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Permit 1086 Jasmine Street CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 12/06/10 Parcel Number - - - Property Address . . 1086 JASMINE ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner Contractor BARNES CONSTRUCTION LLC 904 424 -9678 Application number . . 10- 00000863 000 000 Description of Work . . SINGLE FAMILY RESIDENCE Construction type . . . TYPE 5 -B Occupancy type . . . RESIDENTIAL Flood Zone ZONE AE Special conditions . 2007 FLORIDA BUILDING CODE WITH 2009 REVISIONS TWENTY FIVE (25') FOOT UNDISTURBED NATURAL VEGETATION BUFFER FROM JURISDICTIONAL WETLAND REQUIRED PER SECTION 24- 272(C)(2) CITY OF ATLANTIC BEACH CODE OF ORDINANCES ti Approved t Building ficial VOID UNLESS SIGNED BY BUILDING OFFICIAL MAP SHOWING ELEVATION SURVEY OF LOT 2, BLOCK 179 AND LOT 2, BLOCK 180, SECTION 11 ATLANTIC BEACH ACCORDING 7V TIME PLAT THEREOF AS RECORDED IN PLAT BOOK A PAGE 34, OF 771E CURRENT PUBLIC REaCORLIS OF DUVAL COMM FLORIDA 0' 15 30' 90' SCALE 1' -30' TOM MODE 1. MANES SHOVE HEREON ARE ASSURED. CONTOUR INTERVAL 1.00' 2. BENOW Of 3 00 09 00'E Of JASIME STREET HELD MED. OMAIC/S MOM THUS 5 1 FELD WORK 09 -22 -10 EEVAMIE BAND ON 1921 ADJUSTMENT NO UNDERGROUND U15JTIEI LOCATED TIM SURVEY BLOCK 179 1 BLOCK 180 i i _ X- LOT 1 LOT 1 y • 1 8 c I 8 ie + 204.00'PLAT DUE EAST set ggD 204.00'COMPUTEO sao istio a • • r. $ IP Pp 2tsr ti R Q U LOT 2 w e IOW oo E 1 51009 BO HOWE GA R � ' :; : � ;- - f 8 2smr __ q NO.1016 FLOM 6.00 o .. $ z 47s cu ( *0.0 LOT 2 _ '�'� c`a:� 0 37.50' 1 � � � V 5150 ww � � w 102.00' 3.30 I 9 +~ ._ 102.00' '-' 9.90 tU DUE WEST RET• 50 204.00'COMPUTED 610 SET. O 204.00'PIAT N C!l EDEN MARK ' 1 1 ELEVATION 7.50r 1 II LOT 3 LOT 3 � O 0 tti 1 I \ NORTHERLY R/EIUNE 9TH (50'R/WJ STREET WEST 5545 SHANNON AVENUE SrMBaLfi ROONEY SONS (904)-379-2574 f�AX = = -� — VERE FENCE • I HEREBY CERTIFY TO : —E— ELECTRIC UNE _ ca. UMW POLE MI5 SUREY MFET1 111E EMMA TEENCE. STANDARDS AS HET FORM BY 111E FLORIDA BOARD of PROFESSOIUL LAND SWEEV02S 11 • 2EU. CHAPTER 11- 17.000- 17.052 P_LOEDA ADIESSTRATIVE CODE. PURSUANT 10 SECTION 472.027 PL.IDA STATUES. . ASPHALT FEMA FLOOD INSURANCE RATE INFORMATION PERTAINING TO LANDS SHOWN HEREON: (al OVFREEAD R. >, _ Ass , . 120075 00010 1 L 0� -17-M DUVAL el.... 9 2 4.:1, . CONCRETE P.O.C.-PCNT Of , i l .: r _ N TM-- l - TH �T N -HEST P.0.9.-POINT a BEM LAID PROP: PRO►05 _ _ C1t -C LATER UNE IX TIP.- P.C.-POINT E' CURVATURE L&- UCEISE 517511152 FJ. -FBNN FLOOR EL - 6,EVADC! P.tM. Ml tV 1pE R P.7. -POINT Of TANGENT O.R.V.- OFFlON. RECORDS VOLUME BUL -UCC O AD. - POtRO J.EA,^d P J BCINO UTEIOR PAC.-POINT OF REVERSE CURVATURE 0211.-OFFICIAL RECORDS BOOK HP. -NON PPE RB. -RmM PAIL 110141AEl1T P.C.C. -P01T OF COMPOUND CURVATURE D.11.-0E12 BOOK Pa -PAGE CONC.- CONCRETE A/C-NR COMMONER PJ. -PCNT P Nnoesoc oo P.B. -PLAT BOOK M.B. -MAP BOCK ESMT.- EA1aQIT AEC. FIEC11C RD. . P.C.P.-PERMANENT -PERMANENT .- PERT CONTROL PONT CO.-COUNTY P4- FLORIDA BALL- BULGING RESABCl10N UNE • P.RP.- POLMANO1r REFERENCE Pare AVE- AVENUE ST.-STREET F2.9.1.- •FLOOD SEE NIUOM U A TE P11 AL UFO { vat R/B RIWT - - TINY cr. - COURT Cd0. -CORD BEATING AND oBTMICE APNICC- APPROXIMATE 171ST.- COSTING NostmooL0it0* i. oA TENS I.-ARC LENGTH R -RATEM COMP.-COMPUTED RAD:RAWL A.R,IL -ALSO maw Al HA-NOW OR F014EILLY LOCATED TES �1f O, -DELTA MILE T- TNIOENT P-PLAT C- COMP. D -GEED N.QVJL- NATIONAL MOVE VERTICAL Lj M ' _ ' . REMANDS MIRE NOT LOCATED TAPS SURVEY. CI DDIOTU OONCIEIE MONUMENT DATE .: 1 • . . EMERNTS Of RECORD *ERE NOT PROMO) FOR THE SURVEY. A DENOTES NON PPE �AMOl7r� ���' / TINS SURVEY DOES NOT DETERMINE 09NERSHP. ET-DENOTE; SET 5 : If G► THIS SURVEY NOT VAUD VNAHONT OEMS L SEAL EOM L.11.7$ ANTHONY PAN4 •"' PSM 5884 CITY OF ATLANTIC BEACH CER'1'IIeICATE OF OCCUPANCY WORKSHEET Date Requested: 9 - ZZ --- /G Contractor Name: Aten 9 S p ST Permit #: ,0 _ 8G"! 3 Property Address: , Q # arfS44.eAft, Sr • Legal Description: Improvements to the above- described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single - Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. _ Public Works q f 4 A ` f .- (f -- (O (7)4,%,e ,./0,„4,' 0A Public Utilities //2.( A(.rt- (- Go /"-- Building / ° t3 Planning 1 Z( 4 t Tree Mitigation " __ Satisfied �``° Final Survey with FFE Yes v No All Re- Inspect Fees Paid /Yes No Termite Treatment ✓ Yes No iAl 4- \\-7 CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 9 -2'Z -- / d Contractor Name: aten es 44 Si T. Permit #: A- at 3 Property Address: / o G coingo d '9'G Sr. Legal Description: Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: i" Single - Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works Public Utilities Building 9lZ 3/to 7/d3/ /o 7 t Planning Tree Mitigation 9 �� / ,,[ Satisfied / //� Final Survey with FFE Yes No All Re- Inspect Fees Paid /Yes No Termite Treatment Yes No White, Debbie From: Carper, Rick Sent: Thursday, November 18, 2010 9:20 AM To: White, Debbie; Deming, James Cc: Nodine, Phil ` Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street Jimbo, final satisfactory survey received. Please take a look to make sure they have backyard restored from final digging (sod or seed and mulch). If yes, OK to sign off on CO. Rick From: Carper, Rick Sent: Wednesday, September 22, 2010 8:02 AM To: White, Debbie Cc: Deming, James; Nodine, Phil Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street Debbie, I have not gotten the as -built survey for the on -site storage yet. I spoke with Tim Mallard this morning; he will be ordering the survey today, but wanted someone to take a look at it first (done by Jimbo yesterday). He said he would email the survey to you when received. Please forward for my review prior to CO issuance. Thanks, Rick From: White, Debbie Sent: Tuesday, September 21, 2010 2:49 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Doerr, Sonya Subject: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street I have a request for a certificate of occupancy at 1086 Jasmine Street, Permit #10 -863. The contact number is 813 -5720, if you need access to the interior let me know and I can give you the code...Please let me know results, Thanks, Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 White, Debbie To: Nodine, Phil Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX From: Nodine, Phil Sent: Thursday, November 18, 2010 11:00 AM To: White, Debbie Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street Everything OK for PW From: Carper, Rick Sent: Thursday, November 18, 2010 9:20 AM To: White, Debbie; Deming, James Cc: Nodine, Phil Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street Jimbo, final satisfactory survey received. Please take a look to make sure they have backyard restored from final digging (sod or seed and mulch). If yes, OK to sign off on CO. Rick From: Carper, Rick Sent: Wednesday, September 22, 2010 8:02 AM To: White, Debbie Cc: Deming, James; Nodine, Phil Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street Debbie, I have not gotten the as -built survey for the on -site storage yet. I spoke with Tim Mallard this morning; he will be ordering the survey today, but wanted someone to take a look at it first (done by Jimbo yesterday). He said he would email the survey to you when received. Please forward for my review prior to CO issuance. Thanks, Rick • From: White, Debbie Sent: Tuesday, September 21, 2010 2:49 PM w` To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Doerr, Sonya 4,4'1 Subject: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street y1`$ I have a request for a certificate of occupancy at 1086 Jasmine Street, Permit #10 -863. The contact number is 813 -5720, jl if you need access to the interior let me know and I can give you the code...Please let me know results, Thanks, Debbie �c Debbie White 1 CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 2 White, Debbie From: White, Debbie Sent: Tuesday, September 21, 2010 2:49 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Doerr, Sonya Subject: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street I have a request for a certificate of occupancy at 1086 Jasmine Street, Permit #10 -863. The contact number is 813 -5720, if you need access to the interior let me know and I can give you the code...Please let me know results, Thanks, Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 White, Debbie From: Nodine, Phil Sent: Tuesday, September 21, 2010 3:42 PM To: White, Debbie Subject: FW: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street OK for Public Works From: Deming, James Sent: Tuesday, September 21, 2010 3:40 PM To: Nodine, Phil Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street o.k. From: Nodine, Phil Sent: Tuesday, September 21, 2010 3:11 PM To: Deming, James Subject: FW: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street From: White, Debbie Sent: Tuesday, September 21, 2010 2:49 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Doerr, Sonya Subject: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street I have a request for a certificate of occupancy at 1086 Jasmine Street, Permit #10 -863. The contact number is 813 -5720, if you need access to the interior let me know and I can give you the code...Please let me know results, Thanks, Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX White, Debbie From: Clemons, Malcolm Sent: Tuesday, September 21, 2010 3:07 PM To: White, Debbie Subject: RE: Certificate of Occupancy - New Single Family Dwelling -1086 Jasmine Street Backflow inspection OK. Malcolm From: White, Debbie Sent: Tuesday, September 21, 2010 2:49 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Doerr, Sonya Subject: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street I have a request for a certificate of occupancy at 1086 Jasmine Street, Permit #10 -863. The contact number is 813 -5720, if you need access to the interior let me know and I can give you the code...Please let me know results, Thanks, Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 White, Debbie From: Carper, Rick Sent: Wednesday, September 22, 2010 8:02 AM To: White, Debbie Cc: Deming, James; Nodine, Phil Subject: RE: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street Debbie, I have not gotten the as -built survey for the on -site storage yet. I spoke with Tim Mallard this morning; he will be ordering the survey today, but wanted someone to take a look at it first (done by Jimbo yesterday). He said he would email the survey to you when received. Please forward for my review prior to CO issuance. Thanks, Rick From: White, Debbie Sent: Tuesday, September 21, 2010 2:49 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Doerr, Sonya Subject: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street I have a request for a certificate of occupancy at 1086 Jasmine Street, Permit #10 -863. The contact number is 813 -5720, if you need access to the interior let me know and I can give you the code...Please let me know results, Thanks, Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 0 o ro ' tt' • o C y o z 0 z `I 0 *7 tn • m H 2 H W 0 t ‘.O o N ro H ? 