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Permits 541 Beach Ave CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT e JOP. LOCATIOti : �l- PLUMBING CONTRACTOR: � 0 (✓ ----------------------- LICENSE NUMBERS ---�-�-C�-��--�-��----------------------- ------ OWNER: BUILDING CONTRACTOR ___ C�-G/� .T✓/ ----- -� ---- ------------_ TYPE Or BUILDING: - ---------------------------------------------------------- OINKS Siio'WERS --- -___LAVATORY 1 _WATER HEATERS _BATH TUBS _DIS14WASHERS ----------URIXALS -----___--DISPOSALS __- --CLOSETS __--------WASHING- MACHINE -----------FLOOR DRAINS ----------OTHER TOTAL FIXTURE COUNT ------------ INSTALLATION ------INSTALLATION OF PLUMBING AND FIXTURES MUST $E- IN :ACCORDANCE .W17H THE MOST RECENT EDITIO14 OF THE SOUTHERN STANDARD PLUKNBING CODE. CITY OF AT ANTIC-SEACN �....-' PERNIT INPORNATI'ON - --------- LOCATION INFORMATION Permit xu%b,&r> 512 , Addr tai BEACH H AVENUEPermit Type: BUI4D N0 ATLANTIC BEACH, - FLORIDA 32233 class of Work x ADDITION ---------- LEGAL D9SCRIPTI`ON -------- Constr. Type x WOOD f*A1"!E Lots Block t 20 ' St- ori: Prrapaaed Use: SINGLE FAMILY TairAship s RUG: 0 Dx� lirag8 a 1 Code i 0 5ubdivi s ion z Estimated, Vilue s *1.40433.00 ImOrcay. Cost; 00.00 1294.50 Amou $1214.>50 XATION - - - -� �` - -� APPLICATION FEES PERF I T *874.50, Ad tr+$aa YSNUE 'WA IUPAC FEEov ope 1? 42CI.CIG) N FLf3R'I P 8 � '' FEE4p pp t ' . r RADON GAS-H. R. S. $0.00 ------- T ' d NFORMAT M - RADON GAS 5% $0. 00 N S UD TE l � ER _ . 00 'SEWER TAP $0. 00 , JACtt „ I LLE tYT? t ►UL.IC HARECL..Ca L . Type; 3 RE-INSPECT FEE %QO SEC.,H IXPAGT 'E ## . NOTES: { i 7 NOTICE—ALL CONCRETE FOR MS ANI]FOOTINGS MUSTSE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE =UP MATERIAL,'RUBBISH AND DE8,RIS FROM THIS WORK MUST NOTBE PLACEfl IN PUBLIC SPACE,AND MUSTBE ANO HAULED AWAY BY EITHER CONTRACTOR OR OWNER i "FAILURE TO COMPLY WITH THE MECHANICS' LIEN !AW CAN RESULT IN THE PROPER'1 �i NER'�"AYII' G T1N�CE F+C R ULC i LNL r c 1 13SUED ACCORDING TO APPROVED PLANS WHICH ARE PART QF'THIS PERMIT AND SUB.i REVOCAl ' YIIrI;ATIpN OF'APPLICASLE PROVISIONS OF LAVA. t,4t! TIG 13EACFI,RUILO{NG DEPARTMENT e• , r 5665 DEPARTMENT OFBUJ #�IG CITY OF AtLAf%T B��CH I ___... PERMITINFORMATION '- ------- LOCATION INFORMATION ----------- 'Permit Number: 5665 Address z 541, BEACH AVENUE Permit T1rp s B{JILO NO ATLANTIC BEACH, FLORIDA 32233 s� or Class f,- Work s REPLACHT PER T _ --I - Constr. �" --____ -- LEGAL DESCRIPTION -. Type i WOOD FRAME Lots ;3 Block: 20 Section: Proposed Use i SINGLE FAMILY Township: RNG s 0 D 401.li,ngs-i 1 Codes © Subdivision a ATLANTIC BEACH Estimated Values S0.00 Improv. Costs $0.00 Toto e0ol $15.00 Oa 7/i�l92, + Work STORY' ADDITION PER, PLANS MATION � ," - - APPLICATION FEES N ��` aPERMIT $15.00 Ad AVENVE WATER : IMPACT FEE��" � 00. 00 CH# FLORID kxV ? P '� 1 4 F n 4* 5§ , A �r jaw w �y �RyA N` }5�7.[iMT��++++-H. Ry Sr $0.{0�0 .....�,.. N 'ORMAT CMN ------ - RA*DON 04S ` 5% 4i�•00 W�Naime t A —F� AI3 IN �` WATER TAP t?I3 CIC) , $EWER TAF_ _ �0. 00 , PONT DRA BEACH, FL 32082 HYDRAULIC SHARE' 00.00 Lice i Types O RE-INSPECT FEE .-,M�000 SEC. H IMPACT FEE q NOTES: 3 NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,ANO MUST BE CLEARED UP°AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE `MECHANICS' LIEN LAW SAM RESULT INS THE`PRC}PERTY �WHR RAYING TWICE FQf SUILnMC r cl �rlS' � ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND S W&W TO REVD N FOR VIOLATION OP APPLICABLE PROVISION$,OF LAW. 00 Rma moms 09A ATLANTIC BEACH BUILDING DEPARTMENT' By: > + 5113 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ -------- LOCATION INFORMATION --------- Permit Number: 5113 Address: 541 BEACH AVENUE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 I � Class of Work: ADDITION ---------- LEGAL -DESCRIPTION ---------- Constr. Type: WOOD FRAME Lot: 3 Block: 20 Section : Proposed Use: SINGLE FAMILY Township: RNG: 0 Dvellings: 1 Code: 0 Subdivision: a Estimated Value: 8140433. 00 Improv. Cost: 80. 00 Total fees:y, 81294. 50 Amounts r d s •` $1294. 50 3 2 4/92 Work D -2-STORY ADDITION PER PLANS �kP try Air -------- `_ w ,3RMATION - ~„-� y '-` `- fib. ---- APPLICATION FEES ----- N.e�ll� ; � ,�~�ti1N PERMIT 8874. 50 Address• - AVENUE WAT t IMPAC' FEE .wa 8420. 00 T CH, FLORID(iZaZ� _3 SE iIW� PCT FEE S? ”' so,�Po PhD 6 "- la � WA'M£Rf ) F k RADON GAS-H. R. S. 80. 00 NFORMATPN RADON GAS 5Y. ----- e: UD „ ---- - - - $0. 00 Name• ''BUD 'ARZIE WATER TAP $0. 00 Address: 1160: ENU£L STREET SEWER TAP 80. 00 JACKdb' HYDRAULIC SHARE 80. 00 LicenBe-z,kyRBDO • B _4 Type: 1 RE-INSPECT FEE -$0. 00 SEC. H IMPACT FE 90.00 °��y. ,�,,• �� a'8�' :,,��,. ,�, ..�.�..«��... ....__ ..�....,......_.,."OTHER""”-"'""`""'"` ��,0�"iD0•-r, . NOTES: 7A r NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. $ g { "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.'' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO RFOR VIOLATION OF-APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT V Bch: 8 bq Y. 11.404 1, � 'JOB COPY July 15, 1992 City of Atlantic Beach Building Department 800 Seminole Rd. Atlantic Beach, FL 32233 RE: Permit #5113 Address: 541 Beach Ave. Dear Madam/Sirs: I wish to resign as contractor on PERMIT #5113. The site of proposed work is 541 BEACH AVE. I understand that Coastal-Forbes will be be the General Contractor. Yours Truly, Frank L. Arzie Notary Public Stats of Florida at Dlb 4 ! (Commission Expires: Ti ,a, . July 1Q,193 1) JUL 151992 gU lG'ing and Zoning A.:idress 5 (-( ( V F_ Heated Square Footage 3<7 1 @ $ S 3.c)1 per sq ft = $ Garage/Shed @ $ per sq ft - $ Carport/Porch @ $ per sq ft = $ Deck �' 4-1 $ 00 per sq ft $ Z.- Patio _ @ $ per sq ft = $ TOTAL VALUATION: $ r Total Valuation 1st $ 16,C, C v �3 $ Renainder Valuation per thousand or portion thereof -----=-------------------------------------; Total Building Fee $ �L ADDITIONAL PERMITS and/or FEES REQUIRED' + k Filing Fee $ S e Mechanical ✓ i 0 Fireplaces @ 15.00 $ Plumbing BUILDING'PE��T FEE $ � � ��:5 �' Electric/New / L------ ------------------------------ --------- Electric/Temp Septic Tank BUILDING PERMIT $ � `7 `�{- S �) WATER WILR ClWA E $ Well . S,.dmTing Pool SEWER IMPACT FEE $ (f-� -' Sign WATER DTACT FEE $ 0,00 Water Connection 1ISCELLANEOUS $ — 0 — Sewer - 0 —Sewer Connection Irc ,,k9p tv c A.) $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ � ---------------------------------------------------------------------------------------------- CALCUTATIONS and/or NOrI'ES A (I I I I 1 r BUILDING AND ZONING INSPECTION DIVISION' CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA SX233 APPLICATION FOR MECHANICAL- PERMIT CALL-INNUM*86 IMPORTANT Applicant to complete all items in sections 1, Il. 111, and. IV. 1. 9 LOCATION Street Address:v . OF Inferucling S(netu letwe.n And BUILDING Svb•4ivision II. IDENTIFICATION — To be completed by all applicants In considorerion of permit given for doing the wort a/ described in she abet• statement we hereby egret to pe•lo••m ,aid wo•s •• e::: :a•:• with the attackvd plans and specification, which are a port hereof and in accordance wish the City of Jaclsoavil•e 040,60•ces eta rte•:s•:r of good practice listed therein. Neem of Mechanical Contractors Contractor (Print) eA4,Z 9-rA-7—e Mader Nance of Property Owner ff ow Signature of O Signafor* of or Aurherhod Agent Arehi}oc► or Engineer 111. CrM9tAL 1 ON A. Typarof heating ti e. IS OTHER CONSTRUCTION BEING/DONE ON ♦�ettric THIS BUILDING OR SITE f��Y/��/+t \ — Gea—O V 0 Notwral ❑ Central Utility F� IF Yes. give NUMvER Or CONSTRUCTION OA r PERMIT Q Other — specify IV. MICHANICAI EpUIPMANT TO N INSTALLED ATURE OF WORK (pis.ide eOMIP610 rest of componenh en bad this forlml Residential or (j Commercial that Q Span O It seed Centrist O Root IR New Building Air Condrtioning: (3 RoosCoal ❑ Existing Building t' Cect System: 1r►aterie( f6Cir�Ttdc ❑ Replacement of existing system Mash"M capacity- 3iQY....��...�.c./q, Per New Installation fNo system previously Installed) O Rellri9etrees ❑ Extension or add-on to existing system + O Other — Specify O C0069tomer: Capacityg•p�• Q Rrr spriAlon: Number of hear O Efew►o. Q Msnlih Q O Gasoline pumps11(metnb.rl THIS SPAM FOR of cast ONLY O Tanker (number) Renrarke O G caRta (mYmbN) O Udirod peau"wtM1 O bpi" Permit Approved by Do O Other — specify Permit LIST ALL EQUIPMENT ALR CONDITIONING AND REFRIGERATION FQUWMENT Nun"rva t. Deserlptim MO&I Number >tflaetuhetttrar tY A1+provles CITY OF 'RDPERTY DESCRIPTION , r __dd''`` 7 b, c� n 3 . 7 MAR 12199Z 716 OCEAN BOULEVARD .ot s►__ ___„Block I__`--_,.0Section s7P.O.BOX 26 ATLANTIC BEACH.FLORIDA 32233 G f Building a d Zo'p15l TELEPHONE 1t4iZ+9 2t95 subdivisions----,TT_f;---_..------ ------------- street flame $,i! J1 (�V� DESCRIPTION OF WORK sr Addresses__ i---'.J-.fir rT --- it^in a FLOOD HAZARD 2 SfUiy 'food Zone'sG__-_-r„-area complete page 3. Brief Description a„ ( / 4- �`� 1 � • Close of Works CNew/Remodel/Addition)--•,___- ___ :OILING INFORMATION Type of 0-41�e • Construotions-___---__- ___ :oning _ Proposed /7� ('10 �iaitricts - � uses_r. LGA. �. .-:.�n1Ll..x... Estimated Yilue 8_____ ____________ f :xceptionw or �) ltaterialss__„��! _-.,-------------- ariances Granteds-------_--......----r---.....-r Solid or _ -_--__-..-......-....----------r------------ Filled / J .... _ Grounds-- ----Roof s ---- OWNER INFORMATION ` . Method of Meetings--_�� /-------- Property Owners-_PE '" ` &-, r-rC &A Phones-?