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Permit Folder 1717 Beach Avenue CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 '"�J331%dry Application Number . . . . . 10-00000252 Date 4/13/10 Property Address . . . . . . 1717 BEACH AVE Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------- Application desc REPLACE 6FT FENCE ------------------------------------------------ Owner Contractor - ------------------------ ----------------------- FALLOON OWNER 1717 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/10/10 --------- --------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. --------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,�•�� 426.46' OUND 1/2'IRON PIPE 5.07°54'02'E. 50.0Ir— \FOUND 1/2" IRON PIPE L.B.3672 TRAVERSE LINE ONLY NO CAP N.86044'QO"E.'- 7.00 D.N.R.MONUMENT—� No.R-46 OTES BOUNDARY SURVEY. CONCRETE PATIO 2nd STORY FLOOD- ZONE"VE" (EL 14) — — W000 BALCONY 9 8' FLOOD ZONE"X" NG RESTRICTION LINE PER PLR''. rJ.O� _ 35.2` U BASED ON THE OLD COASTAL J > 1.Co U z TION SETBACK LINE FOR DUVAL o v LORIDA. " jj 0 COASTAL CONSTRUCTION SETBACK z z w ic3w Z w a _OCATED BY THIS SURVEY. cr Cc L) p 1- 0 U U cn K USED IS A NAIL & DISK (L.B.36721 p o 2 STORY RY U I LOT 19. ELEVATION : 16.20 N.G.V.C. p _ FRAME RESIDENCELn to v o o �} ma Z No.1717 O FINISHED FLOOR _ 22.96 Cr _ 'D GARAGE FLOOR - 21.41 — Y m In NI J V 1 00 a BAY 'fl WINDOW N LOT 20 I ,°� LOT 18i, 8 w 00 , U v l 9.1' 9 11 6 12.6' n CONCRETE F A.C.PAD w Uj �► w N BRICK Y WALK ti N x- M Ir N o O °°3 ity of Atlantic Beach w 1,10nr and Zoning Department w CID w vaiI�erNies compliance with applicable C O N C R E T E D R P zoning, ut1di41sion and other local land _ - dTvelo nt regulations, but does not constitute 1- rou I r the issuance of permits. Compliance o .f[ rBuilding Code and all other applicable oca, t and Federal permitting requirements w must be rifled by signature of the City of Atlantic = Beach B (ding Offs i prior to the issuance Of a Building ermIL 0.7 FOU 4)"$&P40� (69.79'FIELD) OUND 1/2' IROt&PPE eYeO m0 69.90' NO CAP -- 50.04' N. 060 03' 06 W. (N-070.57' 07"W. 49.93' FI BEACH 25'RAW PAVED AVENUE (FORMERLY OCEAN BOULEVARD and GARAGE APPROACH ROADWAY) IJ- JN .1.I I'I.�' P4:71~1.1_P?lI�' ,_i 6.: ..'fi 996.iLEOIV Alx0 E_r�: Z, AJiF A. r,11'1"S":i-)'t:; 7 U0 ;?�A!'oi', 7R I�Ti:.AJJ'i'I::: BrACI-3, I�I�C7R:Lr)A. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department) 800 Seminole Road .. •.._':......:t� Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 -"QJR19 E-mail: buffding-deptQcoab.us Date muted: City web-site: http:!lwww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address- /177z9y,// L De rtrnent review re aired Yes No Applicant: /v L! Planning&Zoning) Tree A iris or Project: /✓(j Rhkomwo s Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept of Transportation St Johns River Wafer Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPI-19,00MON STATUS Reviewing.Department First Review: RApproved. ❑Denied. (Circle one.) Comments: IBUILDING �� &ZO�Nl � Reviewed by._ ©ate:eP-3 TREE ADMIN. Second Review: ElApproved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ODenied. Comments: Reviewed by: Date: Revised EtsfUM BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Job Address: Permit Number: Legal Description Parcel# Valuation of Work.$ Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/pro osed structures)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: AC'2- &z& Property Owner Information: / Name: n Fa ! d�� Address: 1 -711-7 � v'e City State ip hone E-Mail or ax#(Optional) Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication 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 ssuance of a permit and that all work will be performed to meet the standards of all Zaws regulating construction in this jurisdiction This permit becomes null ind void work is not commenced within six(t5)months, or if construction or work is suspended or abandoned for a_pert, of sixp)months at any time after vork is commenced I understand that separate permits must be secured for Electrical WorIS Plumbing,Signs, Wells,Pools,l icrnaces,Boilers,Heaters, Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. here b certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this ype aj work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the )rovisions of arty other federal,state, or local law regulating construction or the performance of construction. ,ignature of Owner / Signature of Contractor 'riot Name / 11 .o... �.r......... ��.. ( CJ�i w................ Print Name ;Wo> a and subs ibed before me Sworn to and subscribed before me his 0 Day of 20 this Day of 20 lotary.Public Notary Public ......ri ch Revised 01.26.10 ., �Y(, h SIO 12, '. EXPIRES:May 21,2011 '�pf ? Bonded Thru Notary public Underurtars City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date muted: City web-site: hffp:/Mww.cwb.us APPLICATION REVIEW AND TRACKING FORM Property Address: zip,/` I/Gl fie rtrnen#review required 'Iles o Applicant: Planning&Zonin Tree mirns or Project: upfic,worts s Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept of Transportation St Johns giver Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review= [:]Approved. [Denied. (Circle one.) Comments: i 5 cf v a f ic•n wc�fz k BUILDtNG� Q ? a B RE iM PLANNING&ZONING Review9r. Date: 3 l� TREE ADMIN. Second Review: nApproved as revised. [Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 City of Atlantic Beach APDL{GATT©N NUMBER Building Department ' °' ° ' _ (To 6e assigned by the Building Department) Us- 800 Seminole Road rx Atlantic Beach,Florida 32233-5445 Phone(904)247-5828 - Fax(904)247- 845 �„y�i~ -.— __- ate routed:” " a' E-mail- bu�ding-dePtQcoab.us � D City web-site: http:/hvww.coab.us ____-- _ _ __. APPLICATION REVIEW AND TRACKING FORM Property Address: Pe rlment.review required 'des No Applicant: _ (� it)lilt Planning&Zonin Tree mrnrs or Project: /✓(� u lic Wo s Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco t?lher. APPLICATION STATUS Reviewing Department First Review= pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date. [� TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied_ PUBLIC WO Comments: TiL1Tt BLI S ETY Reviewed by Date: FIR SE VICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by Date_ Revised 05114109 Cid of Atlantic Beach ! APPLICATION NUMBER 'Building Department (To be assigned by the Building Department.) 800 Seminole Road 1 ^� r; jI Ig sol o -•--_ Atlantic Beach,Florida 32233-5445 i Phone(904)247-5826 - Fax(904)247-5845 )S93 E-mail: buffding-dept@coab.us Date roofed: ` 0 r•. tr City web-site: tittpJlwww.coab.us -_._ ____.__ _...•. . APPLICATION REVIEW AND TRACKING FORM Property Address: AZ7,�� .� � ReFarftnent review required Yes No Applicant: (� LC�/✓✓L�, Planning &Zonin Tree mints or Project: � � /✓� u lic Wo s Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept of Transportation St Johns River Wafer Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING r 4l" PLANNING&ZONING Reviewed by Date: 6 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date. Revised 05114109 PERMIT WORKSHEET certificate of Occupancy Job Address: 1-7 -7 (5EY-,GtA Type Work: Property Owner: — 1 PhtALone # Z47—C-,qq Contractor: � Phone #�s5C,L_�.._!C, -� - �-. rte'- ZL[( -7-7 SZ_ Permit#: Z9 (-1.41 Date Issued: Tree Permit# Foundation Permit# Demolition Permit# BUILDING ELECTRIC -� �L` MECHANICAL PLUMBING ✓��"� Tem .Power#. Footing JEA Release Date Temp. Power Slab _�,� 5 Letter Rec'd. Underslab Tie Beam Temp Pole# Lintel JEA Release Gas Piping Date Nailing/ Water/ Sheathing Sewer Rough/ �• �.•C Framing 5 f �� Rough Rough Topout i Insulation 612-0 < JEA Release. Date Building dT_ Electric Mechanical Plumbing Final Final Final �'�'a Final JEA Release Date Drainage Inspection: Pool Permit# Inspections: Steel Final Elec./Grounding Final Roofing Permit# Inspect: Nailing/Sheathing Final Fire Inspection: Failed Inspections: fS' (� Date Paid: � Application Number . . . . . 08-00001186 Date 8/29/08 Property Address . . . . . . 1717 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE CENTRAL HEAT AND AIR UNIT ------------------ ---------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FALLOON OCEAN STATE HEAT & AIR, INC. 1717 BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 59 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/25/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 08/28/2008 16: 17 FAX 9042498949 OCEAN-STATE-A/C + ATLANTIC-BEACH la001/001 e ( .a'"'`• CITY OF ATL-ANTIC BEACE �a MECE. -1C-.AL PERMIT APPLICATION Date: D Property A.ddrega: /77 Nner. QXXxL C Fele hone#:Ia�� Contractor. l P in CVCMdemaun of petmk atvse(or dcJag the wort:=dmwfmd in the apavc==Mr.we beteby ap-to pain°snid wotk m MOMMAIM whb to arsnhed plaw and spctd5esdoes which ate a pw hereof and Io oecoTdnn=with rbe City of Adeadc Beach in oad eranduds of Md edee listed therein. Type of Resrings Peel: If other ccnstuctioa i being done on this buildiar. or site,lint the Wading permit uwn1ow. O Gas: V _Nattaal _CLr= Mitt ❑ 00 D per—Soecidv i1 ICS{Al"TIC.4L IQUIPMENT TM,WTALLED NATURM OF W ORK _Space Rtceased . Floor Coaditionipg Room al 0' Duct Saar,-M: Mde1w Thidmms 0 commercial MaY.inum czPaclty cfM 0 New Ba rods_ O l�II1�6Idf10n cDoiinx router:cauari>•y c2� 0 Fire SpriaMers:NUM*of Heads ,�,.�-- Eltsvator. `_ Niftlifi Escalaar tlyumber) m— reptaremrat ofL-caring ovn= 0 Gasoline Puaaps ,_-__,•(Sumber l Q Tm iks (Number) 0 New ln-rnllarion 0 LPG Coataiaers (N�ber) (No*-n=Iae�iouisly iasta cce Q tll:fired Pr�ssun Yr;,scl 0 Z=m6 n or,Add-on to Existing System D Boilers ' 0 Gas Piping _ _ .. Specaly- a Other—3peca�y LMT ALL E Vip1 MM AM COM ITI01MG,RJiMMMATIO1YTQtIIl719T T 'COMAM' M'S A;Vaviag 2440beT Unlu Description biodei 4 Iylnnat 4wM Ton'a Ag ney 36IT7qG-FUYt ACB5,BOB AM .IMMI.d MS do AM aAMLIM'S Approvir� Number Uaim De3adpcion Model: wm dw:n w BTLrs Agcavy 7fvf 3' UtoMMO CKPw- T.gpe lrquul bmrir►I AAMMI C Row Msnv At D'oaaeagions Caarained lwlnnvfnewrer No. tecr 360 S.winale Ruud•Awnntia 13rsuh. Florida ;:233-54415 o1a7_A;!r(1(1 . x'as; (904)247-5,1141.5. httnr/hrww ri.ntlantic-beach.fl.»s 4 , V CITY OF ATL_-,-',_NT1C BE ACE Date: Property kddress: /7/ _7 &, A�_ t/ Ov�ner: C(/YIC,G� d - /�- ' ephone #: Contractor: j C.i C 1[, 4 C Telephone : _Contractor_address:_t � .1�4 i I �t1 -( ^3�� l ( '� Fax 1: i1n coosidumon of permir Envea for doing the work as described in the aoove=Lrmcm.we here'ov agre to perform said work in accordance I with the attached plans and specifications which are a pan hereof and in accordance with the Cit✓u'f Adaptic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other consuuciion is being don-, on thdz building or site,list the building permit number. ❑ Gas: LP N=ral zrzal Ut_dn, ❑ Oil ❑ Other-SDeCif-v �IECHAIIYIGA-L EQUIPMENT TO DE INSTALLED NATURE OF WORK brie Space _Recessed _ _Floor .esidential .,.ir Conditioning _Room __�al Duct ST/stiem: Material Thic'lmess ❑ Commercial lYlaid=um capacity CTM ❑ ReiQera�on I CocltnL,Tower: Capacity gpm i ❑ Firt Sprinlders:Number of Meads ❑ Cievator: lvianlift escalator fNu=beri I �ct ❑ Gasoline lumps l_hlumber) ❑ Tangy (Number) ❑ New hmn1lauon ❑ LPG Containers (dumber) (No system pr--viouslyiustalled> ❑ Bunted Pressure Vessel ❑ 12 Boilers Eeasion or_Add-on to Existing System ❑ Gas Piping - ---- Lj er- — ❑ Other-Specify LIST_4LL E Q UIl'NIENT AIR C0NDITIONING,REMGZRATION EQ=1Y111`NT&CONDENSOR'S Approving Number Units Description Model R Manufacturer Ton's Agency H'11r\TING-FURNACES,BO=R5,FIR PLACES&AM HANDLER'S Approving Number Units Description Model f Ivianufaciurer BTTPs Agency 0 Trit`fIr.S' Normal Canaciuy T_ypeLiquid Derial _ _�pproying How lvlanv 8:.Gimeasions Contained ivianufacturer No. Agenev 300 Seminole Road • Atlantic Beach, Florida 32233-54 15 pbone- NOA-)�.Q.-'_;,9nn . F+'a�_ (904)347-524�5) a httn-//ti vvw ri_�tlantic-heach.fl_n.s CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 �4 INSPECTION PHONE LINE 247-5826 Application Number 08-00001186 Date 12/05/08 Property Address . . . . . . 1717 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE CENTRAL HEAT AND AIR UNIT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FALLOON OCEAN STATE HEAT & AIR, INC. 1717 BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 59 . 00 Plan Check Fee . 00 Issue Date . . . . 8/29/08 Valuation . . . . 0 Expiration Date . . 2/25/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P'(LANr/C F�OR10a OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted l 5 k16 ovs b,Q� �rBG - REINSPECT FEE 35 It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- aLuMeiNc ment for an inspection. Field Inspectors EHEC are in the office from 8:00 a.m. to 5:00 aLDc p.m. Monday through Friday; 1 �r3 T° x� CITY OF ATLANTIC BEACH IJ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029647 Date 2/11/05 Property Address . . . . . . 1717 BEACH AVE Tenant nbr, name . . . . . . EXTEND REAR 10 FT. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 162000 Owner Contractor -- ------------------- --- ------- ------------ ----- FALLOON, NIAL & NANCY PESSOLANO DEVELOPMENT GROUP 1717 BEACH AVENUE 7601 ALTON AVE . ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 247-0491 (904) 246-7732 ----------------------------------------------- ----------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 646 . 00 Plan Check Fee 323 . 00 Issue Date . . . . Valuation . . . . 162000 Expiration Date . . 6/11/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- ------- Permit Fee Total 646 . 00 646 . 00 . 00 . 00 Plan Check Total 323 . 00 323 . 00 . 00 . 00 Other Fee Total 35 . 00 35 . 00 . 00 . 00 Grand Total 1004 . 00 1004 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BVH,DING CODES. , BUILDING OFFICIAL Ti � joCITY OF ATLANTIC BEACH J ' ` s FEB o 2 000, BUILDING PERMIT APPLICATION "' yr (Alterations &Additions) 4R' Date: /L -06-G'ZI Job Address: 1') 01=A44 4 oEiyo t; 147_44,0,-c_ d ei cll FL 3 Z Z 33 Owner of Property: N` ( tjAwq 64 jf wi ll Address: I.2/9 &_4C,64C6 /AaeUtlt✓ Telephone: Legal Description: Block Number: Lot Number: r 9 Zoning District: Contractor: RES-SQNiVO &,-V *lLOW. SNC, State License Number: C(p-C o6o 92s Contractor Address: ?601 AL.Tojv IldE//C Zgckswtdle . FL 3 Z i I Telephone: (qpy 2q -'1'2 3 Z Fax: Describe proposed use and work to be done: igL-f&X,47,yv�d S]p - /`c�isj A OF 44 Ly - Present use of land or building(s): 14owtE Valuation of proposed construction: #'16-Z,000,ego What are the dimensions of the added space: 12- feet x 3.5 feet Will the added area be heated and cooled? New electrical or increase in service? �S Add plumbing fixtures? IVCD Add fireplace? Add heating/air conditioning? At 0 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 addition of 5% or more to the original i pervious area or the removal of any trees? NO. Applicant certifies that no chane in site rade impervious area or fill material will be used on this g grade, P project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. []N. 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 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 be sufficient to depict all required information in a clear and legible manner. 1. 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-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this applicat' n is correct. Signature of owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of nstruction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct that the ans and supporting data have been or shall be provided as required. Signature of Contractor: _�, i Date: -A, /--LV y_V Address and contact information of person to receive all correspondence regarding this application(please print). Name: �? SFl ✓ _/ .�%�v /_. C Mailing Address: Telephone: &q],2 V& — 72-3 Fax:��?)y3� ^ae2 9/ E-Mail: AS TO OWNER: 4Y_ j Sworn to and subscribed be;`rjV1ft day of '204S . ,OUISE si�� State of Florida'Coun yal••••. �i �-a. ��A�SStON••o•O �vw 9�,'��c1�! Notary's Signature: * • N •* ❑ Personally known -X #DD 044919 •r,: o�;y ;p Produced identification :^�1,P1,��nded`m0 �e�•per Type of identification produced FL 7�41 AS TO CONTRACTOR: fic ��/jI f1ill%% �� Sworn to and subscribed before me this day of ,20� 1 State of Florida,County of Duval 61 d, r 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.ei.atlantic-beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET f Date: �2 -l0 -0 3 Address l 713 3,5,+c r4 1z E — ,vot T,/©AJ /j- Heated Square Footage @ $ per sq ft= $ Garage/ Shed @$ per sq ft= $ Carport/Porch @ J G per sq ft= $ r Deck @ $ f per sq ft = $ -k L) S0 iy Patio @ $ per sq ft = $ TOTAL VALUATION: 060 Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + 1/2 Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ 3 S� ST( ) SURCHARGE $ p OTHER $ GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH ..Sss BUILDING / ZONING DEPARTMENT D. Ford in 800 Seminole Road . Doerr s + Atlantic Beach,Florida 32233 (904)247-5800 Jsi� (904)247-5845 Fax - www.coab.us PLAN REVIEW COMMENTS Permit Application # - 2] Cp�� G Property Address: &=Acii AV E- Applicant: ��5 O Project: --��1,17 "1 }`� l�� -4. This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 1 Date: © - 5 CITY OF ATLANTIC BEACH cc: BUILDING /ZONING DEPARTMENT Ford J � 800 Seminole Road S. Doe ' Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTSE[I 4t Permit Application # OS - ZZc? 44'7 Property Address: 1-7 C Applicant: E U Project: UF +-�05 C This perm' pplication has been: Approved Reviewed and the following items need attention: S- O� Please re-submit your a lication when these items have been completed. Reviewed By: Date: OZ- Del 'US' F A C S I M I L E ATTENTION ER � ENCEb�'R�fz- O till XTE"VAAVE: (��cc.