clg loads Positive values are htg loads Negative values are htg loads Negative values are clg toads _ Air System Design Load Summary for CITY MGR. Project Name: 4012 ABCH Prepared by: Estrella Estrella Inc. 07/22/2004 04:05PM DESIGN COOLING DESIGN HEATING COOLING DATA AT Jun 1300 HEATING DATA AT DES HTG COOLING OA DB / WB 87.5 °F / 76.1 °F HEATING OA DB / WB 34.0 °F / 28.7 °F Sensible Latent Sensible Latent ZONE LOADS Details (BTU/hr) (BTU /fir - Details (BTU/hr) (BTU/hr) Solar Loads 60 ft 1853 - 60 ft ' ) - Window & S Wall Transmission 155 ft 236 - 155 ft 248 _ Roof Transmission 210 ft 493 - 210 ft Window Transmission 60 ft2 836 ft 2 24442 - - 60 41 Skylight Transmission 0 ft 0 - 0 ft Door Loads 0 0 0 - 0 ft 0 Floor Transmission 210 ft 383 - 210 ft 697 Partitions 's1 0 ft - 0 - 0 ft 0 Ceiling 0 ft 0 - 0 ft 0 - Overhead Lighting 432 W 1130 0 0 - Task Lighting 0 W 0 - 0 0 Electric Equipment 0 W 0 - 0 0 - People 2 310 Infiltration - 0 240 - 0 0 0 - 0 0 Miscellaneous - 750 0 0 0 Safety Factor 10% / 10% 599 24 10% 364 0 » Total Zone Loads 6591 264 4002 0 Zone Conditioning - 7349 264 — 3848 Plenum Wall Load 0 . 0% 0 0 0 - Plenum Roof Load 0% 0 - 0 0 Plenum Lighting Load 0% 0 - 0 0 - Retum Fan Load 303 CFM 0 - 303 CFM 0 Ventilation Load 40 CFM 538 1829 40 CFM 1522 0 Supply Fan Load 303 CFM 1527 - Space Fan Coil Fans - 303 CFM -152 0 - 0 - - 0 Duct Heat Gain / Loss 0% 0 - 0% 0 » Total System Loads 9413 2093 3843 0 Central Cooling Coil - 9413 2093 - 0 0 Central Heating Coil - 0 3843 » Total Conditioning 9413 2093 3843 0 Key: Positive values are clg loads Positive values are htg loads Negative values are htg loads Negative values are clg loads „ -\1`I f - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 ; INSPECTION PHONE LINE 247 -5826 • Application Number . . . . . 05- 00030276 Date 5/06/05 Property Address 800 SEMINOLE RD Tenant nbr, name IRRIGATION Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CITY OF ATLANTIC BEACH CONTROL ENVIRONMENTAL SERVICES 800 SEMINOLE ROAD INC ATLANTIC BEACH FL 32233 3621 ST AUGUSTINE RD. JACKSONVILLE FL 32207 (904) 396 -5353 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 5/06/05 Valuation . . . . 0 Expiration Date . 11/02/05 Special Notes and Comments OWNER MUST HIRE PLUMBER TO INSTALL A BACKFLOW PREVENTOR & MAKE THE CONNECTION FROM THE PRIVATE PROPERTY Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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. 1)0" 4C8 BUILDING OFFICIAL f, �. .A11.;-,„, ` CITY OF ATLANTIC BEACH ?�St� 177 I- PLUMBING PERMIT APPLICATION , LDE ) r Date: - 6 Propert Address: g°6 Sem , kifole Rd., Owner: C:41/ o ` 74:,✓ -, '73 e u c i, Telephone #: Contractor: C nf t co L.- r/"/ I I rav't ei" S UC y Z> z Telephone #: 9' y 3 T1,-5 S' Contractor Address: 3 6a [ 5 4 ) ,v? 1 Fax #: 9oy 3yb"C 3> s_ Contractor Signatu ..__ 0 (� , In consideration of permit g a or doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attache plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: o Re -Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http: //www.ciatlantic- beach.tl.us Revised 1/04 -,_.„'..'Ci.,1 r , ..,-. ,,,, ,),,,, i # 0 ottel ,,-- ss\ --- „ 2 ;..■ _ , ' a , s—) r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 --- Application Number 04-00029235 Date 11/05/04 Property Address 800 SEMINOLE RD Tenant nbr, name BLDG ADDT'N & ENTRY RENOV Application description . . COMMERCIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CITY OF ATLANTIC BEACH C. C. BORDEN CONSTRUCTION INC 800 SEMINOLE ROAD 1019 ROSSELLE STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 247-5826 (904) 354-3458 Permit ELECTRICAL PERMIT Additional desc . Sub Contractor . MEADOWS ELECTRIC, INC. Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 11/05/04 Valuation . . . . 0 Expiration Date . 5/05/05 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ES. 41 4.4 44. a40,44, .1 ,, ,r, ,,, Yl, BUILDING OFFICIAL s tom- , 0 CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION ...„,) Date: 11/5 10 Property Address: S Oo S'EM INCA, RO AD Owner: C I T Y of ATI-ANTI C 5fter Cali Telephone #: 24 7. Sci32 Contractor: ME_ /DONS c LE C-Ilki C )N C Telephone #: 3 67 - & 7C Contractor Address: 27U) 7 Co( D O 1'( 7A D Fax #: 6 7" O'S 1'3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence ❑ Temp. ❑ New being done on this building Or site, list the building V Old ❑/ Commercial ❑ Signs ❑ Increase permit number: ❑ Re - wire !f[ Addition Sq. Ft. ❑ Repair 04 - 2 35 Conductor Size: AMPS: COPPER 1I ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service ( { I 2 o468 RACE ,3 )/ Size AMPS ed , PH J W 1 V OLT WAY 4 Kcold 1 lito.i ( Feeders: NO. 1 4 SIZE SO 'tNO 4 SIZESO NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN n 30 AMPS 31 loo AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0 -1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Trans£ Ea._Sign Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us JOB ADDRESS O7? Iii,L4 o " pc,„ TYPE WORK PROPERTY OWNER at &ITELEPHONE CONTRACTOR TELEPHONE PERMIT NUMBER DATE INSPECTIONS: FOOTING SLAB TIE BEAM LEVTEL NAILINGSBEAT HI NG FRAMING /COYER UP INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY FT RCTRICAL PE'RM1tMJT' /s f INSPECTIONS ROUGH FINAL MECHANICAL PER JT I# /SO S/ /jrY /Ci INSPECTIONS ROUGH FINAL PLUMBING PERMJT# INSPECTIONS ROUGH/UNDER SLAB TOPOUT WATER/SEWER FINAL NOTES: 6,44 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029407 Date 12/16/04 Property Address 800 SEMINOLE RD Tenant nbr, name 5 DUNE WALKOVERS REPAIRS Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 52645 Owner Contractor CITY OF ATLANTIC BEACH SCHIPPERS MARINE CONSTRUCTION 6700 N TALLAHASSEE RD CRYSTAL RIVER FL 34428 (352) 795-1139 Permit BUILDING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 12/16/04 Valuation . . . . 0 Expiration Date . 6/15/05 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL (Iry OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4.41t1 BUILDING OFFICIAL Sr`1r CITY OF ATLANTIC BEACH � C r 114 BUILDING PERMIT APPLICATION 15y #r ' '„ (Alterations & Additions) Date: / 2 -/Cono 4 Job Address: 7� � i 7" > f C 'ff e, -/r;7 —_ Owner of Property: „41 .9. i/re 01 c,J Address: Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: CN[ P p r € f ,02/1 " l r . / 1 i ✓ S Trr ✓c 4 e i` State License Number: /6 2 91).2 St ei 7,2 Contractor Address: t, 760 Ai, 7 .Q11,9/MA, a .S s L , � , Gk y s rei &V A • 2 YV,?rY Telephone: 3S 2 - `7 `�5- // 9 Fax: 3JT 2 - 62 05 Describe proposed use and work to be done: ,7 f j t G i/f:f S �� Present use of land or building(s): Valuation of proposed construction: 5 Z i `-t- Z What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? New electrical or increase in service? //, Add plumbing fixtures? 46 Add fireplace? ,r,' /R Add heating/air conditioning? 4 Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? ® NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ® NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 8/04 BID SHEET RENOVATION OF DUNE WALKOVERS BID # 0405 -3 Sub-Total I. Replace existing handrails at 20`'' Street to be cut at 45 degrees. $1 -, 7 2 5.0 0 2. Remove and dispose of 6 posts (2 at 6` Street and 4 at 11 Street). $1 an . 00 3. Remove and dispose of 100' x 6' decking at Ahern Street. . $ .00 4. e dv and di ose x 4' decking including steps at 18 Street Beach Access. ■ 5. - RenoveAnd dispose of 350' x 4' decking including steps at 20` Street Beach Access. 6. let *ye and dispose of 115' handrail at 20` Street Beach Access (115' is measured from East to West). . 7. Install 100' x 6' decking at Ahern Street and extend the boardwalk l5'x 6'. 5 10,058.00 8. ln ;5' x 4' decking including steps at 18t Street Beach Access. $x.14 20'9.00 8A. Alternate: Install 235' x 4' decking including steps at 18''' Street Beach Access of which approximately 130' will be ramped at a 1" rise per 10" run including handrail and posts from the primary dune to the secondary dune to include design. 9. lnstall 350' x 4'de including steps at 20 Street Beach Access. $ 17,076 - 00 10 all 115' of handrails at 20"' Street Beach Access. 4 5 . 00 11. Extend the hr9rdwalk 25' x 5' with handrails and four posts at 6` Street Beach Access, 0.O 12. Extend the boardwalk at IV Street Beach Access 30' x 5' with handrails and six posts. g'''.4 13. Extend the boardwalk at 13 Street Beach Access 25' x 5' with handrails and two posts. 4, 0 i 2.00 Grand Total $ 65,625.00 .- 8A. Alternate $ 26, 104 .00 l . All work to be completed in a workman like manner and to be inspected/approved by COAB Building Inspectors. ITB -4 + , 1r,', ''.1 d orb.' .r ll a04 :e .f . 4 ,1P•46, 4 10 - a. t..u, 10.