-gf-j3Fsl Hailing sqI rz A; Avt- V4(0-03 14(0 Address------ --------- ---- �[(/��y1 1 � ---..-........ 2) -------___'1 r—rr �rrrrr—w----------------- Zips_'L2'---------- CONTRACTOR INFORMATION Contractor s -7 ?� Phones- '- _ Mailing ,, Address s---1 t q -_QLV_a_ _Sit---------------..,....:--....- _....-..SAC k_S 0AA-_�Ile- - --------------------- Zips Epirati 3��p�-- cf x License Numbers-!//2.;,6 a d©0 0 -••^•------------------- Dete e__ f q-�3-- -- 2 NCRCBV CERTIFY THAT 2 N Tt READ ARD CXANSNCD THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PRIIYISIPNS OF TNR LAWS AND ORDINANCES COMBING THIS TTPC Or WORK WILL RC CONPLICO WITH, WNSTNCR SPECIrSCD NCRlSN OR NOT- TRC ONANTINO OF A PCRNIT DOES NOT PRESURC To ��- OIv! AUTHORITY TO YSOLATS ON CANCCL TUC PROVISIONS OF ANY FEDERAL. STATE OR LOCAL RULES. � . ♦. RCOULATIONS. ORDINANCSN, OR LAMS IN ANT MANNER, SNCLUDIHO THE OOvERNINO Or CONSTRUCTION OR THE PIE aNANC! OF CONl7RUCTSON DF TNS PROJKCT. i UNDERSTAND THAT THE ISSUANC! Or THIS PERMIT IS CONTINOCNT UPON TUC ABOVS INFORMATION 691110 TRUE AND CORRECT AND THAT TUC PLANS AND SUPPORTING 4 �►L , DATA NAYS BEEN OR SMALL 59 PROVIDED AS RE 11150- ' Ingo' •{ Owner Signature --- ---- - ----- -- Dat : `._ 4%N_....�. _..t►?,._._._.. � Date �.;,� Contractor Signature__ _. - -- - FLA. 1947 LAWS MAMCO/pAy w FS 719.17 1� Noure of (910mummenwnt - MRFARS a#OYFLIRAT91 �Iu f l4 m it mtt�r romaw _ The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF /COMMENCEMENT. Description of property.......... .t........ .lN..A ..........................................N..N......................N.....NNNN.N_..N... ..._._... _ .....N...N................«....._...N.«..»NNN.NNN....NNN...NN.N... .N.N.....N.........N............N.N......N.............. «.N..N..... .NNNN.N...«... ..__«.....«. .................................._........................N..N......NN..NN.N.N...N...N«.NN...............N.......».................................. ..NNN« NNNN....N.N.....�.N. _. ...« ..........................N........N......N.......NN....._...........N..........«..............N....................NN....................NNN � ;� f< G!neral description of improvements.......... ....: .... . ........................ ..NN..NN..NNNN... w........ .............................................................».............»........N....................................N.......N...NN.................... «N«...... .._N _. ._ .........................................I.........................................»..............NN/.........................................................................»................. N«.NN.... ««_... .._NN._....... Owner................l. Jul ....�../V � ..........1.�.ClS�N........................................................................ .........N.««.«...N......». ............. _. ..:r Address................. N�:�........��......N...�::i�N�-...N................N........ ......N......N..NN..NNN.N...NNNN.�N.... N«..... .. Owner�interest in site of the improvement..............N..:.�.�:......................NN.....«...N......N«... NN...»»N.N.NN»N»«....N.N ....... Fee Simple rale kidder (if other than owner) Name.................................NN......N..........................I.......................................................................N..............................N.N..NN.N...NN Addrea......NN.....N.........N..»....N..........N.N...N......................N.....N..............»......................NN..................N.NNNNNNNN.....NNNNN.NNN»........«..N... . . Contractor................... M.............................N......N..N................ .NNNN.«N».....N. Address............ «.«..N..N.NNNNN.............NNN...N....N......»N.«.N.NN....:..:N.,....N....................»N.,....N.....N....NN..... Surety (if any).....N....».NN.N..NN...NN...NN.................NN...N............N......................N............N.N........N......N.NNNN.......N..........N...N.....«.«.....N AddressN.....«»N..N.......NN.............«NN.........NN.N.........NNN.N...........NNN........N..NN.........................AinarM of Name of person within the State of floride desiawted by owner upon whom nwkeo or other doom wo Hwy be served, Name........... ...NN......N......N.«.«NN..N...N.......N....N.NN..NN..........N..N.N..N.....N....NN..........NN.N.N.NNN....NNN.N.w.N Address.................».....»......................................N«................N.............................N................N......N..........NN............«»..N«...N.................. «..N_.._. In addition to himself,owner designates the following person'to receive a copy of the Lienors Notice as provided in Section 713.13(1),(F), Florida Statutes. (Fill In at Owner's option). Name........................N........NN.................»...........NN...N........NNN.NN......N.......................NN...N..NNN..........N.«..»...NNNNNNN....NNNN«.«N«.«..N...«« CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INST4LLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. 3 BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) t ,y WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) W WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) _BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) tBLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ JOB INFORMATION A"' ��c,��Ff �I✓ �Q 7 / l�`Cti� �/_ Iya��C ♦ . Y TREE REMOVAL SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE THE MEETING: ftpy OM►nerb Nmme Ad&sn Tetephont z , Location of Tree Remwd I8Me AW*bn SECTION B fro be ooetpleted by rppMcarttt"hm poperty bsorted msUongK kt kxW an exis"d-les andvA"b notpnser*ototter1 t.Whd charges sre V mVoeed b qts abort gmgsdsW Z5-10t� 2.what b fhe pxpoes of thew poposed dwool Add, l yi ove bvl+v� spA-ee- ' 3.Specify tM propotsd for rornwd as follows: TREE COLMIT SPECE8. SITE(OM x HBMT)l CONDITION Z A.( X2 n� v . . LfA-Uor1` X 5 Jiff` Dl& a 4.VHS there twee be r ndod on Mts sort propergrT 5.K wIM trfplsoentent N�eee be plaltlsd? ' t a specify proposed replacement trees stony" TREE COUNT SMMS SEE x 7.Attach ste plan. (SKIP SECTION Cl A."ll)COIDVILETF ME-CM04i D) 1 ' r ;I SECTION B - (All other Applicants) t i 1 . Property Zoning: 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography, existing and proposed grades b) Existing and proposed structures c) Location of all trees w/ DBH of six inches or more d) Tree species and sizes e) Trees to be removed should be clearly marked f) Trees to be relocated should be clearly marked g) Location of any proposed replacement trees h) Identify trees of special or unique characteristic i ) Identify trees within 10 feet of construction areas j ) Show location and type of tree protective barriers k) Location of utilities, accesses and easements. 1 ) Location of vehicle travel corridors m) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areasifor equipment and material storage SECTION C I agree to comply with the rules and practices established in Chapter 23, Article II of the Code of Ordinances of Atlantic Beach. wners Signature Date CITY USE ONLY Applicant has complied with all provisions of Chapter 23 and requirements of the Tree Conservation Board. Tree Conservation Board Designee Date _ NOTE: "Tree Protection for Builders and Developers" is available at City Hall or from the Division of Forestry, 8719 West Beaver Street, Jacksonville, FL . 32220. ( 781 -1434 ) A ` PLOODPLAZN DBVBLOPMENT ZNFORMATION Type of Development g ww�wwwww•.4w-w-w..ww------w-w.r-w-----w-------- r I� Flood Zone3........ Raquired Lowest Floor Elevation t Zf building is located within a flood hazard zone, a survey must be wade AFTER THE BLAB HAS W= POURED, certifying that the LOWEST FLOOR ELBYATZON IN equal to or above the base flood elevation establisiad for tbat zone. No final inspection will be wads and no oertlifieate, of occupancy will be issued until tis survey is on jjj& with the Building Department. • COMMENTS: t r Applicant Aeknowledgesenti Z understand that the issuance of this permit is contingent upon the . above information being correct and that the pians and supporting data have beep or shall be provided as required. Z agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other lave or ordinances affecting the proposed development. Dato__N-NN--wwApplAcant*s Bignatuserww.tet.---r)w---------------- Department Use Required Lowest Floor Elevation ' A■ Built Lowest Floor Elevation ....._........___ Survey Filed with Building Department ........... ----------------- — Department Representative A 1 page 3 I � l t V r w Jp ,lft� I- ' VNv t�Q jo i24 O!� e!/ Y i w``� ..O�: .a7�P.Z' 000 � `�.'"' "'....� � ` �; 1... �•��XON.►�� f o • ' .M 4 f .00 � ' ,e a �• _, i 6354 t q. DEpART11AENT 01 PBUILOINO: CITY OF ATLANTIC KAMi, - + INFORMATION .:. ..._ __.�: LOCATION INFORMATION ` -- -_- --�" P ► x .N r� 6354 Address _ $41 ;BEACH AVENUE � . ." UTILITIES ATLANTICBEACH, FLORIDA 322313 t ' 'T 1 ► k: At�t L, DESCRIPTION yl ; T OOL) FRAME Lpt s` 814ck Section: ' ' DTIL ' awni RNt ; 4 F use k' crude: 04subdivision: ATLANTIC BEACH mptov'. cost : 68, EMEND F :c �I V APPLICATION FEZ$, TIONPE - r>� .. - - � t�:UO S + M . � FEE y p �} ! F!