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NO: 3525 EHis&Associates PROJECT NO: 3525 -0001 LAB N0: 57323 7064 Davis Creek Road REPORT NO: 1 -0001 Jacksonville, Fl 32256 SAMPLE DATE: 07/30/2010 (904) 880 -0960 Office (904) 880 -0970 Fax REPORT OF: SOIL PROCTOR PROJECT: 1086 Jasmine Street Atlantic Beach, Duval Cty, FL ATTENTION: TIM MILLARD REPORTED TO: BOTTOM LINE VENTURES 2301 11TH AVENUE NORTH JACKSONVILLE BEACH, FL 32250 TEST RESULTS Page 1 of 1 Sample Location: House Pad Material: Fill D/D Moisture Dry Density Lbs. /Cu.Ft. 100% saturation line for SG = 2.65 Estimated 15.4 101.9 110 ` 16.4 102.2 17.4 101.9 14.4 101.4 16.6 0•timum 102.2 Maximum t, 105 — Q olor /Description: Gray Tan Fine SAND • 1 108 : 95 13 14 15 16 17 18 19 20 Moisture Content, percent Desc of Rammer: Mechanical Date Received: 07/30/2010 Preparation Method: Dry Date Tested: 08/02/2010 Remarks: Test Method (As Applicable)ASTM D - 1557 Orig: BOTTOM LINE VENTURES Attn: TIM MILLARD (1 -cc copy) Respectfule;n S 5 ••• O ?i , ' S. 0 Ellis & A O ,tjj oltl003 : • o f I • ; 6 Q . � 2 Joseph Chay��•i �?;E.F ���0: Director, • CMT an• t tfea., :5•" (JWS) Technician: Martin Conner Licensed, Florida Nd �S10N P� ,,, `,�� �llItil THIS REPORT APPLIES ONLY TO THE STANDARDS OR PROCEDURES INDICATED AND TO THE SAMPLE(S) TESTED AND /OR OBSERVED AND ARE NOT NECESSARILY INDICATIVE OF THE QUALITIES OF APPARENTLY IDENTICAL OR SIMILAR PRODUCTS OR PROCEDURES. NOR DO THEY REPRESENT AN ONGOING QUALITY ASSURANCE PROGRAM UNLESS SO NOTED. THESE REPORTS ARE FOR THE EXCLUSIVE USE OF THE ADDRESSED CLIENT AND ARE NOT TO BE REPRODUCED WITHOUT WRITTEN PERMISSION. REPORT CREATED BY ElmTree SYSTEM White, Debbie From: Walker, Chris Sent: Friday, September 24, 2010 8:04 AM To: White, Debbie Subject: RE: Certificate of Occupancy - New Single Family Dwelling -1086 Jasmine Street Plumber needs to lower sewer clean out and place an RT -1 box over it. It must be set to ground level. From: White, Debbie Sent: Tuesday, September 21, 2010 2:49 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Doerr, Sonya Subject: Certificate of Occupancy - New Single Family Dwelling - 1086 Jasmine Street I have a request for a certificate of occupancy at 1086 Jasmine Street, Permit #10 -863. The contact number is 813 -5720, if you need access to the interior let me know and I can give you the code...Please let me know results, Thanks, Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 This Instrument Prepared By: Record and Return To: Doc # 201 0244905, OR BK 15403 Page 25, / ` /C7-/ Number Pages: 2 ,‘ 1✓ L-30 t V11/1-1\14- N Recorded 10/20/2010 at 10:29 AM, ' 32.2..573 JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Sales price $23,175.00 RECORDING $18.50 RE Parcel ID#: 170974 - 0030 DEED DOC ST $162.40 CORRECTIVE WARRANTY DEED � O OC T �� THIS WARRANTY DEED made this 11 day of (RA , 2010 A.D. by e 02 Q� DTL Properties, Inc. and Bottom Line Ventures, Inc. y 0 Hereinafter referred to as Grantor, whether one or more, and whose address is 2301 11 Ave. North, Jacksonville Beach, FL 32250 To DTL Properties, Inc. and Bottom Line Ventures, Inc. , hereinafter referred to as Grantee, whether one or more, and whose address is 2301 11 Ave. North, Jacksonville Beach, FL 32250 (Wherever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations.) WITNESSETH: THAT the Grantor, for and in consideration of the sum of Ten and NO /100 Dollars and other valuable considerations, receipt whereof is hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee, all that certain land situate, lying and being in Duval County, Florida, viz: Lot 2, Block 179 and Lot 2, Block 180, Section "H" Atlantic Beach, according to the plat thereof as recorded in Plat Book 18, page 34, of the current public records of Duval County, Florida. SUBJECT TO a 25 foot undisturbed natural vegetative buffer from jurisdictional wetlands required per Section 24- 272(c)(2). SUBJECT TO a 50 foot undisturbed natural vegetative buffer from jurisdictional wetlands required per Section 24- 272(c)(1). This a Corrective deed of that certain Warranty Deed in OR VoL 15297, page 883 to add consideration and Covenants, restrictions. SUBJECT TO taxes accruing subsequent to December 31, 2007. SUBJECT TO covenants, restrictions and easements of record, if any; however, this reference shall not operate to reimpose same. TOGETHER with all the tenements, hereditaments and appurtenances thereunto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. and the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances. IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above written. // / 7/ Bo • Line Venture it, c. itne s Si : i . e ( / 116 . rif r ard, president Witness Printed Signature Witness Signature Witness Printed Signature STATE OF Florida COUNTY OF Duval The foregoing instrument was acknowledged before me this'Zday ofd //; 2010 by Dandee Lofton, president of DTL Properties, Inc. and Timothy S. Millard, president of Bottom Line Ventures, Inc. . He /She i • - rsonally known to me .r has produced as identification. Notary PPuublliiic State and County Aforesaid. Notary Signa e � ,0 44 PETER C. SMITH II Ayr '_ MY COMMISSION #0D964915 Notary Printed Signature ?v.. ! EXPIRES February 23, 2014 (a07) 398 -0153 FloridallotaryService.com CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000863 Date 7/23/10 Property Address 1086 JASMINE ST Application type description SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation 123674 ---------------------------------------------------------------------------- Application desc new home ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BARNES CONSTRUCTION LLC 3317 ROYAL PALM DRIVE JAX BEACH FL 32250 (904) 424-9678 --------------------- Structure Information 000 000 ---------------------- Construction Type TYPE 5-B Occupancy Type RESIDENTIAL Flood Zone ZONE AE ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 552.00 Plan Check Fee 276.00 Issue Date Valuation 123674 Expiration Date 1/19/11 ---------------------------------------------------------------------------- Special Notes and Comments FINSHED FLOOR ELEVATION SURVEY REQUIRED FINISHED FLOOR ELEVATION SURVEY REQUIRED AT SLAB INSPECTION TWENTY FIVE (25') FOOT UNDISTURBED NATURAL VEGETATION BUFFER FROM JURISDICTIONAL WETLANDS REQUIRED PER SECTION 24-272(C)(2) *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS * AN ELEVATION CERTIFICATE MUST BE SUBMITTED BEFORE A FRAMING INSPECTION CAN BE DONE; PROPERTY IS IN A "AE" FLOOD ZONE. ~25~TFORO~T; BnFUpFFErTRF~FR~ONM W~SETLTA'NDei~LINE (AS SHOWN) ON SITE PLAN PERMIT IS AYl'ROVER-UNLY'I1Q'XCCI7RD1i1~tiEFVP'~iLCC~1'~~ A~~AI'~-1~ -~H~~~AI~x~~~~`~~L`~RIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number 10-00000863 ------------- Date --------------- 7/23/10 ------------ ------------------------------------ Special Notes and Comments MUST BE RECORDED. Topographic survey to document storage construction required prior to CO inspection. Roll off container company must be on City approved list and container cann ot be placed on City right-of-way. - ----------- ------------------------ Fee summary ------------------------- Charged Paid ---------- ---------- - -------------- Credited --------- ---- - Due ------ ----------------- Permit Fee Total 552.00 552.00 .00 .00 Plan Check Total 276.00 276.00 .00 .00 Grand Total 828.00 828.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J~ BUILDING PERMIT APPLICATION ~~'~~ CITY OF ATL T ~ AN IC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 l~ 31 "' ~~' Office (904) 247-5826 Fax (904) 247-5845 J Address: /~ (,~! d (P ,,T~,f'/h; ~ ~ eS'~ ,~f7/d~,i /G ~,.lr `L . pe~ it Number: /~" ~ 8' b ~ Le Descri hon Lo~'"2 U/pGk /79 ~~~" Z ~/o~~/aI0 ~7l~~ g p ' arcel # ~~ ~7y - c9 0.3 6 door Area of Sq.r't. 9, t Valuation Proposed Work heated/cooled ~72hon-heated/cooled ~~~~.~ Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/pro osed structure(s) (circle one): Commercial Residential If an existing struc~ure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use pro uct approva orm Describe in detail the type of work to be performed: ~~ c~.,~-~u c?-~'o ter. ~f'-S`'„~% ,' f~,,f/(~ ~~~~ ProAerty Owner Information: ~~ Name: ~o%ions 1,'.~~ Y~°~?zl~S ~~~_ Address:___Z-3o/ 1/~i~'/~ City ~~~///e ,~ ~ y~_ State Zip 3 zL~~ Phone ~D ~ -'~/~ ~S 7 Z6 E-Mail or Fax # (Optional) /hS~~i ~,O-r (~~//~~, ,J ~ _ ,~~ ~-- Contractor Information: Company Name: n G /,.J ~G Qualifying Agent: Address: 3/ City`~C~i9Gk'SAN/iLG~' State G. Zip 3Z2 5~ Office Phone Qd Job Site/ Contact Number ~a y~j/~ - y`72.a Fax # ~O y- ZED /3fa State Certification/Registration #___G/3C D/l/~ '~ pw.,~r Architect Name & Phone # Engineer's Name & Phone # ~ ,~ 'T Ana ~ci~~S 4o Y "82/--SZc~a 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 wall be pezformed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work as not commenced within six (6) months, or if construction or work is suspended or abandoned for a~erzod of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Rork, Plumbdng, Signs, ells, Pools, Furnaces, 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 "fereby certify that I have read and examined this~plication and know the same to be true and correct. All provisions o+f'laws and ordinances governing this tJ'p1e o work will be complied with whether sppeci ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the prO`~isions of any other federal, state, or local lativ regulating construction or the performance of construction. . ~ .. ,~~ Signatu„.e of Owne ! L ~gn~C~tra r L, Print Nan_ , 7~ S ~,j/ ~~ Print Name 1~ ..................................... .....d~........T.......~..........~ .............3...~~............. this `~ Day ofbscr}bed, before me (/~~ J~-t. , 20 (Ll !c~ ~ ~ ~ ~` Notary Public ~,~,~ Sworn to and subscr~ bef re me this lfrlfr ' Day of I,-~a.~.Q..