-.4,0.:4 r'.4Y , ,, as ., w.w.,,,r..m. M —:,,,t,,,,,,,,, o N N O x 11: to �rv� CY O m W d o W m N LL Z • I Q Cr - 1- _ W CO CD ,.,, i ui c.i W W FE 1,M N Q _ U z = • ;8 � ° Z cj p U) � � + CO t D � j LL. Ur p Z c W v i N O -- _ Z in za ... U 0 W S C • Q WZ U = O i 1 v4 J 4 J ) a �� o � u) o 2 Q E ) , a, ; a' ti ' O Q. U J 41 :„,„4,0t , 0' O CV > W CC > 0 CC CC ci ›- co -±- Q CO aNi w N O W (1) �T M Qg CC 1:411;:- + > c m a > > 3 " N LL c O - p 4 , —, () W U CCm W ° Y y d' oo c? F - __ a � - S2 t O Q +- 4;MN i O ~ ur ,ice, N 0.� 0 o W d ;, .. ›. u' w o o ° W z co o a o o b 0 cn . + cc 0 r _ - O Z a d. 0 z o C a� i. 40 °' ; al >C "' w d 0 r fl .••••• '" a - W N Z W Z O o O = io'w Li, 0 O � o M 2 0 m W= IE o d 0 as x 1 ._ 01.- 0 .f., r-,i � //� Z Z = CO 2 1— - - = W I— W y O �+ a C p a. U Q w Z - N . _ ++ U ( _1 _1 <a a Z -j a m p 1: CC c [C Q 0)Z J c f °i da O 0 U Z o vr V rr 0 g ! ! co N ! CL cc H r o M U c- 8 (7) O VI Ti) c7) N `e ', „, i ' .,,,k '` y¢4 F � a4 a” c.�. " + a � ' a v " s twm'- -• . w, q Y , , ' A ' a d. , 4 �t ' � � 7 74 4'f 410 410 -4 CERTIFICATE OF LIABILITY INSURANCE 1 1/10/2004 q 10 2004 Pjo ucer Jack Rice Insurance 13080 S. Belcher Road *H THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1 Largo, FL 33773 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Insured Modern Business Associates, Inc. ET AL INSURER A: Insurance Company of the Americas L!C!F Schippers Marine Construction, Inc 475 Central Avenue, Suite 100 INSURER B: St. Petersburg, FL 33701 INSURER C: INSURER D: COVERAGES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR oT HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR POLIO EFFECTS POLICY EXPIRATION lTR TYpE pF Hs._ SURANCE POLICY NUMBER DATE (MM/OD/YY) DATE (MMIDDm') LIMBS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCWL GENERAL LIABILITY FIRE DAMAGE (Any one rim) $ CLAIMS MADE OCCUR tom 00. (My one Beeson) $ - PERSONAL 8 ADv INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPL PER: PRODUCTS - COMP /OP AGG $ PRO- , POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea acclden1) $ — ALL OWNED AUTOS BOMLY INJURY SCHEDULED AUTOS (Per person) $ MIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per a�eldanl) $ PROPERTY DAMAGE $ (Per accidmq GARAGE UABILITY ` AUTO ONLY -EA ACCIDENT $ ANY AUTO I OTHER THAN EA ACC $ AUTO ONLY AGG $ -- EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE, AGGREGATE $ $ DEDUCTIBLE 5 RETENTION $ $ A WORKERS COMPENSATION AND WC' 61202083 x131,2004 9!3112005 TORY LIMITS I Ek 101 — EMPLOYERS LIABILITY EL. EACH ACCIDENT E 1,000.000 Et DISEASE - EA EMPLOYEE $ 1.000,000 E.L DISEASE - POLICY LIMIT S 1.000.000 OTNER Client Code= 1470 DESCRIPTION 0 OPERATIONS! LOCATIONS/ VEHICLES/ EXCLUSIONS AN i ° 0 AY ENDORSEMENT / SPECIAL PROVISIONS Named Insured; Modern Business Associates, Inc„ Modern Business Associates II, Inc.; Modern Business Associates III, inc.; Modem Business Associates IV, Inc_; Modern Business Associates V, Inc. Client address: 6700 North Tallahassee Road Crystal River, FL 34428 CERTIFICATE HOLDER I ? ADDITIONAL IN$RUED• INSURER LETTF,R. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO City of Atlantic Beach THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 800 Seminole Road OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. Atlantic Beach, FL 32233 AUTHORIZED REPRESENT ATNE .5* 537 . 1 Fax: 352 -628 -0530 co moo) AC.ORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYy) PRODUCER 11/10/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paul Lynch & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 701 N Federal Hwy, Suite 401 Stuart, FL 34994 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 772 232 - 9371 INSURED 772 R INSURERS AFFORDING COVERAGE NAIC# Richard Schippers and INSURER A: NY Marine & General Schippers Marine Construction, Inc. INSURER B: American Longshore Mutual Assoc. 6700 North Tallahassee Road INSURER C: Crystal River, Florida 34428 INSURER D: j (352) 628 -3785 INSURER E: - - -" --- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L L POLICY EFFECTIVE POLICY EXPIRATION — " -- -- LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE (MM /DD/YY) LIMITS 1 GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE AO REN PREMISES (Ea occurence) $ 50,000 CLAIMS MADE I X I OCCUR MEDEXP(Anyoneperson) $ 1 000 A PERSONAL & ADV INJURY $ 1,000,000 MMO- 25663ML204 04/23/04 04/23/05 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: __ E X I POLICY I I P LOC PRODUCTS - COMP /OP AGG $ 1 ,000,000 T AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS ____ NON- OWNEDAUTOS BODILY INJURY $ - -- (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO - -_ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ IOCCUR I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE — - - - -- $ $ RETENTION $ - -- WORKERS COMPENSATION AND WCSTATU- OTH- EMPLOYERS' LIABILITY I TORYLIMITS ER 1 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? — tf yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER B USL &H only INCD00121 -03 04/19/04 04/19/05 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Marine contractor. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Atlantic Beach DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 800 Seminole Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Atlantic Beach, FL IMPOSE NO OBLI •TION .R LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTA ES. AUTHORIZE D �ATIVE ` I ACORD 25 (2001/08) © AC • RD CORPORATION 1988 \: r- 4 -/el . . F , CITY OF ATLANTIC BEACH '. ) -<' 800 SEMINOLE ROAD t) , #"` ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 ''- t); f' Application Number 04- 00029081 Date 9/29/04 Property Address 800 SEMINOLE RD Tenant nbr, name TREE REMOVAL Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CITY HALL ATLANTIC BEACH CITY OF ATLANTIC BEACH ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit TREE PERMIT Additional desc . Permit Fee . .00 Plan Check Fee .00 Issue Date 9/29/04 Valuation . . . . 0 Expiration Date . . 3/29/05 Special Notes and Comments APPROVED FOR REMOVAL OF ONE 12" PINE, ONE 15" PINE TO BE MITIGATED AT 100 % WITH HARD WOOD TREES ON SITE AND TO RELOCATE ONE 18" CABBAGE PALM AND ONE 12" CABBAGE PALM ON SITE WHERE THE TREES OFFER THE LEAST INTERFERENCE WITH THE SKATE PARK. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0 IA BUILDING OFFICIAL ! L`l j J CITY OF ATLANTIC BEACH �tt , BUILDING AND PLANNING �i1 800 SEMINOLE ROAD "' , ; ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE: (904) 247 -5800 FAX: (904) 247 -5845 http://ci.atlantic-beach.fl.us July 20, 2004 C. C. Borden Co. 1019 Rosselle St. Jacksonville, Florida 32204 Attn: Allen Borden Subject: Addition to City Hall, 800 Seminole Road Project # 0304 -12 Per our phone conversation on July 19 please review and confirm. The City will provide painting labor and materials for the addition and alternate #3. C.C. Borden's contract will reflect a $9,000. reduction from the bid of $376,186.00 to an adjusted amount of $367,186.00. The City Commission will vote on the bid award on July 26, 2004. You will be contacted by phone on the 27 This will be followed by a notice to proceed and a P.O. number. We look forward to working with you and your company on this project. Sincerely, Don C. Ford, CBO Building Official Cc: Jim Hanson, City Manager A . \j‘j; 4 1 e4 CITY OF ATLANTIC BEACH BUILDING AND PLANNING : 11., 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE: (904) 247 -5800 i 5 • — FAX: (904) 247 -5845 http://ci.atlantic-beach.fl.us Friday, April 23, 2004 To: Frank Ringhofer AIA From: Don C. Ford C Subject: Locate of IT jacks /equipment @ proposed City Hall Addition Enclosed is an 81/2 x 11 floor plan showing the layout for the IT boxes and equipment for the proposed City Hall Addition project. The locates and types of boxes /jacks to be installed have been color coded by Brian Smith the Network Administrator for the CAB systems. Please contact Brian at 247 -5800 or by e -mail at bsmith@coab.us if you have any questions. Cc: Bryan Smith File 6 1 . '`�A CITY OF ATLANTIC BEACH r. "' .J. 800 SEMINOLE ROAD ra r) 1 , � k „ r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 zr3 9' Application Number 03- 00027132 Date 10/23/03 Property Address 800 SEMINOLE RD Tenant nbr, name WATER Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CITY OF ATLANTIC BEACH HULIHAN TERRITORY RUSSELL PARK BASEBALL FIELD P.O. BOX 331268 ATLANTIC BEACH FL 32233 (904) 285 -8505 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 10/23/03 Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 .e ny, CITY OF ATLANTIC BEACH J s i PLUMBING PERMIT APPLICATION rIv Date: / p 2 _ r Property Address: ,u1 5(� Gr K 156iv. h 1(1 r7r Owner: A+lai' l j L g(3 ci C i" Telephone #: Contractor: 4,,i,1,, ,� ( r Ci - „ ; Telephone #: k s r "'lJ S Contractor Address: f ( 7 ? 