Permit 2045 Selva Madera Court .1% I
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 routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: R!��ent review required Yes No
C��ujidi�22
Planning &Zoning
Applicant: /'J'� Tree Administrator
Project: _S 'S Public Works
Public Utilities
Public Safety
Fire Services
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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 Ir t#f"i
'T�f T
Other: Im 1 6
APPLI,QATION STATUS
[]Denied.
Reviewing Department First Review: [RApproved.
BU17LD I Comments:
PLANNING &ZONING Reviewed by: R 9 Date:
TREE ADMIN. Second Review: E]Approved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. RDenied.
Comments:
Reviewed by: Date:
Revised 05114/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2045 e�r-% Permit Number:
Legal Description Floor Area of sq.Ft. Parcel# Sq.Ft
Valuation of Work C,ac)o. Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (iii;b Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one)jl��eslO N/A
Florida Product A proval# _76dPZ —/"/i
For multiple prosucts use product approval I-orm
Describe in detail the type of work to be performed: %,%3 Pm yv%iv,!j sS rt eqy-
Property Owner Information:
Name: 4AutliV IY-X�7F,(,eA 4. A77�Address: ::,�O VS_ At AJeAf- C 7-
City Aq-t1_*An1C- State&Zip-3-12M? Phone
E-Mail or Fax# (Option 6� 611kAeZ - CffA,,
Contractor Information:
Company Name: Rrves6.,-_ Q,11ac(s -Qualifying Agent: 3-,5hm 30 L, &ooh,
Address: 2 w 5 �ij it -e city State FL Zip 2 257
Office Phone 6,i i -c,_%'3Z Job Site/Contact Number 7oLi-:5(;l-6 732-, —Fax
State Certification/Registration# ir_f�c J25:2 11 -7
Architect Name& Phone# 5-(;�;,Z, 0.7
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
a s he e ade b in a ermit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
11 be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
to 0 p
all work wi
d thin months, or if construction or work is suspended or abandonedfor aWeriod of six(6)months at any time after
pp'c c 0 p r r by"d It
Issuan e o a e mit an at
and id f work"not commence six(6
is'o", c . I, rs , t t
k n ed nde ta d ha eparate permits must be securedfor Electricar Work,Plunibing,Signs, Ms, Pools, Furnaces, Boilers,Heaters,
Tanks andAir Conditioners,etc.
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 here,�b certify that I have read and examined thisia lication and know the same to be true and correct. All provisions of laws and ordinances governing this
ecr
x
e 1.
work will be complied with whether herein or not. The granting of a permit does not presume to give aut rity to late or cancel the
provisions of any otherfederal,state, or locals9aw regulating construction or the performance of construction. Fut
Signature of Ownex ?f!!T. - 2 zz-
� E Signature of Contractor
Print Name kiv�reoN ?Oh�,, Print Name
........................................................................................................................................ .... .....................................................................................
Swo hd subscri Sworn t and subscrib before me
this "A ay of _20 4) 4 -
this a _pf 20,16
12L
Notary Public No RES:Fe b L�r_yl 4�021 01W14
d ru Notaf Public Underwriters
0 sed 01.26.10
JANU=ARYl, 2009 STANDARD REPAIR DETAIL FOR BROKEN CHORDS,WEBS ST-REPOlAl
4W&DAMAGED OR MISSING CHORD SPLICE PLATES
MlTek Indusmes,Chwerfiki,MO Page 1 of I
TOTAL NUMBER Of: MAXIMUM FORCE(Ibs)15%LOAD DURATION
NAILS EACH SIDE x
OF BREAK* INCHES syp DF SPF HF
E=R 2x4 I 2x6 _ 2x4 2x6 2x4 I 2x6 2x4 2x6 2x4 2x6
MI-rek Industfies,Inc. 20 30 24" 1706 2559 1561 2342 1320 1980 1352 2028
26 39 30* 2194 3291 2007 3011 1697 2546 1738 2608
32 48 36' 2681 4022 2454 3681 2074 3111 2125 3187
38 57 42' 3169 4754 2900 4350 2451 3677 2511 3767
44 66 48" 3657 5465 3346 5019 2829 7
DIVIDE EQUALLY FRONT AND BACK
ATTACH 2)4SCAB OF THE SAME SIZE AND GRADE AS THE BROKEN MEMBER TO EACH
FACE OF THE TRUSS(CENTER ON BREAK OR SPLICE)WITH I Od NAILS
(TWO ROWS FOR 2x4,THREE ROWS FOR 2x6)SPACED 4-O.C.AS SHOWN.(.131-dia.x 3-)
STAGGER NAIL SPACING FROM FRONT FACE AND BACK FACE FOR A NET 0-2-0 O.C.