�.a° Z- S-e,5 ,�qjaC=� flWLACe JS 5' frzwt WOM Lf, (See ArAOtrwV - eLA-0 WaM f'' fq-as"` —9�Awg r,> MICHAEL DUNLAP ARCHITECTS P.A. 118 WEST ADAMS STREET, SUITE 200 JACKSONNALLE, FLORIDA 32202 404.358.1002 FAX, 358.3708 www.michoolduniop.com orchited6olitel.net I '3JVd 90L6 951: b06 10311HOUV dV'INRQ 13VHOIYY L 50 , 90 '831 Sep 13 2004 16:42 P.04 CNS DU-167 August 31,2004 Page Four(2) (D The name of each party's.representative who shad have the authority to seals or rao i nd seMetnent, and (g) Either an explanation of how the subjmdal intrMts of each mediating party will be affocjed by the action or proposed action addressed in this notice of 1=0 or a stAtemsmt clearly identifying the petition for hearing that eiteh party bas already Sled, and iacorpor *A-- it by reference. (h) The signatures of all parties or their authorized Mp Mentadvcs. r As provided in Section 120.573 of ft Fiatft Statutes, this timely agreement of all Pard" to mediate will toll the turns limitations iMPOsed by Seddons 120.569 and 120.57 for requesting and holding an administrative hearing. Unieas otherwise agreed by the partied, the mediation must be concluded within sixty days of the exec ud m of the agreenwa. If mediation rjsults in settlement of the administrative dispute, the De mft mt must enter a final order iucotporating the agreament of the partift. Persons whose substantia! interest will be affeetrod by such a modified final decision of the Department have a right to petition for a hating only in accordance with the requirements for mwh jet fa#h.above, and mud therefore fik their Petitions within twenty-one days of receipt of this notice, , If mediation terminates without settlement of the disputtc, the DCparta= shall notify an p&"W is wrftirg that the administrative hearing processes under-SeWou 120.569 and 120.57 Malin available for disposition of the dispatte, and the notice wig specify the de&MM that.then wilt apply for eltalleugiug the agency action and electing remedies under those two statutes. The exempted work is strictly limitedto that-'described above. If you lave any questions, please call the area engineer. Bill Wilkinson, at telephone nawaber 830/487-4175, exlension 113, or you may write to Mail Station 300 at the l umbead address. s�aoerely, ±of Envirow ental Manager FW1 Beaches and Coastal Systems cc; Bobbie Nclim Field Engineer Permit information Center City of Atlantic Beach 13uUft Official 9 '30vd 80L6 856 406 ioaiIHDuv dv' Nna iavmDiw 64 S (3(11) 50 90 '833 0 CD0 C to x a r 0 C . z 1 a ro MODIFY EXISTING POST COVERS x H [xi n PROVIDE 2X8 STUD5 a H EAST WALL ONLY I E 3) 231I ® PROPERTY LINE — IL BI U) 12' CD AL*t4 NEW STUDS > -® WITH SECOND FLR " WALL LINE ► 6' ABOVE ALIGN WALLS � t'�3`- 1 ————————— 9 ----�'-O� 4 KAO 5 X N EXIS '' SEE DETAIL BEA �rfl RELOCATE EXISTING ;!' : I_Ar� ISOKERN FIRE50X – :' `- SEE t �� AND METAL FLUE � �; — � — Z_g-� Sep 13 2004 1641 P.01 Department of Environmental Protection Marjory Stoneman Douglas Building Job Bush 9900 COmmonwe "Boulevard common M.Csdit oovemor Tall"NOO.FWda 3239$%V D Seanef" August 31, 2004 Michael Dunlap 118 Rest Adams Street, Suite 200 Jacksonville, Florida 32202 Dear Mr. Dunlap: NOTICE OF NXIM 'ION FIL..NUMBER: CNS DU 167 APPLICANT XVAME i FOOD The Bureau of BMW and Coastal Systems of the Department of F.mritnmMOMI Protection has reviewed.a proposal for additions to a single-family residence. The project site is located between approximately 426 feet and 476 feet north of the Departmot's mogge nmom mens R46, In Duval County. The street address is 1717.Brach Avenue, Atlantic Beach. According to a survey and architectural plane submitted to this of'Bce on August 16th and August 23rd, 2004, the proposed work consists of the enclosure of a sanroom in the area of an existing.cover+ed ground floor dock on the above, mforenoed beachfront property. 'x'ht: plans depict that the proposed consWictim will not advance tbe• Um of coasttw d(m Ivor expand the existing building footprint. Such conmetioo will. not Wmease thz minsurable interfereom with the natural hu cdonirlg of the coastal system from dw caused by the existing structure. Based on this utformatiou, staff has dearmivaed that the proposed work is exempt hom-the permittintg requirements Of this Deparlree t pursuant to Subsection 161.053(12)(b),' Flodida Statutes. TMs letter does.not represent a d,t t i"ad oa that the proposed work is consistent with the elevation and sauctural requirement$ of 62&33.007, Florida Administrative Code and the Florida Building Code. Nor does It relieve you from your responsibility.to comply with the permittM requirements of any other local, state or federal reptlatory agency with jurisdiction over the proposed activity. Consctvctim activities shall not disturb exie ft dune features or native vegetation. 'No te7mpora7.lighting of the comttmc um aria i$ auftrized at any time during the marine turtle nesting season and no additional permanent exterior IjOW n is authorized. All windows and glass doors visible from any point on the beach mast be tinted to a trar►smittattcx value'(light transmission from inside to outside) of 45% or less through the use of tinted glass of window film. Wore Pmftcihw.Lose Am*"@" 6 '30dd 60L6 956 606 66 6[ (anl) SO , 90 '833 Sep 13 2004, 16:41 P.02 CN9 Du-167 August 31,2M Page Two(2) Any person altos* substantial interests are affected by my decision of the DWMneM on the application bas the right to request ate administrative Wwing in accordance with the provisions of Sections 12().569 and 120.57 of the Inmida Statutes. Should you desire an . administrative W arirg, your request must ow%ply with the provisions of Rule 28-106.201 of the Florida Administrative Code, as indicated below. Send requests for bearings to the Department of Fa►vir rimemal Protection, Offiaa of Gcoual Counsel, 3900 Con Mmv mlth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department must receiv* tea request witbjA twenty-o A days after your receipt of this•notice. When 0u Department receives an adequate and. timely fired requod for honing. the Departmemi will request• the assignment of an administrative law judge. OM SA adgr"trauve last judge is requested, the referring agency will take no hitter action with respect to the prooeeaing except as a party litigant, as long as to Division of Administrative Hearings has jurisdiction over the-formA proceeding. Rule 28-106.201(2) of the Florida Administxative Code roquires dist a petition or- request for hearing contain the f0dowiiag inforzoation: (1) Th* name and address of each agency affected and etch. agency's file or identification number. if known; (2) The na>ude, address, and telephone number of the pefidoner; the name, address, and telephone aximber of ft petitioner's rePreSeCtativC, if any, wbich dull be the address for service purposes during the course of the prooeeding; and an explanation of how the Petitioner's substantial interests will be affected by the agency determination; (3) A statement of when and how the petitioner received notice of the Departmcm's action; (4) A staoaaetlt of all disputed issues of material #act. If there are none, tle petition must so indicate; (5) . A concise statement of ultimate fads alleged, inchxling tate specific facts the petitioner contends warrant reversal or modification of the Departmat's proposed action; (6) A statexnendt of the specific rules or statutes the petidoner contends require r+evercal or modification of the Deparanoat's proposed action; and (7) A statement of the relief sought'by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Departtsent's proposed action. A person may request an emenslon of tiara to petition for an administrative hearft. The poison filing tho request for extension must do so wkWn thetime bits fbr filing a petition described above and serve all parties with the request. The request must state why an, extension is needed. The Departoxnc will grant an extemtion only when good cause is shown. If it petition or request for ext urian of time is filed, further order of the Department becomes necessary to effaotuate. this notice. Accordingly, ft DCpar't ment's final action may be different from the position tarsen by it in this notice. Actions undertaken by you under this raaadmnc,akdpvjm.. b '3Jvd HOLE GGS toe io3iiHOuv dviNnc i3YxDiw 96 51 (3nl.) 50 90 133 ......L ,. . Sep 13 2404 16:41 P.03 CNS DU-167 August 31,2004 Page;Throb(2) penWt, punning the lapse, of time allowed for the filing of such a request for heariag, may be subject to modification, reM6VIl, or restoration. Fallure to petition within the allowed time, ftme constitutes waiver of any right that such a person bas to request a hearing under Section 120.57 of tiro Florida St maw u d to participate as a pasty to the proceeding. if a iegaUy suiTicimt petition for bearing,Is not timely received this notice eonstltutes final,agency action. When etch order becomes final, any PaM to the order has the right to seek judicial review under Section 120.57 of the Piorida statutes and Rule 9.030(bxl) attd 9.110 of the Florida Rules of Appellate: ProeeQtnrt:by Mq a notice of-,appeal with.the DepartmM of Ethviroumeatal Protection, Office Of General Counsel, Depurm= Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Plotida 32399, mad with the appropriate dimict wort of appeal within thirty days Alf this final order is filed with the Depar mag Clerk. Tho notice flied with the district cam must be accomparuted by. the tiling fee spwif W In Subsection 35.22(3) of the Florida Smmtes. Asgy subsequent intervention will only-be at the approval of the presiding ofticer upon motion filed under Rule 28-106.205. Florida Administrative Cale. A person whose substardial interests are affected by Oe Dept's proposed agency action may choose to pursue mediation as an alternative remedy tinder Section 120.573 betote the deadline fbr Pflug a petition. choosing mediation will not adversely affect the right to a ,hearing If mediation docs not result in a settlement. The proceduras for pursuing mediation are set forth below. A person may MM mediation by ate dIJrg a mediation agrecmmt with all,parties to the proceeding (which irnclude the appUOW, the Department, and any person who hu filed a timety and su M=nt petition for a hearing) and by showing hoW the substaHial interest$ of each medic ft putt► are affected by the Department's action or proposed acdonl. The agreement must be filed in (mcelved by) the Office of Ctenmid Cauasel of the; Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000,.-by the sam deadline as set forth above for the filing of a peddout. nz agreement to mediate must include the following: (a) The names, addresses, and telephone cambers of any persons who may attend the mediation; (b) The name, address, and telephone number.of the mediator selected by the parties, or a provision for selecting a me tator within a sMified time; (c) The agreed allocation of the coats and fees associated with the mediation; (d) Tho agro mere of the parties on the comIdentiality of discussions acrd documents introduced during mediation; (e) The datie, time, and place of the first mhedMon session, or a deadline for holding flue first Session, if no mediator has yet been Chosen; Prosed w regvisdppper. 5 '3Dtld 6DL6 656 i06 ID31IHDVV dV INnG 13VHD IW 6b:S I (3ri.L) GO , 90 '833 Doc#2005039621,OR BK 12274 Page 715, Number Page's:1 Fit-,td&Recorded 02102/2005 at 03:46 PM, ,1IM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 n v 110E OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: sr0-21 t14 Address of property being improved: 1"71'`7 6k4cli A06-X Jt A rl4X1 i, A.-P :4 F-C 3 2-Z3.4 General description of improvements: jl Tt iLT. ate Get- fl�r�c= Owner: JaF. 11,oyitt Address: t j]i-L t;c ►cFl 40&W,)& A71.4��L &-)4,- i Owner's interest in site of the improvement: v ri. eaii" t2�S."cl�,�-cam Fee Simple Titleholder(if other than owner): Name: Address: `Cw Contractor: PE5�,6�/,4,/y �D �2nil D ZiUt' Address: 'L= f aci 2 UXILr-L 9"2--2-10- Phone No: (�vq) -f ax No: Do,- 22 V( Surety(if anyT� Address: A Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: l Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may served: Name: _ Address: _ Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement'(the expiration date is one(1)year from the date of recording unless a different date is specified): 111111! THIS SPACE FOR RF /NLY OWIy R1 �'.� \P••• ��9/ Signed:_ ��"� '� Date: 7 U Before me this day o in the County G. �,y 25,�po3� tp of uval, State of 1 r' leas ona app e i 2: #DD 044919 a$ Not Public at Large, to o Florid n off Dl. �0tu '9 ''�d '60n to .0iU,,600- '10u;; Personally,Known:ssion pires: v( or ��e��C• � , ��Q► Produced Identification: Nl/!!f IIIN1�� Page 1 of 1 A 00 1111 IN ;S. Print Date: 2/2/2005 3:47:13 PM Transaction#: 623584 Receipt#: 586753 Cashier Date: 2/2/2005 Jim Fuller 3:46:38 PM Clerk Circuit Court (TDATTOLI) Duval County 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630-2044 Customer Information_ Transaction Information Payment Summary DateReceived: 02/02/2005 Source Code: BEACH Q PESSOLANO DEVELOPMENT Q Code: BEACH 7601 ALTON AVE Return Code: Over the Total Fees $10.00 Counter Total Payments $10.00 JACKSONVILLE, FL 32211 Trans Type: Recording y Agent Ref Num: 1 Payments r P =- CHECK 3158 $10.00 1 Recorded Items �L BK/PG: 12274/71 S CFN:2005039621 Date:2/2/2005 R (N/C)NOTICE 3:46:34 PM C_O_MMENCEMENT From: FALLOON NIALL ETAL To: COMMENCEMENT INDEXING 3 $0.00 RECORDING 1 $10.00 0 Search Items 0 Miscellaneous Items file://C:\Program Files\RecordingModule\default.htm 2/2/2005 S 4 f r' rL�J j-J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029647 Date 4/19/05 Property Address . . . . . . 1717 BEACH AVE Tenant nbr, name . . . . . . EXTEND REAR 10 FT. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 162000 Owner Contractor --------- --------------- ---------------- ----- --- FALLOON, NIAL & NANCY PESSOLANO DEVELOPMENT GROUP 1717 BEACH AVENUE 7601 ALTON AVE . ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 247-0491 (904) 246-7732 ------------------------ -------------------------------------- -------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc WIRE BATHROOM Sub Contractor AMERICAN ELECTRICAL CONTRACTOR Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Akh BUILDING OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: PmT)erty Address: A191 -E &A& Oueke Owner: � �1CG.5 i � F 'Telephone 4: - Contractor: Omefj(ILl. ,Telephone #: _731JJ6 Contractor Address: Fay #• i — 1 In cocsideratian of Permit g er. for doing the work as described in the above statement. hereby agree to perform said v,�,F;: aa:ordarce with the attached pla s an<i spec fications which are a pan hereof and in accordance with the City of Atlantic F.crc." ordinance end;tar"dards of eocu radio�listed therein. Buitdxn;: -- �--3uiic5ina'Tvpe: ❑ Trailer Vl Service: « ❑ 'New I C6— tce,rdence ❑ Temp_ ❑ Nem being done r,-t this 11 p;d �i ComOr te,"St Commercial © Signs 0 Inczcase the - Pzn»rt nulnber: Re-wire ❑ A.ddit.r�n SC Et. ❑ Repair Conductor Size: AIV S: v COPPER [ A.LUMTNI M a S%vitch or ' Breaker AMPS �' PH � V4r � VOLT5- ��," PI/Q, F,xis*.ing Service Size i A PS ( PH VOLT IVAV i � I Feeders: NO. ,517 E � NO SIZE NO SWE L,iahting Outicts - _- CONCi ,4I_> D OPEN Receptacles i COl`JCEAUT) J _ OPEN - L -- i , i { Switches - - -- 1 j riucrescent & - - i Fixed Lo.toc,rti_ BELL Appliances ! TRANSFER. �.ir '� H.P.RATF�,GH.P.RATTNO -� CEILING 1 I j i conditioning COMP- i.IQ-TOR OTHER MOTORS AMPS HEAT -- -- — -- ,'Motors J 7 H.P. VOLTAGE PH NO. OVER I H.P. PHS n1, -R6QQ V -,ransforn:ers KVA NO. KVA tia tienn Transf. a. C F �;: tiliccilaxftt l ( G►r`` tfL"2'�C� 1 I-✓' , --- — - `��J\15e�,�a�t1\e��ad• !�t\aRticBeach,�\t�Yiaa 32233-5��5 _,_ _ Phone: (904)2 97-5SQ0 • Fax: (904) 247-5$45 • http://lvww.ci.atlantic-beach.f7.us FROM U1P1N TOLAT FAX NO. 281-444-9184 May. 25 2005 04:08PM P1 )orV IPIN N. TOLAT, P.E. VWon0a&I4-V '&'V4We4 15123 Lantern Crcck Lune, f�c�i�xe��tt%n - �ne fi�cliarre Houston,TX. 77068-3831 W towaol,.✓lfr�vu�ruxla TEL: 281444-9183 Fax: 281-444-9184 Email: vtotat@sbcglobal.net May 25,2005. MAY Larry Higgins, (Signed and sealed copy of this letter is in the mail) City of Atlantic Beach Building Department, 800 Seminole Road, Atlantic Beach, FL. 32233. Tel: 904-247-5826 Fax: 904-247-5845 Re: Falloon Residence, 1717 Beach Av. Permit#05-29647 Tischler Und Sohn (USA)Ltd;(TUS) Dear Mr. Higgins, A set of Tischler drawings were signed and sealed by me on 1/22/05 for the Falloon Residence. As mentioned in the structural note# 1 on the title page, the Tischler units conform to!'RC 2001 and ASCE 7-98. I have been informed by Jim Myers,TUS Florida Mangler,that the glass in the units is etched with Miami-Dade NOA numbers. You may have to remove the Mass stops to see the numbers. Please fell free to call me if you have any questions. Sincerely Yours, ipin N. Tolat,P.E. FL. Reg.