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Permit 647 Amberjack lane;t ~ ~` ~ ±~ DEPARTMENT OF BUILDING o CITY OF ATLANTIC BEACH _____ PERMIT INFORMATION ------ .._______ LdCATION INFORMATION --____.._ Permit Namber: 1x567 Address: 647' AMHERJACFC LANE Permit Type: BUiLDTNG ATLANTIC HEACH, FLORIDA 32233 Crass o~ Wlark: ADDITIOPI ---------- LE©AL DESCRIPTION -_..____.._ Cr~nstr. Type: WOaD FRAME Lot: Block: Section: Fraposed Use: SI1~aLE FAMILY Township: RNG: 0 )3v~wellinc~s: 1 Lode: 0 Subdivision.: ROYAL PALMS Estimated Value:: $1200t3.00 Improv. Cost:, SO.00 Total Fees: $1Q5.00 Amount I'~idi ~105.a~ Date Paid: ~~ 3J95 Wc~r3c Dec,. ; CO~tSTIit1.C'T' FAMILY ROOOF _ _...,___,~_ f~P'f!{I*iR y~FQRMATION --- - ---- APPLICATION FEES ----_ Natme : lK3Sbit~ITH 0~~~E ~ PERMIT 5105 .00 Add>4 ~s~ : - ~~?' ~MS~R~ACx LANE HATER IMPACT FEE Sfl , GO -A'>"~~NTYC ~LACH, FLORIDA 32 33 SEF~ IMPACT' FEE $4. C1 0 P}~~nex f9~J4~398-5~3 , ,..~dAT'EB~;;~l~TfTAR D.t10:~ RADON c3AS-H.R.$. $0.04 ___ _ ~,~?NTRACTt;;.INFt3RMATON _____ -- RADON CAH 5~- $0.00 Name: 'bAVID VI~'`~RS CONTR.~-CfiOR CAPITAL IMPROVE. $4.00 Address.: _ X17.5 SI?RIN~3., C3LEN ~tT;A -~5p3, BEi~IER TAP ,. >?4~.Ofl 3ACKS~7NvILLE, FL 32207 CROSS CONNECTION $0.00 Lic~n~~: CGC0573`f5 Type: 1 SEC H IMPACT FEE ,50.00 CONST,SURCHAR(3L - a~0,00 aCHARGE/ ATE,.. HGH . ~:. SLR . (~4 NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMlT VOID SIX MONTHS AFTER DATE OF ISSUE BU1l.DfNG MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" .ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMlT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. fi~.04 14 ~= S ATLANTIC BEACH BUILDING DEPAR MENT X624 ~040(J32~lObQ ~ ij~ r ~~ ,~_ _c___ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00029214 Date 10/29/04 Property Address 647 AMBERJACK LN Tenant nbr, name METER CAN Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ GEORGE, KENNETH B. PERRY ELECTRICAL SERVICES 647 AMBERJACK LANE 391 THIRD AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-1588 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc 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 LS APPROVED ONLY IN ACCORDANCE WCI'H ALL CTI'Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDIN ODES. BUII.DING OFFICIAL 4 ~ ~~1~ ~~) n ~i~1 •~ J a F) ~ 3 3'~' CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: ~C~ I7 ~ 1 /1Q- Property Address: ~ ~!~ ~1 /1?~~-'~~ ~t~C ~ /~,Q, Owner: ~i' Telephone #: Z~ • ~~~~ Contractor: ~'(ii/1/~/ Telephone #:~p ~ ~j~i{ Contractor Address: ~ ~ ~L Fax #: ~.~ (,~ • (~ ~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 part hereof and in accordance with the City of Atlantic Beach ordinance and standards of ood ractice listed therein. ~ Building: ^ New Old ^ Re-wire Building Type: ^ Trailer ~ Residence ^ Temp. ^ Commercial ^ Si ns g ^ Addition Sq. Ft. Service: ^ New ^ Increase 't~ Repair if other construction is being done on this building Or site, list the building Permit number: Conductor Size: AMPS: COPPER ALiTMINUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS PH W VOLT RACE WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED ~ OPEN Switches Incandescent Fluorescent & M.V. ' Fixed o.loo aMrs ovER BELL A liances TF.ANSFER. Air Conditionin H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEILING HEAT KW-HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V VER600V 'transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous / % ~6 (fl"~l ~ d'u S ~~~~2 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us PREPARED 12/18/03,. 