4Wqi -2/r c 56/o Fax #: Z 70 22Z- In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re -Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory 7 Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = — 0 — 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 . Fax: (904) 247 -5845. http : //www.ci.atlantic- beach.fl.us 4 . i , :tfrOitt.:" . , <� C ITY OF ATLANTIC BEACH Ty 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 03- 00025438 Date 1/27/03 Property Address 800 SEMINOLE RD Tenant nbr, name ROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 8500 Owner Contractor ROMANO ROOFING SERVICES P.O. BOX 33037 ATLANTIC BEACH FL 32233 (904) 246 -5649 Permit ROOF PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 1/27/03 Valuation . . . . 8500 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 CH ARE PART OF THIS F RMIT . SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF I.AW BUILDING OFFICIAL , 4v,,, 5 7/ d / 6( Z _ -) z. JA,,l ITY ATLANTIC BEACH wf) ROOFING PERMIT APPLICATION ___ Date: /62 3 /03 Job Address: (2 v SC'lo P 4,,,i Owner of Property: l 'fY o. 4 .- 4 -, 13041 Address: d 0 SC vt 1-0 le 4o b A /G0 p 2 / Telephone: Contractor: D v�C vt u O �" / i^ � SC'''t/i7(5 State License Number: f( — 6S 6 J Contractor's Address: 3 0 9 , $ ('P t.,.....-C'5 -t'" Telephone: ( v V) Z V 56 `7/9 Fax: (3 0 V) .z y7 A `7'G Scope of Work: „ LG.--- 0/ a ,4 0, L v (bee',- c C itio -1 O $r/ /-- ze (/Pi v--00.,( Deck Slope: // 2 Greater than 2:12 L Less than 2:12 Valuation of work: / 5 O v , 0 0 Product Name and Material to use ? I Y F r„ J i , 1" 'n ASTM Designation(s): 2 �l „It c Ir a� C)i' Required Inspections: Sheathing and Final I -, N ; `" r' 3 9 P g s,�; - �,�� Signature of Owner: Y : Date: J& r Signature of Contractor: 4- Date: AS TO OWNER: Sworn to and subscribed before me this -Lit' day of 20 Ctf State of Florida, County of Duval r Notary's Signature: tel ,,A.A S • Y JENNIFER SCHLUETER • MY COMMI # DD 121301 Personally known t... r ,k1 EXPIRES: May 27, 2006 ❑ Produced identification ..., 31 Bonded Thru Notary Pubic Underwriters Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 . State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/14/03 J , lik, „ °s, CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 v ,0131 Application Number . . . . . 03- 00025438 Date 1/27/03 Property Address 800 SEMINOLE RD Tenant nbr, name ROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 8500 Owner Contractor ROMANO ROOFING SERVICES P.O. BOX 33037 ATLANTIC BEACH FL 32233 (904) 246 -5649 Permit ROOF PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 1/27/03 Valuation . . . . 8500 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 WWII ARE PART OF THIS PF„RMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. a f Buz. BUILDING OFFICIAL . 11-a-\ '‘ -i- riel e >, „; CITY OF ATLANTIC BEACH SA t J 800 SEMINOLE ROAD J 4- r } ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 '��J,3 `.. Application Number 03- 00026504 Date 7/16/03 Property Address 800 SEMINOLE RD Tenant nbr, name REROOF RUSSELL PARK Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 2880 Owner Contractor CITY OF ATLANTIC BEACH SCHULTZ ROOFING 800 SEMINOLE RD 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 247 -5826 (904) 246 -2315 Permit ROOF PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 7/16/03 Valuation . . . . 2880 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 _Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 r a i vi ir5 CITY OF 800 SEM INO E ROAD BEACH . ATLANTIC BEACH, FLORIDA 32233 -5445 i TELEPHONE: (904) 247 -5800 '' FAX: 904 247 -5805 SUN OM) 852 -5800 , ° http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 03 - Z ( a 5 r - > c - 1 - A p p l i c a n t : 5 ( k � 1 +z ��c (' c , t Address: R to ��; r 1 1 i r k c� C i - c i f c. 1 e Project: t E -, er 3tr: yr r; it 1)1, /F jp/Cour application is approved o Your permit application has been reviewed and the following items need attention: 020L t E t 71 l EC •4R7'LJ r 1 COU-1 (4ie I't2 e tact Please re- submit your application when these items have been completed. Reviewed by L4 "• / Signed Date Contractor Notified Date et AoLAN- . A sf CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: '7 / / c3 tiLSSt:t l ? cr/iL V Job Address: ?ECG (1--1 (r \oI e ?Lot_ Owner of Property: _{ t� o koo, \ w,.4 T ! a A d4, Address: � � Telephone: )- -k 1 5 " Contractor: - *),__.ti,, r kz State License Number: C?_c Contractor's Address: o ' Stir Telephone: A- :) 1S Fax: Scope of Work: Cte rnoLe t' v r � c'y. Sh �ry To o L : t 3 1 , 61 Deck Slope: "C\ V2 Greater than 2:12 Less than 2:12 Valuation of work: 1, -i Product Name (Example: Timberline): CAN T,rNAne,..`r Manufacturer (Example: GAF): C.,- c- ASTM Designation(s): 1/4.b1 Required Inspections: Sheathing and Final Signature of Owner: Date: Signature of Contractor: � �__...- Date: 'it AS TO OWNER: Sworn to and subscribed before me this day of , 20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 1 day of , 20 2 . State of Florida, County of Duval Notary's Signature: 1 'l . l '� -' \ C., ; 4ri;''•. JENNIFER SCHLUETER 3 g•% _ MY COMMISSION # DD 121301 ' Personally known .��� •= EXPIRES: May 27, 2006 ❑ ' roduced identification 'Ffr ti Bonded Thru Notary Public Underwriters Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 2/21/03 Schlueter, Jennifer From: Shearer, Athena Sent: Tuesday, July 15, 2003 1:37 PM To: Schlueter, Jennifer Subject: RE: Russell Park Thanks! Original Message From: Schlueter, Jennifer Sent: Tuesday, July 15, 2003 1:34 PM To: Shearer, Athena Subject: RE: Russell Park Yes, Brownie Troop from 10:00 a.m. - 1:00 p.m. on 7/16 Thanks! They will be reroofing the pavillion. Do you have a reservation tomorrow? Jenny Original Message - - - -- From: Shearer, Athena Sent: Tuesday, July 15, 2003 1:32 PM To: Schlueter, Jennifer Subject: Russell Park Jennifer, I do not have any reservations on the calendar for Thursday. Thanks! Athena 1 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 iinole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT °' - � , � a � L g., , . _ ,e,;.�,. ` .i.1s�!i . !° Permit Number: ,, 22 40 Address: 191 D STREET Permit T ' LECTRICAL ATLANTIC BEACH, FL 32233 Class of Wow NEW Township: Range: Book: Proposed I �: UTILITY Lot(s): Block: Section: Square det: Subdivision: Est'alue: Parcel Number: Impr'. C ost: w ER INFORMATION D Issued: 6/27/2001 Name: CITY OF ATLANTIC BEACH l'otal Fees: Address: 800 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FL 32233 Date Paid: Phone: (904)247 - 5828 Work Desc: WIRING FOR PERMANENT SERVICEC 1=OR . ,ELEMENTARY STREET `. .s: `1 BROOKS & LIMBAUGH ELECTRJO' ,. -. 4 , K* ,,,,,f; : a ,, - „ or u ���y u' , , y , q ri g s s d � ' � ) Afi < - p - - - , , , NOTICE - INSPECTIOIY tT BE REQUESTED AT LEAST 24 HOURS IOR TO !'ISPECTION BUILDING MATERIAL,'sRUBBISH A DEBRIS FROM THIS WORK MUST NOT B • CED' IN !PUBLIC SPACE, AND MUST BE CLEARED UPkAND HAULEE , VVAY BY EITHER`CONTRACTOR OR NER r "FAILURE TO COMPLYITH T UCTION W , ED � RE -g LT IN THE PROPERTY OWNER PAYI1 FO � 1 P ISSUED ACCORDING TO APPROV '1 , N ';. ,, R A T F g - - - MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIDI'Q,,AV1; � 114, ATLA ,I TIC = 7 ACH BUILD NG DEPT. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT I - 4 11 ‘ MIT iN ORIIIATION _ L4XATION INFORMATION _1 Permit Number: 22240 Address: 191 DAVID STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: UTILITY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: — — OWNER INFORMATION - ------ Date Issued: 6/27/2001 Name: CITY OF ATLANTIC BEACH Total Fees: Address: 800 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FL 32233 Date Paid: Phone: (904)247-5828 Work Desc: WIRING FOR PERMANENT SER - C OR AB ELEMENTARY STREET *tiCATION FEES BROOKS & LIMBAUGH ELECTRIC .., z:tt-,-. A4-• -- . - , . .. 1,4 ,. , ..,. 