# 12847. Jo CC: James Myers, TUS. vnt/Tisch 107 VIPIN N. TOLAT, P.E. \VIT7 �a� �°n�rtrePit 15123 Lantern Creek Lane, �� - J,;mlzvcli t4 Houston, TX. 77068-3831 � / �i orsald TEL: 281-444-9183 Fax: 281-444-9184 Email: vtolat@sbcglobal.net May 25, 2005. Larry Higgins, ( Signed and sealed copy of this letter is in the mail) City of Atlantic Beach Building Department, 800 Seminole Road, Atlantic Beach, FL. 32233. Tel: 904-247-5826 Fax: 904-247-5845 Re: Falloon Residence, 1717 Beach Av. Permit#05-29647 Tischler Und Sohn (USA) Ltd; (TUS) Dear Mr. Higgins, A set of Tischler drawings were signed and sealed by me on 1/22/05 for the Falloon Residence. As mentioned in the structural note# 1 on the title page,the Tischler units conform to FBC 2001 and ASCE 7-98. I have been informed by Jim Myers, TUS Florida Manager, that the glass in the units is etched with Miami-Dade NOA numbers. You may have to remove the glass stops to see the numbers. Please fell free to call me if you have any questions. Sincerely Yours, Vipin N. Tolat, P.E. FL. Reg. # 12847. CC: James Myers, TUS. vnt/Tischl07 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j V ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Jlil�� Application Number . . . . . 05-00030024 Date 4/04/05 Property Address . . . . . . 1717 BEACH AVE Tenant nbr, name . . . . . . REPLACE WATER HEATER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -------- ---------------- ------ ------------------ FALLOON ATLANTIC COAST PLUMBING 1717 BEACH AVENUE ATLANTIC BEACH FL 32233 ----------------------------------------------------------- ----------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----- ------------ ---------- ---------- ---------- - ---- ----- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION rs _ Date: , J(� Property Address: / ___ `C%_� i Owner: /Q0 i� _ _ Telephone 9: Contractor: 9V% G rr;s 'l'a�✓'jc�� y Telephone 4: _ ��✓ Contractor Address: L„ ,_ L� Az ,J 8AFax 9-: � �h In consideration of permit given for doing the work as described in the abo'e s meet, we hereby agree to pertann said work in accordance with the attached plans and specifications which are a pan ce'elth City oi'Atlantic Beach f ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with ost recent idon of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site. 0 New list the building permit numb6r: 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 ✓�� h,��C/ Other Fees Permit Issuing Fee: $35.00 ,1 Total Fixtures: !� X $7.00 + $35.00 Z/"< ot�2 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904) 247-5845 - http:/lwww.ci.atiantic-beach.fl.us JOB ADDRESS I�I yr,V),va-- TYPE WORK PROPERTY OWNER 1ldI aJ 1 t� 1 t aN-- TELEPHONE L°l G 4) 2-41"2 ;C' CONTRACTOR �(? 6'L�.L ��LEPHI�NE C 4) 2 Co�'��39- PERMIT# .2-1 q DATE 4-23-01 INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAEU NGISHEATHING FRAMING/COVER INSULATION FINAL BUILDING 6 -Q-7- CERTIFICATE -a'7-CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT# 2I X25 INSPECTIONS: ROUGH FINAL to-2- 1-0 l 6/, i/C)1 MECHANICAL PERMIT# ZIP( 2 o INSPECTIONS: ROUGH FINAL PLUMBING PERMIT# 22 3 INSPECTIONS: ROUGH/UNDER SLAB 2 5� TOPOUT WATER/SEWER FINAL NOTES: tq,z, Department of Environmental Protection Marjory Stoneman Douglas Building Jeb Bush 3900 Commonwealth Boulevard Colleen M.Castille Governor Tallahassee, Florida 32399-3000 Secretary August 31, 2004 Michael Dunlap 118 West Adams Street, Suite 200 Jacksonville, Florida 32202 Dear Mr. Dunlap: NOTICE OF EXEMPTION FILE NUMBER: CNS DU-167 APPLICANT NAME: Fallon The Bureau of Beaches and Coastal Systems of the Department of Environmental Protection has reviewed a proposal for additions to a single-family residence. The project site is located between approximately 426 feet and 476 feet north of the Department's range monument R-46, in Duval County. The street address is 1717 Beach Avenue, Atlantic Beach. According to a survey and architectural plans submitted to this office on August 16th and August 23rd, 2004, the proposed work consists of the enclosure of a sunroom in the area of an existing covered ground floor deck on the above referenced beachfront property. The plans depict that the proposed construction will not advance the line of construction nor expand the existing building footprint. Such construction will not increase the measurable interference with the natural functioning of the coastal system from that caused by the existing structure. Based on this information, staff has determined that the proposed work is exempt from the permitting requirements of this Department pursuant to Subsection 161.053(12)(b), Florida Statutes. This letter does not represent a determination that the proposed work is consistent with the elevation and structural requirements of 62B-33.007, Florida Administrative Code and the Florida Building Code. Nor does it relieve you from your responsibility to comply with the permitting requirements of any other local, state or federal regulatory agency with jurisdiction over the proposed activity. Construction activities shall not disturb existing dune features or native vegetation. No temporary.lighting of the construction area is authorized at any time during the marine turtle nesting season and no additional permanent exterior lighting is authorized. All windows and glass doors visible from any point on the beach must be tinted to a transmittance value (light transmission from inside to outside) of 45% or less through the use of tinted glass or window film. "More Protection,Less Process" Printed on recycled paper. CNS DU-167 August 31, 2004 Page Two (2) Any person whose substantial interests are affected by any decision of the Department on the application has the right to request an administrative hearing in accordance with the provisions of Sections 120.569 and 120.57 of the Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-106.201 of the Florida Administrative Code, as indicated below. Send requests for hearings to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department must receive the request within twenty-one days after your receipt of this notice. When the Department receives an adequate and timely filed request for hearing, the Department will request the assignment of an administrative law judge. Once an administrative law judge is requested, the referring agency will take no further action with respect to the proceeding except as a party litigant, as long as the Division of Administrative Hearings has jurisdiction over the formal proceeding. Rule 28-106.201(2) of the Florida Administrative Code requires that a petition or request for hearing contain the following information: (1) The name and address of each agency affected and each agency's file or identification number, if known; (2) The name, address, and telephone number of the petitioner; the name, address, and telephone number of the petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; and an explanation of how the petitioner's substantial interests will be affected by the agency determination; (3) A statement of when and how the petitioner received notice of the Department's action; (4) A statement of all disputed issues of material fact. If there are none, the petition must so indicate; (5) A concise statement of ultimate facts alleged, including the specific facts the petitioner contends warrant reversal or modification of the Department's proposed action; (6) A statement of the specific rules or statutes the petitioner contends require reversal or modification of the Department's proposed action; and (7) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Department's proposed action. A person may request an extension of time to petition for an administrative hearing. The person filing the request for extension must do so within the time limits for filing a petition described above and serve all parties with the request. The request must state why an extension is needed. The Department will grant an extension only when good cause is shown. If a petition or request for extension of time is filed, further order of the Department becomes necessary to effectuate this notice. Accordingly, the Department's final action may be different from the position taken by it in this notice. Actions undertaken by you under this Printed on recycled paper. CNS DU-167 August 31, 2004 Page Three (2) permit, pending the lapse of time allowed for the filing of such a request for hearing, may be subject to modification, removal, or restoration. Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Section 120.57 of the Florida Statutes and to participate as a party to the proceeding. If a legally sufficient petition for hearing is not timely received this notice constitutes final agency action. When this order becomes final, any parry to the order has the right to seek judicial review under Section 120.57 of the Florida Statutes and Rule 9.030(b)(1) and 9.110 of the Florida Rules of Appellate Procedure by filing a notice of appeal with the Department of Environmental Protection, Office of General Counsel, Department Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399, and with the appropriate district court of appeal within thirty days after this final order is filed with the Department Clerk. The notice filed with the district court must be accompanied by the filing fee specified in Subsection 35.22(3) of the Florida Statutes. Any subsequent intervention will only be at the approval of the presiding officer upon motion filed under Rule 28-106.205, Florida Administrative Code. A person whose substantial interests are affected by the Department's proposed agency action may choose to pursue mediation as an alternative remedy under Section 120.573 before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth below. A person may pursue mediation by reaching a mediation agreement with all parties to the proceeding (which include the applicant, the Department, and any person who has filed a timely and sufficient petition for a hearing) and by showing how the substantial interests of each mediating party are affected by the Department's action or proposed action. The agreement must be filed in (received by) the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, by the same deadline as set forth above for the filing of a petition. The agreement to mediate must include the following: (a) The names, addresses, and telephone numbers of any persons who may attend the mediation; (b) The name, address, and telephone number of the mediator selected by the parties, or a provision for selecting a mediator within a specified time; (c) The agreed allocation of the costs and fees associated with the mediation; (d) The agreement of the parties on the confidentiality of discussions and documents introduced during mediation; (e) The date, time, and place of the first mediation session, or a deadline for holding the first session, if no mediator has yet been chosen; Printed on recycled paper, CNS DU-167 August 31, 2004 Page Four(2) (f) The name of each party's.representative who shall have the authority to settle or recommend settlement, and (g) Either an explanation of how the substantial interests of each mediating party will be affected by the action or proposed action addressed in this notice of intent or a statement clearly identifying the petition for hearing that each parry has already filed, and incorporating it by reference. (h) The signatures of all parties or their authorized representatives. As provided in Section 120.573 of the Florida Statutes, the timely agreement of all parties to mediate will toll the time limitations imposed by Sections 120.569 and 120.57 for requesting and holding an administrative hearing. Unless otherwise agreed by the parties, the mediation must be concluded within sixty days of the execution of the agreement. If mediation results in settlement of the administrative dispute, the Department must enter a final order incorporating the agreement of the parties. Persons whose substantial interest will be affected by such a modified final decision of the Department have a right to petition for a hearing only in accordance with the requirements for such set forth above, and must therefore file their petitions within twenty-one days of receipt of this notice. . If mediation terminates without settlement of the dispute, the Department shall notify all parties in writing that the administrative hearing processes under Sections 120.569 and 120.57 remain available for disposition of the dispute, and the notice will specify the deadlines that then will apply for challenging the agency action and electing remedies under those two statutes. The exempted work is strictly limited to that described above. If you have any questions, please call the area engineer, Bill Wilkinson, at telephone number 850/487-4475, extension 113, or you may write to Mail Station 300 at the letterhead address. Sincerely, c, Fritz W ttstein, Environmental Manager Burea of Beaches and Coastal Systems FW/ cc: Bobbie Nelson, Field Engineer Permit Information Center k-x4q of Atlantic Beach Building Official Printed on recycled paper. O.., ADDRESS BUILDING PERMIT INSPECTIONS SLAB____. FRAMING___,_- ��. .--____ _ _ _ COVER UP---17 INSULATION___�w _� ____- 0 FINAL CERTIFICATE OCC__ ELECTRICAL PERMIT 3 _________.__w_ p INSPECTIONS ROUGH FINAL_____& ` � .?-------- MECHANICAL PERMIT # � PLUMBING PERMIT w NOTES: A 4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J M. ATLANTIC BEACH, FLORIDA 32233 ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028907 Date 8/23/04 Property Address . . . . . . 1717 BEACH AVE Tenant nbr, name . . . . . . INSTALL 3 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- ---------------------- ------------- ----------- FALLOON, N ATLANTIC COAST PLUMBING & TILE 1717 BEACH AVENUE 323 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-5381 ------- ------------------------------------------------- -------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: -,07/ Property Address: 1:2 Owner: Telephone #: _��74ej_ P)01 A In ZI Telep�one 0: _ �_ J j�JD/ Contractor� Contractor Address: Fax 4: P9, 41- 3 4173 1 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 pan hereof and in accordance with the Cita o 1,Atlantic Beach I ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be hi 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 Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X 57.00 + $35.00 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845 - http:l/www.ci.atiantic-beach.fl.us P7 4-taAli-) TREE REMOVAL SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE THE KEETINC: Wf LV) a'l KS-- ,S- S-2 Owrws Nst M Address Tsiephone tocatbn of Trop Removal M Akeratton SECTION B (To be omVleted by sppricaneswixm p vpeq T roved mbondtK Includes an exstinpdwo*U and wMch is root pr wft owwooaoso 1.What dwWs are proposed lo ft above,pealed elle? ll ��n off � �✓�•P� �"` �.J i�J 1."� �C� ..•..�o � 1�I u"" 2.wimt la the purpose of these pi poeed changes? 3.Specify trees proposed for mmnoval as topows: ' TRE COUNT SPECIES, SUM(OBH x HEKiI.1 fi COMMON br 4.Wll tt1Q8•trees be retooatsd 011#W Sams P /VD G t S.K not.wM mWomror t trees be p i 6.Specify proposed replacement"an folwim TREE COUNT SPECIES 5 7.Attach sle plan. ' (SKIP SECTION 0 AND COMPLETE SECTION D) SECTION B - (All other Applicants). 1 . Property Zoning: 2 . Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography, existing and proposed grades b) Existing and proposed structures c) Location of all trees w/ DBH of six inches or more d) Tree species and sixes e) Trees to be removed should be clearly marked f) Trees to be relocated should be clearly marked g) Location of any proposed replacement trees h) Identify trees of special or unique characteristic i ) Identify trees within 10 feet of construction areas j ) Show location and type of tree protective barriers k) Location of utilities, accesses and easements. 1 ) Location of vehicle travel corridors m) Location of commercial sprinkler/irrigation systems n ) Landscape maintenance plan jcommercial only) o) Staging areas for equipment and material storage SECTION C I agree to comply with the rules and practices established in Chapter 23, Artic II of the Code of Ordinances of Atlanti e A /I Owner Sign u e ate Applicant has complied with all provisions of Chapter 23 and requirements of the Tree Conservation Board . Tree Removal Approved10 By Date Tr ation Board Designee Date NOTE: "Tree Protection for Builders and Developers" i,s available at City Hall or from the Division of Forestry, 8719 West Beaver Street, Jacksonville, FL. 32220. ( 781 -1434) iI CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD =� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000171 Date 2/03/09 Property Address . . . . . . 