9:36:18 PAYMENTS DUE RECEIPT CTTY_G~,~ATLANTIC BEACH PROGRAM BP820L -=------------------------------------------------------------------------- APPLICATION NUMBER: 03-00027332 647 AMBERJACK LN FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- RE-INSPECTION FEE 35.00 n (~ TOTAL DUE 35.00 Please present this receipt to the cashier with full ~ ~ ~ \~ / ~+~/ V A-~ ~ - ~ y ,~,., 9. V ~. ~ ~ ~ ~,~ 5~ I l J ~ I'Yl ~~~~~ ~~-- ~~' S6~"- ~~ ~ ~{- ~ ~ ~~~ • •- ~• • - • JOB ADOfiESS DAYS THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted lA aJI.+D N 2 l-~ 2 0 C~ e %l. re Fl Cti.~,-,a ~ e2 S ~F P SFc~ . 5-e~, `g, 35 $'L8-00 REINSPECT FEE 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- ~-uMBiND ment for an inspection. Field Inspectors E~Ec are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. BLDG CITY+~OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address CD ~~ T ~M ~ E~2 St'~-C ~ ~~~F ~~.~~/ X10 Date ~" ~ ~ ~ > Heated Square Footage ~ @ $ per sq ft = $ Garage/Shed ~@ S per sq ft = $ L Carport/Porch 1~ @ S per sq ft = $ ____ Deck (,, @ $ per sq ft = $ Patio ~~~ \\ @ $ per sq ft = $ TOTAL VALUATION : S~ ~QQ Total Valuation 1st $ ~ O ©~ ~ ~ ~ p o c7 5S- ~ u $ ~5 _ c9- ~~ Remaining Value $ ~`~ per thousand or portion thereof TOTAL BUILDING FEE $ ~~~ + 1/2 Filing Fee $ ~- ~~ (c~) Fireplaces @ 515.00 $ ____ '~7 BUILDING PERMIT FEE WATER 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 S $ /o j~. d 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: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 6000-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6000.93 for additions of 600 square feet or less, site- installed components ..~ ...,...,,~.,...,,.,.a w .............a .,,..,.,,.,+t,.~~ ~,. ~:,,~ie ~~.~ ,n,dliiemiw rncirlenrec Alrum~fivu mothrvlc ara nrnvidad for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: i ~c~. ~idr. BUILDER: (/>' i- Gc cr ~- L AND ADDRESS: ,~ PERMITTING~~,,.~,+C~ ~ CLIMATE ^ ^ u~ OFFICE: ZONE: 1 2 3 OWNER: PERMIT NO. JURISDICTION NO.: ~I ~~ t ~ r SMALL ADDITIONS TO EXISTING RESIDENCES (6l)0 Square teat or less or cona¢wnea areal. rrescnpuve requuemnnw m ~ mina v..- ~, vv-c aiiu ~~-~ avN~r ,,,,'r ~~ ~~~~ components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site- installed comoonents and features are covered by this form. Please Print CK 1. Renovation, Addition or Manufactured Home 2. Single family detached or Multifamily attached 3. If Multifamily-No. of units covered by this submission 4. Conditioned floor area 5. Predominant eave overhang (ft.) 6. Porch overhang length (ft.) 7. Glass area and type: a. Clear glass b. Tint, film or solar screen 8. Percentage of glass to floor area 9. Floor type and insulation: a. Slab on grade (R-value) b. Wood, raised (R-value) c. Wood, common (R-value) d. Concrete, raised (R-value) e. Concrete, common (R-value) 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) b. Adjacent: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) c. Marriage Walls of Multiple Units* (Yes/No) 11. Ceiling type and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 12. Cooling system* (Types: central, room unit, package terminal A.C., none) 13. Heating system*: (Types: heat pump, elec. strip, natural gas, L.P. gas, room or PTAC, none) 14. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) b. Ducts on marriage walls adequately sealed* (Yes/No) 15. Hot water system: (Types: elec., natural gas, other, none) * Pertains to manufactured homes with site installed components. i 2. ~f ~ ur,~• !y. 3. 4. 'acs o sq. ft. 5. / ~/ 6. Single Pane Double Pane 7a. sq. ft. 39 ~ sq. ft. 7b. sq. ft. sq. ft. 8. ~~ 9a. R- N ~ ~'~ ~ lin. ft. 9b. R- sq. ft. 9c. R- sq. ft. 9d. R- sq. ft. 9e. R- sq. ft. 10a-1 R= '7 '39-s- sq. ft. 10a-2 R= ~sq. ft. 10b-1 R= sq. ft. 10b-2 R= sq. ft. 10c 11 a. R= ~~ "~ ~ ~ sq. ft. 11 b. R= sq. ft. 12. Type: SEER/EER: 13. Type: HSPF/COP/AFUE: 14a. 14b. 15. Type: EF: .~- .~- ...- r I hereby certify that the lans and speci 'cations covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with the F a Ener y C d 6! with the Florida Energy Code. a constructio s co to this building will be • DATE: ~ }"7~ 73 inspected for compliance in a rd ce with S tron 5 08, .S. PREPARED 6Y: R I hereby CBrtlfy t t this In IS ~ IlanCe Wlth the Florida Energy Code. BUILDING OFFICIAL: ~~ OWNER AGENT: DATE: DATE: _~_ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00030589 Date 6/20/05 Property Address 647 AMBERJACK LN Tenant nbr, name REROOF Application description ROOF Property Zoning TO BE UPDATED Application valuation 4380 Owner Contractor ------------------------ ------------------------ GEORGE, KENNETH B. ROMANO ROOFING SERVICES 647 AMBERJACK LANE ~ P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . Permit Fee 83.00 Plan Check Fee .00 Issue Date Valuation 4380 Fee summary Charged ----------------- ---------- Permit Fee Total 83.00 Plan Check Total .00 Grand Total 83.00 Paid Credited Due ---------- ---------- ---------- 83.00 .00 .00 .00 .00 .00 83.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD r ~, BUILDING OFFICIAL CITY ®~+ ATLANTIC BLACH cc: BUI~,DING / Z®NING DLPARTlYIENT rd 800 Seminole Road ( ~ ~ S. Doerr Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COIVIlVIENTS Permit A 1><cation # ~~ PP ~~-~ Property Address: ~ ~`~ _1 /~Cf'Yl ~7~.•r' i ~. C.t L--° L.-~'~ Applicant: 1~i~r1 ~~ 1~~ Project: r' Q~~ This permit application has been: Approved ~ Reviewed and the following items need attention: Please re-submit your application when these items have been co/m/pleted. Reviewed By: L~_ Date: (9! ~~D 5 Date Contractor Notified: ti~ - CITY OF ATLANTIC BEAC~I JUG ~ ~ ~ ~~ ~~" " ROOFING PERMIT APPLICATION ~, ~~r~ ` ,. !: Date: ~' Sob Address: ~C7 ~~ ~ ~ ~jE/-,,,~,~~' ~i1' Owner of Property: ~~/v~Y~~.~r _ ~~- .- Address: r ~, ,~/'. Telephone: Z4~9'- ~~f Contractor: n~ n v n/ e~E' VlCP S' State License Number: ~'C -C OS~4 ! lc ~ Contractor's Address: -3 l.~J •.f ` 2 ~ ~°T iJ c c~ 3 Telephone: el ~lo Sfo ~ ~ ~fZFax: 9'© ~'~ y~e -`~~ ~,? Scope of Work: ~ . /'G1~t= Deck Slope: Greater than 2:12 Less than 2:12 ~L'3 Valuation of work: ?~ ~~BQ Product Name (Example: Timberline): ~ilr~rl ,( ~) r ~ Manufacturer (Example: GAF): (~~7 ~-~ ASTM Designation(s): ~CoZ Required Inspections~(Sheathing and Final Signature of Owner: / ~ Date: ~--- (, ~ -''V Signature of Contractor: Date: l.f' "- l ~O ~~ AS TO OWNER: Sworn to and subscribed before me this _ ~ ~ day of ~..