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Permit 273 Pine Street CITY OF ATLANTIC BEACH '+ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000503 Date 4/27/10 Property Address . . . . . . 273 PINE ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15000 ------------------------------------------------------- Application desc REPLACE REPAIR SIDING --------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FRANK, STACEY COASTAL CUSTOMS CONSTRUCTION 273 PINE STREET SERVICES, INC. ATLANTIC BEACH FL 32233 306 4TH STREET ATLANTIC BEACH FL 32233 (904) 333-2735 ----------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 125 . 00 Plan Check Fee 62 . 50 Issue Date Valuation . . . . 15000 Expiration Date . . 10/24/10 -------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ------------------------------------------------------- Fee summary Charged Paid Credited Due -------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total 62 . 50 62 . 50 . 00 . 00 Grand Total 187 . 50 187 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: 2`�� ?!IVB ST , �+ Permit Number: ��j -- S v� Legal Description /6- 2-5 -- ?-FC Salf,Q�'� J ec 3 Parcel# Valuation of Work$ l>5 0 C oor ea o q, t 1 Proposed Work heated/cooled not n-heated/cooled_ Class of Work(circle one): New Addition Cm, + =Repair Move Demolition Pool/spa window/door Use of existing/pro osed structure(s) (circle one): Coercial If an existing structure ,is a fire sprinkler system insta edm(Circle one):ayes %3) N/A Florida Product Approval# For multiple products use Product approval orm Describe in detail the type of work to be performed: l 6H/f06t_6 �S D 1#Q6- e)V 51b l -r I�C.r ►7� 1`- W�© Property Owner Information• Name: �+ � A:� Address: City Stat _Zip 2233 Phone W' E-Mail or Fax#(Optional) Contractor Information: Company N e C �1 rsQuali ,g ent: lkka-3 - Address: I ► City State Zip Z Z Office Phone Job Site/Contact N ber - 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 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 wtll be performed to meet the standards of all Zaws 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 susppended or abandoned fora ertod of sixli)months at any time after work is commenced. I understand that separate permits must be secured for EI ctricaCWork,Plumbing, Signs, ells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb certify that I have read and examined this a plication and know the same to be true and correct. All prov' t o s an ordinances governing this type oll work will be complied with whether specif ed herein or not. he granting of a permit does not pres e t author to violate or cancel the Provisions of any other federal,state, or local law regulating construc n or the performance of construction. Signature of Owner Siture of Contract - e Print Name e, r Name .................. .......... . x >; . .1 .... .....!. S. R� t s S to and subscribed before me h_ ; `rfD 2040 3 LLJ tary u li R - 60 REOUIRE 2014 Public u 'wnters �wV'e�•., JASON DRACH REVIEWEDBY: ised 01.26.10 DATE: =�: .. MY COMMISSION#DD 583034 ,.y `a; EXPIRES:August 9,2010 i Banded Thru WEE U eenvrit INDIVIDUAL SHINGLE Figure 12 trim board 16"or 24" ► water-resistive HardieShingle"Individual Shingles must be installed directly to O.C. barrier` minimum 7/16"thick sheathing. 1/8"gap Fastener Requirements forcaulk sheathing 0.091"x 0.221"HD x 1 1/2"or0.121"x 0.371"HD x 1 1/4"long corrosion resistant siding nails are used for fixing 1 I8"max Hardieshingle siding to 7/16"thick APA rated sheathing. 1 { shingles p Hardieshingle Individual Shingle Installation � ' Due to overlapping of the joints,caulk is not required except where panels abut trim boards.Space shingles a maximum 1/4"apart and leave a minimum lap of 1 1/2"between successive coursesi (f g.13). ' I 1)Install 1 1/4"starter strip and a 81/4"or 9 1/4"wide HardiePlank", siding starter course. 2)Install first shingle from the end abuttingtrim fl . position nails to secure ( 9 12.) through previous courses, 1 1/4" 3)Secure shingle,leaving a 1/8"gap for caulk at trim and continue not above starter strip the course along the wall. 4)Start the second course,leaving a minimum lap of 1 1/2"between Hardie s-1orPlank s successive courses,again from the end abutting the trim.Repeat step 3. siding 5)Continue up the wall repeating steps 2 through 5 until desired height is reached. Figure 13 --ter- resistive Shingles for sldewall applications are available in 6",8", I barrier" and 12"widths. Bundles needed for one squareF� " o Io o I o of I ' space (100 sq.ft.)of product coverage: I shingles 1" I i max.1/4" Shingle Number Pieces 18" apart Width of Bundles per Bundle shingles 9 I 6" 6 11 ' � I I � `� I i leave a minimum 8" 8° 6 max. lap of 1-1/2" 11 I � i 12" 11 xposure i i between joints 6 I_ _ II � � I i in succesive -- i IL courses Figure 14 — A.Panels butted against corner boards. B.Panels butted against square wood strip on inside corner,flashing behind. C.Laced outside corner. D.Laced inside corner. minimum 1" thick trim A B C D Building wall components such as windows,doors and other exterior wall penetrations shall be installed in accordance with the component manufacturer's written installation instructions and local building codes. Where windows or doors are installed,continue the application of siding as if the wall is complete.Triming for the opening and using the resulting piece may throw off the spacing above the break. HS0921_P4/6 4/09 p \O PO rb Poo '•": � � a. o;°° CD, co � �- � � 'u aro ao � e �, �•� ., . ..