`o-tfe#F �9Y iJ.Gt 80.4r�N� z",di; a d '1 ' ? .y 1cA' ER MET! AS—H.R S 40 .00 ... ,. N" 0 NFOEU A _.. RRL3O1 GAS -� 5% ��. {�� ORS m.T C+ ~ ., . ER. TAP ro •tt e , $EVER TAP HYDAAU�L I C 'SHARE0 4 T 1 RE-INSPgCT FEE; O "o t '. y a sqo "w" nM " s OVER • !9 NOTES: 1 i - I A I NQTICE ALL CONCRETE FORMS AND FOOTINGS MUST bg WSPECTED BEFORE POUR11W" PER VOID SIX MONTHS AFTER'pATE.OF ISSUE BE11kiINGMATIRIAL,RUBBISH ANO DEBRIS FROM TM{S WE RK MUST NO'S"BE PLACED IN PUBLIC SPACE,AND MUST B CL AOtb U"PAND I�iAULED AWAY BY EITHER CONTRACTOR OR OWNER F tILU iE"''10 C4MP�Y WITH THE MECHANICS' LIEN LAW CAN-RESULT IN THEPROPERTY OWNER PAYING TWICE' FOR �U11.�MG IIS "' i1� ,► i14;lig " TOTAL ISSUED ACCORDING TO APPROVED PLANB'`WHICI-I#,ARE DART OF THIS PERMIT AND SU �� REYOCA FOR CATION OFAPPLICABLE,PRfJVISIONS OF LAW. IO ,#I% ATLANTIC BEA H 8It3} G+ibEpARTMENT �g T [ By- -7, w_.. ,7, 7= 4705 DEPARTMENT OF BUILDIN CITY OF ATLANTIC BEACH PERMIT INFORMATION - - LOCATION INFORMATION Permit Number x 4705, Address 54,1 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 C;3esm of Work: ADDITION - _ ,LEGAL DESCRIPTION _ Constr. Type: WOOD FRAME Loti, Block 8 Section: Proposed Use s SINGLE .FAMILY Township a RNG-. 0 Dvelli.angs e I Coder Q Subdivision Estimated Valuer $0.00 I mprrov. Conti $0.00 Total mems E29 00 De 2/17/91 G Work UMBING TO ADDITION tib, � w �� NATION ___- APPLICATION FEES ---__ A PERMIT $29. 00 Add *B H AVENUE WATER IMPACT F'EE Z $0.00 T CH, FLORIDA 44 33 S I PA' FEe 1 S CI CIO flay .v RADON GAS-H. R. S. $0.00 T NFORMAT,I QN - RAI DON AS - 0. 0 C} -------- -Names AR ,. �'A R PLUM .. INC. WATER TAP $0.00 ITE-1SEWER..' `AP 0.00 .IAC: ILLI, FL: 32217 HYDRAULIC SHARE $0.00 Lice a C-- 49 Type O RI -INSPECT FEE1-111-410. 00 SZC. H IMPACT FEE Vit?,CIC1 NOTES; i h i NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST 13E INSPECTED BEFORE POURING I PERMIT VOD SIX MONTHS AFTER DATE OF ISSUE j BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT,BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY By EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAVH CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR SUILDINO IMPROVEMENTS." 1 D..AGCORQING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT,AND SUBJECT TO REVOCATION FOR VMi i T1 tiI C3F A 'i LICABLE PROVISIONS OF LAW. 1 ATLANTIC BEACH BUILDING DEPARTMENT -77 CITY OF ATLANTIC REACH APPI.1 CATI ON FOR PLUMBING PERMIT OWNERS NAME_ �kisL—iQ�±5k 5--s L_1 ___ • .__ --- LOCATION 2 'a L' -4 MASTER PLUMBER -p) R,4� P 1't(L1�1 d2 �u Q'_N..� tic- STATE/COUNTY OCCUPATIONAL LICENSE NO._ CERTIFICATE NO._ CONTRACTOR TYPE OF BUILDING __ SINKS -SHOWERS LAVATORY WATER HEATERS BATH TUBS _ DISHWASHERS URINALS DISPOSALS - �-CLOSETS _ 14ASHING MACHINE FLOOR DRAINS _OTHER TOTAL FIXTURE COUNT X1. , >!" INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH.THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. P WILLIA Mayor-MIm HOWELL CITY OF ATLANTIC BEACH City,��.L. Moya•Commissioner P. O. DRAWER 25 IF W. 11000 ATLANTIC sEACM FLORIDA 32293 OUYER C.FALL Commissioner (904) 249.2303 City Attorney ROFlRT R.ROfFOROIK3H N 1101M.JUNE KNKW Commissioner Coy Gert L.W.AMNTON,1111. MRli.EMMA 1A.FTEf101" Commissioner February 3 , 1976 City Trouserer-Compira"ar CARL FTUCKI ROFERt F.COOL(,iR. Chief of►Mita Commissioner oni fire*Own** Mr. R. B. Hightower 541 Beach Avenue RICHAN WUTAWDiNcNr e/hilic We"*Beach, FL 32233 Dear Mr . Hightower : This is to advise that I have noted a defect in the electric service drop in the upstairs apartment at 541 Beach Avenue. The service cable from the meter to the weather head has a broken ground wire and it will be necessary that you contact an electrician and have this repaired immediately. This is a dangerous situation , please give it your prompt attention. Thank you for your cooperation . Yours very truly, R. C . Vogel City Manager RCV/chh DEPARTMENT or BUILDING CITY OF ATLANTIC BEACH PERMIT I.XFORNATSON Per 'Bit Number x 4i7�C� IN^CR NATION rm LQCA A crtBEACH AVENUE Clam, cif Work! ADDITION, ATLANTIC BEACH' COns�rtr« `I`YP&: WOOD LEGAL DEScRIPT FLORIDA 02233 Prs Posed use: 'SINt3 FRAME _-�"" ION A)'TLY Lot r. Bltak S+�ctics�t Eti�nat�d lue z Codes # To*nship z _y7(y� yy�y;�yy �'M q (�/n]■ (�°ry� Sub ,10' '.x RNC: D Totai Fees 1, St3 OQ Aj1 r 425. 00 325 0q Dm 2/ 4/92 �i rk D r&plOcv insert T� >etic + baa ldi» MA'T'I #Nw D Pmt #46()9 Add` N ad d a AP LICATIam FEE: AVEwU'E PEIRM I T P T CH,, FLORIDA � #dA�T"ER IMPACT FEE *25.CTO l � !� 6 OMPA � U. QO Yf,fiFE'E DD � . _ HF4R�IATON RADCN GAS-H. R. S.3X RCy R $0p.6OE C WATER TAiF' C1. 00P n , . . $0. 00 Type. 1 HYDRAULICfARE RE INSPECT ,FEE *0. 00 SEC-If IMPACT FEF � 00 !40tES: SPA a NQT10E--ALL C TE FORMS AND FOOTINGS MUST 8E INSPE GTEt?BEF ORt POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE X ,xk SU4LOING MATERIAL,RUBBI LFAiED UPAND HAULED AINA�'3BRIS FROM THIS WORK MUST NOT BE PLACED#N PUBLIC SPACE AN #T i R CONTRACTOR OR OWNER. }..,. D MUST BE "FAI: :COM PLY 'WITH THE MEC THE HANICS� LIEN LAW CAN RESULT IN rd WNER''Pi�YNC � TWICE FOR BUIL:pI1MPRQ'NG *. VEMENTS.�� 1 ►� �4 RRPR P S°WHICH ARE PART OF THIS PERMIT AND �LEP � 10 ►. SuREV ocA"�Tror ' *F. OR MOO � �• s opt BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32133 APPLICArTION FOR MECHANICAL. PERMIT __ CALL-IN NUMfiER IMPORTANT -- Applicant to complete all items in sections I, 11, 111. and IV. )• Stesat Address: � � � (/fL�t ke LOCATION j /2�__-- OF Intersecting Streets: Between 5I�ty 6#17 o A, ! `` .4frC And WILDING Sub•r(ivision -- 11. IDENTIFICATION -- To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to pe,fe•m said wwi a::roa :e with the attec�ed plans and specificaCons which are a pert hereof and in accordance with the C;ty of Jacksonv;l'e ord;nances a^a s•a-:a•as of good practice listed therein. Name of Mechanical Contractors Contrech:r (hint) Se�Z�rs Master Nance of Property Owner (l-T%rz Sipeture of Owner Signature of w AvAernod Agent Architect or Engineer Ill. GENERAL INFORMA ON Type 04 beating fuel: �• a A. A. IS OTHER CONSTRUCTION SEING GONE ON ❑ Boctric THIS (/UILOING OR SITE? _ 4as _ ❑ Ges--O V ❑ Natural ❑ Central Utility IF YES. GIVE NUMBER OF CONSTRUCTION Q 04 PERMIT X. Other, — Specify 6vdoll )V. wICHMICAI EQUIPMiINT TO 1111 INSTALLRC NATURE OF WORK (preride cOM.00%kt of compo vents on back of this fiorml U Residential or (I Commercial ❑ Hart ❑ Space ❑ Recessed O Centnel O Floor [INew Building (] Air Condrtiorsing: ❑ ROOM ❑ Central ❑ "Existing Building t Thicit— ,� Replacement of existing system 13 OOct System: ""ria Gfsn. ❑ New installation(No system previously installed) mosienurw capacity ❑ Extension or add-on to existing system ❑ Ref.igaratioo ❑ Other— Specify — ❑ Co01i49 tower: capacity 904R• 0 Fine spriaUen: Number of heav —- ❑ Elevator ❑ MonGR ❑ EseelatorTHIS SPACE FOR OFFICE USE ONLY ❑ Gasoline Pampa -- (member) (Reeeived) C) Task• --(number) Remrrks 0 LPG container —(swmber) Pressu UnPressurereset ❑ Permit Approved by Def. ❑ 161 " �/' f 00W — Specify F� Permit Fe- P LIST ALL EQUIPMENT A.M CONDITIONING AND REFRIGERATION EQUIPMENT capacity App rovfts X111111511011111,X111111511011111,units Di acriptbss X*&I Number manutactuker (Tma) niencr FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-A-91 Section 9—Residential Point System Method Climate Zones Department of Community Affairs NORTH 1 2Q PROJECT NAME: " f,- BUILDER: AND ADDRESS: OFFICE:PERMITTING ZONCLIME: 1❑ 2❑3 OWNER: PERMIT JURISDICTION NO.: El.NO.: 1�61 C I Ila, NEW CONSTRUCTION ❑ If Multifamily,number of CONDITIONED 2: SQ GLASS AREA AND TYPE units covered by � FLOOR AREA ✓ 6 FT. Clear Tint Film Solar Screen ADDITION this submittal: PREDOMINANT Single- SQ.Sin le- SQ EAVE OVERHANG n� pa e FT. pa e FFMFT. MULTIFAMILY ATTACHED ❑ Check if this submittal LENGTH ��J represents a worst case SINGLE-FAMILY DETACHED condition: E] PORCH OVERHANG(� Double SO.Double®SQ. LENGTH �fp p [pane ane I� II II II I�FT. FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R= EXTERIOR FRAME R= EXTERIOR STEEL R= EXTERIOR LOG R= �❑ FT. so. ME] O ` FT. �� ❑❑ I FT. M11 �❑FT. ❑❑ ADJACENT MASONRY R= ADJACENT FRAME R= ADJACENT STEEL R= ADJACENT LOG R= �� SQ. ❑❑ 9 FT. Iya1 ❑�FT. ❑,❑ ❑❑�so. ❑.❑ CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R= SINGLE ASSEMBLY R= SLAB PERIMETER R= RAISED: WID CON 11-5k J.J_J FQ � FQ. ❑ LCL LFT. T' FT rM DUCTS COOLING SYSTEM HEATING SYSTEMHVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS In Unconditioned Central Pum Ceiling Fans Electric Solar: ❑•❑ El Strip � � SF= Space p Cross Ventilation ❑Natural Gas [–]Room ❑Natural Gas ❑Other Heat Recovery(CHECK) ❑ R= ❑ ❑Packaged Terminal ❑Room Unit or Fuels ❑Whole House Fan ❑Other Fuels Dedicated Heat In Space ned Air Conditioner Packaged Terminal❑None Attic Radiant ❑None Pump: EF= ❑❑ None Heat Pump Barrier NUMBER OF R= ®� S❑EER/EER=®�✓J COP HSPF//AFUE=�,® Multizone EF=.A1 BEDROOMS= ❑ INFILTRATION 2 �/Q _ 5 X 100 = ❑ �� PRACTICE USED `1r TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. 