~V ~ "e_ , 201~~. State of Florida, County of Duval Notary's Signature: ~~~~~~ ~.~~ ~, ELAINA'ttOMANO ~/ rtv eo~ssloN # °D3s7393 ^ Personally known a ~ ei,~,,,,,,,,,~.co. ^ Produced. identification ~~o~3-N~T"'t4 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this (~Y day of ~ , U I1 -C _ , 20 ~ S . , State of Florida, County of Duval //~~ ~'`~ Notary's Signature: ~~ I4CJt~-Y~~yy~ ~~""'~ ELAINA ROMANO ~~ ~,/, MY COMMISSION # DD357393 ^ Personally known ' ~°+~C~~ purrs: s~pc~ 23, zoos ^ Produced identification I-is00-3 NOiA[tY fl. NMary Discauit Aaaoc. Ca. - Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 221103 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Tenant nbr, name Application description Property Zoning . Application valuation . Owner GEORGE, KENNETH B. 647 AMBERJACK LANE ATLANTIC BEACH FL . 03~-00027332 Date 12/02/03 . 6~7 AMBBRJACK LN . WATER HEATER . PLUMBING ONLY . TO BE UPDATED . 0 Contractor ALL-CITY PLUMBING 4837 ATTLEBORO STREET 32233 JACKSONVILLE FL 32205 (904) 381-0185 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . Permit Fee 42.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged Permit Fee Total 42.00 Plan Check Total .00 Grand Total 42.00 Paid Credited Due 42.00 .00 42.00 00 00 00 00 00 00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r -:- °A. .. G OFFICIAL ~ ~1 ~: ~fy . ~ a ~'~, CITY OF ATLANTIC BEACH ~' _ ~~ PLUMBING PERMIT APPLICATION ~a . - Date: ~ ~ ~ c~ lS2 - ~~ Job Address: i Owner of Property: 1~.e~~e:.~h ~~ t,~_~_Telephone: ~~~` ~©\ l Plumbing Contractor: ~~l (, ~~\-U P~U~c~bt {1Q Contractor's Address: (9 c~~l..-~ ~~~~CrS ~y~c"lv-~ ~.JC~,}~l F ~Ca ~~ l ~ Telephone: ~j~ l - C~ 1 ~~ Fax: ~9~~j' ~J~J~J~ State License Number: ~'' ~ C L~~j(.~c ~~~ How many of the following fixtures (re-piped or new): Sm.L Lavatory Bathtubs Urinals Closets Floor Drains Showers ~~Water Heaters Dishwashers Disposals Washing Machine Re-Pipe (List fixtures being re-piped) Water _ Hose Bib _Sewer _Other Shower Pans Total Fixtures: , x $7.00 + $35.00 = LIa ~ ~ . (Minimum Permit Fee: 535.00) Signature of Contractor: Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5826 800 Seminole Road • Atlantic Beach, Florida 3ZZ33-5445 Phone: (904) Z47-5800 • Fax: (904) 247-5845 • 6ttp://www.ci.atlantic-beach.fl.us D...:...7 1/lAM7 R CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address `6 ~(~- la~,b erz ~ ,/~ c ~~ Date ~(2o jo5 ~~ Heated Square Footage $ per sq ft = $ Garage /Shed ~ @ $ per sq ft = $ Carport /Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ ~(3 ~~ Total Valuation 33'80 Remaining Value TOTAL VALUATION: $ 3S $ 3.~~ 1~` $ / o00 $ S'"per thousand or portion thereof $ ~a .CONSTRUCTION TYPE: TOTAL BUILDING FEE $ _ s~S' ZONING: + 1/= Filing Fee $ ~ g FLOOD ZONE: ()Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ 8 3 WATER ]MPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT. $ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( )SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ E ~ 3• t _ ~ DATE : ~ - ~ ~ `> PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC- Atf'!'HUkITY 23:i WEST DUVAL STREET JACKSONVILLE, FLORIDA 32201 THE F OLLOWING FINAL INaPECT10N (S ? HAVE: f3EE:N