SPACING IN THE MAIN MEMBER. USE A MIN.0-3-0 MEMBER END DISTANCE.
THE LENGTH OF THE BREAK(C)SHALL NOT EXCEED 12-.(C-PLATE LENGTH FOR SPLICE REPAIRS)
THE MINIMUM OVERALL SCAB LENGTH REQUIRED(L)IS CALCULATED AS FOLLOWS:
—T L-(2)X+C
tZ
_eF,41 e_ I L_
BREAK
1 Dd NAILS NEAR SIDE
+1 Od NAILS FAR SIDE
TRUSS CONFIGURATION
AND BREAK LOCATIONS
FOR ILLUSTRATIONS ONLY
6"MIN
THE LOCATION OF THE BREAK MUST BE GREATER THAN OR EQUAL TO THE REQUIRED X DIMENSION FROM ANY
PERIMETER BREAK OR HEEL JOINT AND A MINIMUM OF 6"FROM ANY INTERIOR JOINT(SEE SKETCH ABOVE)
DO NOT USE REPAIR FOR JOINT SPLICES
NOTES:
1. THIS REPAIR DETAIL IS TO BE USED ONLY FOR THE APPLICATION SHOWN.THIS REPAIR DOES
NOT IMPLY THAT THE REMAINING PORTION OF THE TRUSS IS UNDAMAGED.THE EN11RE TRUSS
SHALL BE WSPECTED To VERIFY THAT NO FURTHER REPAIRS ARE REQUIRED.WHEN THE REQUIRED
REPAIRS ARE PROPERLY APPUED,THE TRUSS WILL BE CAPABLE OF SUPPORTING THE LOADS INDICATED.
2. ALL MEMBERS MUST BE RETURNED TO THEIR ORIGINAL POSITIONS BEFORE APPLING REPAIR
AND HELD IN PLACE DURING APPLICATION OF REPAIR.
3. THE END DISTANCE,EDGE DISTANCE AND SPACING OF NAILS SHALL BE SUCH AS TO AVOID
UNUSUAL SPLITTING OF THE WOOD.
4. WHEN NAILING THE SCABS,THE USE OF A BACKUP WEIGHT IS RECOMMENDED TO AVOID
LOOSENING OF THE CONNECTOR PLATES AT THE JOINTS OR SPLICES.
5. THIS REPAIR IS TO BE USED FOR SINGLE PLY TRUSSES iN THE 2)�-ORIENTATION ONLY.
6. THIS REPAIR IS LIMITED TO TRUSSES WITH NO MORE THAN THREE BROKEN MEMBERS.
SOIOMO" r,,�ot)ode Architect
3525 Con,,r-�-r\�eveath Avenue
JaCkSoriville, FL 32202
AR 93047
3ANUARY 1, 2009 STANDARD REPAIRD&TAiL FOR`9R@KENCW6FM%WFdW ST-REPOIA1
AND DAMAGED OR MISSING CHORD SPLICE PLA
Wrek Industries,ChWerfieW,MO, Page 1 of I
TOTAL NUMBER Of MAXIMUM FORCE(Ibs)15%LOAD DURATION
NAILS EACH SIDE
C:= OF BREAK x SYP DF SPF NF
INCHES
E=D 2x4 2x6 2x4T24 2x4 2x6 2x4 2x6 2x4 2x6
MiTak Industries,Inc. 20 30 24" 1706 1 2559 1561 2342 1320 1980 1352 2028
26 39 30" 2194 3291 2007 3011 1697 2546 1738 2608
32 48E 36" 2681 4022 2454 3681 2074 3111 2125 3187
38 57 42" 3169 4754 2900 4350 2451 3677 2511 3767
44 66 3657 5485 3346 5019 2829 4243 2898 4347
DIVIDE EQUALLY FRONT AND BACK
ATTACH2x SCAB OF THE SAME SIZE AND GRADE AS THE BROKEN MEMBER TO EACH
FAJC-E OF THE TRUSS(CENTER ON BREAK OR SPLICE)WITH 10d NAILS
#k0te44 �v (TWO ROWS FOR 2x4,THREE ROWS FOR 2x6)SPACED 4-O.C.AS SHOWN.(.131-dia.x 31
PJOIPT, STAGGER NAIL SPACING FROM FRONT FACE AND BACK FACE FOR A NET 0-2-0 O.C.