� � a O CSD O £? •� b e W O" OCD O Vii n ��•] W v yy 91 lull- t ACD CD CD oil on CD cu A `c3 C n O O tz s M r f p.r � F✓✓/^ s � ^FFMSVI•.t// O b �7oa� a 9 CL O 4 y 0 -M 0 Y O n � � A W N �-. p �p 00 J � �: P w N �.. � �-" �--• n � h !y O .'� C O O O 8 o O „"7� v�i `' aC ,�i C7 CZ9 cn _A p N ff tz CD 7' OQ IQ uq 'v . as w r° O •, v- o o rna `` Y AD C3CD IrD W CD O O OQ A7 y O O tD /b F cD �(IQ _ aUQ O � ~' 9 i r�r r i f a A O 7 O C O D O W � N � w zp s o ti A A7 k � k v r e 3 d i G• CD fb rL O� O O' O z z CL z ' W w v� '' LnO z E' O r � v, co � o � o ply A '. � z � UQ g. CD o a C n a v° I my CD �' �- •, CL COD < ^ O r+ CD a cr 49 cr CD n N o Q. C! cu N CD 0 Q Q C3 'a � C O � CD CD CD a G W CA N tr C 0 o C `o CD 0- �. o 43 y CDCD CD e-F O CD NOTICE OF COMMENCEMENT (PREPAR5 IN DUPLICATE) Peirrift No. Tax Folio No. State of County of To whorn tt may concern: The undersigned hereby informs you that impravements wfil be made to certhla real property,and in accordance with B"don 743 of the Flodde Statutes,the frrljowlnq information to szwftd In this NOTICE OF COMMENCEMENT. 47 Iq tj� 5A I-TA 1#2 Legal description of properly being impruved: Address at prwily being Improved: "� H General description of improvernaints-, S-Tve-q Uwner ON A-I%J Address_2$ A 22,x3 Owner's Interest in sits of the Improvement— 1 �121- Fee Simple Titlehokler Of other than owrier) Norm . A�dress Contractipr C'nckji1SQ Address If &f2,�QaL_ E 1)Q e L_ Phone No.2?0q, _T_3 Fax No. Surety(if any) Address of bond Plhone No. Fax No, Nama and addressza of any person making a loan for Via conWaction of the impluvernglinta, Name Address Phone NO. Fax No. Name of person within the State of Florida,other than himseff,desiWaled by owner upon whom notJoes or other docurnents may be served. Name Address Phone No. Fac In 4011lon to Willett,owner designatas the following pen on to receive a oclpy of the I-Jenor's Notice as provided in Section 713.06(2)(b),Morlda bltatut", .(Fill in at Owners option), Name Address Phone No. Fax No, Exptraffoirt date of Noti1w of CtjrTjmajjcejrj0nt(the expIrRHan dale!a one(1)year hum the date ofrecordIng unless a diffiwant date to specified): THBRSPACE FOR R0,--6V0W1jVArdjR------I DATE re ma ffda---i9reY of In the zi�Ulj 1"i Couilty of Duval,stee of Fl dal;, �Md '1K 1,-i00i tcige L by ,kar:ber Patjtvt,. 1 StUtIENT101116 .1 i-,0019at 0-3:04 r1M, tire twu and avxiitut. J t--FIK CIRCUIT SHIRT -Y i,, HAM a os AM P, City of Atlantic Beach APPLICATION NUMBER &� Building Department 800 Seminole Road FF(To be assigned b the Building Department.) Atlantic Beach, Florida 32233-5445 Q — 64 3 " Phone(904)247-5826 • Fax(904)247-5845 �tt �� E-mail: building-dept@coab.us Date routed: a(0 Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Add ess: � % ent review required Yes No Build Applicant: 0-L ' i anning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services ".# aka i-; -n`J"u,Hn I. +� a 4 a 4�d. ,a✓} r ''' ,�i � � -a, iii cM, ,g Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDI Oi ewe PLANNING &ZONING Reviewed y: Date: 0G Cly TREE ADMIN. Second Review: QApproved as revised. enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -; ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000502 Date 4/27/10 Property Address . . . . . . 273 PINE ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 --------------------------------------------------- Application desc WINDOW REPLACEMENT ------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- FRANK, STACEY COASTAL CUSTOMS CONSTRUCTION 273 PINE STREET SERVICES, INC. ATLANTIC BEACH FL 32233 306 4TH STREET ATLANTIC BEACH FL 32233 (904) 333-2735 ---------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 10/24/10 -------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Grand Total 112 . 50 112 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 Job Address: I N Permit Number: Legal Description ZS - 2 S ( aL�r@� 3 Parcel# Floor Area SqTt Valuation of Work$ /CQ4 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition (61� Repair Move Demolition pool/sp wind kioor Use of existing/proosed structure(s)(circle one): Commercial If an existing structure,is a fire s rinkler system ,�nstalled9 (Circle one): Yes o N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: 1�? Q�'J ���'� ��� Property Owner Information: Name: fkG�' t ►tY10N� riZANY- Address: 'rf3 ?l�C 6T City N G State_Zip Phone r _2 6 1 C1 E-Mail or Fax#(Optional) Contractor Information: Company Name: �-1.L4S+l` I�l��--u^-L �� S Quay in Aggent: �► CjTD�K l"t p y ( C E . Ci (ItIV� State to Zip "LZ Address: Office Phone �' Job Site/Contact Number Fax# State Certification/Registration# G ,?-'JL4 7 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and 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 be null and void zf work as not commenced within six(6)months; or if construction or work is suspended or abandoned for a_period of sax6)months at any time ajler work is commenced. I understand that separate permits muni be secured for Electrical Work,Plumbing,Signs, wells,Pools, urnaces,Boilers,Seaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEYEORERECORDING YOUR NOTICE OF COMMENCEMENT. I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1Ywork will be complied with whether speci zed herein or not. The granting of a permit does not presume to gave hority to violate or cancel the provisions of any other federal,state, or local law regulating cons uction or the performance of construction. .c+hv.e.r Signature of Owner ature of Contracto L-- C.✓1... ....... . '.. t..t.t■ 1 tName ...J)...... .. .............