0#1 [R#2❑#3 CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certiy that th ans and specifications covered by the calculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance with Florida Energy Co,e. the Florida Energy Code. Before construction is completed,this building will be inspected PREPARED BY: , DATE: "�� '�„ for compliance in accordance with Section 553.908,F.S. 1 hereby certify that this buildi is i BUILDING OFFICIAL: y y plia ith th ida Energy Code. 7Q OWNER AGENT: ' DATE: DATE: 9A I PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) COMPONENTS SECTION REOUIREMENTS CHECK WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes slidin lass doors). EXTERIOR& 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. ADJACENT DOORS EXTERIOR JOINTS 904.1 To be caulked,Basketed,weatherstripped or otherwise sealed. &CRACKS WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff as must be provided. External or built-in heat trap required. SWIMMING POOLS 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a &SPAS — pump timer.Gas spa&pool heaters must have minimum thermal efficient of 78%. SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC DUCT 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanicallLaftached, CONSTRUCTION, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ductditioned INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2(R-6 a2).&INSTALLATION HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each s stem. INSULATION 904.9 Ceilings-Min.R-19. Common Walls-Frame R-11 or CBS R-3. Common Ceilings&F . -1 - SUMMER CALCULATIONS CLIMATE ZONES 1 2 3 BASE BASE SINGLE-PANE OR DOUBLE-PANE SUMMER AS-BUILT W GLASS x SUMMER = SUMMER w GLASS x SUMMER POINT MULT SUMMER POINT MULT. x OVERHANG= GLASS C1 AREA PT. MULT. POINTS o AREA CLEAR TINT' CLEAR TINT' 11 FACTOR(9B) SUM. PTS. _N 38.3 N 40.7 41.5 38.3 34.9 NE 57.7 NE 61.5 61.6 57.7 51.0 E 79.7 l0 E 84.9 83.9 79.7 68.9 r SE 79.1 SE 85.4 84.3 79.1 68.8 S 66.2 S 2-1 73.2 72.7 1 66.2 58.2 $W 79.1 _ SW 85.4 84.3 79.1 68.8 W 79.7 W 84.9 83.9 79.7 68.9 > NW 57.7 NW 61.5 61.6 57.7 51.0 H' 66.2 H' 290.2 250.1 267.0 195.3 y O rR'9 097 A a Z3. J& S 21 Z .moo 1�6 !o S Z 3 O N COND. TOTAL BASE BASE ADJUSTED AS-BUILT .15 x FLOOR T GLASS = ADJUST. x GLASS = GLASS GLASS AREA AREA I FACTOR I SUBTOTAL BASE SP SUBTOTAL .15 267 COMPONENT AREA x BBASE SUMMER AS-BUILT SUMMER ASE SUMMER= COMPONENT AREA x POINT MULT. = SUMMER DESCRIPTION POINT MULT. POINTS DESCRIPTION (9C THRU 9G) POINTS EXTERIOR 9 b a ADJACENT .7 3 I � EXTERIOR Z 6.1 00 ADJACENT 1 2.4 0 C7 UNDER ATTIC .6 ? OR SINGLE 6 J ASSEMBLY .6 V BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING,AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE. SLAB PERIMETER -37.0 p RAISED(AREA) - 3.99 0 J LL FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE. ♦ INFILTRATION 1 8.0 USE TOTAL FLOOR AREA OF CONDITIONED SPACE. TOTAL gOMPONENT BASE SUMMER POINTS TOTAL COMPONENT AS-BUILT SUMMER POINTS v BASE COOLING I TOTAL BASE BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT COOLING SYSTEM x SUMMER = COOLING AS-BUILT x DM x CSM x CCM = COOLING. SYSTEM MULTIPLIER I �/ POINTS POINTSSUM.PTS. 9H (99K 9L POINTS 1992 .371991 .42 '/Zi ZDV S z �/O G V�o e� �� NUMBER BASE BASE AS-BUILT NUMBER I AS-BUILT AS-BUILT AS-BUILT HOT OF x HOT WATER = HOT WATER HOT WATER OF x HWM x HWCM = HOT WATER WATER BEDROOMS M"38'03 /'52/7- POINTS SYSTEM DESC. BEDROOMS 9M//� (9N POINTS SYSTEM e?6 J S ,7 'H = Horizontal Glass(Skylights) 2For glass with known Shading Coefficient,see section 903.2(a). Tint Multipliers may be used for glass with solar screens,film,or tint. -2- 91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3 SYSTEM TYPE HEATING SYSTEM MULTIPLIERS Central Heat HSPF 6.4-6.79 6.8-6.89 6.9-7.39 7.4-7.89 7.9-8.39 8.4-8.89 8.9-9.39 9.4-9.89 Pump Units HSM .53 .50 .49 .46 .43 .41 .38 .36 HSPF 9.9- 10.39 10.4-10.89 10.9-11-39 11.4-11.89 11.9-12.39 12.4&U HSM .34 .33 .31 .30 .29 .28 PTHP COP 2.6-2.69 2.7-2.89 2.9-3.09 3.10-129 3.30-3.49 3.50-3.69 3.70-3.89 3.90-4.19 HSM .38 .37 .34 .32 .30 .29 .27 .26 Electric Strip 1.0 Gas&Other Fuels 1.0 See Table 9J for Credit Multiplier) 1991 Minimums: Central Units-Air Source 6.4 HSPF,Water Source 3.4 COP,Ground Water Source 3.2 COP,PTHP 2.6 COP. 1992 Minimums: Central Units-Air Source 6.8 HSPF,Water Source 3.8 COP,Ground Water Source 3.4 COP,PTHP 2.7 COP. HSPF means Heatina Seasonal Performance Factor. COP means Coefficient of Performance. J HEATING T TEM TY HEATING E MULTIPLIERS Attic Radiant Barrier. HCM .98 Multizone HCM .90 Natural Gas AFUE .68-72.72 .73-.77 .78-.82 .83-87.87 .88-.92 .93-Up HCM .52 .48 .45 .42 .40 .38 Other Fuels HCM .65 .64 .59 .56 .53 .50 Where more than one credit is claimed,multiply HCM's together.Enter product on page 4.AFUE means Annual Fuel Utilization Efficiency. IN ST M L IPL ER (CSM)MCOOLING§YSTFMMULTIPLIERS RATING 7.5 8.0- 8.5- 8.9 9.5- 10.0 10.5 11.0- 11.5- 12.0- CENRAL UNITS 7.9 8.4 8.8 9.4 9.9 10.4 10.9 11.4 11.9 12.4 (SEER) CSM .45 .43 .40 .38 .36 .34 .32 .31 .30 .28 PTAC&ROOM UNITS RATING 12.5- 13.0- 13.5- 1 14.0- 14.5 15.0. 15.5 16.0- 16.5- 17'0- 117.5 (EER) 12.9 13.4 13.9 14.4 14.9 15.4 15.9 16.4 16.9 17.4 &Up CSM .27 .26 .25 1 .24 .24 .23 .22 .21 1 .21 .20 .19 1991 Minimums:Central Units-Air Cooled 8.9 SEER.Ground Water Cooled 10.0 EER.1992 Minimums:Central Units-Air Cooled 10.0 SEER.Ground Water Cooled 11.0 SEER.PTAC-see Table 9-11A.EER means Energy Efficiency Ratio.SEER means Seasonal Eneray Efficiency Ratio. CREDIT YSTEM TYPE COOLING CREDIT MULTIPLIERS(CCM) Ceiling Fans ,86 Multizone .90 Cross Ventilation or Whole House Fan(Credit for only one) .90 Attic Radiant Barrier .95 Where more than one credit is claimed,multiply CCM's together.Enter product on pate 2. SM HOT WATER MULTIPLIERS HWM SYSTEM TYPE HOT WATER MULTIPLIERS Electric EF .80-.81 .82-83.83 .84-.85 1 .86-87.87 .88-.90 .91-.93 .94-96.96 .97&Up Resistance HWM 4183 4081 3984 3891 3803 3678 3560 3450 Natural Gas EF .43-47.47 .48-.49 1 .50-51.51 .52-531.53 .54-.55 .56-.57 1 .58-.591 .60-.61 .62-63.63 .64-.65 .66&Up HWM 2732 2448 2350 1 2259 1 2176 1 2098 2026 1 1958 1895 1836 1780 Other Fuels HWM 2121 1 2368 2467 J 2566 2665 1 2570 1 2481 1 2398 2321 2248 1 2180 Water heaters must comply with minimum effncies in Table 9.7A of the Florida Energy Code.EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS HWCM SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS Solar Water Heater SF 1 .2 1 .3 1 .4 5 .6 .7 .8 .9 1.0 HWCM .9 .8 1 .7 1 .6 .5 .4 .3 .2 .1 .0 Heat Recovery Unit With Air Conditioner Heat Pump HWCM .62 .58 Dedicated Heat Pump EF 2.0-2.49 2.5-2.99 3.0-3.49 3.5&Up HWCM .44 .35 .29 .25 A HWM must be used in conjunction with all HWCM.See Table 9M.SF means Solar Fraction.EF means Energy Factor. P INFILTRATION RED TI N PRACTICE MP IANC CHECKLISTSection .2 f COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK PRACTICE#1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ON TABLE 9A. PRACTICE#2 COMPLY WITH#1 AND THE FOLLOWING: Exterior Walls and Floors Top plate penetrations sealed.Infiltration barrier installed.Sole plate/floor joint caulked or sealed. Exterior Walls&Ceilings Penetrations,joints and cracks on interior surface caulked,sealed or gasketed. Ductwork Ductwork in unconditioned space must be sealed. Fireplaces Equipped with outside combustion air,doors,and flue dampers. Exhaust Fans Equipped with dampers.Cumbustion devices see 903.2(f). PRACTICE#3 COMPLY WITH PRACTICES#1 AND#2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Top plate penetrations sealed or joints&cracks on interior walls caulked,sealed or gasketed. Recessed Lights Sealed from conditioned space&insulated from ventilated attic spaces. Ductwork All ductwork located in conditioned space. Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust by-products to outside.Stoves see 903.2(f). 6 WIN rER CALCULATIONS CLIMATE ZONES 1 2 3 BASE WINTER BASE SINGLE-PANE DOUBLE-PANE WINTER AS-BUILT w GLASS x _ W GLASS x OR x POINT - WINTER WINTER POINT MULT. WINTER POINT MOLT. OVERHANG = GLASS o AREA MULTIPLIER POINTS o AREA CLEAR TINT' CLEAR TINT' FACTOR (9B) WIN. PTS. N 7.3 N 515 13.8 13.6 7.3 8.1 Yt NE 4.6 NE 10.7 10.5 4.6 6.0 E - 9.2 E - 3.8 - 3.6 - 9.2 - 5.7 Cv SE -22.7 SE -18.1 -17.5 -22.7 -17.3 S Z -28.4 9 S -24.0 -23.0 -28.4 -22.3 SW -22.7 SW -18.1 -17.5 -22.7 -17.3 W - 9.2 W - 3.8 - 3.6 - 9.2 - 5.7 ,Z NW 4.6 NW 10.7 10.5 4.6 6.0 H' -28.4 H' -67.6 -59.1 -57.7 -45.0 ,05 5 Z - -.S' - '2 - - boa Z .W►. -2-47, stj -42 ..; - Z55 r 'rZ2� ✓ o.r 110 Y _ 2, COND. TOTAL BASE BASE ADJUSTED AS-BUILT .15 x FLOOR + GLASS = ADJUST x GLASS = GLASS GLASS AREA I AREA FACTOR SUBTOTAL BASE WP SUBTOTAL .15 BASE WINTER AS-BUILT COMPONENT AREA x BASE WINTER = WINTER COMPONENT AREA x POINT MULT. = WINTER DESCRIPTION POINT MULT POINTS DESCRIPTION 9C THRU 9G POINTS EXTERIOR 2.2 r J a ADJACENT 3.63.7 zq4a! 3 (n EXTERIOR 12.3 2 C ADJACENT 11.5 o - .n UNDER ATTIC 1 'ZO 1.2 1 7- OR SINGLE 1.2 LU ASSEMBLY 1.2 C.) BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING.AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE. - 1 SLAB PERIMETER 8.9 CRAISED(AREA) .96 4, J U. FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE. INFILTRATION 1 1 7.4 USE TOTAL FLOOR AREA OF CONDITIONED SPACE. TOTAL COMPONENT BASE WINTER POINTS 1256 IQ 5 TOTAL COMPONENT AS-BUILT WINTER POINTS I P BASE HEATING I TOTAL BASE BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT HEATING SYSTEM x WINTER = HEATING AS-BUILT x DM x HSM x HCM = HEATING SYSTEM MULTIPLIER I POINTS POINTS /WIN. PTS. lf9H 91 �91J } PINTS 1991 .581992 .55 0 2� T2 Q ! t 3 / BASE BASE BASE 7 TOTAL AS-BUILT AS-BUILT AS-BUILT TOTAL COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS o (From P.2 From P.2 Enter on P.1 From P.2I From P.2 Enter on P.1 �eli-6 Z13?1 ,Z �S"� z 16106 ltd 'H = Horizontal Glass(Skylights) 2For glass with known Shading Coefficient,see section 903.2(a)'. Tint Multipliers may be used for glass with solar screens, film,or tint. -4- SUMMER POINT MULTIPLIERS (SPM) 9B SUMMER OVERHANG FACTORS(SOF) For single and double pane glass. CLIMATE ZONES 12 3 10. OH RATIO .0-.11 .12-.17 .18-.26 .27-.35 .36-.46 .47-.57 .58-.70 .71-.83 .84-1.18 1.19-1.72 1.73-2.73 2.74+ N 1.0 .94 .91 .87 .83 .79 .76 .72 .69 .63 56 .50 M i NE/NW 1.0 .94 .91 .86 .80 .75 .71 .67 .63 .55 .48 .42 Uj o E/W 1.0 .95 .92 .86 .80 .73 .68 .63 .57 .47 .39 .31 U SE/SW 1.0 .93 .90 .82 .74 .66 .60 .54 .47 .39 .32 .27 S 1.0 .91 .86 .77 .68 .60 54 51 .45 .39 .35 .31 SOH LENGTH'S 0 ft. 1 ft. 1'Fi ft. 2 ft. 3 ft. 31/2 ft. 41h ft. 5'h ft. 6'h ft. 9'h ft. 14 ft. ft.