MALE ANL' AflE: SATISFACTORY: C~ Q f ~~„~ ---- -- -- Enclosed are the blue copies of the permits. SINCERELY, •t3i1ILDING INSPECTION DIVISION cc:FILE s CITY OF ATLANTIC BEACH, FLORIDA (~ •~on~o~b br APPLICATION FOR ILRCTRICAL p~RMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~_~~ 19~ IMPORTANT NOTICE: /Y1~G-3 ,~to ~~If ~ ,D~~~ IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLIOWIN(i, 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 ELECTRICAL REGULATION5, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ~= ~- ,n -- G IL ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE nuQUCVUeu NAME ADORE88• ~ r ~ ~r'VI ~-P!Q ~ " "9~ Rp~~SOX BLOO.812E BETWEEN: REB.~ APT. ( 1 COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) REW. ( ) aDDITI0N~1 TRAILER (1 TEMP. ( ) SIGNS ( ) 80. FT. SERVICE: NEW 1 1 INCR£AS£~ REPAIR ( 1 FEE CONDUCTOR SI2E ~/~ eMPf2 G w rnaaca r - el 117. ili- 1 T B KER ~ MP$ PH .~W 120 ~1.1VOlT EXIST. SEAv. 312E ~„~,~ I ~~ „ _ AMPS f PH ~ w 120 ~wOLT CF4~' RACEWAY FEEDER! NO. 512E N0. 512E NO. S12E LIGHTING OUTLETS / CONCEALED OPEN. TOTAL RECEPTACLES ~ CONCEALED OPEN TOTAL 0.70 AMPA. 71.100 AMPe. BWITCM[9 INCANDESCENT / FLUORESCENT 81 M. V. _ - ~ FIXEb 0100 AMP S. Qy~li " '^ AtP~IANC[8 SELL TRANS P. AIR CONOITIONINQ H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEII HEAT: KWH£AT MOTORS a~ H.P. VOLTAGE PHS N0. ovER 1 H.P. VOLTAGE PHS .._._._ MISCELLANEO US T ANSFORM£RS: UNDER 600 V. OVER 800 V. NO. KVA NO. KVA NO. NEQN TRANSP. EACH SIGN N0. VA. MA. MOTOR SI2£ SWITCH FLASHER --- FORWARDED s TOTAL FEES FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 6000-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6000-93 for additions of 600 square feet or less, site-installed components of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6006-93 or 600A-93. PROJECT NAME: i ~ s~iw,.. BUILDER: ,' r ~ic cr „~- C AND ADDRESS: PERMITTING~~,,.~,~C~ ~ CLIMATE ~] ss3 OFFICE: , ZONE: 1 ^ 2 ^ 3 {~ OWNER: t r c PERMIT N0. JURISDICTION NO.: omH~~ Huvi i ivrvs i v txis i irv~ nesutrrt;ts ttiuu square rest or less or cononioned area). Nrescriptive requirements m Tables 6C-1, 6C-2 and 6C-3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 60-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site- installed components and features are covered by this form. Please Print CK 1. Renovation, Addition or Manufactured Home 2. Single family detached or Multifamily attached 3. If Multifamily-No. of units covered by this submission 4. Conditioned floor area 5. Predominant eave overhang (ft.) 6. Porch overhang length (ft.) 7. Glass area and type: a. Clear glass b. Tint, film or solar screen 8. Percentage of glass to floor area 9. Floor type and insulation: a. Slab on grade (R-value) b. Wood, raised (R-value) c. Wood, common (R-value) d. Concrete, raised (R-value) e. Concrete, common (R-value) 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) b. Adjacent: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) c. Marriage Walls of Multiple Units* (Yes/No) 11. Ceiling type and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 12. Cooling system* (Types: central, room unit, package terminal A.C., none) 1. ~~~~- 2. .Sif ~ :~ 3. , ~ 4. ~.