� 9G�1......... Print Name �� .............. a ,prnn soubscri ed b7fore me .20/6 .i otary u PE 7760 ® Public r 14,2014 REQUIREdetwriters JASON DRACH Re sed 01.26.10 ,., MY COMMISSION#DD 583034 �. EXPIRES:August 9 2010 REVIEWED BY: DATE; Bonded Thru Notary Public Underwriters A o o y b b .. u A• f• n.—. p `p 00 �l T tJ :? W N �-• Q� th � W N i—+ � .� N .C] A A MW CD w o ° o a 4 o o+ b o o+ CD a CL a m voa °� � CD El `CD Ln °� M .o A ° 2 r �d rt 00 CDO cr b � CD 0 00 ' • � O CDrA Z C a. �. cD tv `O O �. CD SD CD 0 0 0 0 a o 57 UQ CD o o � o 0 � � CrJ UQ CD ro; n, tO �+ z „o E a. Cr CD - ---- � E oa CD - 0 o o coo U D 0 aCD - ° G. Zcr � S -t (D O OOQ O §: R M °. 0l a. o CD 0 � 1 nCD CD .y n CD Ca. CD o 0 � � o coo a c� c� Florida Building Code Online Page 1 of 2 SCIS Home Log In User Registration Hot Topics Submit Surcharge Stats @ Facts Publications FSC Staff SCIS Site Map Links Search Product Approval € )USER:Public User > - > >Application Detail FL# FL9108-RI Application Type Revision Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Andersen Corporation Address/Phone/Email 100 Fourth Avenue North Bayport,MN 55003 (651)264-5308 abarstad@andersencorp.com Authorized Signature Alan Barstad abarstad@andersencorp.com Technical Representative Steve Berg Address/Phone/Email 100 Fourth Avenue North Bayport,MN 55003 (651)264-7425 steve.berg@andersencorp.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Window and Door Manufacturers Association Referenced Standard and Year(of Standard) Standard Year 101/IS2/A440 2005 ASTM E1886 2002 ASTM E1996 2002 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtjjge6ZTas3FY... 4/25/2010 . lep MOT OF commotmMENT (pREPARF IN DUPUCATE) Permit No county of Mate of To whore It may concern: ovemlants will be Inaide to owtain real propg1ty#and in The undersigned WOW 11110mis you that 11'"Ir towing Information 18 MW in this NOTICE OF accordance whit 360tion 743 of the Rod"Statut"'U"'io 5A LTA 161 OOMIAF.RCEMFWT- � —Z41 tir Legal desoriptlon of pr0P8fW being ir"Pruved. . ................. -—------ 3 T Address a property being Improved LAIA i>�4: Ganqral dascaptlon oficer ovemants, .j 0. 4 Addre—stjffit� owner's interest in site Of the Improvement— Fee Simple'TRIeholder(it other 1111191 Dwflef)- Name l se-no Gantraatgr L) ie-ieft — Add Z=kiI Phone No. Fox No. Surety(if any) of bond Address phone No. Fax No, Mama and address of any person making a loan for the construction af the improverronts, Name Address Phone No. Fax No. Name of Person vAlhin a,*State of Florida,aft(than 111kneelf,designated by owner Upon Whom notims Or 0#Wr documents may be served: Name Address Phone No. Fax In addition to 111ITIBeff,ij%�wwr dwUnat?s the Wowing persur,to receive a copy of the Llenor's Notice as proWded In section 713.06(2)(b),Florida StatUtdis-(rill in at ownees option). Name Address Phone No- Fax No. EXPIradon date of W00W of carrimeocefflent(ints expiration date is one(1)year finm the date of recording unto&&a diffivent date is specifled): Baia dd(YVDVRd use oNLY iia 6� 1 d DATr .rho -0-1' egg County of QUvzj.Stat"of FbAdA,Putt PtM90nfiIIY APPOWO h rain try ()H dK t-age i6(1- tire ifuto and eimurattl `t)C9 jt 03iO4 f'M. l ERK 11RCUT 18HIR( -Y Lj C, l-fA R D A �,Rkfitbna APPLICATION NUMBER City of Atlantic Beach (To be assigned by the Building Department.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 Date routed: 7 E-mail: building-dept@coab.us City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM 3 JFFireServicFes7 nt review required Yes No Property Address: / 6ib L �j ZoningA plicant: �(,49� 4'5 W " inistrator Applicant: rks Project: lities fety ices of 011,11, ' m ytr r + a # � ^!�' *'r Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS viewin Department First Review: [Approved. ❑ Denied. Re 9 (Circle one.) Comments: BUILDI NQK Date: PLANNING &ZONING Reviewed by: � �6 �� TREE ADMIN. Second Review: []Approved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES Reviewed by: Date: PUBLIC SAFETY ❑Approved as revised. ❑Denied. FIRE SERVICES Third Review: Comments: Reviewed by: Date: Revised 05114109 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } +� =" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Jit Application Number . . . . . 10-00000075 Date 1/25/10 Property Address . . . . . . 273 PINE ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW UNDERGROUND SERVICE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FRANK, STACEY BEACHES ELECTRIC SERVICES INC. 273 PINE STREET 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/24/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 10- FFF1��� OFFICE:(904)247-5826•FAX NO.:(904)247-5845 3 WWW.COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY i2IS:T,HISIASUB,PERM17aa .. 9:DAT8.£.,. ., ��� �� ✓�'� ❑YES PERMIT# l ZS C 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: S.PHONE: NatiNirC.Hiu ! n .��r,�t,r r h•.n.-.h*' ".>.K"' s. .,., �i ... r..`F`ELECTRICALCONTRACTQR .4'�'•e'. IA'� C "' �, °7��,".'�. a.:. 0,=+inn, ... 7.NAME OF COMPANY: �--- 8.ADDRESS, �..c�t�-� �e� SUS- �l�C t�� c' -C� 6-'r ej 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: Pe- 13. � 11.FAX NO.: a/ 2 � 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14, 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months a after work' ce CONTRACTORS SIGNATURE: Pi 1C CLASS OF.WQRK .,. ''. 6a ,..:)H ,,., r.#„ ,.,,1ou.r 17:•SER1/ICE I arrV u t!, l ieua�:r, 18 METER NUMBER. .*;? ,. .