1717 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16200 ---------------------------------------------------------------------------- Application desc REROOF FL 250 .4 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FALLOON INTRACOASTAL ROOFING CO. , INC. 1717 BEACH AVENUE P.O. BOX 10816 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 398-6675 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 16200 Expiration Date . . 8/02/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 110 . 00 110 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. SA, J ✓'�� S/� �" Ate'�4Q F ATLANTIC BEACH OS' Se/ CITY FL 32233 l' 800 SEMINOLE ROAD,ATLANTIC BEACH, OFFICE:(904j247_`�6•FAX NO.:(904)247�g46 ° BUILDING-DEPT@COAB.US DUVAL COUNTY BUILDING PERMIT APPLICATION 00F, 3 R S4 FT;:.uNOER: VALIJp,TION •• �, , } , ,t. 8°IJSE,OFST,UCTURE, '. Q ✓1 rvQ 5;CLASS OF WORK% ESIDENTIAL AppRESS' L ❑DEMOLITION _ " '' ❑NEW BUILDING N'' 1I'� i ❑ADDITION Q CONVERTING USE [I COMMERCIAL ,/ Qe01 t•N am 1 Q ACCESSORY BLDG. e'FIRE SPRINKLER A, f`7 I ay"I I L ❑ALTERATION Q YES N/A �1 QPO LISP K`$UBDIVISION/V QREPAIR �� ,i vOJ" [)�•1�0 4 r r.gra ,� MDTrfER &� IF710N OF VpRK. p �q� ❑MOVE m s y, ARGHITET/ENGINEER`$ , �jIJIQ,lBiGK•yr �/ / CONIRpC70R,... ,y �+�t•x / 23. MPA NAME: �� .J OWNER f. YNAME, �• i l a pROPERN a. 15.GO �� 9* "E. .,.. P. /v 24.LICENSEE NAME: L 16. ME: 25.STATE OF FLORIDA LICENSE NO.: OF FLORIDA FLLS 10.ADDRESSQ Qp he �O �Ia /D 7 26.ADDRESS: /�'b "5�•�Jfvl,i/�&W.( 18. DROSS: �08/� 1-717 � Ile � 3417N/QNY A!C. 5,, �fji/ry�tr 27.OFFICE PHONE: 28.FAX NO.: K a 33 —5,93*12v 20.FAX NO qAX NO: 19.OFFICE PHONE: 11.OFFICE PHONE: 2.FAl to 3 8 .Q 29.CELL PHONE: 21.C� NE' !/�/�7 1 1ONE 4/ � 30 EMAIL//ADDRESS 22.EMAIL ADDRESS' 14,EMAIL ADDRESS: � NY MORTGAGE LENDER t46 I��(� 9hA BdtiD1NG 35.NAME: FEE gtpAPLETITLE.HOLDER Y� a _s.pF OTFRTFiA190WN1=R).,, 91.1 33.NAME: 36.ADDRESS: 31.NAME: 34.ADDRESS: 3z ADDRESS: and installations as indicated. I certify that no work or installation has ermit to do 11 be performed to meet the standards of all laws regulating construction in this S made to obtain a p of Application is hereby commenced within six(6)months, or if construction or work is suspended or commenced Prior to the issuance of a permit a timer work is commenced. I understand that separate permits must be secured for jurisdiction• This permit becomes n dols,F ces,Boilers,Heaters,Tanks, Air Conditioners,etc. abandoned for a period of s• all the forego information is accurate and that all work will be done in compliance with all applicable PI d zoning.I will noto�py or use the referenced building or any part therof, until all inspections are finaled and CI Electrical Work+ to of occupancy or Com . pbtion issued by the building official,as required by law. S1 OWNER'S. C11 la AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR v' YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. „ r OWNER or AGENallow (If Agent,Power Agomey orAgencj Letter R j ` (Qii if r Onlyj r Signe . _ �Date: � Signed: Date: Before me this da of 2 in the countyof Before me this s day of Ar.✓ 0A7-!(_ W 29in the coup ofd r / b Duval to of Florida,has pe onail appeared Duval,State of Florida,has personally appeared ,/S D r'v21d `f/ herin by himself/herself and affirms that all statements and declarations are herin by himself 1 herself and affirms that all statements Ad declarations true and accurate. / true and accurate. Notary Public at Large,State of �• / `,County Of A�� Notary Public at Large,State of /0,41 G4a o-4.004Tunty of Sr �570h J 5 Irl Personally Known Q Personally Known ❑Produced I roducad Identification- Notary Si atrr Notary Signature: " MY or M1°t� Ex ices 0712912011 W1tll C VA"T t>a ty Pill" -9"of FbNe COAG FORM BLOG01:REVISED:1(10!2008 CA 0 00»`m 1 fss CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001050 Date 7/21/09 Property Address . . . . . . 1717 BEACH AVE Application type description MECHANICAL HVAC ONLY Property Zoning . . . . , . . TO BE UPDATED Application valuation . . . . o ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ----------------------------------------------------------------------- Owner Contractor ------------------------ ---------- - --------- FALLOOI� OCEAN STATE HEAT & AIR, INC. 1717 BEACH AVENUE 1476 ATLANTIC BLVD. FL 32233 NEPTUNE BEACH FL 32266 ATLANTIC BEACH (904) 249-8251 -------- ----- --__ Permit • MECHANICAL HVAC PERMIT Additional desc 75 . 00 Plan Check Fee 0 o0 Permit Fee Valuation Issue Date 1/17/10 _ ----------------------- Expiration Date _!---------------------- Credited Due --- Summary- - Charged___ ---Paid--- --------- -__-- - . 00 Fee --- - 75 , 00 75 . 00 CITY OF ATLANTIC BEACH -' 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000171 Date 2/03/09 Property Address . . . . . . 1717 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16200 ---------------------------------------------------------------------------- Application desc REROOF FL 250 .4 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FALLOON INTRACOASTAL ROOFING CO. , INC. 1717 BEACH AVENUE P.O. BOX 10816 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 398-6675 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 16200 Expiration Date . . 8/02/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 110 . 00 110 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �� Q ��ry►ow 6z Er/ � '� yD s s��s sh:.'/&?3 ®-r, ✓•i�c �s ► ,tia�octbl C�Qc6c• .Sjr(/`rr /e'S ; $//td► ►�>►�O ed 0 o r lfw y eav, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- - I ( I I I e7 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY .;.t:`JOB'ADDRESS ,W7777 ;'7= es, •, < rc' 2 VALUA7)ONOF;WQRK+ 3 SQ_FT.UNDER;ROOFz „ , i;.4: eac. /even�.Q /6,aoD 3�� '' 5:CLASS OF11tORK 5`_, ..;t 6-USE,OF STRUCTURe. LEGP,LI>E CRIPTfON _ 13 NEW BUILDING 13 DEMOLITION ESIDENTIAL IOT� BLOCK SUB DIVISION QMt�( IICA n 1��7 ❑ADDITION 11 CONVERTING USE ❑COMMERCIAL DESCRIPTION OF WORK ,� ". "' /► ❑ALTERATION Il ACCESSORY BLDG. Bi F,IRESPRINKLER„?,, .E jPig M D'r ^.l?Avw 0, rr rI,LL . 13 REPAIR C�PO I SP 13 YES ❑NIA f.%i /!tel • f �/ / /• /yam//I� O MOVE I�}' TTHER •I<-&ICIQf�O sPROM CONCTDR •:" ERTYOWNER ,; ,. , b;,'ARCHITECTCENGINEER :...:. s A11 9M.>: TRi4 9. ME: /I lAd/O 15.CO NAME: 23. MPA NAME: 16. ME:/ ,�t�7`/.ir;CC� 24.LICENSEE NAME:�� ` 10.ADDRESS: 17.S TE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: /-7/7 d" e k - oo Iva/0 9 R/40",�� 18. DR SS: 26.ADDRESS: ,B9x iDS 6 3 7 33-S8 3� ./ac�.jcu Illej/eL 3 9,2 V 7 -jA ',eSq+ vleze fL ?,d2 11,OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: / 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: dy7 05/9(0 3 8-106�� - ac2 >S'F�- 3708 1 CSF}L�I10NE:y7 I, 21.C3,PSI W 29.CELL PHONE: 79 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL DDRESS: �; � PEE SNIAPlE 77TLE;HOLDER`' '` - 4 r pFOTHERnUwowrory „' BONDING COMPANY: MORTGAGE LENDER ,. 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,Fumaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. ** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OW_NER or AGENT`S v.�,�' (If,Agent Power Attomeyo�Agency,Letter Required)' e }�' Signe . Date: Signed: Date: Before me this G day of 209 in the county of Before me this s day of iJ V 7 N 2ef-in the count of ea- f 6 Duval to of Florida,has per onally appeared Duval,State of Florida,has personally appeared �"t* �A 1 ` 'I G �a h,�,, f q Ifs D►' 0 9 -` herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements declarations arC true and accurate. ��ii true and accurate. Notary Public at Large,State of_ ,County of v�� //Notary Public at Large,State of A'✓=4�unty of s :1 r ,he s 1a Personalty Known ❑Personally Known ❑Produced I roduced Identification- Notary Si atu Notary Signature: o` Y or mot Ex ires 07/2912011 AAEtiyl C SWEAT NOIMr FMtie-SMN 0/FlprNa • IyrCorllrMlNMEryM�MApb,lSt COAG FORM BLDG01:REVISED:1/10/2008 `.gyp »' NOTICE OF COMMENCEMENT Building Permit# Tax Portfolio# 169662-0000 THE UNDERSIGNED hereby informs you that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes,the following information is provided itrthis NOTICE OF COMMENCEIV ENT. 1. Description of property: Lot 19,North Atlantic Beach,Unit 1,Duval County,Florida. a)Street Address: 1717 Beach Avenue,Atlantic Beach,FL 32233-5838 2. General description of improvements:Roofing&waterproofing 3. Owner Information: a. Name&Address:Nancy P.Hadlow,1717 Beach Avenue,Atlantic Beach,FL 32233-5838 phone#904/446-6474 b. Name&address of fee simple titleholder(if other than owner): c. Interest in Property:owner J 4. Contractor Information:Intracoastal Rk Co.,Inc. phone#904/398-6675 Address: P.O Boa 10816,Jacksonville,FL 32247-0816 5. Surety,Information:(ifany):N/A phone# Address:N/A amount of bond: 6. Lander(if any):N/A ply# Address:N/A 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name:N/A phone# Address:NIA 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)N,F.S. Name: phone# Address: 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCMENT ARE CONSIDERED IMPROPER UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCMENT MUST BE RECORDED AND POSTED ON TW JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR ER OR ATTOREY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. State of FLORIDA s County of Duval Sign.Mi" tOwner(or avdborizsd t +� r) L CA Print Name The forgoing tltnr ent was acknowledged before me this •M* a -�1- � � c� suu�aa day of t 2408, by� �c cx-V� as .�`'Q,'tNEY tij'4d (type ofauthority e.g.o icer,trustee,attorney in fact)forARy�`�$` (name of party on beha f of whom instrument was ted). 'My�mm.E • k 2012: Personally Known OR Produced Identification Notary Signa Type of Identification Produced_ ��,(�L. Name(print) 4.. " " �Verification pursuant to Section 92.525,Florida Statutes. Under penalty of perjury,I declare that I have the fo the facts stated in it are true to the best of my knowledge and belief. r Signature of Natural Person S g Above ucm b r Pag i/294,OR SK 14r5g rage 587, Number Pages: 1 ReCorded 01'23/200q at 02:58 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL 1 COUNTY R.ECORnlNr- r City of Atlantic Beach Buildine Inspection Division 800 Seminole Road Atlantic Beach, FL 32233-5455 Roofing permit# RE: 1717 Beach Avenue, Atlantic Beach, FL 32233 The evaluation and installation of roof to wall and/or installations of connections at gable ends or all comers cannot be completed for 15%of the cost of roof replacement. RM�� DUI(/(�� , licensed as a (Print name) _Contractor (check one) _General Building _Residential _Engineer Architect License#: jPL4C,/D,4 92Dt� (Signature) f ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD - y ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �E J;li>rj Application Number . . . . . 09-00001050 Date 7/21/09 Property Address . . . . . . 1717 BEACH AVE Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FALLOON OCEAN STATE HEAT & AIR, INC. -L11,7 'BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/17/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 07/21/2009 07:33 FAX 9042498949 OCEAN_STATE_A/C i ATLANTIC-BEACH IA001/001 t ' CITY OF ATLANTIC BEACH 49, T ...I .I 1161)SQAANOLB ROAO,ATLANTIC SEACN.FL 22 J OFFICE:(11106120-511211•FAR NO,:I904)247.5M5 9UILO:NO.OEPT�COAp.UE MECHANICAL PERMIT APPLICATION DUVAL COUNTY 7. 0 / /7 O YES PERMIT S. 7)Z/A .r�' r + +Y•` ,ML•r�C'P�4'~ik7/•ta��31V{'4•�•n .•x A.. ...„. VI ",.�,w�,.,.i�.n,(. •�.' yr}!.' :,r,• �a.•i:.r.:.rc.;+ acv,. ,,, 4.NAME E ADOMS IF WFERENT FROM JOB ADDRESS: PHONE' 1JID06A Sate'-2y . T.NAM&OF COMPAM/: 11�7 7 N �TlNG Vi�Kr u Air a STATE OF fLOMDA UCG►ME N0, 16 CELL PNONE; ' F CAICI 9 )0 Y-L — t2 EMAIL ADORKS6: I 11A OpIrc, H i►pY- P.Yv•- S Application is her y made to otltaln a pamdt to d0 the work and inataMatlons es Mdtcsted. I cerUy that all work will be perfomlao Io meet the standards of all laws repulaMnp cwntrucdon in bds)u isdlctkvL TMs pw l►beca"mas nUl nd vold If work it"not commenced within six(5) months,or K tx) Iniadon or wont Is suspended or abandmW for a palMod of six n CONTRACTORS 610NA P. OWNS". ors ti s 0 NEW INSTALLATION Y O NEW L 13 V8 FLORIDA BUILDING CODE- REPLACEMENT OF EXISTING SYSTEM JrEXISTINQ a COMMS CHANICAL O ALTERATION I ADDITION TO MST$YSTEM U REPAIR O OTHER [20. V N.J: ".,,�,7,.HEAT, 0 SPACE 0 RECESSED CENTRAL ❑FLOOR BURNERS: AIR CONDITIONING: O ROOM CENTRAL 1.DUCT SYSTEM: MATERIAL: THICKNESS; MAX CAPACITY' dm 2.REFRIGERATION: MAX CAPACITY: dm.COOLING TOWER: CAPACITY: pm C FIRE SPRINKLER: NUMBER OF HEADS: 6.LIFT SYSTiiW ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: X.COMMIERCIAL HOOD NUMBER: 27.FMEPLACE: PREFABRICATED: MASONRY: 20.IRRIGATUON: 0 PUMP 0 WELL O PIPING 25.GAS PIPING: OF OUTLETS: a GAS AHU 0 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR NFJITINC,OOILM LRs1RED PR OURS VESSEL,KAT SXCi1AN0LR .OR COIL IN OUTS ETC ALwe FOR OTHER ITEMS: •Fra;. . � .. U N. OFUN(T DESCRIPTION MODELS MANUFACTURER TONS AGENCY 2-.17 kw.nryll, 1r,' .*`� :':R�'kfal+•t D ROWER all UNITS ��.• DESCRIPTION MODEL• MANUPACTURER BTU AGENCY y G7" r w NUMBER GALLONSNTAIN MANUFACTURER SERAIL a Y 0,0064 POMMI Ag"Idn MM TEASED:+2A1)ao1)11 q3 r, CITY OF ATLANTIC BEACH 09- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 - y`-< ; OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US DUVAL COUNTY MECHANICAL PERMIT APPLICATION Z. TE:; . . . 1,JOB ADDRESS: 2:1$THIS ASUB'P�=RMIT' p ANOtil q�/ �� 4. ❑YES PERMIT#. V RRORE �. NE s PHONE:s 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 4.NAME'. 1 In yam-ZY -?-13SD MECHANI ALIO `NTRACTOR: 7.NAME OF COMPANY 11 t' C' %Y76 S.: N 'IvH4, 13�c (3v t1 11.FAX is 10.CELL PHONE: oY-zYs- 9y 9,STATE OF LORIDA LICENSE N0: 7 Z T 7 7 1 13.OFFICE PHONE: 14. 12,EMAIL ADDRESS. 'Foo- 2 Y/ —.1z-" ' Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and vome ad if werk isrnot commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six Y CONTRACTORS SIGNAT E: t6,.GLASS DF iNC1RIl. 14.',9�Ii O{NO!, 1 ERVI Ct3RREWT COD ❑NEW INSTALLATION ❑NEW R ENT L [1'06 FLORIDA BUILDING CODE- REPLACEMENT OF EXISTING SYSTEM I EXISTING ❑COMMER MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑OTHER ❑REPAIR fiAECt kANICAL EQUIR1 NTT -'9E,'NSTALLED: 19.HEAT: ❑ SPACE ❑ RECESSED CENTRAL 13 FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM CENTRAL THICKNESS: MAX CAPACITY: cfm 21. DUCT SYSTEM: MATERIAL: 22. REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: 9Pm 24,FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: 13 PUMP [I WELL EI PIPING 2 ❑GAS AHU: 11 GAS WATER HEATER: 9.GAS PIPING: #OF OUTLETS: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER VALUE FOR OTHER ITEMS OR COIL IN DUCTS ETC , 't' fOI+T1Nf F�Ef�RI" ft IP" NT)7t5NDEN 'fC .1=1 .' APPROVING NUMBERMODEL# MANUFACTURER TONS AGENCY OF UNITS DESCRIPTION MSATI„G QUIPMENT y €hF'G :8 IL FI B AI .HAtJ LE BIC; OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 1-37 � /(0(ovo NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mach:REVISED:121182008 ,�'j ra`Jr✓�a,t ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �l Ji lir~ Application Number . . . . . 08-00000862 Date 6/24/08 Property Address . . . . . . 1717 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE WATER HEATER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FALLOON ATLANTIC COAST PLUMBING CORP. 1717 BEACH AVENUE DBA:ATLANTIC COAST PLUMB. &TILE ATLANTIC BEACH FL 32233 Q/A: PARRISH, NICHOLAS JACKSONVILLE FL 32224 (904) 249-5381 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/21/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jun 24 08 11: 10a Susan Parrish 904-246-3673 P• 2 7 CITY OF ATLANTIC BEACH �ry r PLUMBING PERMIT APPLICATION ft Date: �� T ✓G Property Address: Owner: / � /GoTelephone M Contractor: telt hone#• .,2y:�i QLeL— Contractor Address: PG f�c� J? r Fax#�: L� � G f In oonsidettuion of permit given Cor doing the work as deseribeo in the above statetncrnt.we hereby agree to perti+rm said work in accordance with the;,ueAcd plans and specifications which arc a pun hereuf and in wLwdwvc with the City o+Atlantio Beach ordinance and standards of good practice listed therein. tnstallm.on of plumbing and fame must be in acoordancc with tltc must recent edition of the iouthem Standard Plumbing Cock. Plumbing Type: if other construction is being bone on this building or site. Q New list the building permit numbbr: Q Re-Pipe .... _.. ..__.� Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks ' Disposals Urinals Floor Drains .. Washing Machine Lavatory . Walter Sewer Water Heaters /L Other Fees Permit Issuing Fee: S35.00 Total Fixtures: �_ X S7.00 + S35.00- I 800 Seminole Road-Atlantis; Beach,Florida 32233-5445 Phone: (904)2475800. Fax: (904) 247-5845- http:liwww.ci.atlantic-beach.R.us CITY OF ATLANTIC BEACH • MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 ress: "'(7EACXI ermi >ium er: ATLANTIC BEACH, FLORIDA 32233 Permit Type: MECHANICAL CTownship: 0 Range: 0 Book: Class of Work: ALTERATION Lot(s):19 Block: Section:0 Proposed Use: SINGLE FAMILY Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: Date Issued: 2/14/2002 ame: Total Fees: 47.00 Address: 1717 BEACH AVENUE Amount Paid: 47.