4. '.4 , 4.4 r A ,. ' -■,'' 4 -- 4 4*- -T- -.7 " 4 " t9 ;":; , -- — '‘. -- "Z 1 . t .._ s'IL i., 4- g — .."''g , - C" ---- - i — 4- NOTICE - INSPECT1014S "- BE REQUESTED AT LEAST 24 HOURS 14kIOR TO INSPECTION BUILDING MATERIAL,VUBBISH AND DEBRIS FROM THIS WORK MUST NOT Bk-FfLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP ND I-IAULEDAWAY BY EITHER CONTRACTOR OR 9WNER ... "FAILURE TO COMPLY WITH TSE4CONSTL811CTION 4Ight-IIMWAN RE§ULT IN THE PROPERTY OWNER PAYING 0141bEefORAUIC15441MPROVFTS?r ISSUED ACCORDING TO APPROVEDPLANSWHQORE70,5RT,,OF TfitSBEAMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS.OF,th,y1/7 , - 1 I I , i , ,• ' 1 I ___ \J I j — „ ..., ,.....,, a A t0 BIC ACH LA BUILDING DEPT. — --- - , PERMIT WORKSHEET Certificate of Occupancy Job Address: o �D C Type Work: $00 SEINn INO` Property Owner: c ITN nc AT1`RNT) ��AcH Phone # 2/17- 5 6z 6 Contractor: c.c. BoRmw CONS1-RUCi10N Phone # 3 5 .345 Permit #: (3L , 19 13 5 Date Issued: Building Inspections: Footing Slab 1' 13 f OS Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building Tree Permit # YES NO Electrical Permit # Date / Copy to JEA Temp, Pole Permit # Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA • Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit # Inspections: Rough n jp. ( ' Final Plumbing Permit # Inspections: Rough / Underslab Topout Water / Sewer Final Drainage Inspection: Pool Permit # Inspections: Steel Final Grounding Final Roofing Permit # Inspections: Nailing / Sheathing Final Fire Inspection: F Failed Inspections: f poi IN& 111.510 5 _ Date Paid: Date Paid: PREPARED 1/25/05, 8:52:35 PAYMENTS DUE RECEIPT CIY OF ATLANTIC BEACH PROGRAM BP820L APPLICATION NUMBER: 04-00029235 800 SEMINOLE RD FEE DESCRIPTION AMOUNT DUE RE-INSPECTION FEE 35.00 TOTAL DUE 35.00 Please present this receipt to the cashier with full payment. CITY OF ATLANTIC BEACH, FLORIDA °°Y APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSP ECTOR: DATE: � _ x 196, IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TIIE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACIIED PLANS AND SPECIFICATIONS, WHICH ARE A PART IIEREOF, AND IN ACCORDANCE WITH TIIE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. .PtgEE)g________Yif) _4 -;- 1 ELECTRICAL FIRM: MASTER EL CTRIC N SIGNATURE ADDRESS: PI O JOURNEYMAN NAME ` .l L K -- _ � ' j� � � P/ 0 I� 1 r .._ RFD D BOX BLDG. SIZE BETWEEN: RES. ( ) APT. ( 1 COMM. ( ► PUBLIC INDUS. ( I NEW ( ) OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( I SIGNS ( ) SO. FT. SERVICE: NEW INCREASE ( ) REPAIR ( ► FEE CONDUCTOR SIZE AMPS Od COPPER (X ALUM. ( ) SWITCH OR BREAKER 1 AMPS ( PIT 3 W VOLT \41ACEWAy EXIST. SERV, SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. - _ V iJ22AN4ts ! SWITCHE S INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMP e. r OVEtt APPLIANCES I AIR BELL TRANSF, H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT I VER MOTORS H.P. VOLTAGE PHS NO. 01.P O. VOLTAGE PHS MISCE LA , - IIIIMIECPA4j '1- p",,tl 'key e / 4 • TRANSFORMERS: UNDER , OVER 600 V. - - - -- - NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S -- TOTALFEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT PERMIT INFORMATION ' LOCATION INFORMATION ' Permit Number: 19051 — — Address: 800 SEMINOLE ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION T - Date Issued: 10/28/1999 Name: CITY OF ATLANTIC BEACH Total Fees: Address: 800 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: Phone: (904)744 -6604 c Work De : INSTALL 'MO 7-DAY T CLOCKS /BALL PARK LIGHTING APPLICATION FEES R & R ELECTRIC COMPANY rtspec*ions Required'- ; . 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. $ICBCH BUIL. DEPT. CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL 247 -5826 - FAX 247 -5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18779 Address: 800 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 9/02/1999 Name: CITY OF ATLANTIC BEACH Total Fees: Address: 800 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FLORIDA 32233 s PLACE HEAT PUMPS AR ) - -- Date Paid: _.. - - -- .._- - - -- --- -___ -_ HANDLERS /HEAT STRIPS 04 Work Dec: REPLACE PS A I - -- I CONTRACTOR(S) APPLICATION FEES WEATHER ENGINEERS, INC. — Inspections Required ROUGH MECHANICAL FINAL 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. ATLANTIC BEACH UILDIN DEPT. 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. Q S treet Address: (J QQ efl le Rd LOCATION 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 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical )_� Contractors �J Contractor (Print( either ,-✓r3 /iV eeC.S Master e r ' o 5/ 7 5 5 Name of (o Property Owner Signature of Owner � Signature of or Authorised Agent Architect or Engineer III• GENERAL IN al ATION A ' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? s /t/ Q ❑ Gas — ❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) ❑ Residential or Commercial El' Heat ❑ Space ❑ Recessed Dir Central 0 Floor ❑ New Building Air Conditioning: ❑ Room ji Control . Existing Building ❑ Duct System: Materiel Thickness Replacement of existing system Maximum capacity c.f.m. ❑ New installation (No system previously installed) CI Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Cplacity q.p.m. ❑ Other — Specify ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Received) ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel CI Boilers Permit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT • ty Approvltsr Number Unit■ Description Model Number Manufacturer ( rgeacy • ° is 11 , HEATING - FURNACES, BOILERS, FIREPLACES g r i o n v eg ing Number Units Description Model Number Manufacturer Ei iy App 2 /i + S4rips /0k y4 /k/+ 10 K'J TANKS Row Many Nasalise' Capacity Type !Auld Nano of Serial Approving and Dimensions Contained Manufacturer No. Agency CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE (904) 247 -5800 4 FAX (904) 247 -5805 SUNCOM 852 -5800 December 20, 1995 Adcox Cons *uction Company, Inc. 123 General Doolittle Drive Jacksonville, FL 32225 Attention: John W. Adcox, Sr. Dear Sir: '- On Tuesday, December 19, 1995, I discussed with you the problems we have been experiencing with leaks at 800 Seminole Road, the City Hall Administration Building. As per our conversation you agreed to perform an inspection of the roof on the week of January 2 through 5, 1996. Please contact me upon completion of your inspection. Sincerely, Don C. For Building Official DCF /pah cc: City Attorney City Manager P ,1,ANT. 0 ' �� r n F1 OR �p P NOTICE OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS w iC( 'a- C �S DATE - r tit (g/t fiti Vo, 2 3 THIS JOB HAS ■ BEEN COMPLE TED The following as • i ions or corrections shall be made before the job will be accepted • s o V 00CLS 4/0/0t) - r CO f uC 'TOKF n • o C rw w', 111 '.15.00 '.15.00 R EINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder the other persons, to cover or cause to be covered, any p d proper with flooring, lath, earths time other o approve until the installation. inspector has had amp After additions or corrections have been made, call 247-5826, ct inspection. Field Inspectors Depart- ment for an nspectors p are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. BM 114 Ii ant BRYANT HEATING /COOLING Contract Administration Dept. TR -18S P.O. Box 4808 Syracuse, NY 13221 Heating & Cooling Systems 315- 432 -6025 Since 1904 Dear Bryant Customer: Your recently installed Bryant heating/air conditioning equipment was selected by your installing dealer to provide you with many years of reliable, worry-free operation. Your new equipment is provided with warranties covering all of the equipment for a period of 12 months after installation. Your Bryant dealer has provided you with a special Customer Protection plan extended warranty which offers you specific additional coverage on your equipment. Please read your contract carefully for extact coverage and limitations. The enclosed Parts & Labor Customer Protection Plan provides for repair of your equipment if a breakdown occurs during the warranty period. Coverage for the equipment listed includes all parts and repair labor performed during normal working hours that may be required. Please read your warranty carefully for exact coverage and limitations. As owner of the new equipment, you are responsible for normal maintenance, as outlined in the owner's manual. Normal maintenance includes such steps as cleaning and/or changing the air filter as needed, and keeping the indoor and outdoor coils clean. Routine preventative maintenance, performed by your installing Bryant dealer, can maintain the efficiency, quality and performance of your new heating/air conditioning equipment. We suggest that you contact your dealer and ask about the programs that are offered. Should your equipment require service, please contact the servicing dealer shown on your warranty. Services rendered by any other dealer will not be covered by Bryant. If the dealer listed on your warranty is no longer available, contact your Bryant distributor for the name of another servicing dealer. Thank you for selecting Bryant equipment. We know it will serve you and your home well for many years to come. Sincerely, Di e Swenton Contract Administrator Bryant Heating/Cooling Carrier Corporation MILT (12 -14) PAGE 1 OF 2 bryant Dealer Name /Address: Heating & Cooling Systems Since 1904 WEATHER ENG. JAX. 1000 EDISON AVE PARTS & LABOR JACKSONVILLE FL 32204 (904) 356 3963 Customer Protection Plan Owner Name /Address: Equipment Location: DON FORD- 179314 800 SEMINOLE RD JACKSONVILLE FL 32207 Installation, operation, and maintenance instructions originally packaged with the equipment must be observed and followed for coverage to remain effective. Damage or repairs resulting from a lack of periodic maintenance and servicing will not be covered under this warranty. Coverage Selected - See Page 2 for Model Serial #. Equipment Make Start -Up Date specific details 698ANX060000 4998E01736 SPLIT SYSTEM HEAT PUMP BRYANT 08/27/1999 B FK4CNB006000 2799A02102 COIL, FAN BRYANT 08/27/1999 B TSTATBBPRH01-B PROG TSTAT BRYANT 08/27/1999 B 698ANX060000 4998E01736 SPLIT SYSTEM HEAT PUMP BRYANT 08/27/1999 D This Contract covers the period 08/28/2000 to 08/27/2009 CONTRACT CODE NUMBER 3030401 23040 H003437 Distributor Dealer Customer (See reverse side for continuation of contract coverage, terms, and conditions.) 