+ To select by Overhang Length,no part of glass shall be more than 8 ft.below the overhang. OVERHANG RATIO=.OH LENGTH OH HEIGHT -1 T T �L H L H a H 9C WALL SUMMER POINT MULTIPLIERS(SPM) FRAME CONCRETE BLOCK' FACE BRICK WOOD STEEL INT.INSULATION .INSUL. R-VALUE WOOD FR LOG M&U EXT ADJ EXT ADJ NORMAL WT. NOR.WT. 0- 6.9 2.4 6 INCH 5.5 2.2 7.6 P.8 R-VALUE EXT ADJ EXT 7-10.9 .6 R•VALUE EXT 2.1 .8 3.5 1.3 0. 2.9 2.2 1.1 2.2 11 -18.9 .4 0-2.9 1.5 1.7 .7 2.7 1.0 3- 4.9 1.3 .8 .8 19.25.9 .2 3-6.9 1.0 1.5 .6 2.5 0.9 5. 6.9 1.0 .7 .5 26&U .1 7&U .8 19-25.9 .9 .4 2.2 0.8 7-10.9 .7 .5 .3 R•VALUE BLOCK 8 INCH .6 .2 1.2 0.4 11-18.9 .4 .4 0 0 2.9 1.0 R•VALUE EXT 19.25.9 .2 2 3- 6.9 .6 0-2.9 1.0 26&Up .1 .1 1. 9.9 .4 3-6.9 .7 10&U 2 7&U 6 9D DOOR SUMMER POINT MULTIPLIERS(SPM) 9E CEILING SUMMER POINT MULTIPLIERS(SPM) DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF -R-VALUE SPM R-VALUE SPM CEILING TYPE WOOD 6.1 P.4 19-21.9 1.1 10-10.9 2.9 R-VALUE DROPPED EXPOSED 22-25.9 .9 11 -12.9 2.6 10-13.9 3.2 3.5 INSULATED 4.1 1.6 26-29.9 .8 13-18.9 2.4 14-20.9 2.2 2.4 30-37.9 .6 19-25.9 1.8 21 &U 1.516- 1.6 38&LI .5 26&Up 1.2 9F FLOOR SUMMER POINT MULTIPLIERS(SPM) SLAB-ON-GRADE RAISED RAISED WOODS EDGE INSULATION CONCRETE CONSTRUCTION SFLOORIINSULATIONR ADJACENT R-VALUE SPM R•VALUE SPM ---W.-VALUE 0-2.9 -41.2 0-2.9 - .89 0.0 .2 0 6. 2 3-4.9 -37.2 3-4.9 -1.3 7.10,9 -1.4 2.3 »;> 8 5-6.9 -36.2 5.6.9 -1.3 11 -18.9 -1.3 -1.9 .7 7&U -35.7 7&U -1.3 19&U -1.1 -1.5 .4 91H DUCT MULTIPLIERS(DM) 9G INFILTRATION SUMMER POINT MULTIPLIERS(SPM) Return Ducts Return Ducts R-Value In Unconditioned Space In Conditioned Space INFILTRATION PRACTICE SPM Supply 4.2-5.9 1.14 1.10 (See Table 9P) Ducts in 6.0-6.6 1.10 1.07 PRACTICE#1 10.2 Unconditioned Space 6.7&up 1.09 1.06 PRACTICE u 2 8.0 Supply 4.2-5.9 1.10 1.00 PRACTICE u 3 5.2 Ducts in 6.0-6.6 1.07 1.00 Conditioned Space' 6.7&up 1.06 1.00 For multipliers for other types of concrete block construction see section 903.2(b). 2 For multipliers for other types of raised wood assemblies see section 903.2(e)1. ' Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation. -3- WINTER POINT MULTIPLIERS (WPM) 9B WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 12 3 OH RATIO .0-.11 .12-.17 .18-.26 1 .27-435 .36-.46 1 .47-.57 .58-.70 1 .71-.83 1 .84-1.18 1.19-1.72 1.73-2.73 2.74+ r SINGLE PANE GLASS N 1.0 1.05 1.08 1.12 1.16 1.20 1.24 1.27 1.31 1.38 1.45 1.51 NE/NW 1.0 1.09 1.13 1.20 1.26 1.33 1.39 1.45 1.50 1.63 1.74 1.84 E/W 1.0 .67 .50 .16 -.20 -.60 -.95 -1.32 -1.73 -2.51 -3.31 -4.05 m SE/SW 1.0 .92 .88 .77 .66 .52 .39 .25 .10 -.21 -.48 -.74 S 1.0 .95 .92 .84 .74 .60 .46 .29 .13 -.24 -.54 -.67 LU LU DOUBLE PANE GLASS N 1.0 1.09 1.13 1.19 1.25 1.31 1.37 1.42 1.48 1.58 1.69 1.79 NE/NW 1.0 1.15 1.23 1.35 1.46 1.58 1.68 1.78 1.87 2.09 2.28 2.46 E/W 1.0 .85 .77 .62 .46 .28 .12 -.05 -.24 -.59 -.96 -1.29 1 SE/SW 1.0 .93 .90 .82 .72 .61 .51 .40 .28 .03 -.19 -.40 S 1.0 .96 .94 .87 .78 .67 .55 .41 .27 --.04 -.29 -.40 P11-1O11 LENGTH* 0 ft: 1 ft. 11h ft. 2 ft. 3 ft. Th ft. 02 ft 51/2 ft. 6Y2 ft. 91h ft. 14 ft. 20 ft.+ *To select by Overhang Length,no part of glass shall be more than 8 ft.below the overhang. OVERHANG RATIO= OH LENGTH OH HEIGHT T L H L H a� H 9C WALL WINTER POINT MULTIPLIERS(WPM) FRAME CONCRETE BLOCK' FACE BRICK WOOD STEEL INT.INSULATION EXT.INSUL. R•VALUE WOOD FR LOG R-VALUE EXT ADJ EXT ADJ NORMAL WT. NOR.WT. 0. 6.9 12.6 61NCH 0- 6.9 11.1 10.4 15.1 13,1 R•VALUE EXT ADJ EXT 7-10.9 4.2 R-VALUE EXT 7-10.9 4.4 4.4 7.3 6.6 0- 2.9 11.2 6.8 11.2 11 -18.9 3.5 0-2.9 4.5 11-12.9 3.7 3.6 5.7 5.2 3. 4.9 7.3 5.1 5.6 19-25.9 2.2 3-6.9 2.8 13.18.9 3.4 3.3 5.2 4.9 5. 6.9 5.7 4.2 4.3 26&Up 1.4 7&Up 2.1 19-25.9 2.2 2.2 4.6 4.4 7-10.9 4.6 3.5 3.3 R-VALUE BLOCK 81NCH 26&U 1.5 1.5 2.1 2,6 11-18.9 3.0 2.6 2.2 0- 2.9 7.9 R-VALUE EXT 19-25.9 1.9 17 3- 6.9 5.7 0.2.9 3.0 26&Up 1.3 12 7- 9.9 3.8 3.6.9 2.2 10&Up 3.0 7&U 1.7 9D DOOR WINTER POINT MULTIPLIERS(WPM) 9E CEILING WINTER POINT MULTIPLIERS(WPM) DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF R-VALUE WPM R-VALUE WPM CEILING TYPE WOOD 12.3 11.5 19-21.9 2.0 10-10.9 3.2 R-VALUE DROPPED EXPOSED 22-25.9 1.7 11 -12.9 2.9 10-13.9 2.9 3.3 INSULATED 8.4 8,0 26-29.9 1.4 13-18.9 2.6 14-20.9 2.0 2.1 30-37.9 1.2 19-25.9 2.0 21 &Up 1.3 1.3 -38 --1 F- &U .9 26&Ug 1 9F FLOOR WINTER POINT MULTIPLIERS(WPM) SLAB-ON-GRADE RAISED "RAISED WOOD' EDGE INSULATION CONCRETEWALL W1 UNDER R•VALUE WPM R-VALUE WPMVA CONSTRUCTION FLOOR INSULATION ADJACENT wqw- WPM WPM 0-2.9 1 . 88 0-2.9 9.9 0. 6.9 13.4 0 1 .4 3-4.9 9.3 3-4.9 5.1 7-10.9 4.1 1 6 4.4 5-6.9 7.6 5-6.9 3.6 11 -18.9 2.9 1.2 3.6 7&U 7.0 7&U 2.9 19&Up 1.9 8 2.2 9G INFILTRATION WINTER POINT MULTIPLIERS(WPM) 9H DUCT MULTIPLIERS(DM) Return Ducts Return Ducts INFILTRATION PRACTICE WPM R-Value In Unconditioned Space In Conditioned Space (See Table 9P) Supply 4.2-5.9 1.14 1.10 PRACTICE # 1 10,9 Ducts in 6.0-6.6 1.10 1.07 PRACTICE #2 7.4 Unconditioned Space 6.7&up 1.09 1.06 PRACTICE #3 1 4.1 Supply 4.2-5.9 1.10 1.00 Ducts in 6.0-6.6 1.07 1.00 Conditioned Space' 6.7&up 1.06 1.00 For multipliers for other types of concrete block construction see section 903.2(b). 2 For multipliers for other types of raised wood assemblies see section 903.2(e) 1. ' Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation. -5- 0002501 pEPARTMIENT OF s6t j, CITY OF ATLANTt 15VACH P Iltfi>IT xN r RtlAT roN OCATXON' INFORMATION P rp► t Nlx+a«b+�x �O Address I , 4,t, ]BEACH AVENUE ' Parr it "' [ HUILOX90 1at'L.AIt " C LtEACNr FL ORTDA 322'33 Claaae�r 'Nca►rk:m N/A .. , LEGAL DESCRIPTION --^- --�- Cmax . `'t'Tp : WOOD L Rlk s ? ►cstibrt Proposed Ua3wra t.TNOLIE F'AKZLX Tcairnrptxip: ' RNOs O Lwarlliteasa O Cad*% 0 Subdivists:LOft. *A* E*t.iaratted 'Valuer a al2500.00 #19 50 t wpl as F JV�, + t+�Pi�LICA"!`ItN FRIES ----- Pelta PETERSON, PERINIT tlla�ier F 4 �1 Addraraa� y r B VENUEMA!"; !"PACT FRFs � �00.00 " MORI : FII . �y?c p, P■AvFi k RADON CLAS-Ike. At.S. �1.C!Q r > .OE) l4 ------ 00 ,Nbw1+P i..;.R ?,: w � Ac c�rar ra 1 SL R`lr SEWLER 'AP 00, r KE►t� L.L HYDRAUt..IC "ARE �BrCi.UO AC ; kE: F I IRSPRCT _ EE �� •00 1 i Ll 01 V� �� Rt1NtI>IlO � ,. *O.C► p '�' �''e" R ro`�t'�t°84a"•. ,r ns ,. „r.w W,+ s., x , t a NOTES: NOTICE ALL CONCRETE,FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING r" 'PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Y BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE x CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. E "PAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR"B1:JILDING IMPROVEMENTS.06 " TIMEt ge:06 Im ISSUED ACCORt`Vt TO APPROVED PLANS WHICH ARE PART,OF THIS PERMIT AND SUBAT#L.TO REVOCAT14".151DA " VIOLATION flF Al�tt'.ICABLS PRQV151,t1NS OF LAW. TEWERED H. I 41 , RECEIPT ItA , �7 AT BE H'`avILDING D TMEN1` I GI BY6L NA �., ,.,. .. ' Address Heated Square Footage `—`"- @ $ per.sq ft = $ Garage/Shed --------- @ $ per sq ft = $ Carpor Porde 7th"` @ $ per sq ft = $ , oZ Deck @ $, per.sq ft = $ Patio ----- @ $ per sq ft = $ - 'IDTAL VALUATION t $ Tota valuation 1st $ r Qct , . a 7s Remainder Valuation ?�yy per iousan or : i pegtion thereof . -------------------------------------------- Total Building Fee ADDITIONAL rEIRLTS and/or 'TCS REQUIR'�D O -4- � Filing Fee $ /n , _ ' Fireplaces @ 15.00 $ Mechanical — Pluii�in BUILDING IFERMLT ' ;' Electric/New -____ _--- - ---- I ------ --- ---------- ------- ------- Electric/'Tails ,_• BUILDING PERMIT $ , so Septic Tank Well . . 41A1T.R MCITR CHARGE $ SMjimhig Pool s' 'R 7MPACr ;E $ Sigh WATER IMPACT FEE $ Water Crnmectirnn RLSCELLANEOUS $ Sewer Connection , Water Meter j $ H',levr10.011 Ccrt•ificA GRAND MAL DUE $ �9 ?� ------------------------------------------------------------- -------------------------------- 1 CALCULATIONS acid/or NOTES J A P P L I C A T I O H (� � L D I N G P E R M I T U CITY OF 9,9 REQUIRED `3 lac �� - �Cvuda REQUIRED SUBMITTALS Building and Zoning 716 OCEAN BOULEVARD Each application for building P.0.BOX 25 permit will be accompanied by ATLANTIC BEACH,FLORIDA 32233 two complete sets of pians, including TELEPHONE(904)249-2395 a detailed site plan indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey (on new construction) SCHEDULE OF INSPECTION Requests for inspections will be accepted from 8:00 AM until 4:30 PM. All inspections will be made the following working day. 1. Footing 2. Rough Plumbing/Sewer CALL IN WITH PERMIT 3. Slab NUMBER FOR EACH TRADE 4. Framing, Rough Electric, Mechanical, Top Out Plumbing S. Insulation 6. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. $10 fee is required for all re-inspections. ,9, ,. CITY OF PROPERTY DESCRIPTION �. 