~. ~~~ Nohry Public State of Fbrida ~Va+'~ Notary Public State of FloridaRe sed 01.26,~1~0 Karen 8 A'NeNt My Commission DD988077 Karen B O'Neill or Expkes 04/19/2014 ~ ~ MY Commission DD983077 ~ orn, Expiroa 04/19/2014 ~~._ _ NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. _ _~~ ~ ~ ~ ~ 3 Tax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that improvements wlll be made to certain real property, and i accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE COMMENCEMENT. 1 / Legal descript~io,(n of property being improved: ~4~z ~~DG~~h ~7 GAT ~ ~/6G~ ~ Address of property being improved: 1/ General description of improvements: ~'~'~ Owner ~d~'c~r~ ~ ~ o~ n ~ Address :Z,~i ~/ ,/,~~y ~, ' ~ Owner's interest in site of the improvement Fee Simple,~Titleholder (if other than owner) Name .~ Address _ Contractor ~~~ ; ,r!'i7~'S / ~~~ ~~~ c i ~c~~ ~L NOTICE OF COMMENCEMENT ' (PREPARE IN DUPLICATE) Permit No. ~(~ _ ~ ~ 6 ~ Tax Folio No, State of County of _ To whom It may concern: a The undersigned hereby informs you that improvements will be made to certain real property, and i accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE COMMENCEMENT. Legal descript(io~n of property being improved: ~~~- z ~/ Address of property being improved: ~~~ General description of improvements: ~'~,7~ ~r.<<Ti'D•~ Owner ~d~i'o.'yt L~ ~ o lxPf-~Tu2~;s ~~~u- Address :~.~i ~J/ L~~~3'' ~1y ~?d C-/c~' a~~ r ;/%/~' ~~r'rG Owner's interest in site of the improvement l~c,u ~7F~ Fee Simple-~Titleholder (if other than owner) Name Address Contractor ~ . ~ ~ ~ ~~~ c ,~c~~ Address ,3/ ~ U ." ~~-, ~ G /c , l/~ Phone No. ~d Y ~i3- 5- 7 Z.v Fax No. Surety (if any) Address Amount of bond Phone No. _ _ Fax No. Name and address of any person making a loan 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 notices or document~r ay be served , Name .CJ.~R Address J Phone No. Fax ~Z2 i~ Z- In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provide I in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording L'iffer°n4 ri~fa is cnonif'o.d1• a n This Instrument Prepared By: Number Pages:6~~ ~~ ~~` 1 s2s~ Page ass- -- Record and Return To: Recorded 07!07/20'10 at 10:16 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 RE Parcel ID#: 170974-0030 DEED DOC ST $0.70 WARRANTY DEED THIS WARRANTY DEED made this 27 day of May, 2010 A.D. by DTL Properties, Inc. Hereinafter referred to as Grantor, whether one or more, and whose address is PO Box 19864, Jacksonville, FL 3224S. To DTL Properties, Inc. and Bottom Line Ventures, Inc., hereinafter referred to as Grantee, whether one or more, and whose address is 2301 11`~ Avenue North, Jacksonville Beach, Florida 32250. (Wherever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations.) WITNESSETH: THAT the Grantor, for and in consideration of the sum of Ten and NO/ 100 Dollars and other valuable considerations, receipt whereof is hereby grants, bazgains, sells, aliens, remises, releases, conveys and confirms unto the Grantee, all that certain land situate, lying and being in Duval County, Florida, viz: Lot 2, Block 179 & Lot 2 Block 180 as shown on map of section H, Atlantic Beach, according to the pat thereof as recorded in Plat Book 18, page 34 of the current public records of Duval County, Florida. SUBJECT TO taxes accruing subsequent to December 31, 2010. SUBJECT TO covenants, restrictions and easements of record, if any; however, this reference shall not operate to reimpose same. TOGETHER with all the tenements, hereditaments and appurtenances thereunto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. And the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances. IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in our presence: ~ ~~~ ~. Witnes~Sgnature G"~~i. ~s Printed Signa Witness Signature ~e Lofton, President C n ~ 1 S`h n2 ~ cC-~ 5y rl Witness Printed Signature FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Model, Jasmine St Builder Name: Street: Jasmine St Permit Office: Atlantic Beach City, State, Zip: Atlantic Beach , FL , Permit Number: Owner: Jurisdiction: 261100 Design Location: FL, Jacksonville 1. New construction or existing New (From Plans) 9. Wall Types (1268.8 sgft.) Insulation Area 2. Single family or multiple family Single-family a. Frame -Wood, Exterior R=11.0 1108.80 ft2 b. Frame -Wood, Adjacent R=11.0 160.00 ft2 3. Number of units, if multiple family 1 c. N/A R= ftz 4. Number of Bedrooms 3 d. N/A R= ft2 5. Is this a worst case? No 10. Ceiling Types (1447.0 sgft.) Insulation Area 6. Conditioned floor area (ft2) 1372 a. Under Attic (Vented) R=30.0 1390.00 ftZ b. Knee Wall (Vented) R=19.0 57.00 ft' 7. Windows(144.1 sgft.) Description Area c. N/A R= ft2 a. U-Factor: Dbl, U=0.45 144.15 ft2 SHGC: SHGC=0.45 11. Ducts b. U-Factor: N/A ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 123.48 ft2 SHGC: 12. Cooling systems c. U-Factor: N/A ft2 a. Central Unit Cap: 24.0 kBtu/hr SHGC: SEER: 13 d. U-Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap: 24.0 kBtu/hr e. U-Factor: N/A ft2 HSPF:7.7 SHGC: 14. Hot water systems 8. Floor Types (1372.0 sgft.) Insulation Area a. Electric Cap: 50 gallons a. Slab-On-Grade Edge Insulation R=0.0 1372.00 ft2 EF: 0.92 b. N/A R= ft2 b. Conservation features c. N/A R= ft2 None 15. Credits None Total As-Built Modified Loads: 26.69 Glass/Floor Area: 0.105 PASS Total Baseline Loads: 31.76 I hereby certify that the plans and specifications covered by Review of the plans and .~'fHIF ~~~;~ this calculation are in compliance with the Florida Energy Code. specifications covered by this calculation indicates compliance , 4~ '' - F~ ~ '. ~' ti ~~ ~ 1,~w ~ • ~~ with the Florida Energy Code. ~ ~ ,~ ~. ~ G PREPARED BY: V ____ __.__ Before construction is completed €, ~ ~"~~ ~f ~; i ~ DATE: _ --. 5/20/10 this building will be inspected for ~ `"` s ` - v ~ _______ , . compliance with Section 553.908 ~ ~~, ,, ' I hereb certi that this bui din as desi ned, is in com liance Y fY 9, 9 P Florida Statutes. t~ ~~ti ~ ~:~, , , ~ ~ with the Florida Energy C ~U(? 41'~~~~-. OWNER/AGEN _ . ~'4~ ~__~_ ~~ DATE: - ~ -F~ ILDING O ICIAL: y ~~~ DATE: '~ ~-^~~~ ~ -- . acx~ FILE COPY _ ~.~: 5/20/2010 8:19 PM EnergyGauge®USA - FlaRes2008 Page 1 of 5 PROJECT Title: Model, Jasmine St Bedrooms: 3 Adress Type: Street Address Building Type: FLAsBuilt Conditioned Area: 1372 Lot # Owner: Total Stories: 1 Block/SubDivision: # of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: Jasmine St Permit Office: Atlantic Beach Cross Ventilation: County: Duval Jurisdiction: 261100 Whole House Fan: City, State, Zip: Atlantic Beach , Family Type: Single-family FL , NewlExisting: New (From Plans) Comment: CLIMATE IEGC Design Temp Int Design Temp Heating Design Daily Temp Design Location TMY Site Zone 97.5 % 2.5 % Winter Summer Degree Days Moisture Range FL, Jacksonville FL_JACKSONVILLE_INT 2 32 93 75 70 1281 49 Medium FLOORS # Floor Type Perimeter R-Value Area Tile Wood Carpet __ __ 1 Slab-On-Grade Edge Insulation 158.6 ft 0 1372 ft= 0 0 1 ROOF / Roof Gable Roof Solar Deck v # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Hip Composition shingles 1534 ft2 0 ftZ Medium 0.96 No 0 26.6 deg ATTIC i i A RBS CC V # Type n) Ventilation Vent Rat o (1 rea IR 1 Full attic Vented 300 1372 ftZ N N CEILING # Ceiling Type R-Value Area Framing Frac Truss Type 1 Under Attic (Vented) 30 1390 ft' 0.11 Wood 2 Knee Wall (Vented) 19 57 ft' 0.11 Wood WALLS Cavity Sheathing Framing Solar # Ornt Adjacent To Wall Type R-Value Area R-Value Fraction Absor. 1 E Exterior Frame -Wood 11 128 ft2 0.23 0.75 2 N Exterior Frame -Wood 11 346.3999 0.23 0.75 3 W Exterior Frame -Wood 11 256 ftz 0.23 0.75 4 S Exterior Frame -Wood 11 378.3999 0.23 0.75 5 N Garage Frame -Wood 11 32 ftz 0.23 0.01 6 E Garage Frame -Wood 11 128 ft' 0.23 0.01 5/20/2010 8:19 PM EnergyGauge~ USA - FlaRes2008 Page 2 of 5 DOORS # Ornt Door Type _~____._~__ Storms ~ U-Value Area _ 1 E Waod ______ __ None 0.460000 10.04999 2 E Wood None 0.460000 20.09999 3 W Wood None 0.460000 10.04999 4 W Wppd None 0.460000 10.04999 WINDOWS Orientation shown is the entered, asBuilt orientation. Overhang # Ornt Frame Panes NFRC U-Factor SHGC Storms Area Depth Separation Int Shade Screening _ _ _ ___ 1 E Vinyl _ Low-E Double _ Yes _ 0.45 0.45 N 15 ft' 1.3 ft 0 in 2 ft 0 in HERS 2006 None 2 E Vinyl Low-E Double Yes 0.45 0.45 N 10.04999 22 ft 0 in 2 ft 0 in HERS 2006 None 3 N Vinyl Low-E Double Yes 0.45 0.45 N 45 ft2 1.3 ft 0 in 2 ft 0 in HERS 2006 None 4 N Vinyl Low-E Double Yes 0.45 0.45 N 8 fta 1.3 ft 0 in 3 ft 0 in HERS 2006 None 5 W Vinyl Low-E Double Yes 0.45 0.45 N 16 ft2 1.3 ft 0 in 3 ft 0 in HERS 2006 None g W Vinyl Low-E Double Yes 0.45 0.45 N 20.09999 10 ft 0 in 2 ft 0 in HERS 2006 None 7 S Vinyl Low-E Double Yes 0.45 0.45 N 30 ft2 1.3 ft 0 in 2 ft 0 in HERS 2006 None INFILTRATION 8~ VENTING ---- Forced Ventilation --- Run Time Fan Method SLA CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Watts Default 0.00036 1296 7,08 71.1 133.8 0 cfm 0 cfm 0 0 GARAGE # Floor Area Ceiling Area Exposed Wall Perimeter Avg. Wall Height _,Exposed Wall Insulation 1 385 ft2 _ 385 ft' ` _ 62.1 ft 8 ft 0 COOLING SYSTEM # System Type ^ Subtype ____ _ __ __ ______ Efficiency Capacity Air Flow _ SHR Ducts _ _ 1 Central Unit None SEER: 13 24 kBtu/hr 720 cfm 0.75 sys#1 HEATING SYSTEM # System Type Subtype_ __ _ __ _, Efficiency _ Capacity Ducts _ _ 1 Electric Heat Pu _ mp None HSPF: 7.7 24 kBtu/hr sys#1 HOT WATER SYSTEM # System Type __ EF Cap _ Use SetPnt Conservation ___ 1 Electric _ __ __ 0.92 50 gal 60 gal 120 deg None 5/20/2010 8:19 PM EnergyGauge®USA - FlaRes2008 Page 3 of 5 SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model # Collector Model # ~ Area Volume FEF None None ft= DUCTS ---- Supply ---- ---- Return ---- Air Percent ~! # Location R-Val ue Area Location Area Leakage Type Handler CFM 25 Leakage ON RLF 1 Attic 6 123.48 f Attic 66.05 ftz Default Leakage Interior (Default) c (Default) TEMPERATURES Programable Thermostat: N Ceiling Fans: Cooling [ Jan [[X Feb [X Mar X Apr X May X Jun [X Jul X] Aug Sep X Oct X] Nov X Dec Heatin ~ Jan [X~ Feb Mar X~ A r X~ Ma X~ Jun [X~ Jul X] Au ~~ Se E 1C~ Oct Xj Nov Dec g l Ventin [XJ Jan [[X Feb [XJ Mar !