~sq. ft. 5. ~5~ 6. _ Single: Bane Double Pane 7a. _ sq. ft. 39 G sq. ft. 7b. sq. ft. sq. ft. 8. ,/',~ 9a. H= i//ifz s cs~ lin. ft. 9b. -R- sq. ft. 9c. R- sq. ft. 9d. R= sq. ft. 9e. R_ sq. ft. 10a-1 R= "? '39~-- sq. ft. 10a-< R= sq. ft. 10b-1 R= sq. ft. 10b-2 R= sq. ft. 10c 11 a. R= ~~ '"~ ~ ~ sq. ft. 11 b. R= sq. ft. 12. Type: SEER/EER: d 13. Type: HSPF/COP/AFUE: 14a. 14b. 15. Type: EF: ~~ ~...-- 13. Heating system*: (Types: heat pump, elec. strip, natural gas, L.P. gas, room or PTAC, none) 14. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) b. Ducts on marriage walls adequately sealed' (Yes/No) 15. Hot water system: (Types: elec., natural gas, other, none) * Pertains to manufactured homes with site installed components. I hereby certify that the tans and spec' 'cations covered by the calculation are in Review of plans and specifications covered by this calculatio Indic tes compliance compliance with the F a Ener y C d ~ tl with the Florida Energy Code. B construction' comp) d, t building will be PREPARED 6Y: DATE: ~ ~~` S'S inspected for compliance In acc da a with Se ion 553.0 , F. I hereby certify t t this din is ' fiance with the Florida Energy Code. eun.DwG oFFtctAU: try ~' OWNER AGENT: DATE: DATE: ~°- ~ -~- CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : ~iel1~ J`~ ~°_ Address: ~v~7~~'~~~~~~ s c Phone:2~~"Z9 ~ Lot # Block/''/or Uni`/t ~ Subdiv,ision: C an t r a c t o r : ,,~[X~lri~" ~~ ~,~rs ~~~r~~ ~.~-,~~ ~•- _ ~ ~ State License $ ~~,~~ ~~~'~ Address:,;~~/~ c~'~,rv~ G'~-//~~~c~~' Phone No:~q~~ ~~~ ~' Describe work to be done:_, ~ .~. ~~C~~~~ ZO J«-U Present use of building: Valuation of Proposed Construction: ~°`'-r °G~ Proposed use: E``~~- Is this an addition?_, ~ ~ If yes, what are the dimensions of the added space: ~- `~ ft . X `~ ft . Will the added ar~e~a be heated and cooled? t~-~ New electrical (or increase)? /"" New plumbing fixtures?~ New fireplace? CVO New HeatiAC?~6 SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date:~'~Z~" y--Sr License Supplied: ~ ~- ? - J'S Liability Insurance: ~~~~~~-{ Worker's Compensation Insurance: ~ Z7 S,~ ~~ ~?^ r--4 r-, ~ ~ , '~'r~4" nr „~Y ~ ~~~+ ~ 1 ~: jjyy~~~-+ ~~ ~ ' 199 ~ ~~~~~~i~~~ ~n~ ~~~ing t4; 09859 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -----_ PERMIT INFC-RMATIaN ______ ~.____.,-..- LOCATION INFORMATION --__..__ F'~rrnit i~u~ber: '359 A~dr~ss ; ~4'I AM)3ERJACK LAk~E FLORIDA 3233 ATLANTIC BEACH P~rs~~ t Type; RE--RQCJF , DESCRIPTIdN ____-____ __________ LEGAf "Z~~~ of Work:; REPAIR "rnsfr. TyP?' FIBERrLASS ~ Lot: Block: Section: Prc~g„~A~ Use: SIIVGLt~ f`AMILY Townshil^: R*i<;~ p I?~ael l rigs : 1 Cede ; B S~~b~ivi.s.~z can : ROYAL PALMS E ti.~~r~ate~ value: ~~' ~ ~'~' Irn~+rrv . Cost < $~ .'30 . 5~ 2 F~Pes : ~2 T~t~a l ^ 7 y . ~~C4 . 1~ 'i~~.~_v Art`lotz7Ci4.P yy r Wc~r}~ T}e~~.: REPLA~`E '~~ISTINU RC70F SHIPiOLES _,..____~__~ O~N)~ II"iFQRMATIt~N - - -___ APPLICATION FEES ----- N~m~: K.B:G'EORt~E " PERMIT a~22. a0 Add~e~~: 647 AMI3ERJACR LANE WATER IMPACT FEE $0.00 A~IsANTI'" $~A~'H . FL~JRIL~A 32~ ?3 SEIIT~R' IMPACT` FEE S~J .0.0 ~ F~~~~~ : F ~ - ~ ~~";${~.~0 ~1A'~~P.. ~TEIC~`'I'AP RAD~JN OAS~H . R . S . S©. Ot7 _____-- CdNTRIIi~T4~ ,INFURMATI©i~ ---___ _ RAAC~F~ CAB 5~ 50.00 N~~e :-` IIIAi~3?~L~ ~~'TERIORS CAPITAL IMPR©VE . ab . 00 ?~~~resw . 1.w.$Q FtQOI~CCIC1~ RO,FiI~ SI?`W'ER '~'P,,I' ~!? . CO dRLA~1D0. FL "ROSS C{~NNECTION SU •0n I.zr. r~~~~: CCC~353.5? 