716 OCEAN BOULEVARD Lot # ,} Block #_�j� Section # P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 S u b d i v i s 1 a n �__--''_`4_-__------ Street Name DESCRIPTION OF WORK or Address: ---_------- ,I in a FLOOD HAZARD Flood Zone;..............area complete page 3. Brief , Description,.__C41-i Class of Work: - (New/Remodel/Addition) _ ZONING INFORMATION Type of _ ��11 Construction: -------------- Zoning (�'�G'titr` _� Proposed c 11 Distrct:_ Usep ✓ �� _ Estimated Value $__�� ________ ------r---------- Exceptions or Materials: ------------------ Variances _________________Variances Granted:-------X)--IA_---_--_-- Solid or --------------- Filled Ground-- e, Roof:- ^--`--r---- OWNER INFORMATION Method of Heating:__'_______________ Property Owner:_ �- ec' v1-- - f == - _�.'_-_ Phone ------ ---- -------------- Mailing Address---5- ! -------------------------- La n -------------------------an _ `.r,r< ------------------------------ Zip:Zip:-------- CONTRACTOR INFORMATION Contractor: Phone: Mailing Address: !� f�D ��n� x t--Qr -------------------- e% f --------------------------------- Zip:- 7,0 S^-- --- Expiration Date: License Number: � _ a - 3 d © ------------------ -tion ------ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <,i��,_,V ✓ COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS f CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature -- / c -___ —� �_ ----____---Date � ------- ------------ �.,,� Contractor Signature__=moi t ��GC__Date_ fU FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: -------------------------------------------- Flood Zone• Required Lowest Floor Elevation: --------------- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation, established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date--------------Applicant's Signature -------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ----------------------------------- Building Department Representative page 3 ��'�T �" sc'c�e' ) � / 0�• r. pis /` �s''4or i{ 14 ��e�y � � off' •� ?5 3' } V ` 5 Io, Z � A �y 9 t �' r Nu Q *V000 ` B4 O (� i Lk 44 �G LONE Lii..-E�3Y P,c.SPS<oC„K-_ � :•:,�^:.�.:.0,�(j ,.,, n t �1 e ._r,G /co oq• - "_----__-_- �f . "C •per' � � t `-+w. r•�`%.'ta;;;`r.+.• T sc-rs.[� ! � \r ,•�!.',.•::.;:.,;"°....; r� ... ~ f^•�;�Fi.✓pr�cris r ---..�"'•_-„_� tD ti M y �j `t`�� •Y p 14 th ZIP K _,moo �' 'A• _ �5. {�� vi ta N ss•>-`?:.ct�,r./° -" '^ 1`�= •--•,�=� rte- �,) � z - gi. 6861 t o Nnr ° .a 11OV30 DIINblltl 30 Alla " p 3 A O U ddd uluoZ pug 2uiplin8 ,+ Z Jed W i iF i ' N s A l� ♦V V - � x X 7T, 686 0 N n(' 3JIJJO JNtp-i s t:3'd�b 31INVIIV 30 Allo I �J 03 A0Hci'd'H J • x v v i I .. � � u v � l i 686 0 N n(' 3olijo ON" G"un IIOV30 3I1NV1iV 10 Allo ,r •�bis' ( j-e—� 1 _ . I 1 i /7 1 i 4 1 r f I J t I � i �( r STATE OF FLORIDA ` DEPARTMENT OF PROFESSIONAL REGULATION; CONSTRUCTICN INDU$TIfY LICENSING BOARD LICENSE NO. • 9R9 ::Ot]$OSS 112 3 E REGISTERED: B`U3LDI 6 �jIMED BELOW HAS Rf'+GISERE � ' rani 1> XPIR NDENGHEJPtJNEV1.3Ui Y C_GHC R, �,:9E4R A l.: LF i11L"?LIE NSIt�GR f.v I�Et�UIREJ�IEt�T;S PR11tra'It .st + INIANY raREA) II_ . FRA'NK `�. • JR �� R U aRZIlrBUILDERS 1N ~ r ; � 0 D E N: 0 $4T zI JA KSONVl it 3Za5*164'80 est 4 C N J08114TIN z SPLAY IN C N P O LAR o OOV ILRNOR DI A O S ICU US PLACE _sicisuity, D.P.R. . ._ 1.9�s9-90 OCCUPATIONAL LICENSE R ACCOUNT NO. 49034-0000-4 COUNTY co7E70.000-005DIST. 1 cc 14 CITY OF JACKSONVILLE and/or COUNTY OF DUVAL,FLORIDA QUALIFYING, AGENTO' CONTRACTO% — THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING MACHINE SHOWING A TRANSACTION NUMBER,DATE AND AMOUNT PAID. THIS LICENSE IS FURNISHED IN PURSUANCE OF CHAPTER 7715-77715-772 CITY ORDINANCE CODES. ------777 ¢VU i.ti t. o 1 Dam I a a MUNICIPAL CODE 772.325 DIST. ICC 13 /O 0 GENERAL , BUILDING RESIDENT AL d °w ARZIE FRANK L JR SHEET -RITAL ' ROOFfN6, AIR C Rtft awl BUD A6ZIE BUTLDERS�� INC INS CLASSES A T'HRU!' C MECHANICAL CL 11 In DENAUDs.ST COMMERCIAL: POOL RESfDENTIAL POO °C WIn L.CKSONVILLE, . FL 32205 SMINNING. POOL 'S�RVICIN6 PtUMSIN yy0 ELECTRICAL,' AND SPECIAL S10 >=N J W W IS HEREBY LICENSED TO ENGAGE IN THE BUSINESS, PROFESSION <�¢ OR:000UPATION AS STATED ABOVE FOR THE PERIOD BEGINNING ON wi°OCTOSE" 1 , 1989 TO SEPTEMBER 30p, 1990 `�� TOTAL $ IWaZ AN OCCUPATIONAL LICENSESHALL NOT GIVE ANY PERS0II1`�Tf)RIQ)4j/()LS/<:31?� �YNm TO VIOLATE ANY OTHER LAW OR ORDINANCE. OCIz)u Z .00 � TAX COLLECTOR 049034000041314 PAYMENT RECEIVED AS CERTIFIED S.EQVEkCF _KU.MBER,_ ,2593 , 1989-90R.4,, ACCOUNT NO. 2531-0000-7 OCCUPATIO�iAL LICENSE COUNTY C0a70.307-001DIST. I cc 14 CITY OF JACKSONVILLE and/or COUNTY OF DUVAL,FLORIDA +CONTRACTOR'CONTRACTOR— ALL TYPES �� z THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING 1710 PE RSOAS I $11 �25 * 11-2091-x'22; MACHINE SHOWING A TRANSACTION NUMBER,DATE AND AMOUNT PAID. 21-301 ; $33.75R- 31-40f 545.00' 41- THIS LICENSE IS FURNISHED IN PURSUANCE OF CHAPTER SS 6 r 25 51-1060 $187.50- 101-1501 w6uj776T72CRYOROINANCECODEB. x281+2 j 151--200 $375.60; OVER ,ag 322n5 $468.75' Q,na J .U� MUNICIPAL CODE 772.309 DIST. ICC 13 ,,// a °o- IST PERSON $31.25 `7`'1 ? °tw EACH ADDITIONAL PERSON $5.08 oCDm A?ZZ E, BI)D BUILDERS' INC MAXIMUM• : 51031.25 _�. ``1� 160 DENAU6 ST LUCK SONVILLE ;,` FL- 32205 -U, IS HERESY LICENSED TO ENGAGE IN THE BUSINESS, PROFESSION OR!OCCUPATION AS STATED ABOVE FOR THE PERIOD BEGINNING O.N- a=°-OCTO8ER 1, 1989 TO SEPTEMBER 30 1990 Z <I-~w I TOTAL $ o'z AN OCCUPATIONAL LICENSE SHALL NOT GIVE ANY PEP THE Hj �yNm TO VIOLATE ANY OTHER LAW OR ORDINANCE. I X? �a I �B 3 2 x-00 l TAX COLLECTOR 002531000071314 PAYMENT RECEIVED AS CERTIFIED SF,QUENCE NUMSFR 2591 . e WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY I N F 0 R M A T 1 0 N P A G E BRANCH NO. BRANCH NAME NCCI COMPANY NUMBER 44 TAMPA CO. #12173 b I: POLICY ISSUED BY PRODUCER'S CODE POLICY NUMBER I ' ASSURANCE COMPANY OF AMERICA 00919134 TCO 22163653 f ' Item 1 THE INSURED AND ADDRESS PRODUCER'S NAME AND ADDRESS I HBIS — MARSH & MCLENNAN INC k BUD ARZIE BUILDERS, INC. P 0 BOX 10168 �.:. 1160 DENAUD STREET JACKSONVILLE FL 32207 JACKSONVILLE FL 32205 (904)398-2311 I, INSURED IS PREVIOUS POLICY NUMBER CORPORATION TC922163653 Risk I.D. No.: F.E.I.N.: 590907370 ii OTHER WORKPLACES NOT SHOWN aeovE: SEE ATTACHED SUPPLEMENTAL INFORMATION PAGES I Itam 2 i POLICY PERIOD : From 07/01/89 To 07/01/90 12:01 AM STANDARD TIME AT THE INSURED'$ MAILING ADDRESS A. WORKERS COMPENSATION INSURANCE PART ONE OF THE POLICY APPLIES TO THE WORKERS COMPENSATION LAW OF THE STATES LISTED HERE FL B. EMPLOYERS LIABILITY INSURANCE: PART TWO OF THE POLICY APPLIES TO WORK IN EACH STATE LISTED IN ITEM 3A THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE: BODILY INJURY BY ACCIDENT $ 100,000 EACH ACCIDENT BODILY INJURY BY DISEASE $ 500,000 POLICY LIMIT BODILY INJURY BY DISEASE $ 100,000 EACH EMPLOYEE i C. OTHER STATES INSURANCE: PART THREE OF THE POLICY APPLIES TO THE STATES, IF ANY, LISTED HERE: is ALL STATES EXCEPT NV, ND, OH, WA, WV AND WY. k THE PREMIUM FOR THIS POLICY WILL BE DETERMINED BY OUR MANUALS OF RULES, CLASSIFICATIONS, RATES AND RATING PLANS. ALL INFORMATION REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE BY AUDIT. Item 4 ESTIMATED PREMIUM CLASSIFICATION OF OPERATIONS � ®SEE ATTACHED SCHEDULE OF OPERATIONS ANNUAL D 3 YEAR $ 62 EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $ 85 G MINIMUM PREMIUM $ 500 FLORIDA MP TOTAL ESTIMATED PREMIUM $ 500 IF INDICATED BELOW, INTERIM ADJUSTMENTS OF PREMIUM SHALL BE MADE: ' Q SEMI-ANNUALLY QUARTERLY MONTHLY PREMIUM DEPOSIT $ 500 j ENDORSEMENTS AND MISCELLANEOUS INFORMATION I WC000000 8065 HBIS-20182 WC000316 2395 Ia WC090401 2481 t` PAR CODE U S/A CODE 4-1476 i,. fl'' ;ISSUE DATE 08-18-89 3 INSURED'S COPY COUNTERSIGNED BY �Y:00^A OI A EO It-q CgVEiONT NATIONAL COINKII Of COMPENSATION INSURANCE FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1000-A-91 Section 10—Residential Perscriptive Compliance Method Climate Zon Department of Community Affairs NORTH 1 3 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAYBE DEMONSTRATED BY USE OF FORMI000A-91FOR SINGLE AND MULTIFAMILY RESIDENCES OF 3 STORIES OR LESS IN HEIGHT,AND ADDITIONS TO EXISTING RESIDENTIAL BUILDINGS,TO COMPLY,A BUILDING MUST MEET OR EXCEED ALL OF THE ENERGY EFFICIENCY PRESCRIPTIVES IN ANY ONE OF THE PRESCRIPTIVE COMPONENT PACKAGES AND COMPLY WITH THE PRESCRIPTIVE MEASURES LISTED IN TABLE 10A OF THIS FORM.COMPLIANCE BY THIS METHOD WILL BE,IN MUT CASES, EQUIVALENT TO AN EPI OF 100 POINTS 0—LESS.AN ALTERNATIVE METHOD IS PROVIDED FOR ADDITIONS OF 600 SQUARE FEET OR LESS BY USE OF FORM IODOC-91 F A BUILDING DOES NOT COMPLY WITH THIS METHOD,IT MAY STILL COMPLY UNDER SECTION 9 OF THE CODE. FANOOADDRESS: JECT NAME `' j'&4"{; BUILDER: 4 PERMITTING CLIMATE 1 ❑ 2 3 OFFICE: ZONE: OWNER: PERMIT JURISDICTION / NEW CONSTRUCTION ❑ IF MULTIFAMILY,NUMBER OF CONDITIONED S0. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION THIS SUBMITTAL. PREDOMINANT SINGLE- SD. SINGLE- SQ, MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LEMEGIOH ERHANG FT PANEFT PANE FT (3 stories or less) REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE- SO DOUBLE- SQ. SINGLE-FAMILY DETACHED CONDITION: ❑ LENGTH ❑.