`=x , •MG.: ❑MULTI FAMILY-#OF UNITS. ESIDENTIAL ' SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ADDITION ❑TRAILOR 1�,BUILDINGI t„ a h.r s,t q1F f9,CURRENT:CODE h �, �r�i '' a ALTERATIONt ❑SIGN LD ❑NEW 11'08 NATIONAL ELECTRICAL CODE p gg REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: u'vft N'A..srf, I$T ALL;E E RICA r� �u� iI � ' h 20.TYPE OF SERVICE: OOVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: OWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑C PPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS:�� PH: W: _ VOLT: Z o RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: IN h 32:AIR CONDITIONING:W.' #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW- #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS;• UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS:, t l ESC�216E IN x STAIL: C Elect Permit Application 2010 �3 CITY OF ATLANTIC BEACH ) 800 SEMINOLE ROAD =� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 09-00001999 Date 1/07/10 Property Address . . . . . . 273 PINE ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 -------------------------------------------------- Application desc ADDITION LAUNDRY ROOM AND PORCH ----------------------------------------- Owner Contractor ------------------------ ------------------------ FRANK, STACEY COASTAL CUSTOMS CONSTRUCTION 273 PINE STREET SERVICES, INC. ATLANTIC BEACH FL 32233 306 4TH STREET ATLANTIC BEACH FL 32233 (904) 333-2735 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . WASHING MACH, LAUNDRY TUB Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date Valuation 0 Expiration Date . . 7/06/10 ---------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- ' 06 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Silt fence posts should be on the opposite side of fabric in the direction of flow. Construction parking must be on street or in driveway. ------ ---------------------------------------------- Fee summary Charged Paid Credited Due --- ---------- ---------- pPJ e-rm�irrt�,Fee Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS�\A9 'WOSY JWgq "DANCE WITH ALP CITY OF ATLANTIC 9EACH ORDINANGLQ(XND THE FLORIDA0 0 BUILDING CODES. `ss CITY OF ATLANTIC BEACH s1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001999 Page 2Date 1/07/10 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH vigilk r t L ri4 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 t' n OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPTCCOAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2:IS THI&A:SUB PERMIT 3.DATE: . Ng J //N ✓/( C�L� W ES PERMIT#: PROPERTY OWNER:, 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRACTOR:;,- 7.NAME OF COMPANY: 8.ADDRESS.: o v ',r (`w i✓r ,/,-'o r c ; • U , ?7dl G Z, 9.STATE OF FLORIDA LICENSE NO: 10.CELL, PHONE, 11.FAX NO.: 12.EMAIL ADDS. �YzS aU 0/L 7 13.OFFIC HONE: 14. p d G� 3 _/- !�� y ,�w /roofao Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: 15.NATURE OF WORK: 18.CURRENT CODE: EW W07 FLORIDA BUILDING CODE ❑ RE-PIPE PLUMBING ❑OTHER: 19 NUMBER OF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB f WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN 20.PLUMBING;PERMIT FEES: PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: Z x $7.00 (PER FIXTURE) + $55.00 BLDG03 Permit Applicatiion Plumb:12/18/2008 'SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 k Application Number . . . . . 09-00001999 Date 1/25/10 Property Address . . . . . . 273 PINE ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 ---------------------------------------------------------------------------- Application desc ADDITION LAUNDRY ROOM AND PORCH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FRANK, STACEY COASTAL CUSTOMS CONSTRUCTION 273 PINE STREET SERVICES, INC. ATLANTIC BEACH FL 32233 306 4TH STREET ATLANTIC BEACH FL 32233 (904) 333-2735 ------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . BEACHES ELECTRIC SERVICES INC. Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/24/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Silt fence posts should be on the opposite side of fabric in the direction of flow. Construction parking must be on street or in driveway. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- PERMIT IS A PPit 6 9R& IN4 RDANCE WIAN-LL(ITY OF ATLAN'-`PIC qEACH ORDINANCAPAND THE FLORID 0 BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00001999 Date 1/25/10 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. 4 j�1L'ri CITY OF ATLANTIC BEACH A O� I � ��I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 1 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 VWM..COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY i.1,'JO9 AflDRESS ,.. 2f IS THIS A SLfB PERMIT' .!J+�a"r . .w,, 3:'DAT_E NO �3 �' S� ❑Y S PERMIT#: ,u.iJa,. TX11 +x,. , i,.,. ,w ,��+ 0 PROPERTY OWNER;1!j„`.i �r.�i.:I":,rs i a� ,�.+,�,r"r^µr N,, • �..�., h� 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 5'41Ce s^: I E w k N�, '�'�,.' d f. - r u YI�....o •^.•,r .... ..to e,ELECTRICAL CON RAC OR ,„�tis€;;k10... "M? "uti, i 7. ME OF CQMPANY: _ �--- 8.ADDRESS.: c.i) L� CSS 9.STATE OF LO CENSE NO: Z 10.CELL PHONE: Z �Z 11.FAX NO.: 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time Is CONTRACTORS SIGNATURE: �r h�s1S"GLASS OFWC7RK +y-,I�,� �',ne�.a",, +u t .:itl s�,Hh@�I Cfip r 7 "; TER NUMBER., . ,.�, ,.,. ;:+ , �. ❑MULTI FAMILY-#OF UNITS: ESIDENTIAL SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ADDITION ❑TRAILOR 1SsBCJItDING„.'y".I r, II� ,,...+a"k C4 ENT CODS ❑ALTERATION ❑SIGN OLD ❑NEW ❑'08 NATIONAL ELECTRICAL CODE CC ❑REPAIR „h ❑POOL/SPA p ❑1REWIRE p W tt OTHER: D nl�Ira�rN M.-".