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/14/2002 Phone: (904)247-2830 Ing or esc: iiw 00 TA s iw'G.Nh1g .. 'ky aac r i Vy Raw s LSTED AT C1=AS`I '2IC.? l ' R . NOTIC StdE ION x ., w, � x BUILDING MATERI , ROB I ,� Y FTIi W-11 NSSPACE, AND. MUST BE CLEARED „FAILURE TO CO .. I'EC' 31 #1AFA - E.` iC 2 THE PROPERTY OWNE *� OR.Bllr ICTVr IEVt:�?ROVEM �« ISSUED ACCORDING TO E0`P � Ff DART OF TM II° JECT TO REVOCATION FOR VIOLATION OF APPLIC Type: OC Drawer: 1 per: DSMITH el Receipt no: 025 Date: 2/28/12 (47.88 t i4 PERMITS-SUILDIHfi 1 78%86 Trate."Ill 169% $185..98 ATLANTIC BEACH BUILDING DEPT. CK CHECKS. Tire: 9:36:47 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC rrACH.FLORIDA 321203 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. LOCATION street Address, 13CA C t'l A e_ OF Intersecting street%: Between 171" :57 And S BUILDING sabdwlrlen il. IDENTIFICATION—To be completed by all applicants. In consideration of permitgiven for doing the work as described In the above statement we hereby agree to perform mid work in accordance with the atteelyd plans and specifications which oro a pot horeof and in accordance wish the City of Jacksonville ordinances end standards of good.practke listed therein. Nenm of Maehankaf Contractors Coabeeter(hln}) 51 } Maier Name of Preperty Owner slgnatun of Owner Signatureof or Authorized Agent Architect or Ex.— Ill. inner111. GENERAL INFORMATION A. Type of hosting fads H• Is OTHER CONS CT'ON REIN ONE ON �. FlecMe THIS BUILDING OR ❑ Gee—C3. V ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION C] oilIF ❑ Other—specify IV. MBCMANM.AL IQUIPM04T TO II INSTALLEQ NATURE OF WORK (Provide complete het of components on bed of this forml Resldentlal or ❑ Commercial rr Hut ❑ Spars ❑ Recessed )( Control 0 floor ❑ New Building Air Condstiasleg: ❑ Rosin 9 Control Existing Building ❑ Doct Systems Motorist Thiekee•s Replacement of existing system Maalmwn copetity ❑ New Installation(No system previously Installed) ❑ Itaidgawtioa ❑ Extension or add-on to existing system ❑ coding tan% Capacity 946% ❑ Other—Specify ❑ Ern sprinUwss Number of head. ❑ Elevator, ❑ Masllff ❑ Escalate% (nwaslowt THIS StACE_POR OPF=YSE ONLY ❑.Going-pamp< (number) (Resolved) {�.•Teeie (number) Remeris ❑ LPG centelaws (-mbar) I ❑ Unfbed ptaRNe want ❑ Permit Approved by pi IeBena. ❑ 011ew—'Specify Permit Foe LIST ALL EQUIPMENT AA COMMOI ING AND REFRIGERATION EQUIPMENT Cap t wpy,o.feE NttmbaUtdta Dsromptloe ModelNmRber Xanufuturer ('roar) AACOMr M HEATING•FURNACES, BOILERS, FLIU PL ACES Qapaid7 Number Vett+ Dommiptloo Xottet Ntunber Xanufa rtureu (>3=) ACMW L T 12AN TANKS Neer Mao? am Dbasusloom b Cont Llilrutall Maxmutaottuea �No. Ap B j CITY OF ATLANTIC BEACH I DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT iNtRMATIUN LOCATION INFORMATION Permit Number: 21786 Address: 1717 BEACH AVENUE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):19i Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 55,000.00 OWNSRMATION - r Date issued: 4/17/2001 Name: NIALL FALLOON Total Fees: 455.00 Address: 1717 BEACH AVENUE Amount Paid: 455.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/17/2001 -Flhong; (904)247-2830 Work Desc: KITCHEN AND DINING R' OM REMODEL C{ 11lTRAC Ql65 :: LICATIt)N SW$ VINCENT C. PESSOLANO DEVELOPMENT , 420.00 f3ftOSS,CONNECTION 35.00 N ` > ss xnx � a wt f ROUGH ELECTRIC C NLCAL TOPCUT UNDER SLAB PLUMING 1NAt x a' NOTICE- I(NSPECTIO. UST BE'REQUESTFD AT LEAST 24 HOURS PRIOR TO IN %ECTION - — r BUILDING MATERIAL, RUBBISH AN6DEBRIS FROM THIS WORK MUST NOT PLACED 1191UBLIC SPACE, AND D HAULED AY BY EITHER CONTRACTOR OR, WNER MUST BE CLEARED UP AN � . "FAILURE TO COMPLY V0TH-.T,�HrE`*COk§11kUw RF., ULT IN THE PROPERTY OWNER PAYING TWICE'FO �: UIL01 P OV I " ISS ACCORDING TO APPROVED PLANS> IItJWARE''PA RT F Tk*S-PERMIT AND SUBJECT TO REVOCATION FO TION OF APPLICABLE PROVISIONS W ro � ss, cs.+ 1 4 $429.09 14 AT' A3)C BEACH BUILDING DEPT. Date: 4/223/91 91 Receipt: 995213 F a CHECKS •�rn 91999932 1999 r.. �a CITY OF ATLANTIC BEACH/ PERMIT C/►ALCULATION SHEET 1 Address I 1 Fr4C1-F /`'rU� (�IIV EIZIa ✓C / ftiOPEO / Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch ' @ $ per sq ,ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 5�coo 0 $ �2Gb Total Valuation 1st $ S0 ; 000 © U 2O $ 20 Remai ing Value $ 00 per thousand Yr portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ &2— WATER 2WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ sS d ADDITIONAL PERMITS OR FEES : Mechanical .; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH RECEIVED PERMIT APPLICATION REMODEL,ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS APR 1 1 ��, Owner(s) /VrALL.00n1 N i XL—� tAtlantic Beach Job Address_ l7 17 .(3eA�cL AOX Phone l Lot#_ J�_ Block or Unit# Subdivision%_ ° . rL A-N-�C (T-S ctf Contractor I��,sro/s vo Z�,% o.,z-csta�e,,•„G State License# C G C©G o 9 a,9 Address 417 Z o �Q/�b� l�_ 5�,� Z y y Phone oo y Z V&- 773,Q- City 73City :T-Ac k c6K-it lie State 0="/, Zip 322, Describe work to be done Present use of building a 'MI n -yt Valuation of Proposed Construction—4P _ Proposed use .S Is this an addition? h/O If yes, what are the dimensions of the added space: ft.x ft. Will the added area be heated and cooled? New electrical (or increase) New plumbing fixtLEYjE7NERGY New fireplace? New Heat/AC? SUBMIT THREE L)TWO (R ENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SUR COD NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR A =RNRACT R. Signature of OWN Date: Signature of CONTRACTO \ Date 7 - 9-- 4/ STATE OF FLORIDA COUNTY OF Sworn to (or affirmed)and subscribed before me this =—day of 2001' --7 AS TO OWNER: Notary's SignatumZ� --_._- SHARON STARLING ❑ Personally known ' �� •' Notary Public,State of Florida produced Identification a• Pte: My comm.expires Mar.21,2003 ;RR'.''t �,rffjT 4. .f C 819398 Type of identification produced Sworn to(or affirmed)and subscribed before me this Of�h day ofmxt 200! w0fjTFI TO� _ 6�R: ,,, , NNP'FAHj��%� Notary's Signature ?UU1 �� 44 ?:o�M�SS10yFa.6ifi%, :711, ersonally known • bgoo9�� _ P Ober2� roduced Identification City of Atlanrjc Beach = . Building and Zoning �o;• cc7sa53s :Q= Type of identification produced i99:t5 Bondedl�N�t`:• Q� a tiin�o��,\ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING " 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT FlI1"I # T#ON Lt )NFORII? TION _ _- Permit Number: 22236 Address: 1717 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):19 Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est.Value: Parcel Number: _ Improv. Cost: Date Issued: 6/26/2001 Name: NIALL FALLOON Total Fees: 25.00 Address: 1717 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/26/2001Phone: (904)247-2830 Work Desc: RELOCATE DISH WASHER A I K CC3 TOI2 ICA ON �C. W. WOOD _4,PERMIT 25.00 _ y ".1,A �¢ V > rt I my I �°laMltyy�Y a t � i L 7r— NOTICE ^NOTICE- INSPECTIONS T BE REQUESTED AT LEAST 24 HOURS OR TO INSPECTION BUILDING MATERIAL,``RUBBISH Ate) DEBRIS FROM THIS WORKOT BE Pt CED IN PUBLIC SPACE, AND MUST BE CLEARED P'AND HAULED AWAY BY EIA CONTRAQYTOR OR OWNER "FAILURE TO COMPLY VVtT f HE 06NS RUCTION LIE =- Slv�SULT IN THE � PROPERTY OWNER PAYING""""fW,CE EOF 8 L[1N0 t P ISSUED ACCORDING TO APPROVED PLANS VS RfCH A fi R°T'*0 THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW Fes' r . fZS.le 14 AT NTiC CH BUIL IN DEPT. ktt: 6/L%/el It Rmtpt: ev"4 000 uj'3 1"NlYl 247.554 TO!97431730 P,1111 oil RE J ui 2 62001 CITY OF ATLANTIC B&UN Ot Atia � lv teach 9 APPLICATION FOR PLLWING P R iidinZ7 And �0nin1; J2 -2/ 7 �a e OB LOCATION: OWNER OF PROPERTY: a/I/unc�/ I c�v� TELEPHONE NO.S��' 3 7 PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: C�'� CSS 70 y 7 TELEPHONE: 77 HOW MANIC CF THE FOL LOWING FIXTURES INSTALLED SINKS __ SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS _ _DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURISS --�'x�$3.50 + MINIMUM PERMIT 52. .5 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: L tom✓C� ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH TH.E MOST RECENT EDITION OF' THE SOUTHERN STANDARD PLUMBING CODE, CALL A DAY AHEAD TO SCHEDULE INSPECTIONS •— (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INFO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — (904) 247-5834 - CITY OF ATLANTIC BEACH MECHANICAL PERMIT 8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247.5826-FAX: 247-5877 -- PERMIT'I F M TIO TIt�N R ON 1717 BEACHAVENUh Permit Number: 21936 Address: ATLANTIC BEACH, FLORIDA 32233 Permit Type: MECHANICAL Township: 0 Range: 0 Book: Class of Work: ADDITION Lot(s):19 Block: Section:0 Proposed Use: SINGLE FAMILY Subdivision: NORTH ATLANTIC BEACH Square Feet: Parcel Number: Est. Value: O INFplIATION�� Improv. Cost: Name: NIALL FALLOON Date Issued: 5/11/2001 Address: 1717 BEACH AVENUE Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 25.00 Date Paid: 5/11/2001 _ Phone: (904)247-2830 Work Desc: GAS PIPING LAO ES CON' RACT"OR PIRMIT 25.00 PRO-GAS CORP. kt. N h FINAL NOTICE�INSPECTI T BE REQUESTED AT LEAST 24 HOURS PRI TO INSPECTION BUILDING MATERIWRUBBISH KRIS FROM THIS WORK MUST NOT BE CED IN ELIC SPACE,AND MUST BE CLEARED UP-AND HAUL -AWAY BY EITHER CONTRACTOR OR O ER "FAILURE TO COMPLY,WITH+TSTRUCTION LIEN !aAN RHES T IN THE PROPERTY OWNER PAI NG. O E E S _ ISSUED ACCORDING TO APPROVE H RF, PitTF P AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PRO S W- 0.0 14 AT NTIC CH BUILDING DEPT. Datez 5/11/11 Si Receipt= !65m 811�1l93'�''cltllB A?Kee 1 7 t Y 2001 BUILDING AND ZONING fNSPECTION DIVISION Cit CRY OF ATLANTIC BEACH Y. of Atlantic Beach ATLANTIC saAcls,r1.oN1oA aaaaa Building and Zoning APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete ail `items in sections I, 11, 111, and IV. LOCATION I. Shad Add.u.lC //�•- T OF 1.1•neclinq sit—W E.Ir..n <C/f-'LT/VU 6' FC(� Awd NU(LD(NG sel.di.ld•n If. IDENTIFICATION—To be completed by all applicants, In con.ider.Plan of p—it qb n (or doinq Ph. rwk .. d.ruib.d Ph..b..• rl.l.r.aal.•h.r.by-q,-- to p-1— id rock In .-card cc rilh the .ItachPd pl.., .nd rp.ci1Ic.tI• rhi.h .r. . p.rt h.r.ol .ed in .ce-d.— rith Its.C71y a(Jwk.onril6 ordinene..and Jendards el good.pncllee IiJed Ihusin. Nares• of M.ehealael °1 C.nlneters Gatruhr (Prfaf( �v (q �C(,7 M.O., U p2 N..r..i Praperty Orner y 57p•pre .!Orav s7gn.fun s( or Aufherlsad Age.l Ar•hile•f or Engines IIs. GENERAL INFORMATION A. Tyr of hedinq fuels e IS OTHER CONSTRUMON BEING OOH ��!q ❑, dechia THIS BUILDING OR SITE T_ % S 'A Go$-�1 LP ❑ N•Mn( C3 Central Utility IF TCS, GIVE NUMBER N - ❑ 00 PERMIT ❑ (0141..—spottily IV. IA@C IAM)CAL EQUI?kAWT TO 11 INSTALLED NATURE Of WORK (Prs.id.omplefe Ito.f"nspa,eah se beck.1 this fans) K Residential or ❑ Commercial ❑` Meat ❑ Space ❑ M-nued ❑ Ceatrel ❑ P. ❑ New Building ' ❑ Air Cenddiaalaq: ❑ Roans ❑. C--" )91 Elllsling Building ❑ llecf SysMas Msteri.i TAicka.... ❑ Replacement of existing system N•Jmwn Capacity ;6_New installation(No system previously Installed) CI Extension or add-on to existing system (3 Refrigeration ❑ oln.r—sp.Giy ❑ Costing in Capacity - 17 Flea qui-M— N.rnb•r -1 h..d• ❑ 2.6.0ler Q M.aliH ❑ I scal.Ie• Iaulalear( THIS 3PAC!hoR OPFWl U$4 ONLY ❑.• leenade ❑ LPG aalsinan. (,umle I ❑ Ueff.d psw.n navel ... . PPmult Approved by Ge 13 _ e' Pa.erit Eine LIST ALL EQUIPMENT ADl CONDETIOMMG AND RFPR)CERATION EQU7TMENT (=1y AppwE e Ntsssbor Valte sA Deept)an Yodel Number Man d"barer ) �tCi��•!! HUTING .FURNACES, DOIIERs, PfiF.YLAcm dp�d� Number Valla Deeerlptlesa ]Codd Number Yaautaataree (Zb 11 TANKS New Haay Nessdlael CRped17 Type LJqutd Name CA Serial APS t Bad Dlmdodom Contained ]LaaalaalTlise No. ^i�T CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING i 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT :PERMIT INFORMATION - LOCAnON tNFORIIAATION Permit Number: 21825 Address: 1717 BEACH AVENUE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):19 Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 4/24/2001 Name: NIALL FALLOON Total Fees: 38.60 Address: 1717 BEACH AVENUE Amount Paid: 38.60 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/24/2001one_L904)247-2830 Work Desc: REMODEL KITCHEN —__- m CONTRACTOR(Sl °--� =_. PLICATIt`3N FEES ---1 MCDONALD ELECTRIC _ P RIIT ` y - 38.60 �� ; ;rte •G�. i,� Yz < FINAL � . d NOTICE - INSPECTION� ST BE. REQUESTED AT LEAST 24 HOURS �IOR TOhSPECTION BUILDING MATERIAL, NL RUBBISH A ;QEBRIS FROM THIS WORK MUST NOT B LACED INUBLIC SPACE,AND MUST BE CLEARED UP AND HAULE6 WAY BY_EITHER CONTRACTOR O NER "FAILURE TO COMPLY 1 1TH T Q . II W CAN RE, LT IN THE PROPERTY OWNER PAYIIC'`�'WICFFFO LC1AI IMP OOEI _ , ISSUED ACCORDING TO APPROVED P " W^ ARID P Tfool F'� RMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISION _ E i � f 3 I ATLANTIC BEACH BUILDING DEPT. Date k'N'il "i �ecei-A_ 0"tt';HL CITY OF ATLANTIC BEACH, FLORIDA App--d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ----� �'� 19-P IMP013TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORE( AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IN ACCORDANCE WIT THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. McDONALD ELECTRIC: ELECTRICAL FIRM: MA TER fLECTR N SIGNATURE //��,,GJOURNEYMA NAME _ ADDRESS:- 11 I- 13EQ46,*, �I�FD BOX BLDG.SIZE BETWEEN: RES.(►l1SAPT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD(vf FIE W.(vY ADDITION11 I TRAILER( ) TEMP.( ) SIGNS ( I SO.FT. SERVICE, NEW( 1 INCREASE( ) REPAIR ( I FEE CONDUCTOR SIZE U AMPS ZOO COPPER ALUM. SWITCH OR BREAKER AMPS PH I W VOLT RACEWAY EXIST.SERV.SIZE ZO0 AMPS I , PHI -5" ZyGvOLT PIpF RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS Ip I CONCEALED OPEN TOTAL RECEPTACLES (d I CONCEALED OPEN TOTAL O.JO AMPS, JI.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OV Et1 APPLIANCES - BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PNS No. 1 II.P. VOLTAGE PHS MISCELLANEOUS 0 !� TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247 5826-FAX: 247-5877 P1= MIT INFf3RMATlON . < Lt)CATIE3N tNFURhAAION Permit Number: 22034 Address: 1717 BEACH AVENUE MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Permit Type: Township: 0 Range: 0 Book: Class of Work: ADDITION Lots):19 Block: Section:0 Proposed Use: SINGLE FAMILY Subdivision: NORTH ATLANTIC BEACH Square Feet: Parcel Number: Est. Value: '`+;E1 11E3lMATtIN Improv. Cost: Name: NIALL FALLww Date Issued: 5/25/2001 Address: 1717 BEACH AVENUE Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 25.00 Date Paid: 5/25!2001 e ,Phone: 904 247-2830 Work Desc: INSTALL RANGE HOOD VENT PL1rA TO, 25. 25.00 MCGOWAN'S HEATING &AIR C4 D -PERMIT 46 . t� *. . : :.x Ti • �yj N.ew`b� q �4 „.3 y FINAL * FBUI�LDING OTICE-nlNSPECTI UST BE REQUESTED AT LEAST 24 HOURS PR�R TO INSPECTION MATERIAL;RUBBISH AND DEBRIS FROM THIS WNTRMUST ACTOR ORT B " I RCED IN PUBLIC SPACE,AND MUST BE CLEARED UP"AND HAULEtti AWAY BY EITHER CO UCTION . N RESULT IN THE "FAILURE TO COMPLYVaJITH '� „ PROPERTY OWNER PAYi O FOt .F3U,IL , IMP.t YE ISSUED ACCORDING TO APPROVED eWk VAR PST.. F MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIbMS OF, I AT NTIC B, ACH BUIL ING DEPT. hte: 5/25/91 M RKeipta OVA%21 y CIECKA - — '° 8fi19fl1i93�Piif19 01 - 6> 011L� PA I DBUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ®O� ATLANTIC BEACH, FLORIDA 82288 {� Y APPLICATION ICOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, i. LOCATION Street Address 2 _ YJY'N(r OF Intersecting Streets: Between And BUILDING Sub-division If. IDENTIFICATION — To be completed by all applicants . L'1 Ulu(iij and L011i09 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.prectice listed therein. Name of Mechanical McGowan r s Heating & Air— Contractors Contractor (Print) Cond. Inc . Master CACO-18970 Name of _Pb ! o ck P M-48 Property Owner Signatureof Owner Signature of x Aythorised Agent Architect or Enginsar III. GENERAL INFORMATION A• Type of Mating fuel: e' IS OTHER CONSTRUCTION BEING GONE ON Q Electric THIS BUILDING OR SITE? Q Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT Q Other — Specify I' • IV. MOCHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) _K1 Residential or ❑ Commercial ❑T Heat ❑ Space ❑ Recessed O Central O Roof ❑ New Building Q Air Conditioning: ❑ Room ❑ Central 1%, Existing Building Q Duct System: Material_ Thickness. ❑ Replacement of existing system Maximum capacity c.f.m. ❑ New Installation(No system previously Installed) ❑ Extension or add-on to existing system Q Refrigeration "r�,� I �Q rl'6 P ❑ Other — Specify _., '�•s Q Cooling tower: Capacity 9•P rn• Ur (,1 EAJI T ❑ Fire sprinklers: Number of heads_ -- Q Elwator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q :Gasoline pump■ --(number) IRegI»r) Q Tenkt (number) Remarks Q LPG contain (number) Q Unfired pressure vessel f� Permit Approved by DN 0 S 1011100 QOtMf -- Specify Permit Fee_ LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ty wA�Number Unit. DeacrlPtion Model Number ][aaufaaturer NOTICE OF COMMENCEMENT TO WHOM IT MAY CONCERN: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of Property / 7/2 geA4 Acte — :57 R c-e Pf. 32a33 General Description of Improvements Owner 9 �J 1�,-tA_ t-vet—s-�o►.3 Address: / '7/4" E/-. .72,1A33 Owner's interest in site of improvements: ��.