1 Type : C~ SEA' H IMPACT IEEE $0 > ~~ z"t~1~ST . SUR ~'HAROE ~~ ~ ~'~ SCHAR~k~ATL.~CH. $~!.~0 NOTES: NOTICE --~ ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RU$BISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED. AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN: LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC B CH BUILDING D,,~PARTMENT >.lfritl`~n~fK~~ ~~f~`~t~ ~2~.~~ tv / V7dtP :3f~I~9`i !:~1 ~~pt: ~.~?gt3il5 r ~` CI'1'Y U1' 11'1'I,11N'1'1C: kiLA(;11 PI~RMI'1' Al'PLI(~A`i':CON ROODINC~ Owner (s) : ~ ?2 • ~_~. G ,~ !~? 1~ C? ~ -- --------- --------_.... . Address:A1~'l~~~Cl~' L-.f1>-~?~.~.13t~1•Phone:__~~G~~` _~~ % ~~T~~~...._ _ Lot # ;3 ©lock or Unit ##-~ Subdivi aion_ _~~__ `~c~G.,--r~--_. Contractor: p I~IYIO 1V°~ ~)( `l"~1~ I G` l~ _ Address:~0~(JVV'y~l~riz i?~. !~P-~-AN~o F•~L. Phone: 7 ~ ~ •~ "~ %~ ~- -- State License No. ~G~ d 615~.~ Describe work to be done : ~ - ~jcr ~ t4aterials to be usgd: Signature OWNER:+~-~-~,G~j l ; 7~'_' Signature CONTRACTOR: ~ ,,z~,~~ ~~ ~~' !. Date:-~ ) ~~~v~- .~ -1- --- RUG -9 -2811 16:13 FROM: CLERK OF COURTS 904 270 151E TO:92475845 P:1/1 Notice of Commence,nerr.t (PREPARE IN DUN1.It:Kr1) To whom it August concern; The undersigned hereby informs you that improvements will be aide to certain real property, and in accordance with section 713,13 of thc Florida Statutes, thc following information is stated in this NOTICE OF COMMENCEMENT. RE# 171188 -0000 Lot 3, Block 5, ROYAL PALMS UNIT ONE, according to plat thereof recorded in Plat Book 30. pages 60 and 60A Description or property of the current public records of IDuval. County, Florida. Having an address of : 647 Amberjack Lane, Jacksonville, FL 32233 0cneral description of improvements Alterations and repairs to bring structure into compliance with the City of Jacksonville's Housing Safety Code Standards. Owner Kenneth & Maxine George Address M7 Amherjack Lane, Jacksonville, FL 32233 Owner's items' in site of the improvement Fee Simple Pee Simple Title holder (if other than owner) N/A Name N/A Address N/A Contractor Ron Ardary Construction, inc. VA Address 1360 Sorrells Court , Jacksonville, FL 32221 Surety (if any) N/A Address N/A Amount of bond $ N/A Name and address of any person making a loan for the construction gibe improvements. Name City of Jacksonville / Housing and Neighborhoods Department - Housing Services Division Addre,,,, 214 N. Hogan Street, Jacksonville, FL 32202 - OM Floor Namc of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents MA be served: Name N/A ,Address N/A fn addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.Ofi 121 Ib1, Florida Statutes. (Fill in at Owner's option). rr City of Jacksonville l Housing and Neighborhoods Department - Housing Services Division, c/o Rob Gillrup Address 214 N. Hogan Street, Jacksonville, FL 32202 - $tf Floor 'NU SPACE FOR RECORDER'S USE ONLY 7 * 1/I' �� �!_! lb • Owner ' Sworn to and subscribed before me this L.rO 2O 1 i 1 7 3t5 r, O R i 7t'> Page 'f 506. ' Day of • A . " Lti 2() 1 / Number Pages. 1 6 Recorded 08/0912011 at 04:25 PM, A JIM FULLER CLERK CIRCUIT COURT DUVAL fiZ , , COUNTY RECORDING 510.00 Notary Public 4 SUSAN P IKARNAGE •: ,` Notary Public, State of Florida - Y _ ,;R , My Comm. Expires July 6, 2014 ,•,, Commission No. EE 8948