~J p [X A r l y [X Ma t [X Jun [X]] Jul l g [XJ Au l p X Se [ XX]] Oct [X] Nov l [X] Dec tnl Thermostat Schedule : HERS 2006 Reference Hours Schedule Type 1 2 z 3 4 ~ 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating (WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 5/20/2010 8:19 PM EnergyGauge®USA - FlaRes2008 Page 4 of 5 SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model # Collector Model # Area Volume FEF None None ft= DUCTS / ---- Supply ---- ---- Return ---- Air Percent V # Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage ON RLF 1 Attic 6 123.48 f Attic 66.05 ft= Default Leakage Interior (Default) c (Default) TEMPERATURES Programable Therm ostat: N Ceiling Fans: Coolin X Jan X Feb X Mar X A r X Ma X Jun X JuI X Au Se Oct Nov X Dec en n g eb a €X~ A r ~ ~ u ~X~ J I ~ €X~ A €X ~ ~ ~ ~ tin V X Ja X F r txl M p X May J n u l ug Sep X Oct X Nov txl Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) PM 7 8 78 78 78 8 7 8 7 78 7 8 78 78 78 78 Heating (WD) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating (WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 5/20/2010 $:19 PM EnergyGauge®USA - FlaRes2008 Page 4 of 5 -i ~"rr, J~ ~,~~ . t ; ~. , "~J53 y~ City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) ~i A Date routed: APPLICATION REVIEW AND. TRACKING FORM Property Address:l~ ~ ~T Applicant: ~ ~Trk ~`~ ~ Project: ~ ~,c) }~ ~'~'-~ Review fee $ ment review re uired Yes No B' tannin & Zo ree Administrator ublic is Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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 Other: APPLICATION STATUS i~~~~ ,.(D~ I" Reviewing Department First Review: ^Approved. ^Denied. (Circle one.) Comments: _ ~ ~ ~""!'~ BUILDING ~J NNING & ZONIN Reviewed by: ~- Date: ? " ~ ~D IN. Second Review: pproved as revised. ^Denied. PUBLIC WORKS Comments: ~~ ~ ~ f PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:_ ~ ~~~ Date: 0 ~~~' FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Revised 05/14/09 Comp. By: RLC Date: 7/12/2010 Public Works Department City of Atlantic Beach Permit No: 10-863 Address: 1086 Jasmine Street Leauired Storage Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre- and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V = CAR/12 Where: V =Volume of Runoff C =Coefficient of Runoff A =Area of lot in square feet R= 25-yr / 24-hr rainfall depth (9.3-inches for Atlantic Beach) Predevelonment Runoff Volume: Lot Area (A) = 10,200 ft2 Runoff Coefficient Area Lot Area Description (ft2) (ft2) "C" Wtd "C" Impervious 0 10,200 1.00 0.00 Pervious 10,200 10,200 0.20 0.20 Runoff Coefficient (C) = 0.20 Runoff Volume V = 0.20 x 10,200 x 9.3 / 12 V = 1,581 ft3 Postdevelonment Runoff Volume: Lot Area (A) = 10,200 ft2 Runoff Coefficient Area Lot Area Description (ft2) (ftZ) "C" Wtd "C" _ Impervious 2,342 10,200 1.00 0.23 Pervious 7,858 10,200 0.20 0.15 Runoff Coefficient (C) = 0.38 Runoff Volume V = 0.38 x 10,200 x 9.3 / 12 V = 3,033 ft3 j~e,0uired Storag DV = e Volume Postdevelopment Runoff Volume - Predevelopment Runoff Volume DV = 3,033 - 1,581 DV = 1,452 ft3 Retention 1086 Jasmine-onsite Retention.xls 7!12!2010 ;z""~''r~,~j City of Atlantic Beach r; wd f ' ~` `~" ~ `yl ~ x^.~ ",~~ Building Department i ..1UL 0 ~ 2010 ,. ~ 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 24 ,.~~4~ ___,~_~ _ _ _ "!.~r;t v~' E-mail: building-dept@coab.us ~ "~`-'~"-`~"~"'"~~ • City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address:l~ ~ ~i ( Applicant:C ~Tl'k ~~' ~~ ~ Project: ~~Gc3 TJ7J m~ c Review. fee- $ ment review re uired Yes No B` tannin & Zo ree Administrator ublic is Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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 Other: APPLICATION STATUS i~~~7 ~o~ . Reviewing Department First Review: ^Approved. ~enied. ~ (Circle one.) Comments: •r( Q~ ~ ~~ ///~~~ BUILDING PLANNING & ZONING Reviewed by: Date: 2 /2 /6 TREE ADMIN. Second Review: ~4pproved as revised. ^Denied. PUBLIC WORKS C mmen s: ~'~J~ / t S'y~~ve ~ ~~ !~ v ~ yy~~ c~e C^-a~~~ G'~ PUBLIC UTILITIES iu.~~ ~ 1^ / '_ " Re iewed b : ~~~G~~ ~ .~ ~ ~ rr. Date: PUBLIC SAFETY v y - FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Revised 05/14/09 -z~°rr~`, City of Atlantic Beach " ~ '~ aA ~ _ ~"+" k~ ~-~~ ~ ~ ~~-~ ~ ~.~ Buildin De artment ~~~ 9 p `~ 800 Seminole Road i '~~~' Q Z~f~ ,~ _ -~ ~~ c~ Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 24'~4~._____-___._-__.___,•_, ~~~J;3 ~'' E-mail: building-dept@coab.us ~~ _~ City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Depaitment.) Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address:~~ ~ ,~T l Applicant:C ~f'rk ~~' ~'7 c Project: ~Gc~ TTD rn~ < ........ Review fee $_ ment review required Yes No B' tannin & Zo ree Administrator ublic u is Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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 Other: APPLICATION STATUS i~~~7 ,.(D~ I" Reviewing Department First Review: Approved. ^Denied. (Circle one.) BUILDING Commenl~ ..22. / C~Q~E%da~cc~~ x~~~re~' ""' G~~ L'~~ "" _ .~~*''Pti PLANNING & ZONING Reviewed by: Date: '~' / v TREE ADMIN. Second Review: ^Approved as revised. ^Denied. p W ~ Comments: 8LI UTI TIE ' ,v ~/ PUBLIC ~AFETY Reviewed by: Date: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. ~, N Er=O w~ l ~ Comments: ~}1-'~d-- wt i~~~ , Reviewed by: Date: Revised 05/14/09 25-foot wide natural vegetative buffer required on west side of lot. No clearing or development is permitted in this area. Buffer must be shown of final survey for CO and deed restriction must be recorded. See attached. The following must be recorded as a deed restriction upon this property at the time of transfer of ownership and shall be made applicable to all successors and assigns in ownership. A twenty-five (25) foot wide natural vegetative buffer shall be maintained between the west property line of the Lot described herein and any development occurring on said Lot. This buffer shall maintained as set forth below. (1) The following activities are expressly prohibited in this buffer: i. filling, dredging or soil compaction by heavy machinery; ii. dumping of any kind including brush, tree and yard waste, weeds, lawn clippings, animal or fish waste, litter and refuse of any type. iii. removal of healthy native trees; iv. installation of sod, irrigation, non-native vegetation of any type or any type of plant materials typically requiring the use of lawn pesticides and fertilizers or chemicals of any kind. (2) The following activities are permitted within this buffer subject to obtaining a buffer alteration permit from the City of Atlantic Beach (the "City"). i. Removal of invasive vegetation following documented verification by the City's designated Administrative Official. ii. Clearing of Understory Vegetation as defined by Chapter 23 of the City's Municipal Code of Ordinances, and any such clearing shall be approved by the City and if required, the appropriate State or Federal agency prior to any form of clearing, alteration or disturbance of this buffer. iii. Activities for the owner or occupant's enjoyment including typical backyard outdoor furniture, gazebos and screen structures not exceeding one hundred (100) square feet in size without electrical or plumbing service, but not swimming pools, spas or pool houses. LOT 2 BL CK 17SH0 ,~O 1 v ~ ECTION H 1 ~ -F'L-A -1lT ®-~' ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 18, PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. GRAPHIC scALE SCALE 1"=30' NOTES; 1. OEARIN09 SHOWN HEREON ARE A39UMED. 2. BEARING OF S 00 09'00"E OF JASMINE STREET HELD FlXED. 3. THIS IS A SITE PLAN ONLY. z ~~ oa O ~ o ~~ a' r ..~~ C vl~ ~ ~ ~ y BL 0 CK 180 y C 2 m LOT 1 204.00'PLAT I 204.00'COMPUTED sET. ~~ O ,o ` :i 0 ~~ ~ 1O~ ~'l)~ ~T~ T s.o. o' --v --.. ~I \I I Its 69.33' c a ~. g PROPOSED HOUSE S ~~ ~~~ e.oo' _ LOT 2 ' ~ ~ ^-! N g ~c 39.33' 6.00, 42.50'--- ~ 102.00' ~T• ~'~ ~ 102.00' ~~ DUE WEST 204.00'COMPUTED 204.00'PLAT ~' g LOT 3 LOT 3 N I SET y y N N pO O 9TH (50'R/W) STREET WEST RO 0 NE Y 8c S 0 NS JACKSONVILLE,NFL RDA 32254 PHONE (904)-379-2574 FAX. (904)-379-2578 I HEREBY CERTIFY TO BL 0 CK 179 m LOT 1 J 02 / / O ~• N 1 DUE EAST LOT 2 RETE~NnON AREA 2,060 aq ft - x -CHA~INJ~ NK - a -WOOD FENCE -w- WIRE FENCE -E-ELECTRIC LINE ~, unuTY PoIE Doc # 2010155694, OR BK 15297 Page 883, Number Pages: 1, Recorded 07/07/2010 at 10:16 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 DEED DOC ST $0.70 This lestrnmeet Prepared By: Record and Retara To: RE Parcel ID~i: 170974-0030 WARRANTY DEED THIS WARRANTY DEED made this 27 day of May, 2010 A.D. by DTL Properties, Inc. Heroinafter referred to as Grantor, whether one or more, and whose address is PO Box 19864, Jacksonville, FL 32245. To DTL Properties, Inc. and Bottom Line Ventures, Inc., hereinafter referred to as Grantee, whether one or more, and whose address is 2301 I ls' Avenue North, Jacksonville Beach, Florida 32250. (Wherever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations.) WTTNESSETA: THAT the Grantor, for and in consideration of the sum of Ten and NO/100 Dollars and other valuable coeaideratioes, receipt whereof is hereby grmta, bargains, sells, aliens, remises, relea.9es, conveys and c~n6rms unto the Grantee, all that certain land situate, lying and being is Duval County, Flbriia, viz Lot 2, Block 179 & Lot 2 Block 180 as shown oo map of section H, Atlantic Beach, accordlaa to the pat thereof as raoorded ie Plat Book 18, page 34 of the can eot publk rarords of Dttvat Coranty, Florida. SUBJECT TO taxes accruing subsequent to December 31, 2010. SUBJECT TO covenants, restrictions and easements of record, if any; however, this reference shall not operate to reimpose same. TOGETHER with all the tenements, hereditaments and appurtenances thereunto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. Aed the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby fully warrarRS the title to said land and will defend the smee against the hrwful claims of all persons whomsoever, and that said lend is See of all errcwmbranoas. W WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in our presence: (~ 1 ~1 Wits rgnature andce Lofton, Presidem 1~~5~ G ~vJi s Prirrtod Si rtness signature ch~is~;Re ft.)a-Ison Witness Printed Signature STATE OF FkKida COUNTY OF Duval 'The foregoing instrument was acknowledged before me this day of, , 2010 by Dandce Lofton, President of DTL Properties, Inc.. He/She is personalty known to me or has produced e 11/t~r d~;wap lilwat as identification. Notary Public State and County Aforesaid. ~'~~ye-- 1~~~, t~rrana~a. N (1..a(t~S_ 15f64/t~~ Mr ~ a Notary Printed Signature 0 i i .-- _ __,~ S~+ I, 7 'FUY OF' 4tANK r ..__ ----------- BE~(JN1A S (50' K/N NOC}'Oq"qq"W 'J5'd: 710A1.- UI'I'Cf l ~- cja Y~3 RICHMOND CAPITAL MANAGEMENT Experience, know~dge, Service ~~ ~~ 4t Ntl 9Ty6"E 6CL04 .y^^„<~ l4 ('IR VERSE }.7NE AVr. Y) Inaza-~1~~ ~ z~ ~D°~~~o~ ~ ~'~ ~mEt~?'