11"5 Customer Copy OV.nPLI1 Scope of Work For City of Atlantic Beach Men's Restroom June 01, 2008 Request for Proposal 08 -02 Remodel of Men's Restroom City Hall Atlantic Beach CONTACT: Michael Griffin, Building Department or Patty Drake, Purchasing Department — Reference RFP 08 -02 Phone 247 -5826 Introduction The City of Atlantic Beach is currently seeking proposals for remodeling of the existing men's restroom located at 800 Seminole Road, Atlantic Beach, Florida. The proposal must outline a start and completion date. Completion time must be before September 30, 2008. Attached are items that should be included in the proposal. The proposal will be awarded based on cost, materials and timeline to complete the project. Proposals must be submitted on the attached Bid form. A Ckt Cw CITY OF ATLANTIC BEACH BUILDING OFFICE AUG 18 2008 By: INVITATION FOR BIDS/REOUEST FOR PROPOSALS (RFP) The City wishes to retain the services of an appropriately licensed and insured contractor (all subcontractors must also be insured) to provide the below described services for the site located at 800 Seminole Road, Atlantic Beach, Florida. Sealed Proposals must be submitted in TRIPLICATE by 5:00 PM Friday, June 27, 2008. To: City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 Attention: Patty Drake, Purchasing Agent RFP 08 -02 To Be Received by 5:00 PM, June 27, 2008 Description of work to be performed in Men's Restroom (floor plan of existing facility attached). Proposal will include: • Remove and replace all floor and wall tile with commercial grade or better tile. Remove and replace all ceiling drywall, paint and finish to same specification as existing. Replace existing mirror with similar specifications. • Specifications via manufacture's brochures should be included with the proposal, along with separate costs for the removal and installation of tile from the remaining project items. The City of Atlantic Beach will make the tile selection. • Remove and replace with commercial grade or better all existing toilets, urinal, sinks, faucets and countertops. Replace with commercial grade products. Specifications of all fixtures and countertops must be submitted with proposal along with manufacture's brochures identifying the product. Reinstall existing hot water heater to match proposed decor. • Remove and replace existing toilet partitions, entrance doors, urinal wing wall and associated hardware. Replace with commercial grade products or better. Manufacture specifications must be submitted identifying proposed product with proposal. • Provide and install new lighting fixtures and exhaust fan. A ceiling lighting plan identifying proposed fixtures, location and specifications should be submitted. Manufacture specifications must be submitted identifying proposed product with the proposal. Project requirements • Work and materials used shall be fully code compliant, so as to pass the permitting process. Contractor will be responsible for all aspects of permit process, all fees associated with permits, drawings, ect, to be included in bid. • Contractor to arrange for permits and inspections and will provide all necessary permit application and inspection requirements of the City Building Department. • Contractor to properly remove and dispose of all materials and refuse. • Daily clean up of work zones, including, but not limited to, debris removal to be performed. The adjacent lobby area should not be impacted and the contractor must provide protection of the public and City employees. Area shall be broom cleaned at the end of each day. • Contractor shall warranty the quality of all work and materials for a period of not less than 2 years (see section 2, below for details). • All warranty work performed by any subcontractor used by the winning contractor, to be arranged through the winning contractor. • Proposal price must be valid for a period of ninety (90) days. • All work must be completed by September 30,2008. • Work will be coordinated through Michael Griffin, Building Department, 904- 247 -5813 • ON -SITE STAFF ARE NOT ALLOWED TO ALTER THE SCOPE OF WORK DESCRIBED IN THIS RFP. 1) Proposals must be submitted in Triplicate in a sealed envelope to recipient listed in section 11 of the RFP. 2) Warranty of all work performed: Contractor shall warrantee all work performed for a period of not less than 2 years unless otherwise mentioned in the RFP and shall furnish 100% of all labor and materials required for any repairs needed throughout this period. 3) Proposals will include: i) Fixed fee for all permitting fees, electrical, plumbing, mechanical, masonry, cleanup and disposal. ii) Acknowledgement of receipt of any addenda received (if applicable). iii) Copy of building contractor's license. iv) A timeline for completion of project. v) At least three references, including contact person, phone and fax numbers. References must be related to similar projects. vi) Bid bond in the amount of 5% of the Proposal amount. vii) Financial statements over the last two (2) years. 4) The City of Atlantic Beach encourages the submission of proposals from minority, disabled veteran and women owned businesses. 5) The City of Atlantic Beach reserves the right to reject any and all bids or waive any irregularities in a bid or in the bid process. 6) A site visit is mandatory. Contact Michael Griffin 904- 247 -5813 to make arrangements for a visit. Site visit times will be coordinated so that there will not be a need for multiple visits. Only contractors that have made a mandatory site visit may submit proposals. Site visits must be complete by 5:00 Friday on June 13, 2008. 7) Timeliness: • Response to RFP: To be considered eligible for the winning bid, all responses must be received no later than 5:00 p.m., Friday, June 27, 2008. • Work must be completed and approved by the City of Atlantic Beach Building Department inspection process no later than September 30, 2008. 8) The successful bidder shall provide to the City of Atlantic Beach evidence of a) general liability insurance naming the City of Atlantic Beach, as additional insured, in the amount of $1,000,000, b) workers compensation insurance. No work will be preformed under the terms of this agreement until such evidence has been provided to, and approved by the City of Atlantic Beach. 9) All work and material are to comply with the Florida Building Code, State, County and local government regulations. Where ASTM specifications are referred to, it is understood to mean these specifications shall comply with the latest American Society for Testing Materials specifications of the serial designation. 10) Contractor to arrange for necessary permits, supporting documents and inspections required by the City and other agencies. 11) Proposals shall be received by and shall be addressed to: Patty Drake, Purchasing Agent 800 Seminole Road Atlantic Beach, FL 32233- 5445 E -mail: pdrake @coab.us Office: 904 - 247 -5880 Fax: 904-247-5845 12) Payment: Payment to be made within 30 days of project completion. 