SPACING IN THE MAIN MEMBER. USE A MIN.0-3-0 MEMBER END DISTANCE.
THE LENGTH OF THE BREAK(C)SHALL NOT EXCEED 12-.(C-PLATE LENGTH FOR SPLICE REPAIRS)
THE MINIMUM OVERALL SCAB LENGTH REQUIRED(L)IS CALCULATED AS FOLLOWS:
L-(2)X+C
co d 314049t.7LO
Fact
cz
BREAK
1 Od NAILS NEAR SIDE
+1 Od NAILS FAR SIDE'.
TRUSS CONFIGURATION
AND BREAK LOCATIONS
FOR ILLUSTRATIONS ONLY
6"MIN
THE LOCATION OF THE BREAK MUST BE GREATER THAN OR EQUAL TO THE REQUIRED X DIMENSION FROM ANY
PERIMETER BREAK OR HEEL JOINT AND A MINIMUM OF 6"FROM ANY INTERIOR JOINT(SEE SKETCH ABOVE)
DO NOT USE REPAIR FOR JOINT SPLICES
NOTES:
1. THIS REPAIR DETAIL IS TO BE USED ONLY FOR THE APPLICATION SHOWN.THIS REPAIR DOES
NOT IMPLY THAT THE REMAINING PORTION OF THE TRUSS IS UNDAMAGED.THE ENTIRE TRUSS
SHALL BE INSPECTED TO VERIFY THAT NO FURT14ER REPAIRS ARE REQUIRED.WHEN THE REQUIRED
REPAIRS ARE PROPERLY APPLIED,THE TRUSS WILL BE CAPABLE OF SUPPORTING THE LOADS INDICATED.
2. ALL MEMBERS MUST BE RETURNED TO THEIR ORIGINAL POSITIONS BEFORE APPLING REPAIR
AND HELD IN PLACE DURING APPLICATION OF REPAIR.
3. THE END DISTANCE,EDGE DISTANCE AND SPACING OF NAILS SHALL BE SUCH AS TO AVOID
UNUSUAL SPLITTING OF THE WOOD.
4. WHEN NAILING THE SCABS,THE USE OF A BACKUP WEIGHT IS RECOMMENDED TO AVOID
LOOSENING OF THE CONNECTOR PLATES AT THE JOINTS OR SPLICES.
5. THIS REPAIR IS TO BE USED FOR SINGLE PLY TRUSSES IN THE 2x ORIENTATION ONLY.
6. THIS REPAIR IS LIMITED TO TRUSSES WITH NO MORE THAN THRCE BROKEN MEMBERS.
Solomon 010pada kahit9d
3525 COMnlortwenath Avenue
Jacksonvifi,8, FL 32202
AR93047
1ANUARY 1, 2009 STANDARD REPAIR DETAIL FOR MISSING ST-CUT
SECTION OF TOP OR BOTTOM CHORD
E== M.Tek Indwi.,Chweft1d.Mo Page 1 of I
FV-Dr]
1.THIS REPAIR IS To BE USED FOR SINGLE PLY TRUSSES IN THE 4X
ORIENTATION ONLY.
2.MINIMUM CHORD LUMBER SPECIFIC GRAVITY-0.42(SPF)
3.MAXIMUM LENGTH OF MISSING SECTION IS 6".
4.THE END DISTANCE,EDGE DISTANCE,AND SPACING OF NAILS SHALL BE
MiTek Industries,Inc. SUCH AS TO AVOID SPLITTING OF THE WOOD.
5'CONNECTOR PLATES MUST BE FULLY IMBEDDED AND UNDISTURBED.
6.THIS IS A SPECIFIC REPAIR DETAIL TO BE USED ONLY FOR ITS ORIGINAL
INTENTION.THIS REPAIR DOES NOT IMPLY THAT THE REMAINING PORTION
OF THE TRUSS IS UNDAMAGED.THE ENTIRE TRUSS SHALL BE INSPECTED TO
VERIFY THAT NO FURTHER REPAIRS ARE REQUIRED.WHEN THE REQUIRED
REPAIRS ARE PROPERLY APPLIED,THE TRUSS WILL BE CAPABLE OF SUPPORTING
THE LOADS INDICATED.
REFER TO INDIVIDUAL TRUSS DESIGN
FOR PLATE SIZES,LUMBER GRADES AND
FORCE IN PANEL TO BE REPAIRED
APPLICABLE FOR WOOD OR METAL WES TRUSSES.