~'ti~ r O. ~ ~ zr la . titd~h~nr ~ (` r '~. 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O ~ O Q O Z I J a ~C' .- N ~~~~ y~JN~~~ N ~. ~ 11 O J ~ J (A'INO 3NIl 3583~V211) NNtlB !0 d01 ~, A HO110 1Y0t1 {,S£ 1 ', 3 0 0 ~ O O R• a3 X',n ~. m ;~ s =N QO]~ 1n r = ~ r= arm cn~Q 3~a¢z~~ azaO~°1~i1 ~' W~ n O W W Z ~~~w=mo o~w~~~~ z~=~?ma r~U~QO~zwy ~ J=~ ~/ M Z a~ FW-wO W O ~aZFm 26U=~Ww ~ z11Wwz ~ ~ ~ Z W W ~ '~ O ==O ~a'¢1.. ~VIU UIO 00 }-JQWVin2 -~ 1iZjm j 4p0! aWwra-dtwilwOU d Ztn~O~ QO.~Q~wrO O'O-m ww-? k~pl-~~l-ao ~s~ ~'s9~ '1~ _ _ to ~) ~. On~ 7U ~/.3 - -I ._...-..-_~____. _. 7(1P OF~ BANK BE~QNIA ST ~I~.~T ~5~! RAW} CI7P ZD"'~~~. QUIOO~DD t~ -1 3 ~ O ~~m~o~~• -i D • o P' ~~man~~mm n QJ 9 C~C .qy ~.~ ~ ~~D mC. ^~mx OOzVlnr~>ur~-! 'XID~O~n2T ~_~mmz~A Ci a « po~~ ~GtTi~~zm~ ~m mzr-yr~nm rn~~'°~J~a ~ '-X n' i1 T r~G rnotn- n~ m rnx(Pnf z!'~om~zz oO~W~~O x Z~~OV~~ ~' n ~~i '{~ n ,~wD ~~~ m~ T [Q ~i=•; ~~' ('IRAVEB5E I.IDIF' ABLY) C~ `a ~~ (.) r• ° ~'3 ~C7 ~ -i CI ~ X ~ i[~ I ••~ Cdr , ~~ 5~~~ ~,p ~ .,. _.. __. ~C l ~._... ._. :`_ v y' ~~ r ._.__, .y ,~$ ~ W A,ty ~~ ~! ! 1 ! ! ! !III ^ A Q ~ i f~i m X h a~~~~~ ~~~~~~ i ~ f•1 s ~~ ,~.~ ~N ^ C {Q 2i )X may'-..~.~ p^• _.a~ O ~QC~Yfr~ ~ \ ~.X -1 ~i K' r~ ~_. U ~f~ '-1 N ~ >> ~ ~~ ~~,' ~~ti ~~ \~~ ~- h-, .-., r r O ~D 0 ~ ~ o a ~ A h ~ I m ~ z ~~ ~ 9 ~ tV o ~ ~ 4 ~ ~ w ~ ~'Y rn ~ ~ '~ ~ a ~~ . . ~° ~~ ~~ o ~ ~ '~, ~ d w ~ `~ n ~~ ~ ~' ob Q y ~ h~ ~ ~ i ~' ~ ~ i- ~ n ~7 O ~rP ~~~'`~~~ J/o Q z~~' ~`~ P t ~w ~ ~ N ~~~J. ~~ ,~ ~ a~, , ~~ ~~ ~~ r ~ ~ ~ ~~ ~ ~~; Jn~r ~µ~ ~`~~td ~°s~l ~~ __~_. ~~ ...- The following must be recorded as a deed restriction upon this property at the time of transfer of ownership and shall be made applicable to all successors and assigns in ownership. A twenty-five (25) foot wide natural vegetative buffer shall be maintained between the west property line of the Lot described herein and any development occurring on said Lot. This buffer shall maintained as set forth below. (1) The following activities are expressly prohibited in this buffer: i, filling, dredging or soil compaction by heavy machinery; ii. dumping of any kind including brush, tree and yard waste, weeds, lawn clippings, animal or fish waste, litter and refuse of any type. iii. removal of healthy native trees; iv. installation of sod, irrigation, non-native vegetation of any type or any type of plant materials typically requiring the use of lawn pesticides and fertilizers or chemicals of any kind. (2) The following activities are permitted within this buffer subject to obtaining a buffer alteration permit from the City of Atlantic Beach (the "City"). i. Removal of invasive vegetation following documented verification by the City's designated Administrative Official. ii. Clearing of Understory Vegetation as defined by Chapter 23 of the City's Municipal Code of Ordinances, and any such clearing shall be approved by the City and if required, the appropriate State or Federal agency prior to any form of clearing, alteration or disturbance of this buffer. iii. Activities for the owner or occupant's enjoyment including typical backyard outdoor furniture, gazebos and screen structures not exceeding one hundred (100) square feet in size without electrical or plumbing service, but not swimming pools, spas or pool houses. Buffer must be shown on final survey submitted with request for Certificate of Occupancy. 1..51~`P~-~,3 r ~~ "! ~s3 yr City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION (To be assigned by the Bi 111 ~ it ,~' Date`routed; UMBER ', ling Department.) rtln APPLICATION REVIEW AND. TRACKING FORM Property Address:~~ Applicant: ~ ~T'r~ c~ 07'7 Project: ~ Gtr ~ m~ Review fee $ ment review required Yes No B' tannin 8~ Z ree Administrator ublic is Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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 Other: ADDI ~reTtnAi CTATI IC z Reviewing Department First Review: pproved. ^Denied. ~~ ~ 1< ~ ~ ~ ~ ~ ` (Circle one.) Comments: l 1 L ~~ r Tti~rca 1~- 3 ~~ cts ' ~ ~ BUILDING y~ PiJ~ T~C , ~c iu:-- c CE n b~- bP~~-~r ~ ~~;-~..~. ,,~-~ ~~ s ~~ f . 9'~P ~, ~ l ~~ tS' PLANNING & ZONING ,r h Gt ~ ~~" ~'~~ Reviewed by: ~j ~ ` Date: ? :~ ~~~~ 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. 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Al pl ne $OftWdr2., VerSi OnS 9.01;. 9.05. ~~ .~_= -- ~'a J- StructuTalEngineerofRecord: JEFFREY P ARNESON`58544 = ~' " "" Address: 4745 SUTTON PARK CT SUITE 402. JACKSONVILLE, FL 32 _ Minimum Design Loads: Roof - 37.0 PSF @ 1.25 Duration Floor - N/A -- ,._ ~,,_ Wind - 120 MPH ASGE 7-05 -Closed _ ~~ ` Notes: 5ea1 D~l:.:,~``~2.:13t~1,~,`~ . 1. Determination as to the suitability of these truss components for the ~``- ~~' structure is the responsibility of the building designer/engineer of -TiuSS:aesign Et>~'= record, as defined in ANSI/TPI 1 wiuiamH:xriok Florida License Number: 70861 Z. The drawing date shown on this Index sheet must match the date shown 195oMarleyDrive on the individual truss component drawing.. xainescity,FL 33s44 3, The loads indicated on all referenced girder trusses are consistent with the .truss layout, provided by Lumber Unlimited for the above referenced job identification. Loads. applied by non-truss elements and basic load parameters are to be reviewed and approved. by the -EOR/building designer;,. 4. As shown on attached drawings; the drawing number is preceded by: HCUSR235 Details: CNNAILSP- Ref Description Drawings Date ~ '.ir~t,~:,.~ ~z~r~~ a., . ;. 1 03590--A1 10147148 05/27/10 ,C„~;.~~;th•' its . 2 03591--A2 10147146 05/27/10 ~;~, :~, .:. 3 03592--A3 10147147 05/27/10~~~~~~,~iyt~~~x,~.~,;~:y~ 4 03543--A4 101471.45 05/27/10 5 03594.- -A5 10147155 ,~ QT ~ ~Mry~r~~. ~•,.~~,a~.< .~ Mnt.~~s 6 03595- -A5A 10147070 ~ fl5 f ~,~ f~t) ' 7 03596--A6 10147142 ~~~ ~~•~"°`° ~''~'' '~, . 8 03597--A7 10147071 05/27/10 G'.~ _ ,, ~,.. : ; 9 X3598--88 10147149 05j27/10 10 03599--B9 10147150 ~~A~ q.........,~..._....,_ ~.. ' _- 11 03600--610 10147140 -.05/27/:10 ~r -~ '~' t"' 12 03601--C11 10147143 05/27/10. li{~A-s+I~yY~W~<. . 13 03602--C12 10147144 05/27/10 ~,,,: ~°.c. ~ a,~J3 14 03603--EJ13 10147141 05:/2.7/10 '15 03604--HJ14 10147152 05/27/~Qe ,0 4'~~t~.,,.-.~~~ ,, 16 03605--HJ15 10147156 05/ ~~, ~~.#,~~a~,;. ~ _ ..,. 17 03606--CJ15 10147151 05 ~,~,~~,~~}.~ t, ,~., „ 18 03607--CJ16 10147153 05J27 10 ,r 19 03608--CJ17 10147154 05 2 `~~ $~~''"~°"~ ~~' `~`~ sit !ts ~•- ~ w- q .r p N '~ O ~ ~ o ~' i-d owl a a ~°• • ~ L +~~ ,.O~~~M v-- O ~nz"~ . J "- V'0 L O -a ~ ~ o ~ r'" d ~, Q~ ~~ ~ --'~ ~~ `90S d ~ U c.J 4N .-+ f r . ~ ~ ~- ,~ T r un X q iJ1 co " ~ ~ W ~n U -U o °' r ~ -° ~ .r.. L W '".' ~ ~ r U'~"-. ~ ~' U p,~ ~U ~"" 4 p0 ~n _ +~ -~.. 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III III O _ _ _ _ _ _ _ ~ ~~ ~ M r - _<J. wOI~OJN O~..iry 07 OJ O N N ~ _ - __ _ _ _ _ _ _ y cF- ~ p _ _ - _ __ ~ ~ •.-O'N ONO ~ N _ "_ - _ _ - U t 6 ~ - Q N =_ _ _ _ __ _ O '_H vU, ~ /// 4 c ~' _ e - __-_ _ _ _ ___ -~ - Q > y~ ' ~ O O M __ _ _ _ _ _ __ __ D 4- o x O O 3 - • - ~ _ _ N .~ ~-+ a~ rn rn N = s - ~ v - - Q ~ V _ - -- _ _ _ F-- 4- LU ~ N _ _ - o c N in C1 O O ~ _ __ _ _ _ - _ _ a W N Z ~ Ill ~ ~ N N 3w _ ~ _ - - - z O~ ~ M ~ N ~' __ _ _ <__d ~ O Oa~M a~ ~ c7 ~ ~ ~ N ~ .-y (/~ N ~o Z N li J (j 4 Q.~ Q C a' 7 N +-, V r ¢ ~~ ~ Q L ra a. x _ W N N M O L t/1 ~ N C7 00 Z tT.- d ~ W ~ rn n J d ~- d. ~ U ~ W d ~ ~ L > t z ~ wx 6 p v .r ~ o, +~ 3 d E ~p ~- x x x c a ~n -~ U v ~ + F- N N N r C ~ D - Q O m ~~N . L Oa'V VUU F--I-Hm ~ C c's. ' ~ L L.d O O N Q1 > O ~ S Y ~ ~ iv m x M s~ 3 O N V O U U ~ ~ ~ ~ ~ d~ O J O O O O O d -C3 C qJ '-~ O +.~ O m z.. 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Q~ ,-~ W w ~ ~ ~ ~ ~ d F ~ ~ ~ ~ z~w ~ W <C UQ ~,~ p. v~ rr~ U [Tl .`7 \ es ~ d p ~ 0. l d ~ F " ~ ~ ("1 ~ W OV~~~ z i L_ //~~ O L~ ~ N \\ WOE ~ ~ ~ Q ~ ~ d iF U z 0 0 W Q a ~q w c ~ C7. Q z d Qi Q i--~ c~ x ca z w w a a o a. 0.l Q w a. d ca O .-] w ° U O d C1. Q. ~ ~ O a -'~z z ~ v W d 0: ~' Q C~ ° ~. _ b ~~v~ ~.~~q~ ~~n~~ m= __ ~_ ~ ~°= ~va ~ ~ca o.~~v oGm _~L,_ oam a` .. m °oa, c a m h ~~ °~ o av c_ mr ~n ou` r ~ ~ ~ G C ~C~' qlL mo aN°a m- _~ >>G ==gym - m~~s°i ° o "s3 E .:yy~ ~a=m;o C] ~ n~ O Cum O d ~ o a m m~~;a _a~uo°E sa o vmN~ =o m~ ~"m" - <.. y= da~v F Fa., a m ?° °vmaa h ..L+ E ~ U cF„ r"tom y~~F~ o ~ e d c° c °_ o c u ~ i a E ma° Ev°'~c °sE a'°-~ °'_ ~a~a~~v mava =Em Fu ~vy~.°°€ a =Naa oa_ i~° ~ ~ "' m.d o m y o ° n mF m ..t oo`2~a~ac u " "y a 4oy ~AmR v m cy; mi~' o r u ~ G m u K o~ T N j o'G ~''} ~ y m U om n'oa a~'a ~... .;+ ~ o p~ ~ U O L> m ~~ C~ 6 .. A L' n j F a m ,~ T ~v'G;s~ ;o~o_._ z m? ~ ~ _ ~ - aP too om~e~~r;m ~Fm~ ~ u ~ E" ma~N L °a.'F <~ c o m 8 v U w ~` m W ~°. PRQDUCT APPRtJVAL IjNFQRNII~:~IQN SHEET (PAID FOR THE CITY OF JACKSONViL~E (t~PVised:July 8, 2~b8) O Ca b3 _ __._._ ~Ld, /1 ~ -- -- --_.~__.._ Permit #: __.._~__~_-- - - -- - Prri Pit Name: _ ___-_-.-- - f - - ~ --- - --~ __-_____--_-----_. Project Address : ---- - ..._~~ 5~?I~~.~__.,S.~T _ _ __~~<~<?~/~---'~~~ %`` _ ~j As required !,y Florida Statute 553,842 and Florid . Administrative Code 98 '2, please provide the information and product approval number(s) for the building components ii:,ted below as applir..able ~ the building construction project far the permit number fisted above. Yau should contact your prc~c2uct supplier if you do nc cnaw the product approval number for any of the applicable listed products. information regarding c'~;~tewidFo product approve may be obtained at: http://www.floridab{aiiding.org. 5Pe i3ulietins G-?_5-04 and G-03-t)5 for more information. Cate or /Subcat ar Product Description r Manufacturer Model Na~ 1 Limits of Use Product Approval # Local # A. EXTERIOR DOORS ;, .. 1 Swin in " ~!'~ ~° ~~/ur Tv n ~.~~'i"/4 r .~~D/2 L /%T° ~' . ~. Siidin ^, ,, ---- '3 Sectional (r o " ~ ~." Xf ~ ~ L ' ~ ' " ~ / s2 Z . te ~ ~ trrf; r : .t ~ ; . s ! 4 fi R . o a ___ 5 A i . utomat c h. Other: .. . ______..~.___ B. WINDOWS t , Single huna 3. Casement " q. Daulafe hung 6. f=ixed (~. Awniri~ 7. Pass-through 8. i'ro~ jetted r3. Mullion 1b. Wind breaker 11. Dual action 12.Ocher: C. PANEL WALL 1. Sidin ,~,.,~,~.. „~.....~.-. ~! ~~,~o ~~/~ .~.~~ f~ 13/9 / ew ~ ~_ 2. soffits ~T ~ ~/~ , ~_„~ ~' So~~~_.r.. X 12/!`1- 3 ~',v~ 4. SI i~ref rants ~1 ,e /lam ~ v ~ _~~-~---r" std ~/1~~ _ 5. Curtain walls 6. Wa11 louvers _-.