�rr o,� •�rs�,.�e ,r c� Fee Simple Title Holder(if other than owner) Name Address Contractor A;aa'�"'i�,��/ n,,�.,�Jr w� c Address 417,ao Zmuzo Surety (if any) Address Amount of Bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address In addition,to I�i.Wself, owner designates the following person to receive a copy of the Leinor's otrce as provided in Section 713.13(1)(F) rida Statutes. (Fill in at Owner's option). Name E("� drLS�. fin City 01 Building, s" Owner Swam to and subscribed before me this day of 1-1' -4-9: L a Q •""' SHARON STARLING Notary Public,State of Florida Notary Public a = My comm.expires Mar.21,2003 '•'•�►oF �, ^ , ,r..No,CC 819398 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 711 OWNER OF PROPERTY:- PLUMBING ROPERTY: _PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER: C)(iCP.37/�'j( TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: --------------------- ------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. PSR-3644 97 DEPARTMENT OF BUILDING, k CITY OF ATLANTIC BEACH PERMIT INFORMATION 7 7Address,, ----.. .- LOCATION INFORMATION Permit N ul r : Addr+eas : 2711' BEACH AVENU Prot` ype:PLUMBIMG EATLANTIC BEACH, FLORIDA 32231 ' Class, of Wer ::NEW -------- LEGAL DESCRIPTI4�I Con tr�. Type :WOOD FRAME Block, ; Lot ,, -_-_ Proposed Use: TtAp 0 Section: 0 Subd.Q Rng: Dwellings : 1 Subdivision: Est. . value: 0 .00 IJ%pxov Cost : 0 . 00 Total ! ' � 2 .0 Amount 25 .+3 -Mo p r ION APPLICATIONFEES Addy' fl PERMIT �2k I ad .; a .. +Z r ` `.*ce�CFLORIDA �� I x, took V "�, "a ,„`` ,-,"• ; oz 94 _. co R Addr: 1601 MAi�� REL'fi i ANyTI CH FLORIDA 32233 4 z 401 NOTES:, 1 ' I i NOTICE-INSPECTIONS MUST HE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACEDIN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. n , "FAILURE TO COMPLY WITH THE MECHANICSLIEN LAZA/ CAN RESULT IN j THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROYEMENTS." j ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC 4N FPR 1 VIOLATION OPAPPLICABLE PROVISIONS OF LAW. P ;ATLANTIC BEACH'BUILDING.DEP RTMENT I 1 _ n f .4T,58.3844 DEPARTMENT OF SUILDIlNG' CITY OF ATLANTIC,6eACH ; — PERMIT INFORMATION ------- LOCATION INFORMATION ------ Permit Number: 15728 Address : I711." BEACH AVENUE Permit 2 p .UTILITIES ATLANTIC BEACH, FLORIDA. 32233 Class of Work d NEW _ �.. : � .�_ LZQAL DESCRIPTION - C!onstr . Type WOOD FRAME Black., Lot`., Tvp n Proposed Use:. Section. 0 Subd-o Rnq> t3 Uwel l ings '. 1Subdivision.:E . Value,. £? fl t� t. Improv. Cost * 0 .00 i Total Feed 1 . 5Q .00 2- ate ( 7 s , R01, ""FEE.'', L `' gg `ION � �:�� r� �1�1 APPLICATION FEES ' } (' / '£.1 ,..-v/"°' 'i; 50 `yxGy e$ a; panS .[, `SS'eW lF'ld Add: s E UE 'WATER IMS FLORIDA 3 13 Phon C Name: PItK P 1kTkZ$T 1 e; .. �414,�f 'L i Exp : a+ tis Y _ . ,u ' e #> NOTES` s NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i 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 1 PAILUAE'TQ CO MPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR-BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH AREAA7 OF TH38P.E"!~t�AtT AND SU�J>rCT TO REU � , L7ft VIOLATION OF APPLICABLE PROVISIONS OF LAW. }}$$ } s d ATLANTI EACH BUIL01NG DEPARTMENT By: � , 117 r PSR-3844 DEPARTMENT OP BUILDING ? CITY OF ATLANTIC BEACH I PERMIT INFORMATION --- - --- INFORMATION Permit Number: 15650 Address : 1717 BRACH AVENt1E ' Permit Type:PENCE ATLANTIS BEACH, FLORIDA 32233 Class of Work:NEW LEGAL DESCRIPTION i Constr'. Type:WOOD FRAME Black: 4cat : 19 Twp! Proposed Vse: SINGLE FAM'ILY Section: Q Subd: Rnq: I} . Dwel l izigs : 0 Subdivision:NORTH ATLANTIC BEACH Est . Value: 0 -00 Improv. Cost : 51000 .00 Total Fe4! w 10 .00 Amount ,a ,�'� ��x10.06 � r 'ION . - ,_ APPLICATION FEES ' N ame lhikk I T 10.00 Addr: 17 _ WE FLORIDA 3� ��s . .R " � ORMAT I- Name,m PROS RTt° � � NERC .. _. Ad : .: i'^v i ryF ..m24 tP #?L JAY 't's X44. Ty ,_ v NOTES: i k NOTICE-INSPECTIONS MUST BE REQUESTED,AST LEAST 24 HOURS PRIOR TO°INSOICTION r 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 I t "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN TME PROPERTY OWNER PAYINGTWICE FOR BUILDI111G ItAPROVEMENTSM. R14VI"u. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIgWF j; VIOLATION OF APPLICABLE PROVISIONS OF LAW. a 0/9701 Rec6pb 016611, ATLANT19,4kEACH BUILDINA DEPARTMENT 1 By: �" " APPLICATION FOR FENCE PERMIT Owners Name Pr'M QAJ Phone 2-4 2-8 3D Job..Addre". ( -I &eo, IV-Q-, Lot1 GA Block and/or Unit # I Subdivision C fid. u�-� (2. Ac� Contractor if different from.owner MJJQ m C�-Y-1 SqY-jkC.T-) D� Valuation_of.fence_$`SCorner or interior.Lot �n+f4-1 Type of Construction 6 I U�M i f*� U_ rti-- Show location and height of fence as well as location of street(s). Owner Signature �,pSV` Date Contractor Signature Date P R®�� gF P s RECEIVE® 0 E 8 1997 �y City of Atlantic Beach Building and Zoning � 4DaT .A ISA�IN:I � U is L O cen�-- o��E��p40FFtilOM ..� Permit Number: 010335 _ (/ FLOR A No. of Pages Attached: FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052,FLORIDA STATUTES,ISSUED BY: ❑Northwest District Office, 160 Governmental Center,Pensacola,FL 32501 phone(904)444-8300 ❑Southwest District Office,3804 Coconut Palm Drive,Tampa, FL 33619 phone(813)744-6100 ❑South District Office,2295 Victoria Avenue,Suite 364 West,Fort Myers,FL 33901 phone(941)332-6975 VNortheast District Office,7825 Baymeadows Way,Suite B200,Jacksonville,FL 32256-7590 phone (904)448-4300 /ETCentral District Office,3319 Maguire Boulevard,Suite 232,Orlando,FL 32803 phone(407)894-7555 ❑Southeast District Office,Post Office Box 15425, West Palm Beach,FL 33416 phone(561)681-6600 ❑Bureau of Beaches and Coastal Systems,3900 Commonwealth Blvd.-MS 300,Tallahassee,FL 32399-3000 phone(904)488-3180 FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for a permit was considered by the staff designee of the Secretary of the Department of Environmental Protection and found to be in compliance with requirements of Chapter 6213-33,Florida Administrative Code(F.A.C.). Approval is specifically limited to the activity in the stated location and by the project description,approved plans(if any),attached standard conditions, and any special conditions stated below pursuant to Paragraph 161.053(5),Florida Statutes. This permit may be suspended or revoked in accordance with Section 62-4.100,F.A.C./ PROJECT LOCATION: �`�� t- J U Alm T N PROJECT DESCRIPTION: 'J SPECIAL PERMIT CONDITIONS: This permit is valid only after alt applicable federal,state,and local permits are obtained and does not authorize contravention of local setback requirements or zoning or building codes. This permit and public notice shall be posted on the site immediately upon issuance and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other special conditions of this permit include: STANDARD PERMIT CONDITIONS: The permittee shall comply with the attached standard field permit conditions. APPLICANT INFORMATION: I hereby certify that I am either:1.40 a)the owner of the subject property Q ❑(1 b)I have the owne;'s consent to secure this permit on the owner's behalf;and that(2)I shall obtain any applicable licenses or permits which may be required by federal,state,county, or municipal law prior to commencement of the authorized work; (3)I acknowledge that the authorized work is what I requested; and(4)I accept responsibility for compliance with all permit c nditions. Applicant's Signature " �� 1 ?Y 9L Date Telephone No.(__) Applicant's Printed Name /�� !LJ ��l?f?/`) Address 71 ! f Y �� z�p�. / If applicant is an agent: / zip printed name ofproperty owner property owner's address property owner's DEPAR';114ENT FINAL ACTION:: This field permit is approved on behalf of the Department of Environmental Protection by: telephone no. 7 staff designee signature printedname of designee* date approves PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE: —i -2 Y - � (Emergency permits issued pursuant to Section 6213-33.014,F.A.C.,are valid for no more than ninety days and other field permits are valid for no more than 12 months. The staff designee may specify a shorter time limit.) EMERGENCY PERMIT: ❑YES WNO Approved plans are attached: ❑ YES NO POST PERMIT AND PUBLIC NOTICE CONSPICUOUSLY ON THE SITE DEP Form 73-122(Rev. 5/97) [White Original-DEP Bureau of Beaches&Coastal Systems] [Yellow Copy-Applicant] [Pink Copy-DEP District] ,k tI CITY OF �t`C'aKt`.�c �cacl - �Cozid�t 12nn SANt7mrrrt LANs. __ _.__._......._._._.,�..._._. AILANTIC T1rAC11, r4,0111PA 32211-4181 — --- 7"T1rrIIONF.(904) 247-5814 rAY(90q)247-594.1 January 3, 1992 Alan C. Jensen, P, A. JE:NSrN & HOULD ATTORNEYS AT LAW P. O. 130X 50175 Jacksonville Beach, Florida 32240 RE : LOTS 19 & 20 1719 BEACH AVENUE/SEWER CONTRIBUTION Dear Alan : We have received a copy of Mr. Richard Forbis' attorney ' s letter of December 26, 1991 ( Mr. Baron Bartlett ) . To avoid any confusion, we have requested, and are waiting for Mr Forbis' contractor (Gruhn-May, Inc. ) to submit a copy of the portion of the line he will construct. In addition, an As- Bui-lt plan signed and sealed by a Florida Licensed Land Surveyor will. be required upon completion of the work. The Public Works Department should be contacted several, days prior to construction of the line in order that inspection of the work may be scheduled. Pl.ense call me if you have any further questions or comments. Sincerely, Robert S. Koso}�j P. E. Director of Public Works RS1</ tb cc : Kim D. Lei.nbach/City Manager n,nron nnrt lett/P. A. Kenny Rhone/Water Distribution Chief File V/ RECEIVED IlAnoiv L. I3 A_nT3r,1MT-r. P.A. DEC 311991 ATTORNEY AND COUNSELOR AT LAW Ipt� 6t5 HIGHWAY AIA, SUITE awn JGF-+Bt.��i�l1fQRKs. PONTE VEDRA BEACH, FLORIDA 32062 (904) 285-5299 FAX 265-1640 hr. December 26, 1991 k C. Alan Jensen, Esquire Post Office Box 50457 Jacksonville Beach, Florida 32240-0457 Re: Lots 19 and 20 - 1719 Beach Avenue - Sewer Contribution Dear Allen! As a follow-up to our conversation and our previous discussions with Public Works Director, Bob Kosoy, this ii47 to confirm our request for future sewer contribution for the sewer line to be installed servicing the above-captioned property. I am enclosing a copy of my November 21, 1991 correspondence to Bob Kosoy in an effort to facilitate our construction permitting_ My client, Richard Forbis of Coastal-Forbis, Inc. has initiated through engineer, Ron May (Gruhn May, Inc . ) , the installation of said sewer line pursuant to the plans and specifications as required by the City of Atlantic Beach. We expect the installation to begin within the next several weeks and certainly same will be monitored by 14r. Kosoy to assure City compliance. It is our hope that after the completion of the sewer line that appropriate tap in and/or usage by other adjoining land owners shall be proportionally assessed for their respective usage. Please provide confirmation in the form of the agreement we spoke of and I will complete the docu entation as per your instruction. Thank you for your assist e. Sin ely, ar �tlett BLB:pas cc: Richard Forbis Bob Kosoy B191 T5 y 11029 tt DEPARTMENT OF SUILDIN Q� CITY OF ATLANTIC BEACH 1' .. PERMIT ' LOCATION VA { M W f O AAOp Pe 'rmi t Nom ' 239Addres �REACH Afi Permit xYpe :PE CEATLAiam, BEACN,. LORI'DA, 32233 Class Of Work.NEf ��.;_ LMAL DESCRIPTION ---------- Constr. ) : Types:WOOD rRAME 81 ook. Lot 19 : Tv . ProPosed Ut0*$IN0LL F;'A I LX Sect crri p. Subd Rng r +3 Lowe 3 l i s. 0 �Subdi vi i' *NOM ATLANTIC BEACH 1 Est . vadve 0..OO ,Tmprov. Cost• 54,1)..00 of Amount � j ]tI Y 0 ION APPLICA 'ION FEES Wt # PERMIT 10 .00 Addy UE � RIbAa Poon 2 �r. " " � 4w i A C C1RMA 'I O Name., I RQPENT rx Nk* i Acrid fI NOTES; 1 kr { NOT-110V--ALL CQNCRE,1'E"FOR MS AND FOOTING$MIAt BE INSPECTED o#FORI4 t bURLNG' i PERMIt V01[?SIX M014fHS AFTER LATE OF LSSUE s BUILDING MATERIAL,RUBBISH ANp L?E8RIS FROM TH18 WORK MUST NOT.SE PLACED'IN PUKIC SPACLz,ANS MUST$E " CLEARED UP AND HAULED AWAY ICY"E"Itl tR CONTRACTOR OR OWNER > � . ONTS 1 4 S U ACCORIlINf TO APPROVE#,PLANS WHICH ARE PART OF THIS PERMIT AN SU'BJelCT TO ATJQV ��N l� OAS»E;PLSiS OF LAIV. '. P4�a�'`;��` AT AI`fTIC S€ H-BUII.�i [ ART ENT L . 1 d4, LIm I' APPLICATION FOR FENCE PERMIT Ovners name___ _I AL_C I-AL-L-C(2) f Phone __ � 2-�3 b Job Address I EAC '�V� �Z .�� Lot_ ___Block and/or Unit #_I__________Subdivision __ 1ltENTjC_3'c�G , Contractor if different from ovner____ ----------------------------------------------------------------- Valuation of fence $ 1� , ____ Corner or interior lot_� Type construction 6�6vj -�O w G6 b ��JC.CS. Shov location and height of fence as veil as location of street(s). Q t Ovner signatur ^ --------�----- -------------- -Date �� ' � ----- --- -- - Contractor signature �� l________ Date w MAP SHOWING SURVEY OF 1 gin""s,ri,'la'�u2 ' ,a A'I7,ANTI'i.(- 13FW.I - 17N2'P NU. ( -f t>I'I't)ItA .xd 4. Ic rt:uF tl r- i'i.,,O ''.° PA(Z 10 OF FFiY: (1.IRREN1' PLB!11 Hi'f':)11 -Ii' li1N I :'sH)1'JIr, I;Iit[ �A, b:Xl_k,l lYl(-kil. GYINC; EASTERLY OF 'ITIF EW.-TM C(Xllr)-_ NC FUR ,.STD I-HNA. "(ARi '1y. ATLANTICKION WAT6N—LINE O C E AN S.050 53'LIVE50,00 • Q"O.NDN Q Al �rKp°H Y2In OLDCOASTAL CONSTRUCTIONcQ I —S.04°59'4 1"E. _ -_50.02 6426_46.. ` IDUNOI/2"IRON►IPE $,OF a4 0Y E. LaaeYxyEAfE LINEONLT �FOUNDY2"IRON PIPE NO CAP N.66 41 QO"E.— "I T DO j DNA MONUMENT--y ' 5..., N.R-46 .tiNtss Y SURVEY. CONCRET[ PATIO 2M STORY FLOOD ZONE'VE'IELI41 — _ - NWOOD BALCONY O BUILDING RESTRiCT1pN LINE PER PIAT, D, 9.81 FLooO zoNE'z"--- yAk I`f aa.z L -StARfl "ko ON THE OLD COASTAL o CONSTRUC ION SETBACK LINE FOR DUVAL z 0 >I. COUNTY.FLORIDA. u x.a 0 0 o H CIMENT COASTAL CONSTRUCTION SETBACI( z z sW z USE NOT =ATED BY THIS SURVEY. o¢ �g a r -m -8ENC1(MARK,USED IS A NAIL 6 DISK(L.B.3672) STORY M Oft,**OM LOT 19.ELEVATION=16.20 NGV.D. oo„ FRAME RESIDENCE ° a { c ND.1717 c zo 3 FINISHED FLOOR a 22.86 - GARAGE FLOOR. 21.41 'a m ; WINDOW O N w LOT 20 "' ° LOT 18 r Z N u Mj ,pl IIA I lee' CONCRET 1. in 5 A.C.PAD W w 3 r� S 'u , M BRICK wN.K co OD M C`N R T E O A l V E N uY {B.T9'FIELD) fOUMD 0.< /FOU NO CAP IRON PIPE 69.90' NO - -- 50.04' ' N.08-03'06"W d°• '(' (N.07°57'OT"W. 4993'FtELD) BE AC K ... 25'R/W PAVED AVENUE (FORMERLY OCEAN BOULEVARD and GARAGE APPROACH ROADWAY) r 1 ,H!S SURVEY WIA: P61TiE Ft-,R 'i"Il H NEI'l- Or FJhNC'YIt;y:laM, N RHPLI3LIC NA'I'IONAI. 7'I'I'LF' IMRfPANCE I'I'fi.l: 'hnV[CI.;, Ii)'.ANL: .:. IN C OMPl IANCfi W, q, `14ir P11!V1 PIl.ri lA1"t_P ITR4 PR (Y foRMON APPEARS TO LIE IN FWX, FT,0RI11A ABRIN...,'I.AL['9 `(IIE: "VE' AND X6 fAREA -anSIDE 500-YEAR J7[,(Rl0 PLAIN) AS tom,[. A5 CAN IE !K=WNgD IJ" 'I7iE "f• CXR` IFb`SlfRANM'*AVft*M P*VOIK'ATLAWIC BEACH, FIARIDA. THIS SURVEY NOT*ALID UNLE$S _ SEALED MOTNMI6090WOS[Al DONN W. BOATWRtaHT, L. OF SURVEYOR SIGNED HEREON RECHECKED JUNE{6,1996 FLORIDA REG. LAND SURVEYOR No.3295 FINAL SURVEY:SEPTEMBER 2,1992sc&Z - 1„ BOATWRIGHT LAND SURVEYORS, INC. as C ss��v ti3 ,SATE . PRE-SERVICE DIVISION JACKSONVILLE: ELECTRIC AUTHUkITY 2j3 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPLCTION ( ) HAVE BEEN MA14-' ANI) AM% SATISFACTORY : I i I I SINCERELY, BUILDING INSPECTION DIVISION cc: FILE CO/ 6,T-U_ O, Q INC . H5 HIC�MVAY AIA. ("U'lT 104 71 4;7 lk- ,ice r 111992 Bui.1ding and Zoning I r FLOODPLAZN DEVELOPMENT ZNFORMATZOM Type P• of Development s ..... _ L�...:•r_rwrww.��.wrwrr•_rr.r_r_�.�rwr_rw Flood Lj Q� Required Lowest Floor Elevations i Z= building is located within a flood hazard zone; a surveymust be wade AFTER TNS BLAB HAS SEEN POURED, certifying that the LOWMM FLOOR ELBVATZON far equal to or abovw. the base food elevation established for that zone. No final inspection will be Grade and no cert:$Sicate of occupancy will be issued until the survey is on -tile with the Building Department. COMMENTS: Applicant Acknowledgements Z understand that the issuance of this permit is oontis�pent upon the above being correct and +.hat the plans and NU ting data have been or shall o be provided as required. Z agree to comply with all applicable provisions of Ordinance Ito. E5-7-11 and all other laws or ordinances affecting the proposed development. Date,..... 2- ..Applicant's BIgnature,. _ ., _............r.. wwwrwrwrrwrr�.weer_-w__rr-w_rrrww•r-rrrrwrr_rr.rrwsrrw••r Department Use Required Lowest Floor Elevation ir_w„�w_rirwrrw.___..•ww As Built Lowest Floor Elevation ..•r•�w•�•wNr_r__w_•r_ Survey Filed with Building Department ...•r_...,__wr Building Department Represenlmtive ! I 3 pope 3 I i a i COASTAL - FORBIS INC. 615 Highway A 1 A Suite 104 Ponte Vedra Beach, Florida 32082 (904) 285-5352 JANUARY 16 , 1992 CITY OF ATLANTIC BEACH RE; LOT 19 UNIT 1 NORTH ATLANTIC BEACH THIS LETTER IS TO CERTIFY THAT THERE ARE NO TREES LOCATED ON THE ABOVE MENTIONED PROPERTY. THEREFORE NONE WILL BE REMOVED. THANK OU ICHA D FORBIS RF/cm Mice of Commencement (PXCPARS IN DUPUCATa1 To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and In accordance with section 713.13 of the Florida Statutes, the following Information is stated in this NOTICE OF COMMENCEMENT. s' Description of property O�_�. i?.1_�L Ivan ' --,1-- -� +S�'L ----- L --- Cahn Ave_------__--�_--•---------------- �� ___ General description of improvements ------------------------------—---------- .S ti n,�e c�.ri�l►1 dv►r � ' � �� •---- �-------�---_� r-'=�--�--kms Owner _ l 6i cly �M `� �t i t- c� •t O r b is �__-_.