10% of contract amount shall be held until all requirements have been met and project has passed the final inspection. All necessary permits must be obtained. • City of Atlantic Beach - Request for Proposal 08 -02 Receipt Confirmation Form To acknowledge your intent to respond and to receive any amendments or further information about this Request for Proposal, it is requested that this form be returned no later than 5:00 PM, Thursday, June 12, 2008, to: Attention: Patty Drake, Purchasing Departmentl 800 Seminole Road Atlantic Beach, Fl 32233 -5445 Facsimile: 904 - 247 -5819 Failure to return this form may result in no further communication regarding this Request for Proposal. Company Name: Street Address: City: State: Zip Code: Telephone Number: Facsimile Number: Contact Person (Name /Title) Email Address: We have received a copy of the above noted Request for Proposal for the City of Atlantic Beach Men's Restroom Renovation. Yes, I will be responding to this Request For Proposal No, I will not be responding to this Request For Proposal I understand that if I do not submit a proposal, this will not affect our company's status with the City of Atlantic Beach as a potential candidate for projects. I also understand that if I do not return this form our company will not receive any further notice with regard to this Request for Proposal. Signature: Title: Date: BID Proposal for Atlantic Beach Men's Restroom Renovation Included are samples and /or brochures of proposed products to be selected by the City of Atlantic Beach and installed by the contractor. All materials and installation (labor) costs are included in this proposal as outlined in the City of Atlantic Beach RFP 08 -02. Remove existing wall and floor tile throughout restroom. $ Remove and replace water closets, urinal, countertops, sinks, $ faucets and associated hardware. Complete remaining work outlined in RFP 08 -02 $ Total Proposal for all work $ Proposals must be received by the City of Atlantic Beach Purchasing Department no later than 5:00 P.M., Friday, June 27, 2008 i `" 7 CITY OF ATLANTIC BEACH Q ,rr T, 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 08 -1 ) W � I M wI • V i ri OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING- DEPT@COAB. US ,,} BUILDING PERMIT APPLICATION DUVAL COUNTY 1 JOBAADDRE$S ? M ...g . tt .it t ? !a �'r *. t� ) 2tYALUAT(ON OFwORIG `'`(... ^ .? rT� 3 SCl FT=ALNDERROOF:... ;".; « h 1: at�r' � 3 l/ ` incl� ?J Atlantic Beach, FL 32233 j jf"J / LI i F '�&: otEGAL DESCRIPTION, s; ' ,, , :rr, ry .:� ` "I; »� i; <�o f i t, ..: i 3 a . x ,'?'..qr .�. �.r , ,S CLASS OE y1(o )„' ate & . c `Sit >} ,: a k .. ' .,zdl eit:osEoFisTRucTuREigiut., ❑ NEW BUILDING ❑ DEMOLITION ❑ RESIDENTIAL LOT BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE IaCOMMERCIAL ai 7: DESCRIPTION "QF..1NORK: - .,'` sx . "t ^. ,w ..' '' . *t`` ... V h`fa Taq µ e 0 ALTERATION 0 ACCESSORY BLDG. 8; FIRE SPRINk[bR� ,.��MM' Q Q `� ,� i ❑ REPAIR ❑ POOL / SPA ❑ YES ❑ N/A -.&_ o ti-Q_ (Y1 - S (- c v -- ❑ MOVE ❑ OTHER ❑ NO :;, 2' r CONTRACTOR *i$I , , ,Y. „ w ' s� €� ,, ivi .: ARCHITECT! ENGINEER .... ; s +siY�,� �,'�. ,..FROPER7'YOwNER n r �„_,. ,'t' ' ,,, O 9. NAME: 15. CO i ANY NAME: 23. COMPANY NAME: ( - ' 1 0C +� �, +;� o f Id 00M. +■ on A ny + 16. ME: (� 24. LICENSEE NAME: ll` Y1 % c(1PY1 l ,('P9•.A3 s 10. ADDRESS: 17. TATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: B� �rt S VA(Ae. e. e.0,11 .czo 10 n c2 . 18. ADDRESS: 26. ADDRESS: 1/4 F L.- 3 2233 1 1 322 Go-QS-Q-( �J' 1 4°/' - /� I Cix, - h.. 37 '".__- ---- -� / 7 11. OFFICE PHONE: 12. FAX NO.: '. •FFICE PHONE: 20 O.: 27. OFFICE PHONE: 12B. FAX NO.: Q ( : - 321 - 1 13. CELL PHONE: �2 ..C€L PHONE - - --- > 29. CELL PHONE: 9 i 2 to C v 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 3D. EMAIL ADDRESS: 0 rt d('c o s:vc ,t.fi►.x, Z.1.1_ h00∎Lif rm .- FEET SIMPLE „TITLE HOLDER E +' r . t CI ,� BONDIN OM ANYS ` r �`i a a Fl u`'': k `*,�x . M i ".' ^$ " '+ : R0THElz owNE,g� a E r g k 1� r� a , * , r , +t 0 2TGAGE LENDER � �ri � u. ;,. ? , r ..,,. ;i,3; � iti,.x?n� n ti s 3:' amb •�I�u:k a . , r, v ...:�&£ 4b -�� #: Raw a a: a�..Y „ . -'�s� c �. , r.7a d.cu. _�''�"� �✓���f' 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 riot 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. WA G TO OWNER: YOUR FAILURE TO RECORD A NOTIC M ' MENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS T G JR ► pry. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PO j D 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. ' :,v j a.. '+� iQvvNEf or.A9g.N i 4Y {�.Ji ;.'#'"'tIr ` �+x .,'; 'p w �a, �: ", . ` . 1i1 r . � � YAM ,,..:'. . ��S �y �ftl ; ' a.. rry '+:. .�rrfi -�,a F c. �..� �:�. i r n3� < 3, � { 'fi � � k a c M.�+* ,� "�.'a� > 0 1'• � TOR” .,�r� a. f ��'�;z: ) ' Via' fe Of Age�h At r o ne ntA etl I:e tter ik , w.,ii ' 1 1 a 2 ' f4ro'g - i I'• :®' `Am " � �, Signed: te: Signed; \7 / / / , ,.‘ D ate: •' / . Cc Before me this day of 7 in Befo m e this ` d o f (-�t 115 2: • : in the county of Duval, State of Florida, has personally appeared Duval State of Florida, has personally app'Lared J% (`et(. l «V-3 S 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. L�ur�t Notary Public at Large, State of , County of Notary Public a , L of , - rtAKRls�� ) CAA ❑ Personally Known 'r Personally Kn 0 +e MY CO MMISSIO DD6' :41 ❑ Produced Identification - ❑ Produced Ide FILE C 0 p Notary Signatur : ' , d�l�'11 .1�, . 1111211 2017 � _ Ai Notary Signature: • Y ..., .r • - ' — COAB, FORM BLDG01: REVISED: 11/6/2007 City of Atlantic Beach ' ' Complete Plans Checklist Provide (5) copies of plans — (2) copies signed and sealed ❑ Cover Page: o Address of project o Occupancy Class: For One & Two family "Group R -3 ". o Applicable codes (2006 Florida Building Code, 2005 National Electrical Code, 2004 Florida Fire Prevention Code and COAB Code of Ordinances. o Index of all drawings & attachments and all pages numbered. o Printed name, contact info, date and signature of person responsible for the design of the structure. ❑ Site Plan! fi r , Alj 1 1 `' 1 CITY OF ATLANTIC BEACH S'' 800 SEMINOLE ROAD t . - ATLANTIC BEACH, FL 32233 ` INSPECTION PHONE LINE 247 -5826 Application Number 08- 00001132 Date 8/29/08 Property Address 800 SEMINOLE RD Application type description COMMERCIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 14415 Application desc remodel mens restroom Owner Contractor WORLD CONSTRUCTION, CO INC 11322 GARDEN BLVD JACKSONVILLE FL 32218 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type BUSINESS Flood Zone ZONE X Permit BUILDING PERMIT Additional desc Permit Fee . . . . 105.00 Plan Check Fee . . 52.50 Issue Date . . . . Valuation . . . . 14415 Expiration Date . . 2/25/09 Special Notes and Comments verbal approval per Mike Griffin Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total 52.50 52.50 .00 .00 Grand Total 157.50 157.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Scope of Work For City of Atlantic Beach Men's Restroom June 01, 2008 Request for Proposal 08 -02 Remodel of Men's Restroom City Hall Atlantic Beach CONTACT: Michael Griffin, Building Department or Patty Drake, Purchasing Department — Reference RFP 08 -02 Phone 247 -5826 Introduction The City of Atlantic Beach is currently seeking proposals for remodeling of the existing men's restroom located at 800 Seminole Road, Atlantic Beach, Florida. The proposal must outline a start and completion date. Completion time must be before September 30, 2008. Attached are items that should be included in the proposal. The proposal will be awarded based on cost, materials and timeline to complete the project. Proposals must be submitted on the attached Bid form. /f p 1C c4' •I CITY OF ATLANTIC mac- ANTIC BEACH BUILDING OFFICE BITE C OPY AUG 181008 By, j INVITATION FOR BIDS/REQUEST FOR PROPOSALS (RFP) The City wishes to retain the services of an appropriately licensed and insured contractor (all subcontractors must also be insured) to provide the below described services for the site located at 800 Seminole Road, Atlantic Beach, Florida. Sealed Proposals must be submitted in TRIPLICATE by 5:00 PM Friday, June 27, 2008. To: City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 Attention: Patty Drake, Purchasing Agent RFP 08 -02 To Be Received by 5:00 PM, June 27, 2008 Description of work to be performed in Men's Restroom (floor plan of existing facility attached). Proposal will include: • Remove and replace all floor and wall tile with commercial grade or better tile. Remove and replace all ceiling drywall, paint and finish to same specification as existing. Replace existing mirror with similar specifications. • Specifications via manufacture's brochures should be included with the proposal, along with separate costs for the removal and installation of tile from the remaining project items. The City of Atlantic Beach will make the tile selection. • Remove and replace with commercial grade or better all existing toilets, urinal, sinks, faucets and countertops. Replace with commercial grade products. Specifications of all fixtures and countertops