❑ FT. PANE 7 FT. PANE FT. PERCENTAGE WALL TYPE AND INSULATION FLOOR TYPE AND INSULATION WOOD FRAME MASONRY CEILING TYPE AND INSULATION OF GLASS WOOD 1 MASONRY TO FLOOR: % EXTERIOR: ' ( EXTERIOR: UNDER ATTIC: �•® RAISER:_M. RAISER:-❑•❑ COMPLIANCE ADJACENT:M. ADJACRENT;m• COMMON:FFF O COMMON: j^J CHOSEN: ® COMNRON: COMMRON: COMMON: R= ❑•❑ SLAB-ON- ❑. GRADE: R= DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCONDITIONED= El ROOM NATURAL GASOER FUELS NATURAL GAS AL El NONE ❑ IIP TH ❑ IL ❑ NONE a HE SPACE. AT RECOVERY r ® n ❑ PACKAGED TERMINAL ❑ ROOM UNIT OR ❑ NONE ❑ OTHER FUELS ❑ DEDICATED HEAT PUMP IN CONDITIONED HEAT AIR CONDITIONER PACKAGED TERMINAL SPACE: R = COP HSPFM FUE = �.� EF SF/EF = ❑.❑ SEER/EER = �•� NUMBER OF BEDROOMS = ❑ I hereby certify that the plans and specifications overed by the calculation are in compliance with the Review of plans and si ons vered by is calculation i icat compliance with _ Florida Energy Code. the Florida Energy Co:de.B ore co struaio s completed,t build ill be inspected +jam "7 +' forcompliance PREPARED BY: ..... "^�•-,�.--.-• DATE: 1 - `*�" in accords with ion 3.908,F.S. I hereby certify that thisSig ' p iance wit t rida Energy Code. BUILDING OFFICIAL: OWNER AGENT: DATE: 7`—� `-4 DATE: TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES -% COMPONENTS SECTION REQUIREMENTS CHECK ~ WINDOWS 904.1 Minimum of 0.34 CFM per linear foot of operable sash crack includes slidina glass doors). EXTERIOR& 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. ADJACENT DOORS EXTERIOR 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. JOINTS&CRACKS SOLE&TOP 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. PLATES INFILTRATION 903:2 Infiltration barrier must be installed in exterior walls&raised wood floors. BARRIER INTERIOR 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. JOINTS/CRACKS FIREPLACES 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. EXHAUST FANS 903.2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. COMBUSTION 903.2 Combustion space and water heating systems must be provided with outside combustion air, HEATING except for direct vent appliances. WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. SWIMMING 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a POOLS&SPASpump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. HOT WATER 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases, PIPES pipingheat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC DUCT 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, CONSTRUCTION, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditione INSULATION& space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). INSTALLATION HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. -1 - [i 7 CITY OF ATLANtIC BEACH PERMIT APPLICATION REMODEL, / ADDITIONS OR ALTERATIONS Owner(s) : c:." "e✓ ��C t S 0-N --------------------------------------------------------- Address: --- �. L � __Phone: ��j� �'` '_ _ Lot # 3 Block or Unit Subdivision:_ ._---------- Contractor: -----�_1__ Contractor ______C,) C', :� ` ' v! , l __ __!jT___ ________________ Describe work to be done ` :� �____ �� -------------------- ------I------------------------------------ ------------------------�e�---------------------------------------- Present use of building: ------------------------------- Valuation: ______________________________Valuation ------a41 ----------- -------------------------------- Proposeduse:--------s- ----------------------------------------- Is this an addition? 1r'� If yes, what are the dimensions of the adder space:_�9---- f�- X __- ___ft. Will the added area be heated and cooled?__''r5New electrical (or increase) ?_ Nkr>_ New plumbing fixtures?t,')_ New fireplace?_�j _New Heat/AC?--i06 f i I SUBMIT THREE COMPLETE SETS ' OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date:_ _�_�_� ------- 1 Signature CONTRACTOR: �r��=---�� Date: a 577-1,�7-,177?T1"� ID C� V gR JUL 8 199L ' " OFFICIAL SEAL Li AtN. � Patricia A. Douris MY Commission Expires 19g2 "+�+� .fir.` April 21, 1996 Budding and Zoning *,'.;�OF Comm. No. CC 195248 Address % 0 61 DO-t� Heated Square F tage } @ $ per sq ft = $ Garage/She �@ $ per sq ft = $ Carport/Porch L P @ $ per sq ft = $ Deck 1� @ $ persq ft = $ Patio ' @ $ per sq ft = $ T, VALUATION: $ �s $ v-V Total Valuation, st $ ' oed f x Remainder Valuation y. ler oor portion e f eo --------------- -------------------------- Total Building Fee $ ADDITIONAL P QTS and/or FEES REQUIRID e Filing Fee / .. - Tirep s @ 15.00 $ Mechanical BUILDING PERtST FEE $ Plumbing I , Electric/New ------------------------------------------------- Electric/Temp _ BUILDING PERMIT Septic Tank c Well WATER METER CHARGE SEWER IMPACT FEE $ Scrim<T�ing Pool j � WATER IMPACT FEE $ C, Sign MISCELLANEOUS $ Water Connectiari Sewer Cormectioft Water Meter Elevation Certi icate GRAND TOTAL DUE CALCULATIONS and/or NOTES o notice of commencement (70VAI1t IN OY/LICAT[) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 o1 the Florida Statutes, the following intormatlon it stated in this NOTICE OF COMMENCEMENT. )� Description of property ---�`=`�-------3------ L'-`-4q---t,'-------- L! ------` ------1 =*=` -'- `=----------------------- � ---- General description of improvements ----f .«��.! .1�=r-`..----------------------- Own � Y i=- =----------------------------- - ----- � ----� -'-_ r 0-1- Address _--- ' fr-`--- •� 3---.3 --- Owner's interest in site of the improvement ---------------------------------------- Fee Simple Title holder (if other than owner) ________________________________________ Name ___ �J__-1------—------------------------------------------------------- ------- Address _--- 1-� -------------------------------------------•------------ ..._. Contractor -------C=--=1--L-`-�----- ==—1-��- ----------------------------- ---_ --- Addr4ss -----``-=---------- �____4'�-��------ 3�c pl Surety (L any) ---- 1 l ------------------------------------------------------------ »__—_��— Address _ --------- -----------------------------------------------------Amount of bond i------------- Name and address of any person making a loan for the construction of the improvements. llama --------------------------------------------------------------------------- Address -------------------------------------------------------------------------_—_ ___----__ Nurse of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name --------------------------------------------------------------- Address ----------------------------------------_--------------------- In addition to himself, owner designates the following person to receive a copy of the Ldenor's Notice at provided in Section 713.06 (2) [b], Florida Statutes. (Fill in at Owner's option). Name -------- Loi S_-------- ---------------- ---------- —• Address 1----- _ _� f,Ljfjyl - --- 4C jz TH1e arACC FOR RSCORD[R'f Ue[ONLY I L/� — .. 5897 DEPARTMENT OF BUILOINQ CITY OF ATLANTIC BEACH. -- LOCATION INFORMATION -- . ._ FERMI T I NFORMATIQN -----"' Addressss�s s `Z42 BEACH AVENUE , _ ��Perait Humber t 589ATLANTIC' REACH, FLORIDA 32233 Ferssit ;T�'F►e s pLllMS I~ G LEGAL TJESSCR'IPTIO�i �-__-_ .__� Claws of ;Work: ADDITION Lots � NLo�k: Sao-tian t Constr. Type x WOOD FRAME 1'c> r>r>< ►ip r 1RNC : O Proposed Use a $INCL£ FAMILX Subdivis� on: A"�L�N'I�IC BEACHL?rsell f ►gsa s 1 " " Code: O Estimated) Value t 00.,00 Improv Coat: $0.00 Tota) as $36-00 , Awcau *3,.00 " Da f2 Ward: ADDITION ON _ 4 ", APPLIC,ATIt t# FEES _�--- NATI I .CIQ ,. S . PERMIT A IMPACT FEE *0.00 Ad dx sans i H AVENUE F'' $0*00 FLORIPe ro F �� RADC� 1 ,:GAS-H• R. . t3.co > ADON OAS - 5 9s0.00 "t' �iFORMAT�OH WATER TAP $0.00 .TA b_. so. 60 �r+e ser E3 SSTR E ., . N DR l I.IC SHARE $0.00 JACK ELLE, FL. 3Z2i1 RE-INE�RCT' F'8E: � ,MAII.00. .ice s • CQ Types O SEC. � $0;C34 � � a. � ° � ,�wi Sasrw, qn�'J "J^drndro w s NOTES: NOTICE ALL CONCRETE FORMAND FOOTINGS MUST BE INSPECTED BEFORE POURING f PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE I BUILDING MgTERi11L,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED'IN PUBLIC SPACE,AND MUST BE U CLEARED UP AND HAULED AW1kY BY EITHER CONTRACTOR OR SINNER. ��Al�URE TO OMRLY WITH THE MECHANICS' LIEN LA?I�t` CAN f JEO !� THE pR&ER OWNER PAYING TWICE FOR BUl�plN IMP 3 & 2 t t rtf?NtF�C PLANS WHICH,ARE PART OF THIS PERMIT AND$U x �t LAW. � � { "41 pkv 5s ,p Y §H 4' ICF *� � K g st 8 yJ k 5834 ) tf SSS DEPARTMENT OF BUILDING pi's. CITY OF ATLAN11C BEACH �PERXIT INF iMA*I�N �--�_.._ LOCATION INFORMATION Address t' 'ItACH Aviiiii ` � i B�c�IC CTe� LO - A A Permit Type: PT ON --- -- ---- _ -_-_ LEGAL. C * . ofWork�t` ALTERATION SectionzLcta Constr. Type Woob RAN* � Torre�h�p x RNC» 0 Proposed cl li +�z TKC3LE FAMILY Subdi�4i,sio z ATLANTIC ]$EACH I113 nB z1 Cods: O. Fattsatd Value z $0.00 �►pav. G + t z #0.00 051.00 Araou $5.1.00 7,/92 Vo TRAL Hix ANDAIR SYSTEM! !'FPLICATICfH FEES � urs,. $51.00 ' WO PERMIT MIST �y j/v �w �/+� /fin ' t w 7f+}'� 114PACT FEE Pati' '7L►a VV Alf G 2` �S AVENUE a FEIN 4 .9 C14 FLORI, 11 �# p M, 3 t RADON 1;A _ �_- _ - RAt CII � A9 - 5% 0.00 � ` tJ NFttNATi�II{ NATETt 'TAP ' $O 00 ��I�►� z CE `TA HfMAT � itE0.O$0.00Aid r..44 , .,. �'. ' } NOT BEACH, FLORIDA 3223 fIYL�RAULIC SHARE $0.00 R -IN i ECT FEE .n °$0 Lie � . R Type: 3 SEC.N,. IMPACT FEE iia 'Se.r;:^ ir^ . ,i.r ,..,r i ,.: o-m•aaw«".wr . arm;«,.,.,; . .;o�' ''C . ... ;sr, b , t NOTES: i i { NOTICE—ALL Ct?NGI�ETE CORMS AND FOOTINGS MUST BE'`fN$pECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OFi$SUE 1 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE { CLEARED llP AIV[?HAULEp AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE T4 COMPLY, WITH THE MECHANICS' LIEN LAW CATV RESULT IN ' TIME PROPERTY �1NNeR