MISSING SECTION ----
6-(MAX)
=112—
BOTTOM VIEW
MISSING SECTION
APPLY 2X4XV SCAB TO BOTH SIDES OF TRUSS CENTERED
ON DAMAGE WITH CONSTRUCTION QUALITY ADHESIVE
AND I ROW OF 10d(3-X 0.1311 NAILS SPACEDT O.C.FROM
EACH FACE. SCAB GRADE AND SPECIES TO MATCH EXISTING
MAXIMUM ALLOWABLE CHORD BOTTOM CHORD.
--FORCE AT DAMAGE LOCATION_
Syp 2120
SPF 1640
DF 1940
HF 1680
Solomon 010pade Architect
3525 Avenue
FL 32202
AR 93047
IC BEACH
CITY OF ATLANT
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 10-00000569 Date 5/07/10
Property Address . . . . . . 2045 SELVA MADERA CT
Application type description MECHANICAL HVAC ONLY
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8500
----------------------------------------------------------------------------
Application desc
CHANGE OUT 4 TON UNIT
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
POTTER, STEVE AIR ENGINEERS INC
2045 SELVA MADERA CT. 2815 ST JOHNS BLUFF
2233 JACKSONVILLE FL 32246
(904) 641-2333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . - CHANGE OUT 4 TON SYSTEM . 00
Permit Fee . . . . 107 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/03/10
----------------------------------------------------------------------------
Special Notes and Comments
NEED RECORDED NOC PRIOR TO FIRST
INSPECTION. .
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 107 . 00 107 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 107 . 00 107 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 0 1/_57 C- 1. _PERMFr 4
PROJECT VALUE $- P :570 0
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit — I
Heat: Unit Quantity BTU's Per Unit Seer Rating REQ ULPED
Duct Systems: Total CFM —
REPLACEMENT AIR CONDITIONING &I]EATING SYSTEM INSTAL ATION
AR
Unit Quanti Tons Per Unit Ll REQ D
Air Conditioning. ity BTU's Per Unit:y;��o 0 Seer Ratin
Heat: Unit Quantity REQUIRED
Duct Systems: Total CFM
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty— Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Reffigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
onth period or work is suspended or abandoned for six months.I hereby certify that I have read
Permit becomes void if work does not commence within a six m
this application and know the same to be true and correct. All provisions of laws and ordinances goverrang this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
i2c? T7�f
Te ,gil` Phone Number 7
_
Property Owners Name Office Phone �Fax—
Mechanical Company
'61-176 LJL--,4
Co. Address: e�rn t 5u 100-- City-�a 'IV-- stateR zip
License Holder(Print): /22/i/1�.i (-I//YT01 X-1 state Certification/Registration 4 IP13
Notarized Signature of License Holder
Sworn and subscribed before me ay of )/'IAL/
COMM#
e of Notary Public
P !Z, -7151200 1. Signatar
Inc
... .. ........
Doc # 2010106472, OR BK 15238 Page 2255, Number Pages: 1, Recorded
05/10/2010 at 01:02 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No�
State of County of
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real prop",and in
accordance with Section 713 of the Florida statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:_.l:2 0 V-5 5 VZ 1) 177 AQ e,12,4 7-
,a TkAA1 7/ aez4.c-ly C-Z. 3
Address of property tieing improved
-.-2 0 q A A72,19,0&<e% C 7--
A-rl-4tl/71 /9 .2.2-3 -73
General description of improvements: :5,—
own-, S-TeVP 19VT7-e,<-
Address j20 IV S' S&Z e�,rZ 4 If r a 7 L 9 A 71 eX
Owners interest in site of the improvement 3,3
Fee Simple Titleholder(if other than owner)
Name
Address
Contracct tA�a— f
Address '7
Phone VNo. /' Fax No
Surety(if any)
Address Amount of bond$
Phone No. Fax No
Narne and address of any person inaking a ban for the construction Of the improvements
Name
Address
Phone No. Fax No
Name of person within the State of Florida,other than himself,designated by owner upon whom her
notices or Ot
documents may be served:
Name t
Address
Phone No. Fax No.
.e as provided in s
In addirtion to himself,Owner designates the following person to receive a copy of the Lienor's Notir
Section 713.06(2)(b),Florida Statutes.(Fill in a[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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
S DATE
Eltri,W this d"'.f —
C�Ay of DuvaJ,Stl"of FWd.,t-P.—Ily ilppe—d
h-in by
.5—bal am V.1—u"dild—b—tic—in
—t.
WOFOY Pubk 81 LBW Slim of Courdy of 10 Ld
My
Pr.dL--d Id-Olic.6-
& 1 10:?&o 14,16 -