must be submitted with proposal along with manufacture's brochures identifying the product. Reinstall existing hot water heater to match proposed decor. • Remove and replace existing toilet partitions, entrance doors, urinal wing wall and associated hardware. Replace with commercial grade products or better. Manufacture specifications must be submitted identifying proposed product with proposal. • Provide and install new lighting fixtures and exhaust fan. A ceiling lighting plan identifying proposed fixtures, location and specifications should be submitted. Manufacture specifications must be submitted identifying proposed product with the proposal. Project requirements • Work and materials used shall be fully code compliant, so as to pass the permitting process. Contractor will be responsible for all aspects of permit process, all fees associated with permits, drawings, ec • '' °d in bid. • Contractor to arrange for permits and inspections and , ary permit application and inspection requirements of the nent. • Contractor to properly remove and dispose of all ma! • Daily clean up of work zones, including, but not lim to be performed. The adjacent lobby area should not be it tor must provide protection of the public and City emp room cleaned at the end of each day. • Contractor shall warranty the quality of all work al id of not less than 2 years (see section 2, below for details). • All warranty work performed by any subcontractor used by the _ contractor, to be arranged through the winning contractor. • Proposal price must be valid for a period of ninety (90) days. • All work must be completed by September 30,2008. • Work will be coordinated through Michael Griffin, Building Department, 904- 247 -5813 • ON -SITE STAFF ARE NOT ALLOWED TO ALTER THE SCOPE OF WORK DESCRIBED IN THIS RFP. 1) Proposals must be submitted in Triplicate in a sealed envelope to recipient listed in section 11 of the RFP. 2) Warranty of all work performed: Contractor shall warrantee all work performed for a period of not less than 2 years unless otherwise mentioned in the RFP and shall furnish 100% of all labor and materials required for any repairs needed throughout this period. 3) Proposals will include: i) Fixed fee for all permitting fees, electrical, plumbing, mechanical, masonry, cleanup and disposal. ii) Acknowledgement of receipt of any addenda received (if applicable). iii) Copy of building contractor's license. iv) A timeline for completion of project. v) At least three references, including contact person, phone and fax numbers. References must be related to similar projects. vi) Bid bond in the amount of 5% of the Proposal amount. vii) Financial statements over the last two (2) years. 4) The City of Atlantic Beach encourages the submission of proposals from minority, disabled veteran and women owned businesses. 5) The City of Atlantic Beach reserves the right to reject any and all bids or waive any irregularities in a bid or in the bid process. 6) A site visit is mandatory. Contact Michael Griffin 904- 247 -5813 to make arrangements for a visit. Site visit times will be coordinated so that there will not be a need for multiple visits. Only contractors that have made a mandatory site visit may submit proposals. Site visits must be complete by 5:00 Friday on June 13, 2008. 7) Timeliness: • Response to RFP: To be considered eligible for the winning bid, all responses must be received no later than 5:00 p.m., Friday, June 27, 2008. • Work must be completed and approved by the City of Atlantic Beach Building Department inspection process no later than September 30, 2008. 8) The successful bidder shall provide to the City of Atlantic Beach evidence of a) general liability insurance naming the City of Atlantic Beach, as additional insured, in the amount of $1,000,000, b) workers compensation insurance. No work will be preformed under the terms of this agreement until such evidence has been provided to, and approved by the City of Atlantic Beach. 9) All work and material are to comply with the Florida Building Code, State, County and local government regulations. Where ASTM specifications are referred to, it is understood to mean these specifications shall comply with the latest American Society for Testing Materials specifications of the serial designation. 10) Contractor to arrange for necessary permits, supporting documents and inspections required by the City and other agencies. 11) Proposals shall be received by and shall be addressed to: Patty Drake, Purchasing Agent 800 Seminole Road Atlantic Beach, FL 32233- 5445 E -mail: pdrake @coab.us Office: 904 - 247 -5880 Fax: 904- 247 -5845 12) Payment: Payment to be made within 30 days of project completion. 10% of contract amount shall be held until all requirements have been met and project has passed the final inspection. All necessary permits must be obtained. Y City of Atlantic Beach - Request for Proposal 08 -02 Receipt Confirmation Form To acknowledge your intent to respond and to receive any amendments or further information about this Request for Proposal, it is requested that this form be returned no later than 5:00 PM, Thursday, June 12, 2008, to: Attention: Patty Drake, Purchasing Department) 800 Seminole Road Atlantic Beach, Fl 32233 -5445 Facsimile: 904 - 247 -5819 Failure to return this form may result in no further communication regarding this Request for Proposal. Company Name: Street Address: City: State: Zip Code: Telephone Number: Facsimile Number: Contact Person (Name /Title) Email Address: We have received a copy of the above noted Request for Proposal for the City of Atlantic Beach Men's Restroom Renovation. Yes, I will be responding to this Request For Proposal No, I will not be responding to this Request For Proposal I understand that if I do not submit a proposal, this will not affect our company's status with the City of Atlantic Beach as a potential candidate for projects. I also understand that if I do not return this form our company will not receive any further notice with regard to this Request for Proposal. Signature: Title: Date: BID Proposal for Atlantic Beach Men's Restroom Renovation Included are samples and /or brochures of proposed products to be selected by the City of Atlantic Beach and installed by the contractor. All materials and installation (labor) costs are included in this proposal as outlined in the City of Atlantic Beach RFP 08 -02. Remove existing wall and floor tile throughout restroom. $ Remove and replace water closets, urinal, countertops, sinks, $ faucets and associated hardware. Complete remaining work outlined in RFP 08 -02 $ Total Proposal for all work $ Proposals must be received by the City of Atlantic Beach Purchasing Department no later than 5:00 P.M., Friday, June 27, 2008 z. ..„...‘...1 If / , 4 ',r, !("' , - ' '',., ' '1 r \* CITY OF ATLANTIC BEACH .--: , 191 800 SEMINOLE ROAD rri., . , r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 06- 00032779 Date 4/13/06 Property Address 850 01 SEMINOLE RD Tenant nbr, name WIRE FOR 10 POLE LIGHTS Application description . . ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor BROOKS & LIMBAUGH ELECTRIC CO 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 (904) 241 -9051 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 4/13/06 Valuation . . . . 0 Expiration Date . 10/10/06 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ( 4 ,k,„t. ' a 7 BUILDING OFFICIAL at "S"' 1 ') 7 . CITY OF ATLANTIC BEACH 4,5,! i ELECTRICAL PERMIT APPLICATION !) Date: /1 Property Address: i i�9 Owner: C ' 6.A i lk 4-P,(_ te4,64 Telephone #: Contractor: t i / � % Al) !