------ ------------------------- ---------- Address 4�o_t6_ok. Sag Owner's interest in site of the improvement -__��[A_____ J Fee &Imple Title holder (if other than owner) ____________________________________—__�..- Name --------- ------------------------------....----------------------- Address _--------------------------------------------------------------- - -------- CoAndtrdarcetossr____ sc�---_IL-�----b--n--t--g-�-�-1--d--r--e-�--j-_-�--l-_-_-3---t--o--g-Z--- Surety _-_--- -_-_-�- (I! any) ----------------------------------------------------- ----------- -•_- — Address __—---—----—------—-----------------------------------------Amount of bond Name and address of any person making a loan for the construction of the improvements. �_ ` Address {�Q_ _O1C_IZJ9__---�1�1 . '---.. ----------—.- None of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name =.^royi JGu(�e-:-__P Addreag _ cJ_ t 6 'YV.d ^/`t -------- t'1-=iA In addition to himself, owner designates the following person to receive a copy of the Lienor's No tics as provided in Section 713.08 (2] [b], Florida Statutes. (Fill in at Owner's option), Name ----------------------------- —...w_---..------------------------- �. Address ----------------------------------------- --------------- ------ THIe atAC[FOR R[CORA[R'f Uee:ONLY d 1 (� I Ad I t L n A. n . •• -� Z� i i ,I a v , ..CQXIrTAL COWITRUCTIoIIIIII! NOLtT{}` SOT f5A4K W N E j 7.5 cRc �5�i x,51 i a ,I� i��'1r'ti'��F�, �h � .f .., lam-� �✓'7 . .. •.. i .4 "'tK �'`' 019 ? 1 I fi .utA%r. Ko.1• VulloL COUNTY, FLAT p uTu I N 10 �"- CoNc� OfZlyr ,Q u� N 5o�ez4� _ i r . ..sir ar�uc WHe- 1 y i fGrl'7 c?1� Y� ert y ry1kS -n0_ I �M1S w. ♦ ,. G` i �I L �tp?icata - ql Nrc. G �:�Uts�T No.1 . .pu�lol. Couto rr-!ITU GONG, �RtiJr -p N 1 � i v , L CpµhTRUGTIOi.I :.Cgx,2TA 51GT P�AGK LINE LA 7•s oRc 35i0� '�,5� 1 �d2I n1 fav d� 'Cl e IL e oc I i .V I ��LGT.tq L�1gRTH AT"ho4rG Oeu7#4 _.�Ur1�T':.1�1G•1" VUI&L COUNTY, FLA, kuru I 'i TC- p LAN _q N 450#04� 0 .� ,R k martifiratr of (Orrupattry CITY OF Erpartmpnt of Nuilding Ittaprrtion a } This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard E Building Code certifying that at the time of issuance this structure was in compliance with the i various ordinances regulating building construction or use. For the following. use Clusifxatwn . •.': ry g s,i_ 4 ...L i+�'"': ,1e .,,k,tc` Bldg.Permit No. Group !� ' -t+<= Type Construction 1 -- Fire District Art :: C_ a Owner of Building----Address F—z a HuildingAddreu Locality `�. '�4 i `a y BY:--- '+7 M ?X Building Official Date: _Z n r.� NOT IN A CONI►ICUOUt PLACt qp T, v O N y� L .h 5380 DEPARTMENT OF BUILDI 'a CITY OF ATLANTIC BEACH PERMITINFLIRMATIOM =. LOCATION INi»tiR>KA'TlON - ; P�z� 3t Number-.. $3aL3 Address : 1 71 71, BEACH AVENUE Permit Types PLURL01,NG AT ' LAMTic BEACHP, FLORIDA 32233 C 01' Wo kt� LEGAL:; 09SCRIPTION ..__--- » istr. Ty0ex WOOD FRAME , Lots . Blcs k r �+ss tias�s Proposed Use: $INGLE FAMILY.Tc�rr�x�h�p;s RNG O 0* links s1 Gs Subdivisions NORTH ATLANTIC LEACH inat d, Val ues Cw�t?£I lsparav» Costs` Or C10 Total 'Amo 050.00 Mork UMBING H NEW SIM&E PAMILI MIRENCE AT_-PPL_ICAT10-' H FEEwiu, aMATIdNAelolk. 050.00 -AVENUE . ` .,� IItA R-PACs ii'+ .00.00 ' C:N,r "LEIRI � FEO mow RAUI� t 0AE~1 . 1 , #CI.C?CI N -,. ... «. EADflN Name i 1si E?. tI7 ;7 AC 1L.LE, FL. 32211 H Y?�RA JLIC HARE $4. 00 1. er CC' ' Types CI RE=.IKSP'ECT FEE �� .00 C. H IMPACT, FEE NOTES, NOTICE—ALi.C4 NCRE7E FORMS AND FOOTINGS MUST BE 1NSIICTEQ BEFORE POURING, PERMIT VOID SIX MONTHS'AFTI=R`PATE OF ISSUE BUILDING"MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE,PLACED IN PUSLIC SPACE.AND MUST BE CLEAT Ep,VP AND HAULED AWAY BY.EITHER CONTOACTQR Q�t OWNER. P ILURE 1 OM LY,WITH, THE MECHANICS? LIEN, LACI AN' ° : � ALT 11� THE PROPORtY C3"0.PAYING TWICE FOR eut n G , Ar ISSUED ACCORDING',TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND T TO RSV N FOR x/14 LATIQN OF-AF"F+I.iCA8LE#�t�OVtSIONS,OF LAIN. .�Q :. ,A, LANTIC BEACH BUILDING DEPARTMENT a �`° • , ,'. . �� ',:is�.Y :.t' Y. ��;• 'r{•11'� t L`1'••y ,,r-� :t 'rt *.T �V 1 � •.t�;l•�.'t,;t%`, •1•!1`„ .i4C[O0,3 �� •�nZ�. llt.: y .. `S*�jnS.1`s"1 .L...1�4 t• 't"��;�5• •t� qtr 1►`•I' ©r• .../ •�J,QY ,. /! I, .. • +•�i;,•tit :.; '�' 'rti'{y, •.. SQ iJ �','':;1ii!i `1i i'rt.• . Ski it ti.• , ;tjY ,, 3 c. sv oas •t. :,tip+; . S V' ,_.:.•-/�--•' . �•a' , SxN � •'••�'a��''•�' �': •{t. ::";i: og KO Nil up nvoo �. � �., /iPT'lf,r t,, :. �,�<.J•'1� 3GlQ .; t'•:�t. CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR UscirItICAL NlRmff TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— _ 1l.2 IMPORTANT NOTICE: S IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE.,�IdRK AS gESC t$, 0, X',HE,fO.LLAWIN%el E HEREBY AGREE TO PERFORM SAID.WORK IN ACCORDANCE WITH THE.ATTACHE AND SPE'WICATW . : WHICH ARE A PART,_HEREOF. AND IN ACCORDANCE WITH THE ELECTRICAL REGUTAt�; CODES AND CITY OF ATLANTIC BEACH ORDINANCES. wt aiza: a % IRM• ADDRESS: RFS X :. KpO.Sl.ife -BETWEEN: t N' AFT.l 1 CORAM.l 1 t•UBLIC t 1 INQUi.t 1 NEW 1 1 OLD t } REW.I ADDITION l 1 TRAILER I } TENW.t 1 SIGNS 1 - $"VICE. NEW l✓1 INCREA.0 t i REPAIR l 1 _FEE__ - OR AIZE f.X .SERV. LS AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO: SIZE NO. SIZE. _. UGHTINO OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN A TOTAL 0.80 AAMM. r swlTch" 1 INCANDESCENT " ' . FLUORESCENT i IL V. FL=D O.tOO AMM. OVitt APPUANCss A BELL TRANSF. AIR - N.P.RATING H.P.,RATING CONDITIONING COMP.MOTOR OTHER MOTORSAMPS CEIL HEAT: KW-MEAT t , a� ovE� MOTORS - H.P. VOLTAGE - PHS- -NO. 1 t1.P. VOLTAGE PHS- MISCELLANEOUS TRANSFORMERS: UNDER ON V. — --OVER 600 V. { ©EPARTMINT Old$I►I b1NQ CITY-OF ATLANTIS R AGT9 PERK I T ,I NFORMATIO I+'orw t Num#or 2, Addrvims,: 71RR H 2*I `. or Ty*pea UTIT.I A�' lTIC sE�I�1�� loss 1 0 Work"; Illew, L L, DESCRIP1 , 6 Coiketr. Tyjp e s-.wa0 F AME Lot a ` k 3» t s r ed U ee IR a .E" FAMILY loa►rA , � Rte: � �► 1 :r g 1 I pdo O` >tabd vis # : ` TI?T ATLAll 7`T SACH I�°� rlt $' Yl� L1 D $0.00 ., +RF447r33mou : All I3 WAR SERVIO I" I E ' k` R ' 'Rl�t l 'I" TZ ,E #' �ATION: FOS PERMIT Ad�fi AVENUE 810" FLORID IN IC1RI!TT N R OA M' X0.00 SF�7 + EJPA N ` ,� * 33 x Types o , NOTES: 4' , y 3 NOTICE—ALLCONCRETE IrORMS.ANQ FOoirmGS Mt1ST a .#NSI�EICTEI9 #F©RE POUR# #: a PERMIT VOIDSIX MONTHS APTER OAT, OF BUILDING MATERIAL,RUBBISH AND p DEBRIS FROM THIS WORK MUST NOT SE' LAC�a 1#+i'PUBJJC SPACE,AN LD MUST SE CP�ARED UP ARID HAULED AWAY B.Y-EITfi#ER CONTRACTOR OR OWNER "F1t1RE T! COMPLY,, �III/ TI I THE MECH�AldI+CS' L SAN,iE" #L'" IN THE6PERT"Y ":A PAYING TWICE ORSU, ILb! ;�r' I SUECt ACCORDING TO ApPRC}U90 PLANS WHICH ARE PART O THIS PER 1t'AND-' RE1 T• U#OT;�ICT►E�1�4 Op''/P1LICtASL fR+�?YIStONS 01=LAk�+It. a :,Aso tL.ANT4C BEACH BUILDING DEPARTMENT; r r i i gt 4, g 8 �p A mkt §A ©EPAIATM>�:1 '1'O 4tJI#, Ni ' CITY,OF ATLANTIC BEAC, 7 77t w . F RM "1 'Ctl 1 '' ',, LSA'' 0 �1��t�BA�"�'�C�.._ p it Nuft r. drr BEA H ",AVENUl Par t Ty i x Bul 4 fl NG A�I»A'x G 1RAC11 : pL.an"A 32,23 OA , a t,r. Ty + a WOOD. PRAilE, Lot a1' ' B,666 S t +x>t s Uso S HGLE FAX LY 't`r zSrA t > R.48,z '. t ' ``I w '111ftest 1 irodot C Subd�Lvl�siop ''IMtI R f 1T�.AIwtT1, BEAD itiiatilkd, Value: *178245.QO ' p�arov. Cast s *0.4C1 f` i 03079. 47 A nau� 03079.47. , Da SINOLE ,FAm LY I g. i it ANS: o4 s� APPLIC'ATl - , t a17 �p 1,lis FoR PERM 4 T ,*x� • '! Addir WA T IMPACT PE ,1 - V :l1C , FL PRE x T- SEA H, FL 32082 Type flpj-MkSI�yC ( all 45 woloexif 7-19 40, y m " r.: ` xY vat S , NOTICE--ALL CONCRI:TI:FORMS AND FOOTINGS MUST BE'1"SPECTEa3',9$FORE 0OU141' PERMIT VOID SIX MONTHS'AFTER'DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN.PUBLIC SPAC1 ,AND MUST BE CLEARED UP AND,HAULED AWAY`BY EITHER CONTRACTOR OR OWNER. ` F+AILURE TO CO11111 'NTH THE ME+CHANIC$' Ltd°N1Lflt '� .lT1 : THE I RCIRE �f t !I/NIt LAYING TWICE FOR ElUILL"I I Ci; Ii RO I VT^a. r 19 0_ACCt RQ1NG TO'APP VEQ.PLANS WHICH ARE PART OF THIS PERMIT ANP ¢ 1/I�TTIQN OFAPPI.IGAE PROVi$IONS OF LAW. .+ ` � t»154 ATLANTIC BEACHUILDit`4,iwl`EPAI CII+tENT, BY_ Y ..e .,._..�,...b..tt..,,.,a _... ..�:7., e., Address • Heated Square Footage @ $ 5-300 per sq ft a $ U j Garage/Shed ,5 @ $ l d'_0 0per sq ft - $ _ /6,, a 9� Carport/Porch 3 �, C� @ $ / .4 0 per sq ft a $ Deck 1199 @ $ per sq ft - $ 7 9/ Patio ' - 1417 @ $ (0 .O 0 per sq ft - $ TUrM VALUATION: $ y To—ta-1 valuation 1st $ Reminder Valuation ,3, per usan or portion thereof ---------; Total Building Fee 5 ' ' 0 ADDITIONAL PERK= and/or FEES FEWam + -k Filing Fee $ a,y c-2 d Mechanical = Fireplaces @ 15.00 $ l-S-- U b Plumbing BUIIDIM PMT FEE $ v. C , f c. Electric/New i ------------------------------ ------------------ Electric/Temp Septic Tar& BUILDING 01 Well S.Am ng Pool SEWER IMPACT FEE $_ /0,3_ ..00 Sign RAM IMPACT FEE $ 0 ,©� Water Connection MISCELLANEOUS Sewer Cormection �'�-v A) S-',3 16 Water Meter $_ \� Elevation Certificate \�� , �j 617 C�, (GiAND TOrTAI. DUE $ c f, I ---------- ----------------------------------------------------------------------------------- CALCUTATIONS and/or NOM 650 { ©NPARTMENT OF BUtE.bIrNQ. CITY OF ATLANTIC�+E,6H { _ - µ PERMIT IH�'�lRnATIDH � — LOCATION xNPORxAtxom. �.._�.. Pant Nut +rs = Addr �: 1717 BEACH AVNE ' Pi resit Type;,l MECHANICAL ATLANTIC ::84ACH, pL�t��A. 2 C, ani of w6rk t vEv Cc^a tr., T ' 'a'. #QCI1�t.� 'RAKE List " H c �tgaini UsPropoao, SINN. 'e HILY c �►. 0 igio,: . . °C rd C Subdivindxoii s ,NOItTH ATLA#TxC' ,.H ACH R ted voluet" C.Ct7! �wlproiidp Cost. $04 00 F t ;47 *65.00 Disk /15/92,9 . t W :' TXNC ANI} AIR IN NEWRdVSIDgXe E NATION � � �a9�� __ ._ APPLICATION,,.i� H' i ; PEiNlJ I ' .C►{ ddYvMu DATE 2 13PACT . FEE ►CC CH, fiLDRIDHWz,l IIlpA `Efi #C>wE© o yYi'� i+M{rWw�,eN GAS l*i Rif ! 00 I #`i AT,�N RAjoON dor °" �} 00 waw r rk � " ' _' . IEPT BEACqr ' F .tIRIAA 32233HYDRAULIC SNARE C.QIP LrAN TYp's RE- IHSFECT.. " � ,.CU . .. 00 NOTES- , NQTICE--/1L1.GE)NAN FOOTINGS MUST 8E'IN$0t�o 1E1r1 lE` I CiRE.i l i;l+tt�1 PERMIT VDID SIX MONTHS AFTER MATE CI`ISSUE 7777 9tf DING MATERIAL,RUBBISH AND DEB'RlS FROM THIS WORK M VSt NOT RE.PLACED'IN Pi Lfid�PAC�;AND MUST BE , CLEARED UP AND HAtJlEb'AWAY 9Y E.rTH r t c©IVTRACTOR OR C3WNER. SFA .URL TO com- ;Y WITH THE �MECHANICWr W Aly:a E LT IN : . To 1 RRC P' RT1t" PAYING TWICE F0R'BU L0tN I ENTS = I&$tI�ACCCWDING TO APPF�OVEU PLANS:WHICH ARE PART OF THIS PERMIT AND SUBJECT 1��7�N: 'oi'A I' I VB.'+C31='LAW. x i t BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATIQN FOR MECHANICAL( PERMIT - CALL-IN N�MBEA- IMPORTANT — Applicant to complete all items in sections I, 11, 111, and IV. LOCATION Street Addrrq � s� ess: k1 &e, OF Intersecting Streets: letwoon And BUILDING Sub•eiirision - II. IDENTIFICATION -- To be completed by all applicants In consideration of permit given for doing the work as described in she abcve statement we hereby agree to perform said work with the attached plans and specifications which are a part hereof and in accordance with the Cify of Jeckson„il'e ordimarces a�a s16-oa•as of good practice listed therein. Name of Mechanical Contractors Contractor (hint) ►A Master CAccD4,Yza- No"@ of hooerty Owner AP Signature of Owner Signature of or Authorised Agent Atchibct or Engineer lII. GENERAL FO ON A. Typ.of Isaahng I: B. IS OTHER CONSTRUCTION BEING DONE ON XElectric THIS BUILDING OR SITE? ❑ Gee--O tl O Natural O Control Utility " IF YES. GIVE NU` MBER OF CONSTRUCTION Z O od PERMIT • (3 Other — sp•uh IV. MECHANICAL EQUIPMENT TO U INSTALLED TORE OF WORK (hewido complete go of components an back this forms) Residential or Commercial Hest (] Space O R tsed Central p Row New Building ��"'111 i Air Conelstiolsing: O Room Cental ❑ Existing Building System: M ctM" 1 /! Replacement of existing system ( O r Ossc1 ateria -f•�• New Installation(No system previously installed) Mosirnum copodty 42Q o-- ❑ Extension or add-on to existing system O Rofri"nation ❑ Other — Specify, O Cooling tower: Capacity vP'w• C] Fin Weinklem: Number of L--A. C) Eiovota O Manfih O Eseal4i'" ��Itwmber) THIS SPACE FOR OFFICE USE ONLY 13 Gawks pumPe- - (number) O T..k (number) Remarks Q LP6 csehi-e-- (number) 13 Unfined pressure voMN Permit Approved by Data— C) eaO 11111m 13 O#w — Specify permit t;.. LIST ALL EQUIPMENT I ADt CONDITIONING AND REFRIGERATION EQUIPMENT Ca?ady A Nmaber Vatto Description K"91 Number mmufaebmr (TO") ;10 �'� CITY OF N° 6 3 6 1 ATLANTIC BEACH FLORIDA NAME ' ADDRESSCITY—11-61420-E k1 ZWLA f2e-1q 14, ,'Oe - f -71-7 t.-' �jt7`• V�i.."yfLli.+P aL. a �yi Y W S ;:,, When Signed, Dated and Numbered, This Becomes an Official Receipt Received Payment TREASURER SN: 3686 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CO��STRUCTION ' Section 9 Compliance Program - Residential Point System Method Version 1 .0 January , 1992 Department Of Community Affairs Printout generated by EPI92 and submitted in lieu of Form 900-A-91 . THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1 , 1992 _______________________________________________________________________________ PROJECT NAME: | PERMITTING OFFICE,,;��______ � � - ----�^ �==--- ---- AND ADDRESS: . ------- � CLIMATE ZONE: 1 2 ........________....... ....._............. ______........._ | ______.......... ...��___ BUILDER: | PERMIT NO. : ........OWNER: | JURISDICTION NO . : ................ ..........__..........__..... .......... __...................... _______ | __... ...._......... ........_____ .......................____..........__.....................................____....................__... .....____.................. _______ ... ................._........ ________________ COMPONENT: DIMENSION: VALUE : RATING: VALUE: OFFICIAL CHECKLIST STRUCTURE TYPE: Single-Family ___.........._........ PREDOMINANT EVE OVERHANG Length : 2.00 __.......... _ PORCH OVERHANG Length : 9 .0O _....._-___- ______-_ WINDQWS Double Clear Total Area 523 .00 ________ All Vertical Glass Total Area 523.00 _.................. All Skylight Glass Total Area .00 __..... ..................... __..... ...____ WALLS Ext Wood Frame Area : 2317.00 R-Val : 19 .00 ________ Adj Wood Frame Area : 562.00 R-Val : 19.00 ________ DOORS Ext Wood Area: 22 .00 _..... __ Adj Wood Area : 19.00 _............... .... CEILINGS FLAT Under Attic Area : 1821 .00 R-Val : 30.00 ________ ------- FLOORS Slab-on-Grade Perimeter : 213.00 R-Val : .00 ________ -------- D U C T-". _______DUCTS Unconditioned Space Length ALL R-Val : 6 .00 ________ COOLING Central A/C SEER: 12 .00 ________ HEATING Heat Pump HSPF: 7 .70 _ _______ HOT WATER Electric EF: .92 Bedrooms : 3.00 __...................... _ INFILTRATION Conditioned Floor Area : 2990 .00 Pract : 2 ________ ------ -- AS BUILT POINTS / BASE POINTS * 100 = EPI 39,715.83 45,547.95 87.2O GLASS TO FLOOR AREA RATIO = . 1749 ___ ... _...................._................. ................................------------------------------------------- ........_............. ________ _______________________________________________________________________________ I Hereby certify that the plans and | Review of the plans and specifications specifications covered by this calcu- | covered by this calculation indicates lation are in compliance with the 1 compliance with the Florida Energy Florida Energy Code. | Code. Before construction is completed | this building will be inspected for PREPARED BY: | compliance in accordance with Section DATE : _.....___-_...._ | 553.908 F .S. | I hereby certify that this building is | in compliance with the Florida Energy | Code. | | OWNER/AGENT:__________________________ | BUILDING OFFICIAL:____________________ LATE :_________________________________ � DATE:_________________________________ ** PRESCRIPTIVE MEASURES (Must be met or exeeded by all residences) ** =============================================================================== COMPONENTS SECTION REQUIREMENTS =============================================================================== WINDOWS 904. 1 Maximum of 0.34 CFM per linear foot of operable sash ' crack . ......____________________________________________________________________ EXTERIOR & 904 . 1 Maximum of 0.5 CFM per sq . ft . of door area. Includes ADJACENT DOORS sliding glass doors, solid core , wood panel , insulated , or glass doors only . .............................. ...................._.............. ........... .................................._... ..............____________________________________................................ .........._..... EXTERIOR JOINTS 904 . 1 To be caulked , gasketed , weather stripped or other- & CRACKS wise sealed . _____...................____................................... .............. ..........____..........______... ....._ ........... __..........