�.,>°.'f"."" ,i ,' xsG".' .. �- .a,.. ir w 20.TYPE OF SERVICE: AOVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: OWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS:—4.a= PH:�_ W:_'?_ VOLT: RACEWAY SIZE: 26.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: 1 ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: •ry4 :.;�,� � ��� 32.AIRCO DITIONINGS� �,r,*�t�d�,ru"�'. �.k IrHilt... .�`r :.. ,r. .7I..r,u, „' r.. ,'v::, , 3. #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 4� ;+�,a„� ,�.«.`;;'� „ s f ,,,i:. t. ••E�ai.1n *',t' 33.MOTORS 't;"'s.� .,,,ij.tir.ks„''H,...a r^"IAtlr'�. i,3nr,�I artl. .,a'r-. ,•jEff a� R� i, NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: , 34,TRANSFORMERS: ,. .. UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35 MISCELANEOUSREPAIRS: DF SCRIBEIN DETAIL: �-i\-r-0- Elect Permit Application 2010 �t i'j��t\1�✓�;a I=� CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00001999 Date 12/30/09 Property Address . . . . . . 273 PINE ST / /09 Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 Application desc ------------------------------------------------------ ADDITION LAUNDRY ROOM AND PORCH -------------------------------- Owner Contractor ------------------------ _ _ FRANK, STACEY COASTAL CUSTOMS CONSTRUCTION 273 PINE STREET SERVICES, INC. ATLANTIC BEACH FL 32233 306 4TH STREET ATLANTIC BEACH FL 32233 (904) 333-2735 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X -------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 180 . 00 Plan Check Fee 90 . 00 Issue Date Valuation 26000 Expiration Date . . 6/28/10 ------------------------------------------------ Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Silt fence posts should be on the opposite side of fabric in the direction of flow. ------ - Construction parking must be on street or in driveway. --------------------------- ----- Other Fees . . . . . . CITY RADON SURCHARGE . 02 ST CONSTRUCTION SURCHARGE .48 AB CONSTRUCTION SURCHARGE . 05 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITYW-AATU9APW9JRCfiT&61UW AND THE FLORIDA- 51 BUILDING CODES. s: r' ✓�� r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 -----Application-Number 09-00001999 Page 2 Date 12/30/09 -----------------------ed __ Fee summary Char -- g Paid ____ _------- Credited ---------- Due Permit Fee Total 180 . 00 180 . 00 _______ . 00 Plan Check Total 90 . 00 90 . 00 . 00 Other Fee Total . 00 1 . 06 1 . 06 . 00 . 00 Grand Total 271 . 06 271 . 06 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ®�- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I'I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: F.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF -' ' 2 000 ��8 FIT4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: LOT_BLOC SUBDIVISION �3 1S A L-rij I R:5 e 3 ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL XADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: m ITI�� ©r LA&A T) �obM Sc l%I.�PdR� ❑REPAIR ❑POOL/SPA ❑YES ❑WA ❑MOVE ❑OTHER WNO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: r 15. MPAN�AME: 23.C,OytPA Y NA �e-�s �[Pre-E� KA rv1 D N i� I A II bM5 - 11�� li`j 16.NTt)R l �' 0���� 24.LCENSE NAM A^V-CS J N �' �' � K 10.ADDRESS: 17.ST TE OF FLORIDA LICENSE NO.: y� 25.STATE OF FLOR �oI A LICENSE NO.: 2 I Ne s i Cl rt- 18.IDDR S C,� 6.ADDRESS: J- 3ZZ33 ,� NEPNC�f3c hf &3zZ2tLP 1, 38 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.C LL PH NE: 21.CE Q '3_53 � 29.CELL PHOL�55_ �� I 36 P3 14.E AIL ADDRESS: 22.EMAIL 30.EMAIL�A,D�RESS. s� KQ ^ MCA51-f- , D^A FEE SIMPLE TITLE HOLDER: (IF OTHER THAN OWNER) BONDING COMPANY: ORTGAGE LENDER: 31.NAME: 33.NAME: 35.NAME: s 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are ffnaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Afforney or Agency etter Required) (Qualifier Only) Signed: In Data:0 e L ll OF Signed: Date: Before me this--/(-' y of 20009 in the county of Before a this-/L-day of Com«its,. -2009 in the county of Duval, to of Florida,has persona ppeared Duval to.of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. /L true and accurate. Notary Public at La a,State of ounty of Notary Public at Large,State of-Z-*�&-e#?'4*ounty of J12"'✓11 ❑Pee IIyKno El Personally Known moi/ tIYP oducedlde tion- E)4oduced Identification- Nota ' natu Notary Signature: HAM `rrw.i.,r REVIEWED FOR wr PU tlblic a o lorida ?o• ••�;;, JASON DRACH 4.2010 MY COMMISSION#DD 583034 CITY OF_A, - 'on #DD Si 33 err EXPI .9,2010 BLD ��Ip i IT ,/ ll, Yf„h, Hooded r MITS J Y rational Not Assts. REQUIREMENT D CONDITIONS. { REVIEWED BY: DATE: ILE C R APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION EFORM000-04RResidential Limited Applications prescriptive Method C ddldons,Renovations 3 Building Systems SOUTH 7 8 9 Compliance with Method C of Sub-Chapter 6 of the Florida Energy Wriency Code may be demonstrated by the use of rorm 6MC-04 for additions of 600 square feet or less,sae-Balled components of manufactured homes.and renovations to single-and mulOple-family residences.Alternative methods are provided for additions by use of Form 600M or 600A-04. PROJECT NAME: FtfLAa�tiC. + SAOCr.�c.