� lam- Telephone #: q05/ 0 Contractor Address: V� � �' `eki • Fax #: a ygoe)0 J Contractor Signature: 'it ,� 1 ;i In consideration of permit given for doin; the 14 described in the above statement, we hereby agree to perform said work in accordance with the attached plans and • I ecificatio which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence ❑ Temp. `New being done on this building Or site, list the building ❑ Old b Commercial ❑ Signs ❑ Increase Permit number: ❑ Re -wire //�� Addition Sq. Ft. ❑ Repair Conductor Siz 2 -AMPS: / COPPER ALUMINUM El Switch or �n ..11 '.! /--1 RACE // Breaker AMPS PH / W V VOL + WAY / Ou Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN (1 3n AMPC 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0 -1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. ,, �,G /, 14' re e Miscellaneous (J / 1? �� / -e 1e /p - f G / .5' Miscellaneous � `� ! J l ,v(� Y" 1 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fi.us Revised 1/04 City of Atlantic Beach a Complete Plans Checklist Provide (5) copies of plans — (2) copies signed and sealed ❑ Cover Page: o Address of project o Occupancy Class: For One & Two family "Group R -3 ". o Applicable codes (2006 Florida Building Code, 2005 National Electrical Code, 2004 Florida Fire Prevention Code and COAB Code of Ordinances. o Index of all drawings & attachments and all pages numbered. o Printed name, contact info, date and signature of person responsible for the design of the structure. ❑ Site Plan: o Distance of proposed house to property lines o NC compressors, generators, LP gas tanks, pool equipment etc. o Driveways, walkways, patios... o Impervious Surface Area (lot coverage) calculations o Drainage plan with supporting on -site water storage calculations, and location of easements. ❑ Erosion & Sediment Control Plans: o Silt fence location, construction detail and maintenance plan. o Inlet protection (if existing storm water inlets are adjacent to property. ❑ Construction Site Management Plan: o Location of any proposed demolition o Grading & drainage surface water management plan o Onsite & offsite parking for construction workers o Location of temporary fencing with height and screening indicated o Location of dumpster, construction trailer & chemical toilet. COAB Code of Ordinances — Sec. 6 -18 ❑ Foundation Plan: o Required plan note i.e.: "A foundation survey shall be performed and a copy of the survey shall be on the site for the building inspector's use prior to framing inspection." Or, "all property markers shall be exposed and a string stretched from marker to marker to verify required setbacks." ❑ Floor Plan: o Size and arrangement of all rooms and intended use. o Locate air handlers, fireplaces, water heaters, attic access, etc. o Label accessible 1 floor bathroom, egress, windows etc. ❑ Elevations Li Structural Engineering: o Structural design criteria, loading requirements indicated. o Shear Wall plan. o Size all beams, headers and support requirements. o Detail uplift & load path connections. o Engineers embossed seal required. o Supporting structural calculations included. '04 FBC- Sec.1603 ❑ Roof Plan: o Indicate how attic is to be ventilated. 1 ❑ Sections and Details: o Typical wall sections for each dissimilar wall type. o Stair sections with guard and handrail details. o Balcony guardrail details. ❑ Electrical Plan: o Riser diagram including size and type of service entrance conductors o Location of all receptacles, switches and the distribution panel. o Required plan note: "All electrical wiring to be in accordance with '05 NEC. Provide arc -fault circuit interrupters in all bedrooms per article 210 -12." ❑ Plumbing (please note if the following applies): o New or existing private well on property o Irrigation to be installed o Irrigation meter desired 2 1 PSR•3844 ' ` 13.863 r x DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH` k - -- PERMIT INF'ORMATIC #N -.. LOCATION INFORMATION' Permit Nitxmbaer: 138.63 Address; 85i) SEMINOLE RCAD ' Permit Type :MECNAI ICAL ATLANTIC BEACII . FLORIDA. 32233 1 Class -o t Work :AL?ERATION - L,E° >AL DESCRIPTION Canst r 'Type :WO D FRAME B1 rack. . Lot: - T 0 ,Proposed Use :=3OVERNH~IENT BLDG sect ion: 0 Sind: Rn - , 0 Duce11in : 0 SubdIvi. iorl_ Est. alue, t } „ Improv. Co l 0.00 C Total ...�,� ,,,,, 0,00 A etxn - ..7 00 r e 4 e d ry� i - „mot. , s t , ,, ION - - .,; .-- - -- APL'LIC'ATION FEES 1, am `' .Ia BI ACII PERM IT _ � ;,. _0. O Addy 1S ri 0 : D x',4 -' :„1, ' ` ' E 1 ` " z% S tits 4TH n , ,, , ” „ . ,,.1 � , y ; �, „ ' ,... Ca rr = " RA . - -.. 3RMAiT I O Addy . 1078 NI ' :. TREE 'T SOUTH ,J .0 SON EA :R FL 32250 L & RA 1 1 ? ° t".„ ,_ Exp... i / ,/ . s "°MS '.'a ' fi' �p w�rv$�2La ; K�rnrem. �. a,�,.�,..a, , �, , NOTES: C f NOTICE =- ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 1 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR? OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." 1 I8SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUIL s. DE o , FITMENT , !. By: ,' .�, r.mod" ' 1 \ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - TeL 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION , LOCATION INFORMATION Permit Number: 20561 , Address: 850 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township. 0 Range: 0 Book: Proposed Use: GOVERNMENT BLDG Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8130/2000 Name: CITY OF ATLANTIC BEACH Total Fees: Address: 800 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: Phone: (904)744-6604 Work Desc: REPLACE WATER COOLER _ CONTRACTOR(S) APPLICATION FEES DAVID GRAY PLUMBING, INC. Ins_pections Rewired FINAL 1 1 1 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. t ( - AT • , C BEACH B ILDING DEPT. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: (JSD Sy1!4oL4 i?‹)A ) OWNER OF PROPERTY: 07-I Ofietajtarie.. 4Mail.TELEPHONE NO.2 I- PLUMBING CONTRACTOR D(l.UtDal^ "41 461 b. -6v CONTRACTOR'S ADDRESS : S LO eceibe44-7E_SQueebeic V . STATE LICENSE NUMBER:ei fo 3744 TELEPHONE : 2.4 2_( I HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE V ,Q OTHER J 2 ki TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT - $25.00\ SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: _0 ___ 44 4 -,. 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 • _' BUILDING AND ZONING INSPECTION DIVISION ic , 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. I LOCATION S treet Address: _ ( 6 OF Intersecting Streets: Between BUILDING And Subdivision II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in eccordence 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 Contractor (Print) 0A7X /4'1/ Contractors f� Name of Master //�1 Property Owner 1` l'� `t Signature of Owner or Authorized Agent Signature of _.ese Architect or Engineer III. GENERAL INFORMATION A, Type of heating fuel: B. Fr Bec }n IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? ❑ Gas — ❑ LP ❑ Natural f<Centr•I Utility O Oil ( IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT O Other — Specify IV. MECHANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) ❑ Residential or ❑ Commercial ❑' Heat ❑ Space ❑ Recessed 0 Centre) 0 poor ❑ New Building Air Conditioning: ❑ Room 1 Central ❑ Existing Building ❑ Duct System: Material Thickneu 4 Replacement of existing system Maximum capacity e f m ❑ New Installation (No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system 1:3 Cooling tower: Capacity ❑ Other — Specify g.p.m. ❑ fin sprinklers: Number of heeds ❑ Elevator ❑ Menlift ❑ Escalator (number) ❑ Gasoline pumps (number) THIS SPACE FO (Received) USE ONLY ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure veuel CI tillers Permit Approved by Daft• O Other — Specify Permit Few LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unita Description Yodel Number ]tanutacturer Capacity �) Approving • _. 'a tiff "ie�CY • HEATING • FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer (>e )y A 7 PANKS low Rimy and Dlmea niY � t Name of Serial Approving Manufacturer No. Agency FOR OFFICE USE ONLY }� Date 4 / 195_(1 Permit #4 5 Fee $ NC TOWN OF ATLANTIC BEACH _ 0 Valuation $ 0 "'"" FLORIDA House ## g4z) .,...,/74,8,-,4 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub - contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. Date C/,. i , 19> 0 Ownee�'./ Z/' C'�E Xrie 4;7 �LAd dress Telephone No. Architect -- Address " ho e �N CO Si: - �" Telep Telephone No -:� ‘ 4 5 4.0 o Contractor Builder.._ _ . 40. - C rL�'K�. ?re Address__ . L C( /7 /7 /t' Zone Lot No.. *4 ._7 - -� � ���qq ����lock No. Sub Division .'O. fJ / /�(.r_ i ._ 7✓/N_�treet Side Between and Sts. ,') L7 l Valuation $ 4''. coo ^^ For what purpose will building be used r. .//' Type of construction f' I' e Dimensions of Building .. -I..X 3C) Dimensions of Lot Size of Footings .__ - Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof _ /7T 2 , r How will Building be Heated ?__ ,r4 Q /7 , '' Will Building be on Solid or Filled Ground . � , c Size of Ceiling Joists , Distance on Centers , Greatest Span " Size of Floor Joists , Distance on Centers , Greatest Span `/ PI Size of Rafters ' T 8 , Distance on Centers _..._..... , Greatest Span 1e _Z) PP This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and /or lintel. 3. When steel is in place and ready to pour beam. a a 4. When framing is completed. a 3 5. When rough plumbing is completed, and ready to cover up. W W 6. When septic tank drain field is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. to `o 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of antic c ,/e--111-46/ ` t / Signature of Builder_ ___ _ _ .___ _ __. Address / t 34P S? JJ x' / 3c) Signature of Owner Address