__ ..................................................................... ............. ................... ..._.........._ WATER HEATERS 904 .2 Must bear label indicating compliance w/ASHRAE stand- ard 90 or comply with efficiency and standby loss re- quirements. Switch or clearly marked circuit breaker (electric ) , or cut-off (gas) must be provided . An external or built in heat trap must be provided . _______________________________________________________________________________ SWIMMING POOLS 904.3 Spas and heated pools must have covers (except solar & SPAS heated ) . Ncn-commercial pools must have a pump timer . Gas spa & pool heaters must have minimum thermal efficiency of 78 _______________________________________________________________________________ HOT WATER 904 .4 Insulation is required only for recirculating systems PIPES In such cases, piping heat loss shall be limited to 17.5 BTU/H/Linear Ft . of pipe. _______________________________________________________________________________ SHOWER HEADS 904 .5 Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. ................ ........ __........._ ............................... ...................................................._....................__________...................._...............................______........ .........._........._______ HVAC DUCT 903.2 Constructed in accordance with industry standards � CONSTRUCTION 904 .6 local mechanical codes . Ducts in unconditioned space must be insulated to minimum R-4 .2 & joints must be sealed . ------------------------------------------------------------------------------- HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. _...................................... .....__........ .........._........._____........................___.......... .......................___.........._.........____............. .................................._............. ... ............. ____ INSULATION 904 .9 Ceilings minimum R-19 . Common Walls - Frame R-11 or- CBS rCBS R-3. Frame Common Ceilings & Floors R-11 . ** INFILTRATION REDUCTIOo PRACTICE COMPLIANCE CHECKLIST ** COMPONENTS REQUIREMENTG =============================================================================== PRACTICE 42 Comply with Practice #1 and the following . ........._________..................._____________________________________________________________ Exterior Walls & Floors Top plate penetrations sealed . Infiltration barrier installed . Sole plate/floor joint caulked or sealed . Exterior Walls & Penetrations ^ joints and cracks on interior surface Ceilings caulked , sealed , and gasketed . DuctWork Ductwork in unconditioned space must be sealed . Fireplaces Equipped with outside combustion air , doors, and flue dampers. Exhaust Fans Equipped with dampers . Combustion devices see 903.2 ( f) . Combustion Appliances Provided with outside combustion air . SUMMER CALCULATIONS ******************************************************************************* === BASE === | === AS-BUILT === =============================================================================== GLASS---------------- | ORIEN AREA x BSPM = POINTS | TYPE SC ORIEN AREA x SPM x SOF = POINTS _______________________________________________________________________________ N 97 .00 38.3 3715. 1 | DBL CLR N 15.0 38.3 .94 540.7 | DBL CLR N 14 .0 38.3 .84 451 .4 | DBL CLR N 14 .0 38.3 .84 451 .4 | DBL CLR N 29.0 38. 3 .84 935.O | DBL CLR N 19.0 38.3 .84 612.6 i DBL CLR N 3.0 38.3 .92 106. 1 | DBL CLR N 3.0 38.3 .69 79.3 E 266.00 79.7 21200.2 1 DBL CLR E 37. 0 79 .7 .57 1680.9 | DBL CLR E 37 .0 79 .7 .57 1680.9 | DBL CLR E 48 .0 79.7 .46 1743.8 CLR E 32 .0 79.7 .42 1081 .6 | DBL CLR E 32 .0 79.7 .42 1081 .6 | DBL CLR E 40.0 79.7 .46 1453.2 | DBL CLR E 40.0 79.7 .46 1453.2 S 150.00 66.2 9930.0 | DBL CLR S 36 .0 66.2 .71 1684 . 1 | DBL CLR S 3 .0 66.2 .88 175. 1 | DBL CLR S 36.0 66.2 .71 1684. 1 | DBL CLR S 22.0 66.2 .91 1327.9 | DBL CLR S 10.0 66.2 .52 344 .2 � DBL CLR S 15. 0 66 .2 .71 701 .7 | DBL CLR S 15.0 66.2 .71 701 .7 | DBL CLR S 13.0 66.2 .75 64p. 1 W 10.00 79.7 797 .0 | DBL CLR W 10 .0 79.7 .82 651 .8 _______________________________________________________________________________ . l5 x COND. FLOOR / TOTAL GLASS = ADJ . x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS | POINTS - --------------------------------------------------------------________________ . 15 2,990.00 523.00 .858 359642.30 30,565. 14 1 21 ,271 .33 =============================================================================== NON GLASS------------ | AREA x BSPM = POINTS TYPE R-VALUE AREA x SPM = POIHTS _.......... _____ WALLS---------------- | Ext 2317.0 .9 2085.3 | Ext Wood Frame 19 .0 2317.0 .90 2�85.3 Adj 562.0 .7 393.4 | Adj Wood Frame 19.0 562.0 .40 224.8 | DOORS------------------- E x ---------------Ext 22 .0 6 . 1 134 .2 | Ext Wood 22.0 6. 10 134 .2 Adj 19.0 2.4 45.6 | Adj Wood 19. 0 2.40 45.6 | CEILINGS------------- | UA 1573.0 .6 943.8 | Under Attic 30 .0 1821 .0 .60 1092.6 ( FLOORS--------------- | Slb 213.0 -37.0 -7881 .0 | Slab-on-Grade .0 213.0 -41 .20 -B775.6 | INFILTRATION--------- } 2990 .0 8.0 23920 .0 1 Practice #2 2990.0 8.00 23920.0 =============================================================================== TOTAL SUMMER P8INTS � 50,206.45 | 39 ,998.23 =============================================================================== TOTAL x SYSTEM = COOLING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINTS | COMPON RATIO MULT MULT M"Ll LT POINTS _______________________________________________________________________________ �o.Poi� ' n7 18.576'38 1 39.998.23 1 .00 1 . 100 .280 1 .000 12 ,319.46 .............�.........�........ �� ******************************************************************************* WATER HEATING ******************************************************************************* === BASE === | === AS-BUILT === =============================================================================== NUM OF x MULT = TOTAL | TANK VOLME EF TANK x MULT x CREDIT = TOTAL BEDRMS | RATIO MULT ------------------------------------------------------------------------------- 3 3803.0 11 ,409.00 | 65 .92 1 .000 3638.7 1 .00 10,916.00 =============================================================================== ******************************************************************************* SUMMARY ******************************************************************************* === BASE === | === AS-BUILT === =============================================================================== COOLING HEATING HOT WATER TOTAL | COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS | POINTS + POINTS + POINTS = POINTS _______________________________________________________________________________ 18576.4 15562 .6 11409.0 459547.95 1 12319.5 16480.4 10916. 0 39,715.83 =============================================================================== ***************** * EPI = 87 .20 * ***************** +****************************************************************************** WINTER CALCULATIONS ******************************************************************************* === BASE === | === AS-BUILT === GLASS---------------- | �RIEN AREA x BWPM = POINTS | TYPE SC OVEN AREA x WPM x WOF = POINTS .........__....._____...................__ ........ ________________ _____________________________________ N 97 ,00 7 .3 708. 1 | DBL CLR N 15 .0 7.3 1 .09 119.2 � DBL CLR N 14 .0 7. 3 1 .23 125. 9 | DBL CLR N 14 .0 7. 3 1 .23 125.9 | DBL CLR N 29.0 7.3 1 .23 260.9 � DBL CLR N 19.0 7.3 1 .23 170.p | DBL CLR N 3. 0 7 . 3 1 . 11 24 .4 } DBL CLR N 3.0 7.3 1 .48 32.4 E 266.00 -9.2 -2447.2 | DBL CLR E 37 .0 -9 .2 -.24 81 .7 � DBL CLR E 37 .0 -9 .2 -.24 81 .7 | DBL CLR E 48.0 -9.2 -. 66 289.5 1 DBL CLR E 32.0 -9 .2 - .80 236.2 | DBL CLR E 32. 0 -9. 2 -.80 236.2 | DBL CLR E 40.0 -9 .2 - .66 241 3 | DBL CLR E 40 .0 -9.2 -.66 241 . 3 S 150.00 -28.4 -4260 .0 | DBL CLR S 36.0 -28.4 .81 -824 .7 � D8L CLR S 3.0 -28.4 .95 -80.8 � DBL CLR S 36.0 -28.4 .81 -824 .7 | DBL CLR S 22.0 -28. 4 .96 '600. 3 | DBL CLR S 10 .0 -28.4 . 46 -129.7 � DBL CLR S 15.0 -28.4 .81 -343.6 1 DBL CLR S 15.0 -28.4 .81 -343.6-.- : 343.6| DBL CLR S 13.0 -28.4 .85 -315.4 W 10.00 -9.2 -92.0 | DBL CLR W 10 .0 -9 .2 .51 -46.7 _______________________________________________________________________________ . 15 x COND. FLOOR / TOTAL GLASS = ADJ . x GLASS = ADJ GLASS 1 GLASS AREA AREA FACTOR POINTS POINTS | POINTS _______________________________________________________________________________ . 15 2,990.00 523.00 .858 -69091 . 10 -5,223.44 1 -1 ,242.22 =============================================================================== NON GLASS------------ \ AREA x BWPM = POINTS 1 TYPE R-VALUE AREA x WPM = POINTS ----------------------------------------------------------------------- - '----- WALLS---------------- | Ext 2317.0 2 .2 5097 .4 | EK Wood Frame 19.0 2317.0 2.20 5097.4 Adj 562.0 3.6 2023 .2 | Adj Wood Frame 19.0 562.0 2.20 1236. 4 | DOORS---------------- ) Ext 22. 0 12.3 270. 6 1 Ext Wood 22.0 12.30 270 .6 Adj 19.0 11 .5 218.5 | Adj Wood 19.0 11 .50 2l8.5 | CEILINGS------------- | UA 1573. 0 1 .2 1887 .6 | Under Attic 30.0 1821 .0 1 .20 2185.2 � FLOORS--------------- | Slb 213.0 8.9 1895.7 | Slab-0n-Grade .0 213 .0 18.80 4004 .4 | INFILTRATION--------- � 2990.0 7 .4 22126.0 1 Practice #2 2990.0 7.40 22126.0 =============================================================================== TOTAL WINTER POINTS | 289295.56 | 33,896.28 =============================================================================== TOTAL x SYSTEM = HEATING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATINS WIN PTS MULT POINTS | COMPON RATIO MULT MULT MULT POINTS ____ ..........._....._..... ............_............__________________________________________________________ pp'ppq qA '55 15.562.56 1 33,896.28 1 .00 1 . 100 .442 1 .000 , ROAERTY DESCRIPTIQN CITY OF . 'i t'�tl4�stc'c �t4�cls'- �Eozcda 716OCEAN BOULEVARD Black Section 1________ P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 iubdiviaians_ ]j r��,�y,�tt�±i��LI TELEPHONE(SiO41249.2J95 i itreet ►iaR+e 'jj77�� (� DESCRIPTION OF WORK ir 1+ddresas_!__l --------------- If ----- -------- If in a FLOOD HAZARD u .> 'load Zones____ __„_____area complete page 3. Brief Descriptions T Class of Works tNow/Remodel/Add ition) Q�t�_______ :011ING INFORMATION Type of • Consist ruction s!_�1,OQ� :oning Proposed listr ict s Uses_, ;,n $r -Q �e Estimated Vilue 50 0 4o- Q C :xceptions or Materialss_ arianees tirarteds-„_ -- - ----------------- -------------------- __ Solid or ------------------------------------------ Filled Ground s„SQs ___Roof s �i OWNER INFORMATION Method of Hastings Property Ovnor s :..�� -CAY �_L],e .(1t 1 .... Phonela- -a--------- "ailing-..-_---_-�-_-+ ' cIAddressG - --------- ----------- ------- ------ �-----2 ---" CONTRACTOR INFORMATION ' I Contractors_i.-� s� _9�l-_�S��a ►5.. 11�.�.------------- Phone: Mailing Address..__ .._ Pe—_ �s .A..—�..-- 1—----- ----- Zip s—J---U—f ------ Expiration License Numbers__ � �.ei,L� „j, .�.. _-„-----„------- Dates_�_�•-13 PL A� I HtREtT CLRTIFY THAT I NATE READ AND EXAMINED TMIS APPLICATION AND KNOW THE SAME TO 11C TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES OOVERNINO THIS TYPE OF WORK WILL •C COMPLIED WITH, WHETHER SPECIFIED MERLIN OR NOT. THE GRANTING of A PERMIT DOCS NOT PRESUME TO OIV! AUTHORITY TO VIOLATS OR CANCEL THE PROVISIONS of ANY FCDCRAL. STATE ORI LOCAL RULES. ��. REGULATIONS, ORDINANCES, OR LAWS IN ANT MANNER, INCLUOIHO THE ooVERNINO OF COMSTRUCTioN OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDtRSTANO THAT THE ISSUANCE OF THIS PERMIT 2S 'i• / �•, ,;.�. CONTINOtNT UPON THE ANDY! INFORMATION BEING TRU[IAND CO 'ECT AND THAT THE PLANS AND SUPPORTIM6 DATA HAVE ttEM OR SHALL t! PROVIDtD A EQUIP l' Date_ -'--=� Owner Signature ------ ( Date_ Contractor Signatu a_ - - - - ---------- ---i---^--- . � I" WATER SERVICE COASTAL FORKS 611 HIGHWAY AlA SUITE 104 285-5352 1717 BEACH AVEN )OB COST RECORD "MATERIALSf TOTAL :DESCRIPTION' Q „ : >;`,LA60R-i 2" X 1" T PVC 1 $2112 1" MALE ADPATER PVC 1 $0177 1" CURB STOP 1 13 80 1" METER ENDS 2 6 00 1" RUBBER WASHERS 2 0 76 CONCRETE METER BOX/LID 1 $21 00 1" SCH 40 PVC PIPE 20' $360 SUB TOTAL $193.05 10% O.H. $19130 TOTAL $212135 2 MEN 27.45 HR FO 1 H 27 45 30% O.H. 8 23 TOTAL 35 68 MATERIALS LABOR TOTAL TOTAL 212 35 $35 68 $248.03 MISC. 108'EXPENSES4�. AMOUNT cnHER IUB ExrENus 10 00 TOTAL COST $258.03 10 00 TOTAL SELLING PRICE LESS TOTAL COST GROSS PROHT LESS OVERHEAD COST t OF SELLING PRICE ff TOTAL 10 NET PROFIT $258 03 1 U ,�Z, e�qll Pizic's Quote APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT HAME_LC(�Z, -,)40 MAILING ADDRESS_�,J PHONE NUMBER_ ^ S?-52 DATE_ SERVICE REQUESTED ----------------------------------------------- SERVICE LOCATION-------------- �C— -------------------____-- ------------------------------------------------ DATE TO PUBLIC EWORKS,�_, __ _____ TOTBUILDUDPTD__ _-- _�c DATE OWNER NOTIFIED--------------------- h CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED A9D CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. 3 BATHROOM GROUP CONSISTING OF O SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) U SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) ( SHOWER STALL DOMESTIC (2) +LAUNDRY TRAY (2) LAVATORY (1) V COMBINATION SINK AND TRAY (3) _r-WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) _KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) }_FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH i FOOD DISPOS. (4) V URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) T 13 _LAVATORY, B*kB£-R-`�� ICE MAKER (1/2) SHOP (2) �-� SURGEONS SINK (3) LAVATORY, SURGEONS (2) V JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS 3 �° @ $20.00 EACH $ V a o JOB INFORMATION / / 7 (/ J4�E Iq C" y FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-B-91 Section 9—Residential Point System Method Climate Zone Department of Community Affairs NORTH 1 3 PROJECT NAME G(- BUILDER: kE„4 e-t> Qi2ma 5 AND ADDRESS: PERMITTING CLIMATE OFFICE: ( ZONE: 1 ❑ 2❑ 3 OWNER: PERMIT JURISDICTION 1 NO.: NO.: Q NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED�G� SQ. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA ` FT. CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: PREDOMINANT WEAHANG �.a FT SINGLE- �SO. SINGLE ❑=SO. MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL FT. PANE FT. REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE- SO. DOUBLE-�m so. SINGLE-FAMILY DETACHED CONDITION: ❑ LENGTH �.� FT. PANE FT. PANE I__L�_1_ FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R EXTERIOR STEEL R = EXTERIOR LOG R = ❑�J ❑ .❑ + � �Fl: M FT. M ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R ❑� ❑ .❑ S T. I I �( I sa. ❑ sa. ❑ t_ L�1 FT FT CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = SGL ASSEMBLY R = SLAB PERIMETER R = RAISED:WD CON❑ R _ ISQ, FL. LJ�W SFO. [1:1 ® 1 Ct FT 14 F0. a L-� ( 9 DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN CENTRAL ❑ ELECTRIC STRIP HEAT ❑ .❑� UNCONDITIONED ❑ CEILING FANS ELECTRIC SOLAR: SPACE R = ROOM ❑ NATURAL GAS PUMP S.F. _ ❑ CROSS VENTILATION ❑ ATURAL GAS �� ❑ PACKAGE TERMINAL ❑ ROOM UNIT OR ❑ FUELS WHOLE HOUSE FAN ❑OTHER FUELS HEAT RECOVERY fcwn ❑ AIR CONDITIONER PACKAGE TERMINAL DEDICATED IN CONDITIONED HEAT PUMP ❑NONE ❑ATTIC RADIANT ❑NONE HEAT PUMP: ❑ .❑ SPACE R = ❑ NONE BARRIER E.F. _ ❑],� SEER/EER= AFOUEHSPFI �.� ❑MULTIZONE EF = .� BEDROOMS = INFILTRATION �� f I m �r / 7�,' X 100 PRACTICE USED I�+ ( � l � ! �`�_L I O ❑ #1 #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify that the plans and specifications covered by the calculation are in compliance with the Review of plans and specifications covered by this calculation indi tea compliance with Florida Energy Code. the Florida Energy Code. Bsf struction is co this ii ng will a inspected PREPARED BY: BATE: s...•�..�^ ? for compliance in accordan with "ion 553. F.S. I hereby certify tha s b i it h Florida Energy Code. BUILDING OFFICIAL: OWNER AGEN DATE: DATE: _ _ Q a o�a�5 R E G I S T E R E D PROFESSIONAL ENGINEER FLORIDA No 6519 DOLE J . KELLEY JR GEORGIA o 009 VIRGINIA No 7009 • , ARKANSAS No. 9659 CONSULTING STRUCTURAL ENGINEER 1646 ROGERO ROAD • JACKSONVILLE,FLORIDA 32211 • (AREA CODE 904)743-4700 February 7, 1992 Coastal Forbis, Inc . 6155 Highway AIA Suite 104 Ponte Vedra Beach, Florida 32082 RE: Forbis Residence Atlantic Beach, Florida Dear Sir , This letter is to certify that the above reference structure conforms to the Southern Building Code Congress International (SBCCI ) Standard Building Code wind load criteria and can structurally withstand a wind loads of 110 MPH as specified by the Coastal Zone Protection Act of 1985 Rev . 1986 . Please call if you have any further questions . Very truly yous , Dole J/ Kelley, t?'r . P.E. /dm 4- 00 A pr o� F�cE CMZ BO�N E 1�'1gj J// r � i t f i j 1 j PRICE QUO�m APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME_` = =1---------------- ---- __- �-- - - - - - MAILING ADDRESS_ /L_,L.t�.�� PHONE NUMBER �` ` ) DATE _> 1 - Z-- - SERVICE REGUESTED_f___Cl�'�� ----- -- ------- ----------- ----------------------------------------------- SERVICE LOCATION_____________�`��-�L ------------------------------------------------ DATE SENT TO �, DATE RETURNED PUBLIC WORKS.,-_�__l j-_____ TO BUILD. DPT- ---------------- DATE ________________DATE OWNER NOTIFIED --------------------- b N