- _,._ 7. Glass block f3. Memb rane __._. - _ s. Greenhouse _..._._ 10. Synthetic stucco ((1 1 . Other; --------•------~ farinted Date: 8125/?009 Page i of 3 Gate~t~r~//Subcate or Manufacturer Product Dascri Lion D. ROO1FlNG f RODUCTS ~: As~hait shin les 2~Underta menu 3. i~oofin fasteners A. Nonstructural metal roof ,~. iiuiit-up roofing G. Modified bitumen ~I :7. Sin le py roofing 8. Hoofing tiles 9. Raofin insulation 10. Water. roofing 11. Woad shinc~tes/shakes 12, Roofin slate 13. I_i uid a lied roofin 1q. Gement-adhesive coats 15. Goof file adhesive 16. Spray applied of urethane roof 1 %. t7ther-: LK /'1/~~ir~'~4 S~ Sr~f E. SHUTTERS ,~ ,. 1. Accordion 2. Bahama -------~ 3. Storm anels .---------- 4. Colonial 5. fioll-u 6. E ui ment --- 7. c7ther: F.STRUGTURAL COMPONENTS ~„^,.,~._.. --w-- 1.Woad connectorlanchor 3'i~t(~~ort ~ _~c="T-:~-~~''~`~~-~ 2. Truss fates ~--------- 3, ~n ineered lumber 4. f~iai{in -.-.------ 5. Caoiers-freezers _~-.---- _ 6. Concrete admixtures 7. Material ---------._------------~-~ S. Insulation forms _.~..---.------------ - _ 9. Plastics ....._...._.____~ --------- 10. Deck-roof ...___._____.__ .._--_~__ ____---- y y . w~n ..~.~-_---.-- - ------- ------- -_ _ __ 12. Sheds _._.....-__..~- t 3. Other. _ __~______-__~_ - Page 2 of 3 Printed Date: 8/?_5/?_009 Cate o /Subcate or Manufacturer n 1 I_ Product Descriptior Liimi#ation of Use State # Local # G. SKYLICaHTS 1. Sk li hr. ?.Other. H. NEW EXTERIOf~ ENVELOPE PRODUCTS !' ~, T - In addition to completing the above list of manuf~:~caurers, product descriptic i$ and State approval numbers for the products used nn this project, it is the Contractor's or Authorize~a ,4gents responsibility tot we a legible copy of each manufacturer's printed instnrrtions, along with the list above, on the jab site available to the inspec ar. T!-te products fisted below did not demonstrate product approval at time of ~ an review. I understand that before these products carp be inspected, they must be submitted for revi~°~w for code compliance ~ td approved by a Plans Examiner. This farm will be rwisPd to include each new product in the catega ries listed above and will a highlighted to indicate the new products and regi Tired information. _._ i~ ~~ r. `^---- -• _ ContractoNAuthorized Agent; _-_~i~~~/,~.~_-jr _,u~/1~1,/!q( ~f_____- _.__ "` '` (Print) '-~ _ _- (Signature) ,:. Company Name: ~ ~on~ ~or~~ e ~'~~;>xr~ ,~~ __ --- --------__ __ _.. -----~s.....~.....-__.__.. -.__ ___ ..._- ---------- --------------------------------- ------------------ Mailing Address: _~.~~/ // ~~ ~ /Ti, . ,^ -.- City:..~,~ c `r atate; . r ~ ~_- --._~_- ~i Code:..> 2 ~ S U ----------_ __..._ . ___ _ _ - -- -- -- _ . - ___.. _ p --- __ ._-- ---- Telephone Number: (----------_)~__....__.- _.___. ------.--_._ Fax Number; {__._~'Y)_~~U ~~--s ~v-------~-- Cell Phone Number: (_ ~G?~) _~'~/~' -.- 5 ~~?C~ ._._. _ .__... Email Address: ~~%/Qa~f~//~L~~/.fb~,r~'~,! Printed Date: 8/25/2009 Page 3 of 3 • 91^Rc„t 5~U dCiaro~(Td.S?Crc.:.tc:,_ S67 tcxr, -.,~ O1 b~ A C+~ N "~! C} ~ a i.±) 'n. Y ~UO I 'c [~Crr7~{ [1 n '? - D. ~.:-1 VaT ~^r" -1 i :-d .! l n i~ F) a; 2 'ti! 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' } (^J l~lE .7_ lti a r 37 cn v .n ~ 1 ~ ~ ,O n jA sit ~cn i -~ ~~ n `j fRp i i ' < r,, fQr~ T 2; ~ ~ ~~ rn ~ rrt z! ~ c~ -c ~ r~*rn Ui ~~ ~- r*, o ~O~ z S~jr, i*tim nsN- m~~ u ~'~ z -n '- r., r ~n ...~ a U i ~~, ~ z m r~ _.~ i3 z A - s n s r~ C' A ~, c7 ~i c tJ X _} X x x 36.5" MAX. OVERA4L FRAMs: ttEiGNi ~i +* .,.I to A ~~ ~n r. a r~ r- _-. _ _~_ O h ~ z rn ~ v ra --` s E~0 "~tZCo ~ tiD ~ -ice om ccrZ~ ~ ~i~ ~S A O o(] ~QA ~.1 n = ~, ~ ~ 0 ~ C,a ~ ~ ~~ PtJi v ,~ `J tTl '~{ r_ 07 a'~-, C --5.6.x" AJAX. OVERALL FRAME tt£rGNI"--~ ~T.- - - ~ic.~ ~ v ~~ r _ r- - ~ r~ ~~ ox _.9ti.5° MAX. 7VEft~1Lr_ _ ___, FRAME Nl~lG(-IT ~--~- -^- mmc~ ~ '----- -fi~.5" MAX. OVERALL tRAME HFIGM"-- > - - 1 5lf, EL I7F.5 u ~ ~ b v r ~ srDELtres ~ ~ ~n v ' ~r -~ u c, ~' 7 7 ~ ^i ~ ~ t ~ ~ ~~ 1717 ~v ~N r ~ Q Q O . U~ Z .I. R1 5 ~ A ~~ A SIDEUTE5 slot trrr-s ~- Y !^ ~ ~ ~ ~ e e ~. ~ r~r+occrcz: a ~ ___. _ _. _ - _ TNfRMA -TRFJ fhF5WlNC j {_, i $ z c~ --- --~---- ~__ .___.^-._-- _ _ SYSTEM ANGt~ORA ~ '~ c ~ " PART Q~ASSE l8tt~ ~ v ~ I~ in \ _ .a_._-~ yl. T - a ` - --- _ ~__ - ----- - 'rYPtcnt Fzr:vnnonr. ~ ~a~-;ciar~__ __ ~~- ~RESSUR~s & cErtERA. .. - t~~st~>us ._------- _ }))?.EjWtpJ AUILMNG CONSULT"ANTS. iNC. ~ ) . ~ ~ ~ n. Bqn ..^3ll Val!5r0 FC.. 33546 ',Jy Il ~f G` " Fh no No.: C}1 J.83P. 18: --" Fl rAa t3oar6 of Froteaak n! Englaae`s stem 9r..~ ~s G crates ~ ~7 ~,~,,,,~ - .,:-.7l£lNo.S„~ `~,nwpfmv~.rr~uttxm 2sc+ mrryn+nrxm;z~a .tN: ser-z.m.3 ~: c.l ~ ~ ,, c-. .n r'. X -''~ I{mot ` ~„ r1 q Z ~ F'i ~l ~ ~ ( ~ ,tj ~--~- 7j b ~ ~. {i ,~ n i. at i~ <a ~: 47 ~, ~ ' .. -'tlllt~ :.~.-.~ ~ It h ~ n ~ I..: .. / ~ ~. 3 f ... .. 4: it, L12 C .-- z ~ ~ - ~ __.__ Cn I Z! .7 A7 ., »~ ~_-_._. ~ +: yHIM SPACE' f '~~ ai 7.15" MIN..,-•;---- „ ~; EMB, ~, „~ 7.25" MIN., `ri'1 m EM8_ TYP. ... ,.. T.._._..__~.. _.__..__ _. NOMrNAI. H'0 OOOR OPFNtNG _ ._.. __ _ ,~- .,,..15.04" MA)C~.,, ~`ON CF_NT~R ~~ '' ~~ 4 ~`~ - c1 ~ ~ __. f __ ~ ~ _ ,~ -.~ F;" ~~..___.. ._ ____- _ ___, (r;) kG2UAr, SPAGES- ,_ .- _ -- __-- _..__.-----.NOMfNRI, ci'R DUOR OPfNINf .._..__..... .... _____ , __ q 7 ^F. 35 MAX,,, _,._... ON CENTER l ' Ii{ , ;. 1 ~ ~ , ~ r _t~ , -- _ _. .__ ~ ._ _..... _ ?8.C5 MIIN. ~ 4.. ~ . .~ ~~ 18.05" Mi4k ON,C NTEJt- _ _ ~~ ON CENTER _ ~,. - -- ) .,. :~ ., - I , _. _~. _ ._ ~ , I 1 n --___ ___ ~ .. ~~t __s _ _ _ -~- . n ~~ _. ~'n --._ __-_.~~.~ ~ .-., ..`. 1 ~ ' _~~_... A ;, .y t'f r, q. A'lyr~~ .o fTl ~ t7 .. ~. ~~, _ \ v , .:, _.., ~~ n ~ z -. ci T1 ° Z _ -- `-- _ ry 4 ___ _____.__. __. . i'1 _l ~ (K A.. ,. 1 ~l G1 _1 2- .T_ { ~ n y~ ~ in ~~ 4 r i- 1 - n, 7 F 9 ~ MAX. - ON C£N7'Ef2 ~1 ~ ~ ry ~„ ~ u, r ~ ~ ~ in ,_i ! ~ . Qn Vj ~n r .. t (:. ~ 4 _. ~~ ~ ~ !~ ~ ~~ 4~ n- f, m, i f t ~~ ~s J -- ~. -- _. _ ._ , to _...p .. ~~' n 7b.9" ,U~4X. dN t:l=NTfk 11- ! '. _____....___.T~ _sN ST 4 ___ j. t 1- o ~ -! •. - ~: p. b( ~~ ., Q ~ `~ ~r tea A..._ \ p, ~n . _ __-~ ...___......__ i. p -._.__. _.. INERMA--iRLI lN5W1NG / t7b 5 -_---_-___ wnor~ rr7aMe F'ART_OR ItiSSfM01.Y fit, A!JlP70R rkOSS ;F."Girt ! MaSDNRt ~_~ ~-- .. 3~q cn p N ~-`. C1 y {I C ~ ti t ~ as 7t .~ [p 7 W !~ nl ~ .... T.. Zi 1._..._i_ 1._ 1/4.~ U Ht/Ilpp{p CONS11llnr'lrs, IN{:. f/j, U!) P. D. 9ov 7.]O Vglfien (7.. S35H.'i F' PIMnn Nr. 9iJ.R5aAl ~ (iorWa 8aore M Protmw}o EogS C . Ilflente Of Ay tTnfltot{ Nn. Utll 3 wnnAaN w. ~. ~ s{tea Page 1 of 1 7/8/2010 http://maps.coj.net/outputlDuvalMaps_itdgism2387615563100.png Doc # 2010155694, OR BK 15297 Paqe 883, Number Pages: 1, Recorded 07/07/2010 at 10:16 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 DEED DOC ST $0.70 Tkis Iratrraseat Prepared By: Record and Retrrn To: RE Parcel IDfl: 170974-0030 WARRANTY DEED THIS WARRANTY DEED made this 27 day of May, 2010 A.D. by DTL Properties, Inc. HereinaRer referred to as Grantor, whether ane or more, and whose address is PO Box 19864, Jacksonvillq FL 32245. To DTL Properties, Inc, and Bottom Line Ventures, Inc., hereinafter referred to as Grantee, whether one or more, and whose address is 2301 L 1 s` Avenue North, Jacksonville Beach, Florida 32250. (Wherever used herein the term "grantor" and "grantee" include al! the parties to this instrument and the heirs, legal representmives and assigns of individuals, and the successors and assigns of corporations.) WITNESSETH: THAT the Grantor, for and in consideration of the sum of Ten and NO/100 Dollars and other valuable coesideratioas, receipt whereof is hereby greats, bargains, self, aliens, remises, releases, conveys and confirms umo the Grsmce, all that certain Lend sitrtate, tying and being id Duval County, Fb~iia, viz: Lot 2, Block 179 & Lot 2 Block 180 as shown on map of section H, Atlantic Bencb, aecordirt to the pat thereof as recorded it Plat Book 18, pate 34 of the current pubUc ra~ords of Duval Coarty, i+brida. SUBJECT TO taxes accruing subsequent to December 31, 2010. SUBJECT TO covenants, restrictions and easements of record, if any; However, this reference shall not operate to reimpose same. TOGETHER with all the tenements, hereditements and appurtenances thereunto belonging or in anywise appertaining. TO HAVE ANb TO HOLD the same in fee simple forever. Aad the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said lend; that the Grantor her+oby fully warrants the title to said land and will defend the same against the lawful claims of alt persons whomsoever; and that said land is free of all encumbrances. IN WITNESS WHEREOF, the said Gramor has signed and sealed these presents the day and year frcst above written. Signed, sealed and delivered in our presence: /Ll~ Witn Ygnature andee Lofton, President s Primed 5i rtness signature chr~5-hie (,va-Icon Witness Printed Signature STATE OF Florida COUNTY OF Duval The foregoing instrument was acknowledged before me this day of, , 2010 by Dandae Lofton, President of DTL Properties, Inc.. He/She is personally known to me or has produced eJ~M~ci dtiwun ~lt,~t as identification. T Notary Public State and County Aforesaid. rt~l/ Imo-, ~~"~ Notary Si tN ooere..~Ya. o.e.1a, aDta ra„a`~l,~s~ret,~ / Notary Printod Signature 0 ~' '~~ ~~~ 3 / .7~ ~ f ~ t0 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACFI 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845. J Address: c.~ .'.? ~ S'-' ~ ~r~/~ ~- ~r ~L • Permit Number: Leg Description Lo ~ ~% GK 17 ~~v7'' Z ~fo~~/~c~ `~x~'~~'`ar~l # ~d ~ ~' c~t~.3 ~~ Valuation oor ea o q. t. 9: t Proposed Work heated/cooled r.7~on-heated/cooled ~ -`~ S ~ .~ Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of eaisting/proposed structare(s) (circle one):. Commercial ~ Residential If an existing structure, is a Sre sprinkler system )installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use pro uct approva orm Describe iil detail the type of work to be performed:.f~~ ~=v~~~.~J"~c G'7"'r~t~ ~~ ~i'~r~ /!° ~/hi /~f ~~/l~l-' Pronertv Owner Information: Name: ~v ~~nL ~ °~,~ bP~~K~ .- ~' ~'"~ZC; _ _ Address: Lac / llf,J" -~ City ~~ ~? K„1~~ ~'~~~_ ~ State~LZip .~ 2L~ c~ Phone ,1'n~ --~,~i_,s' -~,.~ 7' Z~ E-Mail or Fax # (Optional)_ ~'lj ~` ~ ~/~P.~r.% ~ ,~~'` Contractor Information: Company Name: ~ ~ .~ Address: - 3/ t;'~~` G Qualifying Agent: City~S/~9GKSai/+/itG~ State G. Zip '~' .'- Office Phone ~~ -~ -'' 6 ~' Job Site/ Contact Number ~a L/~f.~/.