� BUILDER: �46�fpt. G�TgTCrM COnlSTrt, ls�-I AND ADDRESS 'L t r{ `T PERMITTING �- x w GH OFFICE: AY�A�tYtG CLIMATE rlsGt-} ZONE: 7© 8 El g OWNER: t�dAv aevc FC& PERMIT NO.: JURISDICTION NO: Z Cp � ( O O SMALL ADDITIONS TO EXISnNG RESIDENCES(600 square feet or lass of conditioned area).Prescriptive requirements in Tablas 6C-1,GC and 6C 3 a the incising build' ng equipment cy N equipment 2 apply only to the components d the addition,not to ng m4 Spare haling,cooling,and water heati a ui ment efrxtieen levels must be ma on when a ui eM is installed specifically to sewe the addition oris with the addition construction.Components seperating unconditioned spaces from cond8ioned �0 wed in oorryuncfion undergoing renovations costing more than 30%of the assessed value of the building).Prescriptive �ments in meet the les 6G-ed minimum inplsyula0on levels RENOents and equipment (Residential bindings replaced MANUFACTURED HOMES AND BUILOINGS.Only site-installed components features armee covered by this form BUT ILDING and &Y�Sf EMG Complyortly t awhen complete flew being renovated or M systemsinstalled. Please Print CK 1. Renovation,Addition,New System or Manufactured Home 1. &C>Q or I.a r 2. Single-family detached or Multiple-family attached 2. S, i 3. If Multiple-family-No.of units covered by this submission 3. A . 4. Conditioned floor area(sq.IL) 4• l •4n 5. Predominant cave overhang(ft.) S. 6. Glass type and area: Single Pane Double Pane a.Clear glass 60. sq.ft.` sq.fL b.Tint,film or solar screen 6b. sq.ft. sq.ft. 7. Percentage of glass to floor area 7. _% 8 Floor type and insulation: a.Slab-on-grade(R-value) Be R= fin.ft. b.Wood,raised(R-value) 8b. R= sq.ft. c.Wood,common(R-value) 8c. R= sq.ft. d.Concrete,raised(R-value) 8d. R= sq.ft. e.Concrete,common(R-value) Be. R= sq.ft. 9. Wail type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 9a-1 R= W sq.ft. 2. Wood frame(Insulation R-value) 9a-2 R sq.ft. b. Adjacent: 1. Masonry(Insulation R-value) 9b-1 R= sq.ft. 2. Wood frame(Insulation R-value) 9b-2 R= sq.ft. c.Marriage Walls of Multiple Units`(Yes/No) 9c• 10. Ceiling type and insulation: a.Under attic(Insulation R-value) 10a. R= sq.ft. b.Single assembly(Insulation R-value) 10b. R= sq.ft. 11. Cooling system• (Types:central,room unit,package terminal A.C.,gas,existing,none) 11. Type: x.AS5't-141 12. Heating system* SEER/EER: (Types:heat pump,elec.strip,natural gas,LP-gas,gas h.p.,room or PTAC, 12. Type: ExL`ST HSPF/COP/AFUE: existing,none) 13. Air distribution system` a.Back flow damper or single package systems`(Yes/No) 138. "O b.Ducts on marriage walls adequately sealed'(Yes/No) 13b. S 14. Hot water system: 14. Type: LEG. (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site-installed components. I hereby ce ' h e pWcations af 'on are in compliance with Review d plans and specifications covered by this cakmlation indicates complence with the Roda rida Ene Energy Code.Before construction is completed,this building will be inspected for compliance in accordance with Section 553.908.F .PREPAREI� �� //�/BUILDING OFFICIAL: ,/ rI hereby th th ergy Code:OWNEROATS �7 DATE,- FLORIDA ATE FLORIDA BUILDING CODE-BUILDING 13-0.37R f APPENDIX 13-D TABLE BC-1:PRESCRIFIA E Rp1UIREMEIRB FOR SMALL ADDITIONS(Sm Sq.Ft.and Lou),RENOVRIONS TO EIUSiNg BUMUNBS AND SRE-INS IALLEO CDMPOTA:N18 OF MAN ZgFA pones 7HOMEg MINIMUM INSULATIGN MINIMUM INSULATION INSTALLED EQUIPMENT INSTALLED EFFICIENCY EFFICIENCY )jCOMPONENT lockR-5 4' R-19 j Central A/C Split SEER=13.0• SEERra Single Pkg. SEER=13.0• SEER= if rame R-11 Room unit or PfACe�nry R_3 EER =85• EEAnder Attic R-30 Electric Resistance ANY (9 ingle Assembly;Enclosed 17 Haat um z Frame Z pump HSPF=7.7• HSPF= io Metal Pans R-19 F -Single Pkg. HSPF=7.r HSPF_ I+ V Single Assembly;OpenRoom unit or PfHP COP =2.7• HSPF/COP. Common,Frame R-10 = R-11 U Gas:natural orpropane AFUE_.78 AFUE_ Slab-on-grade No Minimum Fuel Oil AFUE=.78 AFUE= O Raised Wood R-11 Raised Concrete R-5 Common,Frame R-11 F. Electric Resistance EF=.92 EF= ~U In unconditioned R-8 < �:natural or LP EF=.59 EF= p In conditioned space No minimum $ Fuel OR EF=.54 EF= TABLE BC-2:PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN AODInONS ONLY See Table 13-607.1ABC3.2 and 13-608.1.ABC32 Maximum percentageto floor area allowed is selected ,overhangh,and solar boat coefficient.Maximum%_,_Installed% GLASS TYPE,OVERHANG,AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH-SHGC OH-SHGC OH-SHGC OH-SHGC OHSHGC OH SHGC OHSHGC OH-SHGC 1'-.87 0'-.78 2'-.87 V-.78 3-.87 2'-.78 4'-87 0-.75 V-.75 0'-.61 2'-.75 T-.81 T-.75 7-.61 Y-57 1'-57 0-.44 2-.57 1'-A4 0'-39 r-3s m-35 t7-3o Get certified SHGC from the manufacturer or use detauas:Single clear SHGC=35,double clear SHGC=.66,and single tint SHGC=.64 TABLE SC-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints&Cracks 608.1 To be caulked,gaskepad,weather-stripped or otherwise sealed. Exterior Windows&Doors 606.1 Max.03 cfm/sq.IL window area;.5 cfm/sg1L door area. Sole&TOP Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed Lighting 606.1 Type IC rated with no penetrations(two alternatives allowed). Multistory Houses 606.1 Air banter on perimeter of floor cavity between floors. Exhaust Fans 808.1 Exhaust tans vented to unconditioned space shall have dampers,except for combustion devices with Integral exhaust ductwork Combustion Healing 808.1 Combustion space and water healing systems must be provided with outside combustion air,except for direct vent appliances. Wets►Heaters 812.1 Comply with efficiency requirements in Table 612.1 ABC.3.2.Switch or clearly marked circuit breaker electric or cutoff (gas)must be Provided.B temal or bWft4n heat trap required for vertical pipe clears. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Noncommercial pools must have a purge timer.Gas spa& pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 812.1 insulation Is required for text water circulating systems(Including heat recovery units). Shower Heads 612.1 Water flow must be restricted to no more than 25 gallons per minute at 80 psig. HVAC Duct Construction, 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall bemechanically attached,sealed,Insulated and Insulation&Installation installed In accordance with the criteria of Section 610.1.Ducts in attics must be insulated to a minimum of R-6. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. GENERAL DIRECTIONS: 1. On Table 6C-1 indicate the R-value of the insulation being added to each component and the efficiency levels of the equipment installed.All R-values and efficiencies installed must meet or exceed the minimum values listed.Components and equipment neither being added nor renovated may be lett blank 2. ADDITIONS ONLY.Determine the percentage of new glass to conditioned floor area in the addition as follows.Total the areas of all glass windows,sliding glees doors and glass door panels.Double the area of all ronvertkal roof glass and add it to the previous fetal.When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area.Divide the adjusted glass area total by the conditioned floor area of the addition.Multiply by 100 to get the peceol.Find the largest glass peroemage under which your calculated percentage fags on Table 6G-2.Prwcriptives are given by the type of glass(single or double poke)and the overhang(OH)paired with a solar heat gain coefficient(SHGC).For a given glass type and overhang,the minimum solar heat gain coefficient allowed is specified.Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition do not have to comply with the overhang and solar heat gain coefficient requirements on Table 6C-2.Al new glass in the addition must meet the requirement for one of the options in the glass pexemage category you indicated.The overhang(OH)distance is measured perpendiculary,from the face of the glass to a point directly,under the outermost edge of the overhang. 3. RENOVATIONS ONLY.Replacement glass needs to meet the following requirements.Any glass type and solar heat gain coefficient may be used for glass areas which are under at least a 2400t overhang and whose lowest edge does not extend further than 8 feet from the overhang.Glass areas being renovated that do not meet this criteria must be either single-pane tinted,double-pane dear or double-pane timed. 4. BUILDING SYSTEMS,Comply when new system isinstalled for system instalied- 5. Complete the information requested on the top hal of page 1. 6 Read"Minimum Requirements for Small Additions and Renovallons,"Table 6C-3,and check all applicable Hems. 7. Read,sign and date the"Owner/Agent"certification statement on page 1. 13-D.38R FLORIDA BUILDING CODE-BUILDING CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET(short form) As required by Florida Statute 553.842 and Florida Administrative Code 913-72, please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.org Category/Subcategory Manufacturer Product Description FL A EXTERIOR DOORS Approval#(s) a. Swinging PrNbEK,5pNOogf E ,poi DN.TSwu�G.D rL5 R-IO .�j b. -Sjtding Swan►G.— MA 7ra � r p�Gt 1�x5w�n�C,. Doo�Q c. Sectional/Roll UpL d. Other WINDOWS a. Single/Double Hung DOu.B►,_ �,��(y W�NaO� 1=L b. Horizontal Slider bR 5 c. Casement d. Fixed e. Mullion f. Skylights g. Other PANEL WALL a. Siding M651+A(`'.DI ' A4Zrl b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles5 b. Non-Structural Metal c. Roofing Tiles d. Single Ply Roof (;t�►IRGA A1T SPGFAD1fE12� ROOF�NoER 07 T Z9 . I STRUCTURAL COMPONENTS a. Wood Connectors 57& b. Wood Anchors j�jC RGfGj/���.4G S�a2AP� �G /II�QSL /OS"3/ /off c. Truss Plates d. Insulation Forms e. Lintels f. Others NEW EXTERIOR ENVELOPE I understand that,at the time of inspection,the following information must be available to the inspector on the jobsite: I. A copy of the product approval. 2. The list of performance characteristics which the product was tested and certified to comply with. 3. A copy of the applicable manufacturers'installation requirements. U e I ders Endaproduct may have to be removed if approval cannot be demonstrated during inspection. i pplicant Signature Date H:/Product approval spec sheet short formAsx NOTICE OF COMMENCEMENT (PREPARF IN DUPLICATE) Permit No.__ _.�___ __ .__.�_. Tax Folio No—_. State of Y_ County of To whom It may concern: The undersigned hemby Informs you that improvements;will be made to certain real property,and in accordance with Section 70 of the Florida Statutes,the following Information to salted In this NOTICE OF COMMENCEMENT. Legal description of property being improveYJ: G7fl i a� ��� Address of property bating Improved: ! l ITC.A r-j 1'! z 2 Ganeral d(soription of improvernents SC Owner Address ►r�G �' i fi_l �?r`­�'CI G p� G2 2.33 Owner's Interest in sitar of the Improvement Fee Simple Titleholder(tf other then owner)_ Name . r Cuntmltgr �.� " - t l - t v: 522►��.L _ ._isrl:Zt�U i,°�JC tc)>v t,',�flac Q iuc _._.__ a,{ Address /=�f �.f��.�"e_ 4' �)s l�1 11 Phone No. a 13-S-­.—Fax tdo. Surety(if anf) Address ._ __._ _� _ Artxtunt of bond$ Phone No. _ Fax No. Name and address of Jany person making a loan for the construction of the Impremy ants. Name Cd Address Phone No.__ _ . .r .__ ._ _ _Fax No. ---�— Nanta of person wifft the State of Florida,other than himself,designated by owner upon whom notloes or other documents may be served: Name Address Phone No. ..______ __._�_ __-Fax In x1dillon to WiTiself,uw car designates they following poluorl to recoive a copy of the t..lanor s Notice as provided in Sectlon 713.00(2)(b),Flodda Statutes.