~ - 5 ~~= Fax # ~~ y- X711 • /3yz State Certification/Registration # G/3C [~//. /Q~ '`" n +~+~~ Architect Name & Phone # Engineer's Name & Phone # ~ `~i.'' ~d Y'~'Z/-~Zc^~ Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address ~ar~.9 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 rf work is not commenced within six (6) months, or if construction or work is tided or abandoned for a pertod of six 6) months at arty time after work is commenced 1 understand that separate permits must be secured for Eledri~Wori~ Plumbing, Signs, Wells, Pools, ~urnaces, Boilers, Seaters, Tanks and Air Conditioners, etG WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR. PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO~JR NOTICE OF CON.aVIENCEMENT. I here certify that I have read and examined this placation and know the same to be true and correct. All provisions o, f laws and ordinances governing this type o~work will be complied with whether speed herein or not. The granting of a permit does not presume to give authority to violate or cancel the pravuions of any other federal, state, or local law regulating construction or the performance of construction. ., y 7 ., ,. Signature of Owne Signature of Con r Print Name ~~~.,/~ .. ''~ ~'rf~._.. .._ Prvnt Name .tom. ..~...._..._.........__..,~.~.._!~ __v~~_.~..~~.._.___ ._ ..._........_..._. _._...~.._.~._.._. ~..._.. t._.~' -_......... .... ........ ~- Swo o and subscribed before me this Day of ~~V~.i _, 20 i V ` t ' f~~~ ~ t Notary Public ~~ ~ Notary Public Stats ~ Fbrida Karen B.O'NeNI My Commission pD983077 ~or ExPiros 041t9/2p14 Sworn to and subscri before me this JJ~~ Day of 1,~~-Q...v. ~ ~ ~~ ~ Notary Public State of Florin . -~ Koran B o•NerTl My Commission DD983W7 ~W R~ Ot/19lpttt4 01.26,~i~0 // ~~ ~M~ ~ ,05) Sd ~ 3 ~~~ 3NIV`~ l~ ~ ~^ (3S g ~N~aa3~ ~.---~=-~' " ay-a ~~~~p~~~ 1 ~~ ~ ~~ ~~ ~ '~ ~ 0 ~ ~ ~ ~' N ~ ~ o 1 CJ ~ oz ry,~ ~-r, 4 {.i„~ a ~ [ ~ ~ ? J N ) M W ~ ~ 4 !1 ~ ~ ~ ~ 0. ~ ~ ~-+ ~ a E-~+ ~" ~ "c~ ~ ~, '~+ d , ~, c i ~ E-~+ w °~ a ~.,.} t,, w tl' ..~-- . ~ M v j ~ ~ ~ ~-+ ~ H r~~ ~ ~ 0 6 ~ F- '~+ ~ 5 4, C Z .w ~ r • ~c+ a ~Ci ~ O ~ J ~e I~nV+ (~ ~iYS ~~ ~ ~ o ~ ~~~ ~~ 7 Z ~~ ~~ W~~ o ~ ~~ 4 ~ ~~~ ~~~ ~ ~ W~ ~ pp ~y ZN ~ ~ ~~~YN g' '7~'Ea W ~~ ~~ > ~~ ~ ~ ~~~~ ~~ ~1 ~~ ~8 ~ u~ ~r z ~: . ~ ~ ~ ~~ ~~ ~~~~ one ~~ ~ w ~~~~ ~~~~~'~~ ~xx ~ Y ~~~~~i r s yu ~` ~ ...1 ,, ~ ~ ~ ~ Q ~$ ~~~~~~~~~ ~.• "~ r a p ` G,~y.~, a ~ Z 1~ /` M r d t J W L? ~,j 4 m s ~iRF v~ r- vi u+ d 3r aazpa r~~.pO`gtl2 a~pr:~0~'ja,ix-~ L~i1~~LL'Fm0 r {'r~ d dU~MOQ Z yZQ~N~q i'fU~ S~~ Z's~W ZW~ W J~ Z J U3 2 ZgC)R,?Wt31~}i ylW 4~~~.YJ o~~zWOaa`o NNU'nUNZr r:~4~ 4~fY W a2~h~ OHO t~Wr4~WU O-W Zil7a7~4' a'O-~6NWE"O d y. ~~xmdr W Ya'~r ~ ~q d~~~6. CC ~~ SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model # Collector Model # Area A ~ Volume FEF None None ~ ftz DUCTS / ---- Supply ---- ---- Return ---- Air Percent V # Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 123.48 f Attic 66.05 ft' Default Leakage Interior (Default) c (Default) TEMPERATURES Programable Thermostat: N Ceiling Fans : Conlin [[X)) Jan [[X]] Feb [XXX]]] Mar f f X]] A r ((X]] Ma Xl Jun ((Xll Jul E ((X] Au [[X Se X Oct [[XX~~ Nov [[X lj Dec Heating (X] Jan [X] Feb [~ Mar X] Apr [X] May X] Jun [X] Jul [X2 Aug [X~ Sep E~ Oct [X] Nov ~. (xJ Dec Ventin [X Jan [X Feb [ Mar [ ~ X A r ~ (X May z [X Jun [[XX]] JuI [[X] Au [[X Se [ Oct [[XX]] Nov [[xXl] Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 ____ 4 ` 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 --- 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 68 68 68 68 68 68 68 68 68 68 6$ 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating (WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 5/20/2010 8:19 PM EnergyGauge®USA - FlaRes2008 Page 4 of 5 FORM 1100A-08 Code Compliance Checklist Residential Whole Building Performance Method A -Details ADDRESS: Jasmine St PERMIT #: Atlantic Beach, FL, INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS __________ SECTION __._ __i _REQUIREMENTS FOR_EACH PRACTICE _____A______._.___~ _ CHECK Exterior Windows & Doors N1106_AB.1.1 ~ Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. ' X Exterior & Adjacent Walls N1106.A6.1.2~ Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints ' between exterior wall panels at corners; utility penetrations; ~ X between wall panels & top/bottom plates; between walls and floor. i EXCEPTION: Frame walls where a continuous infiltration barrier is ~ and is sealed to, the foundation to the installed that extends from, ~ - to~ I~ate, -- --- Floors i - - N1106.A6.1.2~ ._------ Penetrations/openings > 1i8" sealed unless backed by truss or ioint members. X EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, enetrations and seams. _ Ceilings _ ___ ~ N1106.AB.1.2 ~ Between walls & ceilings; penetrations of ceiling plane to top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access. X ~ EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and ' ~ seams. ____ _ _____ __ _____ ____ Recessed Lighting Fixtures _ ______ _ ~ N1106.A6.1.2 Type IC rated with no penetrations, sealed; or Type IC or non-IC i rated, installed inside a sealed box with 1!2" clearance & 3" from X insulation; or Type IC with < 2.0 cfm from conditioned space, ~ ' tested. __. _ Multi-sto Houses __ Air barrier on~erimeter of floor cavi between floors. N1106.AB.1.2__ ~ i __ - } Additional Infiltration regts N1106.AB.1.3 I Exhaust fans vented to outdoors, dampers; combustion space X heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS ~ SECTION REQUIREMENTS __ _ ___ _ --- CHECK_ _ - -- - Water Heaters N1112.A6.3 Comply with efficiency requirements in Table N1112.ABC.3 ~ X Switch or clearly marked circuit breaker (electric) or cutoff (gas) __ _ __Y must be provided. External or built-in heat trap required. Swimming Pools & Spas N1112.A6.2.3 ~I Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool ~ ' heaters must have a minimum thermal efficiency of 78%. _______ _ _ Heat pump~ol heaters shall have a minimum COP of 4.0. _ Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per i, }( ~ ~ mi ute at 80 PSIG. n - _ Air Distribution Systems _ __ N1110.A6 _____ _ _ -All ducts, fittings, mechanical equipment and plenum chambers i ' shall be mechanically attached, sealed, insulated and installed in ~ X accordance with the criteria of Section N1110.A6. Ducts in unconditioned attics: R-6 min. insulation. _ HVAC Controls __ N1107.A6.2 _ Separate readily accessible manual or automatic thermostat for X _ -_,--- each system Insulation ' N1104.A6.1 - -------___--- Ceilings-Min. R-19. Common walls-frame R-11 or CBS R-3 both ~ l Y -- N1102.B.1.1 'sides. Common ceiling & floors R-11. 5/20/2010 8:19 PM EnergyGauge®USA - FlaRes2008 Page 5 of 5 ., ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 84 The lower the EnergyPerformance index, the more efficient the home. Jasmine St, Atlantic Beach, FL, 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a. Frame -Wood, Exterior R=11.0 1108.80 ft2 b. Frame -Wood, Adjacent R=11.0 160.00 ft' 3. Number of units, if multiple family 1 c. N/A R= ft' 4. Number of Bedrooms 3 d. N/A R= ft2 5. Is this a worst case? No 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft2) 1372 a. Under Attic (Vented) R=30.0 1390.00 ft' b. Knee Wall (Vented) R=19.0 57.00 ft2 7. Windows" Description Area c. N/A R= ft= a. U-Factor: Dbl, U=0.45 144.15 ft2 SHGC: SHGC=0.45 11. Ducts b. U-Factor: N/A ft= a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 123.48 ft2 SHGC: 12. Cooling systems c. U-Factor: N/A ft2 a. Central Unit Cap: 24.0 kBtu/hr SHGC: SEER: 13 d. U-Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap: 24.0 kBtu/hr e. U-Factor: N/A ft2 HSPF:7.7 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 50 gallons a. Slab-On-Grade Edge Insulation R=0.0 1372.00 ft2 EF: 0.92 b. N/A R= ft2 b. Conservation features c. N/A R= ft2 None 15. Credits None I certify that this home has complied with the Florida Energy Efficiency Code for Building ti~ ~~~ ~~,~ ~~` Construction through the above energy saving features which will be installed (or exceeded) ~~.~ ~ ~ r `' in this home before final inspection. Otherwise, a new EPL Display Card v~ill be completed c,°*~ ti ~ based on installed Code compliant features. ~ ~ ~~ . "~ = '~`~o' w ~ ~. ~~ Builder Signature: p ~ r ~--.-L~a E, c`~-u /~ r ~ ~ _ ` ~ ~ , _ ~ Address of New Home: s City/FL Zip: ~r~L / ~~/ x~'~~~~~~ ~ , s ~~W~ U tN'E *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA - FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for incentives if yota obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at (321) 638-1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the **Label required by Section 13-104.4.5 of the Florida Building Code, Building, or Section 82.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge®USA - FlaRes2008 Pro ect Summa Job: -- WrlghtSOft" ~ ~ gyte~ M?E I s Entire House Energy Design Systems, Inc. Pro'ect Information For: Model Jasmine St, Atlantic Beach, FL Notes: Front door faces East. I Design .Information Weather: Jacksonville, Int'I Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 32 °F Outside db 93 °F Inside db 72 °F Inside db 72 °F Design TD 40 °F Design TD 21 °F Daily range M Relative humidity 50 Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 22112 Btuh Structure 14600 Btuh Ducts 2750 Btuh Ducts 3734 Btuh Central vent (22 cfm) 965 Btuh Central vent (22 cfm) 507 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 25827 Btuh Use manufacturer's data n Rate/swing multiplier 0.98 Infiltration Equipment sensible load 18463 Btuh Method Simplified Latent Cooling Equipme nt Load Sizing Construction quality Average Fireplaces 0 Structure 1612 Btuh Ducts 854 Btuh Heating Cooling Central vent (22 cfm) 841 Btuh Area (ft2) 1372 1372 Equipment latent load 3308 Btuh Volume (ft°) 10976 10976 Air changes/hour 0.45 0.23 Equipment total load 21771 Btuh Equiv. AVF (cfm) 82 42 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond Coil Efficiency 0 HSPF Efficiency 0 EER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47°F Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 888 cfm Actual air flow 888 cfm Air flow factor 0.036 cfm/Btuh Air flow factor 0.048 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat Load sensible heat ratio 0.85 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. ~ ~ wrightsoft Right-Suite Residential 6.0.119 RSR29764 2010-May-20 20:12:47 /t~~ E:\EDS\CurrentlResidential Manual J\Model, Jasmine St, Atlantic Beach.rrp Calc = MJ8 Orientatio Page 1 ,. ~~~~ s ~ ~": F~ ~~ ~`~J ~~~ ~ ~. ~ ~ ~ ~ 14TH ST i •~,~, ZONE AE W ` (EL 5) ~ ~ W AE n a N ~ O O O ~ W W J ~ J m ~ --r- __-__ _- ---- - -- -- - - ----- ----- ------- C J~ Z J ~ W ~ W W ~ ~ Z ~ ~ ~ N Q N ~ ~ ~ Y t~q O m ~ _ 9TH ST 1 w ~ ~ /J -7- ~f ° 1@123/2@@9 @8:59 9@48211166 TRIhJID~) TRADERS INC PAGE 01 k ~a ~" ~-_.- . I~ r m ti _i._ " i ~"-~ 1 / ip ~:.,. .a.~,.._~ ~b pfH WS iii ,~6i j~~„" w That'rit8-'~`CU~C,I~AA~~Q!-!~!'1!lIl~U111.1~t'~8 M OOd +~ ~U#-BMI~A~ ~3~1) DO~-t' !I-~~x~mur~ ~~ Llp T ~ 8'4 x ~'~ s.o° ~.o- 1 f 6.~"Dq M 6.~ ~R ` ~ 1 11 it i! it 1 ~. ~c D~ ~ : t _ a "e" 0. a vi J When ottoc+hin~ ~ $idelit~r the nbave uncharinq app(iss. SEE !VOTE w SEE DEfM. ~" Af'li VYS \ A" SEE" NOTE stn x .3~4" zc. +~~ ws~" ~~ .DET~l..:~t: PFN W5 ~~ N a ~. ~~ n N H t~' "A Natc: When attaching the strike dt deadbolt nlattS to ttfA strike dt buck use ~?Q x 2" i.ra. AFN WS. When 0ttClahFng the sf-ik~ & QeoAtwk plat9u to tha ostragnt uae ~B x 2 Y/2" Lg. PFFI 4M5. Whtrn attacltit-y the alrihe jamb de sndeiita jamb use ;~tp x f 3/4" Lg. PFH W3. pFTi ~' {2}~8 X 2 i/2" LG. PFH WS E3J • o n ALUkNNUtU AS7i2At.4i. 1N~11M'~,4~5"1'R~1GAt. ui ~" --i h- .,. ~ 03F SEE DEfAN. "F' A~uM " A1TACtf ~t1 THRpw BOtr sT~ttt<a~u~t o~i+t.r;Rn~uwA DRiL1 TiiR'U FC)R DRJU. iNRU F'L7R (Z) A .357 ~ BOLT Dt~P .337"t- BOI.T3 OEEP EtVOlJGN FORA 7" EIVOU+W~t FORA 2' BAIT 7NRQW F.tO17' 7MR0W acut,~iriu~t aSTRar~a1 cw~rai. Acue~,rui,~ ASTRAGAL ~F,y .ay"7RACAi. 'MROW 8DL1S A7' 7HE THRESHQLD 5EE r~DEfRfL~'~ ~"'..'i i.." CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000863 Date 7/27/10 Property Address 1086 JASMINE ST Application type description SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation 123674 ---------------------------------------------------------------------------- Application desc new home Owner Contractor ------------------------ ------------------------ BARNES CONSTRUCTION LLC 3317 ROYAL PALM DRIVE JAX BEACH FL 32250 (904) 424-9678 --------------------- Structure Information 000 000 ---------------------- Construction Type TYPE 5-B Occupancy Type RESIDENTIAL Flood Zone ZONE AE ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc OVERHEAD TEMP POLE Sub Contractor KNIGHT ELECTRIC LLC Permit Fee 90.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/23/11 ---------------------------------------------------------------------------- Special Notes and Comments FINSHED FLOOR ELEVATION SURVEY REQUIRED FINISHED FLOOR ELEVATION SURVEY REQUIRED AT SLAB INSPECTION TWENTY FIVE (25') FOOT UNDISTURBED NATURAL VEGETATION BUFFER FROM JURISDICTIONAL WETLANDS REQUIRED PER SECTION 24-272(C)(2) *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS * AN ELEVATION CERTIFICATE MUST BE SUBMITTED BEFORE A FRAMING INSPECTION CAN BE DONE; PROPERTY IS IN A "AE" FLOOD ZrO,NE~.~T* PERMIT IS ~FPR~~ED~O1aLPIN'ACCOHDQNC:E'R'I~~~ C~ A~~N"1~~'~ ~IN~41~iS~ A~~P~E FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number 10-00000863 Date 7/27/10 ---------------------------------------------------------------------------- Special Notes and Comments MUST BE DEPICTED ON FINAL SURVEY AT CO AND DEED RESTRICTION MUST BE RECORDED. Topographic survey to document storage construction required prior to CO inspection. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 90.00 90.00 .00 .00 90.00 90.00 .00 .00 .00 .00 .00. .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. HP Officejet 7410 Personal Printer/Fax/Copier/Scanner Log for Information SystemsClTY O 904-247-5845 Jul 27 2010 10:32AM Last Transaction Date Time Type Identification Duration Pages Result Jul 27 10:32AM Fax Sent 92479843 0:28 1 Jammed Ee.ECTRicai. pERl~~r APPI.I aT~ox CI'Z'Y OF ATLANTIC HrA H ~ ~-- )~~ 1".~ ~, 800 Seminole Rd, Atleettie Beaeb, L 32233 Ph (904) 2.47-5826 Fex (904} 2 7-5845 •frrl ~ t~; °-<~ JOB ADDR~SS: ~ ~ S ~ ~ vrt 1 -Sf PERvD't # / -- S!~ 4 ~~ SER ~ ~erlsead (~ Underground [] Un~lergtrotsnd up t'ok ^Res titiuI t'vtaitt) Sers~ice tJ0• I 0 atttps G~ 101-150arnps 0151-200amps r eabps ~ of Mtters 0 Capti~ercia! (1Vlntio) Service d 0-1 C~~pp amps G l Ol - ] SO~aps Q 151-200amps c, ___~,__~_~ps ~ C7 Sarvice aai, Condt~tor Type Size _ p i DMuhi~F'xwily (Maio) Servire ' C 0.l Opp amps C ] Ol • 150emps ~ 131-200amps = I apnnps ~ off' (; ait ,~sexrs ~ wry poi a 6 o amps C~' H ---~~. STRVICE U GRADE p au~ps C C'f Service ..w__-_, ~ gmp_ NLW FEED>~R (ADDI'I'ION9, ACCESSORY SCRUCTURF~.S, ETC.) 0100 sumps 0 t SOamps 0200atntpa ~, amps 0 CT~ Service _ aQps a~DDITTOIrS~REMOD>lriLS, REPAIR5, BUII,D-C>•L~TS, ACCESSt1'RY'S7'Rt;C'1'-t.1tES, ETC. fJutlet~l~vitches: 0.30amps 3l •100amps ~ ' Ol -200am s AppliaQ : 0-30aanps 31.100amps ~-' 02 •ZJOamps A/C Cir tuts: 0-60amp9 61.100amps ~~ Heat Cic rota: ~"~ #~ circuits Q, kw Number bf LighrYUg putlerts, Zctett:@ing Fixtures: t?TIIER EI.E CAL PRO,IFCtS ' C1S g Pool 0 Si~!n OSmokc 17ettctors ___..QTY ; Transforn~crS K~~.4 ~'~iotars hp F'lRE AI.AR,1~ 3Y57EM (Aeguir~ 3 sets of Plana ~ Fire Alsrm C~ec,~dLat) Qty volts/amps VALt/E O,F' WO/Pl i ,,,t, ttEPAY CELLANEOUS dRep BurntlDatnaged Meter Cau ~Saftty Inspection ~F~anei Change "OH tc UG O sJthar: t 1 Pbnnit booOmas void if work does not com:ttegt:e wiahift a sbe month perioc a ~.~ork i3 tvs~eaced ~- albarasc•'+tc ,'•~r s~.~ rno-::-s i:z; y oer..n• tt.s~ : ~a+e lead tbfs appliCttionl~rsd Itetow~ the same to be flue attsd correce ,V) provisions eF laws and ordinvrc~ goy ern4tg tn2s wc.x ..•:'. '.c ~n~.;d .~ ••tie7rcr ~~ or not Thai pa7tt-t 4aC! not givar luthtyatity to vialaiC the provisions of any afpcr state c' !oaa(I Iaw rotttl9[ion ~ae~.><xim o: •.,e ~trr=r-~~ o~ ~ntovodon, Propaorry Owaec~ Name EEhone Number 8lectxical Comp4ny c Office phone ~ I f7- 9'89 S~ Fax ~+~ 7 - 5414.E ~o.Addresa: ~' Cip~ ~.Y. State ~ ZiF ~~Q G1cei~eHoWer(l~t'fnt): - Stan Cdrtiftc~ltivrvRe~,ititration ~ tQ i3o 1~s~3 Yosbrited Sianre~etart of lictnse Holda<r Svrorri end subscribed before me this , ~ day of 20~ Signature' of Notary Public i BEVERLY K. ELIAS Notilry Public, State of flarisi! My comm. exp. Apr. 12, 2011 ~~r~C~ Comm. No. DD 662689 ~~~ r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000863 Date 7/27/10 Property Address 1086 JASMINE ST Application type description SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation 123674 ---------------------------------------------------------------------------- Application desc new home ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BARNES CONSTRUCTION LLC 3317 ROYAL PALM DRIVE JAX BEACH FL 32250 (904) 424-9678 --------------------- Structure Information 000 000 ---------------------- Construction Type TYPE 5-B Occupancy Type RESIDENTIAL Flood Zone ZONE AE ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc 12 FIXTURES Permit Fee 139.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/23/11 ---------------------------------------------------------------------------- Special Notes and Comments FINSHED FLOOR ELEVATION SURVEY REQUIRED FINISHED FLOOR ELEVATION SURVEY REQUIRED AT SLAB INSPECTION TWENTY FIVE (25') FOOT UNDISTURBED NATURAL VEGETATION BUFFER FROM JURISDICTIONAL WETLANDS REQUIRED PER SECTION 24-272(C)(2) *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS * AN ELEVATION CERTIFICATE MUST BE SUBMITTED BEFORE A FRAMING INSPECTION CAN BE DONE; PROPERTY IS IN A "AE" FLOOD ZONE. ~25~~F+O~OgT nBU!!FTFE~R+~+,~FROM W~SE~TnLTA'NDT~IL~IFNE~ (AS SHOWN) ON SITE PLAN PERMIT IS A TV R 1'CLY~iP ~CCQRD~EFVi'f fY-f'AL~ Ct"1Y'c~" A~'~A ~H~~~AI~~ ~1R~1~ CT~T~~RIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number 10-00000863 Date 7/27/10 ---------------------------------------------------------------------------- Special Notes and Comments MUST BE RECORDED. Topographic survey to document storage construction required prior to CO inspection. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 139.00 139.00 .00 .00 .00 .00 .00 .00 139.00 139.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORH)A BUILDING CODES. PLUMBING PERMIT APPLICATION JOB ADDRESS: ,~~>~lv PERMIT # / ~ ' ~8~3 NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub ~ Septic Tank & Pit Clothes Washer ~_ Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 2 Hose Bibs 2 Urinal Kitchen Sink / Vacuum Breakers Laundry Tray ~ Water Connected Appliances Lavatory _~ Water Heater / Other Fixtures Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ^ Sewer Replacement ^ Back Flow Preventer ^ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ^ Lawn Sprinkler System-Number of Heads ^ Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.'~* ^ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing 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~lo-c-al law regulation construction or the performance of construction. Property Owners Name ~~,~~ li.~tfc (/~` %~ ~L°S / //11 /~1~~/ ~~ Phone Number Plumbing Company ,~~^7it~ _/~f ~i'~i~/^J V'~~I~YI %ti5 Office Phone ~ /3 ~DOO Fax ~.G~l-/off Co. Address: License Holder (Print): Notarized Signature of License Holder CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 Signature of N 'n.~~ .. ?~ State ~~ Zip 3265 istration # C'~G /fll~`~~i' Ellis &Associates Inc. Environmental ^ Geotechnical ^ Materials Testing Integrated Engineering Services ellisassoc.com / ~_ Subdivision:.* Unit or Parcel: Lot #/Block: Street Address ~,~s ~ Method: Material: ; +~., ~, x ,.~ Corporate 7064 Davis Creek Road,. Jacksonville, FL 32256 P: (904) 880-0960 F: (904) 880-0970 Branch: Location: Brunswick: 227 Rose Drive, Brunswick, GA 31520 P: (912) 279-0085 F: (912) 279-0086 Reported to: Location By. Contractor: ~=' "~~ ^` ~` ~~ ~ ~~~' '~"~'~ Work Order #: Project #: Report #: Gauge #: ~ Tested: -% °'~ ` `~ City: } Course:. ~' ~~ ~.,, Specific Requirements: ~ ~ '' Pass/ FaiU Retest -r ° g~ " ~'; r, ~ ~` Location r: ~ Elev/ _ ~ "_ Depth ~ /Lift Base/LR/ Asphalt/ Thickness Dry Density Max. Dry Density* % of Max Density Moist % G4a4 yF ~aource-or rroctor t,rro~ect # ancuor worx urger #) P -.Test Meets Specification Requirements F -Test Fails To Meet Specification Requirements R -Retest To Be Completed In Field Standby Approval Employee Narne ,. Time ~,~ Superintendent Printed Name Start /Sto Travel Standb Job Superintendent Signature ; (Office use) EA-10 (rev. OS/10) white copy -office use yellow copy -personal use pink and goldenrod -client use Page - °f - -CEjDENSITY ..r_._....-,C~c t . 6. i009~ ~ : 35AM~`"~`ida d e r ~ s 6' e s 1: It~~ i rl e r s"______.~.__ _.- ... Na, 002Q-----~P. i/1~F'"'"` - - -- ~~ 1~u1ae~ +vf fntent F~~ r ~'rev~enfntive ` tments for Te~mite~ (As xngtuir~r~ bry Florida Bhti~d'oeg ~Gad~ i [ ~O~.Z,6} .~Na~~~~~w's .Vest R~r~e~, ; Ins. ~o~~s saw~xess Driv+~ ~. P.Q. ~rr~ ~~s~ ~~.~~ S~i1l~e Road ~~~ v~g B, ~z ~4~~ ~r~a~. Bean, ~. 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