(Fill in at Ownees option), Name Address Phone No. --_ Fax No, Oagtt don date of Noticm of Corremwic,r.utunt(the eaxpirwtion riffleone(i)year hum the date of recording unless a different date is sparw�sd):......_...w._.M._.._ THlS 8PI10E—FOR fdEfJiiClEt2' rl (�#aLY ' O Int it Darote Ira tide m 911 _ tL_____,� in the Ccuitty or Duval,State of Florida,has piasOneliy ROP"md d 1,,,09 i Neige Ii tl, - — _ __._ 6reinby aa P•I;it;i,er i'at.JG�. 9 hilnlr herself and 4;Kni1u tYYat eq rfatxrneY�to tuid t4ma eratlona herein tYru tum and etx.wutr, F'a;.crdC<{ i;r11,_'OC9 gat 03:04 i'M. JAI�Ui.J_f k OA-RK CIRCI fT f.X)UR( DUVAL. ill-!!VIl ;` 'r".f' " SMIFI 'Y tt G HAM REcORDIN_ ";,'I O Litt ,. ua P tN rV 8 l S rldbel� City of Atlantic Beach FFDate LICATION NUMBER :i Building Department ned by the Building Department.) 800 Seminole Road j Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 / it v% E-mail: building-dept@coab.us d: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6;�73 T—vi_ DLtmrtment review required Ye No Applicant: � .tannin 'strator Project: � Public Utilitie u is afety J Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUIL NG PLANNING &ZONING 1 _t P Reviewed by: Date: o' TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑D Hied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 273 Pine Street 0102 - SFR 2 STORY SOH Year Built 1979 Type Gross Area Heated Area Base Area 754 754 Unfin Open Porch 6 0 Finished Garage 260 0 Finished upper story 1 801 801 Total 1821 1555 ^J 1 23 Fug25 2t� FGR Lf' City of Atlantic Beach ' ` �s •��, Building Department ' APPLICATION NUMBER (To be assigned by the Building Department.) J � 800 Seminole Road �('� �� �r Atlantic Beach, Florida 32233-54Q0 � !— �9 9 Q Phone(904)247-5826 • Fax(90 5845 ,/ "LSA �� E-mail: buildin de t coab.us g p °� `jam` Date routed: Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6�13 rT! � $Fire ment review,re quired Yes No Applicant: strator Project: A ilitie Lir Zoomfety / ices Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: IKApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review; A roved as revised. ❑ pP ❑Denied. PUBLIC WORKS Comments: PUB L IES 'L Ito PU IC S FE Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 MAP SHOWING SURVEY OF LOT 529, SALTAIR, SECTION N0. 3, AS RECORDED IN PLAT BOOK 10, PAGE 16 OF THE CURB RECORDS OF DUVAL COUNTY, FLORIDA. ENT PUBLIC -I I 1*41 o I I I Fou�p 3q•,/rho /�I 5D !�� \ ------------ 1110-07-9 tV tit" "' f �✓ IV � N :•.�I• o} Y � r FouNo H�q••,�oN l �EC.✓ECCEO it/OVEit(r3E,..7 2{0 /979 %O r3 Q��C 9u.Z.ir Y uP To p q 7-2v. City of Atlantic Beachf „ i }� Js ti, Building Department Eae LICATION NUMBER "'' r assigned b the Building Department.) r 800 Seminole Road "° t�~`'�- Y Atlantic Beach, Florida 32233-5445Phone(904)247-5826 • Fax(904) 5;t yr E-mail: building-dept@coab.us Q City web-site: http://www.coab.usI I APPLICATION REVIEW AND RACKING FORM Property Address: D rtment review re wired Yes No Applicant: G�Z .tannin ' Project: 'strator Public Utilitie LAY J�0 0 u is afety Fire Services l�@VI@W f ee��'i .H i,3.. Fis Nra}.-,DN t S� }� {,-�.i�NCn G i,�i u tai �u FrG F 1+ a k:• Other Agency Review or Permit Required Review or Receipt Date Florida Dept. of Environmental Protection of Permit Verified B Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: l-eDate: TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach - , Building Department APPLICATION NUMBER :- 800 Seminole Road (i o 6e assigned by thB Atlantic Beach,Florida 32233-5445 euilding Depa errt 9 ) Phone(904)247-5826 - Far. 904)247 v ` f E-mail: bu�ffding-dept@ -5845coab.us City web-site: httP:(hVWW coab.us Date muted..'- APPLICATION outed:APPLICATION REVIEW AND TRACKING Property Address- D ntreview re aired Y No Appficartt: u((ding ing&Zoning Project; �� Tree Admtrator Public WorKs inis D Public UtiCi€fes (U� Public Safety M.. - MAR U Fire Servrces-- B Other Agency Review or Permit Requr R view or Receipt Florida Dept of Environmental Protection o errnit Verified B ©ate Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alc:ofroiic Beverages and Tobacco Other_ APPLI ATION STATUS Reviewing Department First Review: (Circle one.) Approved. []Denied. Comments: BU(LDfNG PLANNING&ZONING TREE ADMIN. Reviewed by: Second Review: []Approved as revised. [3Denled- PUBLIC WORKS Comments_ PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. [Denied. Comments: Reviewed by: Date: :ewised MUM City of Atlantic Beach Building Department APPLICATION NUjDepartjment.) 800 Seminole Road (To be assigned by the BuildinAtlantic Beach, Florida 32233-5445 /1 _ /�Phone(904)247-5826 • Fax(904)247-5845UE-mail: building-dept@coab.usCityweb-site: http://www.coab.usDate routed: APPLICATION REVIEW AND TRACKING FORM Property Address: p`�3 �� �� D rtment review re ui red Yes No Applicant: .lannin Project: strator l Public Utilitie Ll�l`7I // 00�( u is afety Fire Services Review feeu z ,ar De t Si . '� Igp ^sn y.4 Other Agency Review or Permit Required Review or Receipt Date Florida Dept. of Permit Verified IS of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. (Circle one.) Comments: []Denied.. BUILDING LANNING &ZONING Reviewed by: Date: Z-l yip TREE ADMIN. Second Review: []Approved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 LOT 529, SALTAIRF. MAP SHOWING SURVEY O, SECTION N0. 3, AS RECORDED RECORDS OF DUVAL COUNTY, FLORIDA. IN PLAT BOOK 10, PAGE 16 OF THE CURRENT PUBLIC I I 41 I i �'�OUNO 3�¢••��o� 2.•�0 5To�Y '-/� No.273 �N Q p a f ,,, h Q :d• o Z Y 1 uo FOuNO 3�4"ii2oN • 50 - �/OTc RFCa✓EI . 47 n/OVE.v(3� z 2G 1979 %� r3,gi.��j S�/.ZvrY uPTp pa��. 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