PAYING TWICE FDR BUIL OWIL AIlPROVEM'E?JTS." 1tlalltllITz . IS&UED ACCORf11NCi TQ.APPFiOVE,D PLANS WHICH ARE PART OF THIS PERMIT AN CT Tf RE i©N FOR VI LlITION 13 ADPL tCRB4 P001' 'iIONS OF LAW. ATLANTIC BEACH BUILDikd P?EOi0.fiTtW1ENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA SE233 ' APPLICATION FOR MECHANICAL- PERMIT CALL-IN NUMB p IMPORTANT •— Applicant to complete all items in sections I, 11, 111, and IV. LOCATION Street Address: OF • Intersecting S(raets: Between And BUILDING Sub•d;viian 11. IDENTIFICATION -- To be completed by all applicants In consideration of,perm;# given for do;nq the "oA at described in the abcve statement we hereby agree to go•fe-m said wo-s a::: se•:s w,th the attechpd pleas and spec;ficotions wh;ch are a part hereof and ;n accordance with the C;ty of Jackson•I1'o o4mamces a•a t•e•sr ss of good practice listed therein. Nance of Mechanical Contractors Contractor (print) r Master 4fA co {� Nance of Freperty Owner „ Signature of Own ► Signature of w Artherised A rot Architect or Engineer 111. IWIS AL I U"'WN _ A. Typo•vf heating fuel; B. IS OTHER CONSTRUCTION /E1NG DONE N 8echic THIS NUILDING OR SITE 7 A4�'R C] Gos--C) V I] Neivrel O Central Utility If YES. GIVE NUhI/ER 0/CONSTRUCTION 0 04 r PERMIT p 000 — Specify IV. MICNANICAL EOUI►MWT TO BSE INSTALLED NATURE OR WORK (►to.ide campletf Pat of compenanM on back of this tout;) Residential or (J Commercial 14"t 0 Space E3 Recessed A Control O Fioa New Building Air Co WW"ini: Q It"M �,/Control �/ Existing Building y( J j� iy�s �a@w Replacement of existing system htaa aftm copacl. 'aw New Installation(No system previously Installed) O Extension or add-on to existing system (3 Retrpeahew O Other— Specify.� O Coating t"W: Capacity t)p+n• Q Fin, tpriAlen: Number of Mads Q owistor Q ManliN C) Ewtator IcessM►) THIS SPACE FOR OFFICE VSi ONLY '(3 04soliae pvm (number) , (Reeel.edl Q Tanks..-_- (number) RemeA s Q LPG sontol"n (avmbM) Q U*&Od pmmft volae; 0 , Permit Approved by 0440 13 Otlnr — fly Permit .. UBT ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A 1"Orlar Namlter Utslta 1)saeslption Model Number Manufaetunr (�bo+s) ey 1� __0 �-� CITY OF ATLANTIC., BEACH, FLORIDA !,' AppnMd by APPLICATION FOR ELECTRICAL PRRMIT � q TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: 1 IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TH FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WI THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF. AND IN ACCORDANCE WITH THE ELH ECTRICAL REGULATIONSo CODES AN CITY OF ATLANTIC BEACH ORDINANCES. L ► 1 CA'R IrR. I` �, ► .('z. EGE2rr!PN EEE RI FIRM'. ,TAMEAR,y CA12. t.._. i .ADDRiEEss .Aur-, RF 6100.81zE a. Lh• ��• . _ ..,_armaNs G cL i RES.(� l Arm 1 COMM.1 1 PUBLIC I 1 INDUIL 1 NEW 1 I OLD l,-� VIEW.'( I ADDITION a TRAILER 1 1 TEMP.1 I SIGNS NL,FT. SERVICE: NEW M INCREAU 1 I REPAIR 1�/1 i. PEE-------- CONDUCTOR SIZE y J R E a.DU siNG1f a PUS- EXIST.SERV.SIZa clVU AMPB S�N6�L -W X30 CAi; cRACEWAY ! FEEDERS NO. size NO. size UGHTING OUTLETS Av CONCEALED as OFEN TOTAL RECEPTACLES L40 CONCEALED 4° OPEN TO AL ice.•' 0.90 AMM. •t. 00 ANM. i t swlTCNss l INCANDESCENT • ; v i FLUORESCENT i M.V. FUtRO L0.100vat APDL IANCUS HELL TRANSF. AIR N.P.RATING H.P..RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS 611L HEAT: KWHEAT 01 aye t MOTORS H.P. VOLTAGE PHS NO. 1 N.R. VOLTAGE PHS MISCELEANIOUS rllouljz� = A e �"�' FLORIDA DEPARTMENT OF NATW, L P .l Division of Beaches and Shore:� (� A Permit Number: � t} 17 2 Bureau of Coastal Engineering and RegAittoin— 1�1 ------- 3900 Commonwealth Blvd. - M.S. 310 y No. of Pages Attached Tallahassee,Florida 32399-3000 -7' A FIELD PERMIT APPRI6V DANT TO�SECTION 161.053 6 .053 or 161.052, FLORIDA STATUTES FINDINGS OF FACT: An application for authorization to conduct the activity indicated in the location and project description shown below was filed with the Department on the date shown above. CONCLUSIONS OF LAW: The application was considered b the designee of the Director of the Division of BeachL and Shores, was found to be in compliance with the requirements o�Section 16B-33.007 Florida Administrative Code (F.A.C.) and was approved pursuant to authority subdelegated in Administrative Directive D&k 140. Approval is specifically limited to activity in the stated location and project description and the approved plans (if any), and not prohibited by the conditions provided in Section 16B-33.015,F.A.C.,or any additional conditions stated below pursuant to Rule 1613-33.015(3)(u),F.A.C. The specific subdelegations of authority exercised by the staff designee are: I, BS-5 (S ) ( ( ) and II, BS-5 PROJECT LOCATION: S<!l 13f Bch e_ �J /-- Y.;O ' /Va r. (DNR R. monument & st. address) PROJECT DESCRIPTION: 4241.1 s Tily C r /o /✓ 6)F !?< JCR KXTI-ND /�/ 9 7`D RUC/<//F.4h `f �1{ ,/act 7'/fE" ,✓ fin/ !/ ,y `;rn PA, R L C E (- !J (R EC -rr a f✓ 7t1 5"7 C P-S f�F-!r /4 T TP C`N E t7 A-l9Nbw/fA/� SADA FFNC6- SPECIAL PERMIT CONDITIONS: This permit is valid only after all applicable federal,state,and local permits are obtained and does not authorize contravention of local setback requirements or zoning or building codes. This permit shall be posted on the site as Public Notice immediately upon its date of issuance, and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other special conditions of this permit include: Dt 1'fR+CUrtAtFfy STAs,< 5 To 175e. h'2rv�r.�Je" h , A10 LI sHT1 n/q j S ,&JT 14,Jrt_1Z C r, _ APPLICANT INFORMATION: I hereby certify that: (1) I am either the owner of the subject property or have the owner's consent to secure this permit on the owners behalf; (2)I shall obtain any applicable licenses or pennrts which may he required by federal, state, county, or municipal law, prior to commencement of the authorized work; (3) 1 acknowledge that the authorized work is what I requested; and (4) I accept responsibility for compliance with with all permit conditions. Signature ps=,=V '- Date I Telephone No. Printed Name. Also Title& Company Name if applicable. ;.evi A__� L. Mailing Address .2 c i <'� ,:, DEPARTMENT FINAL ACTION: This permit application was approved on behalf of the Department of Natural Resources, Division of Beaches & Shores, and the Public Notice was posted by (staff designee):� - c- i C_.Q.x.��,- ,on Date /�S ,` 0 2 � � The permit expires 24 montbs after issuance or upon such earlier date as is hereinafter specified by the staff designee. EXPIRATION DATE: 9-s 3 D % Approved plans are attached: YES ( ] NO [ ]. Section 161.015 F A.C. (General Permit Conditions) was provided to the applicant: YES [ ] NO This permit is ['.+ is not [ ] valid without a Dgwrtrneat-app Quad "Information Form to Assess and Reduce Impacts to Marine Turtles." The Sea Turtle Program and Local Authonties were notified on (date in office): PUBLIC NOTICE: The foregoingconstitutes final agency action. Any person substantially affected by this determination has the n ht to request an adminisative hearing to be conducted in accordance with the provisions of Section 120.57 Florida Statutes ( .S.). S6ouldyou desire an administrative hearing your request must comply with the provisions of Rule 2'8-5.201, F.A.C., if requesting a formal administrative hearing, or Rule 28-5.501,F.A.C.,if requesting an►reformat hearing. Requests for hearings must be received by the Office of the General Counsel at the Department's mailing address as written above, within twenty-one �21) days after the date this notice was posted. Failure to respond within this allotted time frame shall be deemed a waiver J,allI rights to an administrative hearing. In the event that a legal sufficient petition for hearing, is not time]y received you have the right to seek judicial review of this permit pursuant to Section 120.68 F.S. and Rules 9.03Q(b�(1)(c)and 9.110,Florida Rules of Appellate Procedure. To initiate an appeal the Notice of Appeal'must he filed with the Off�fice of General Counsel and with the appropriate District Court of Appeal within thirt (30) days after this notice was posted. The Notice filed with the District Court must be accompanied by the filing fee specified in Subsection 35.22(3), F.S. DNR Form 73-122 (Rev. 11191) [White Copy-Tallahassee Office] [Yellow Copy-Applicant] [Pink Copy-Staff Designee] 3.� -�••r { G r. o t �► •`� � �� t t t ib f ^y+ T_ t Vap 0 �oma"., ,. , � `''. • "'w'�' •V;. RI •'"� ~ 4 ! �H"� ```111 s �rJ•rP �` -.�c . #i' t,s �`r N V o.+ / `p��r.�� , ..,�� G� 3- g t� Y r4 4N, DEPARTfiAENT QP BUILDING CITY OF'ATLANTIC,t8tsA W LOCATION N ZN BAT�tI�I « * P 'fi IT INF ORIIATION _ «- " 54,L 89AjCH AVE I ,ATU XTIC BEACH 1 DA3 F► ruit lY"00 iI LI f LEGAL I3E8GRIP"I a i m of 1itorict AL`I"`ER�ATI 9 . .... , '. Co» tr Trp t WOOD PBAMt Lot x 3 Block 20 8�r�tion: Pr' impo UAe: SINGLE F�AMIL:Y Tca�fa�t�i��r t 4 Cad*$ CI cul ivsi�0>r�t :�rti ttt d lc�e z $17225 Qa 40 00 I Tota . .apt 01501.00 � Au 41! 1.'00 � p',� M� _ APPLICATION FEES __ m+ ATION PERMIT 150.00 . . 'a1 Addre +wi#+A SM�� ..t � � �6��: El,A y /� ��'ii' h "^.t h°'kak°k� eYRADON J"i lr� Y. RY Slot�SJ a 5% N' T TQl1 it'l tPCtl l" ION - IIAC 'Dolt, 0A3 «..: MATER TAP0.EIO Ad UEL BT#ttET EN "'A'P " JAC L.L.E HYDRAULIC ,SHARE a 00.00 RE- TIS°'�T F`E 40 L cry � TY C J"IP#C�T,r,��"0 k` I I�TiIO P NATES. :i ; s t e it NOTICE;--Ai.L'C4NCIi,ETE FORMS AND FOOTINGS MUST BE't,N9PE tfp BEFORE POURiI�G E PERMIT VOID SIX;MONTHS AFTEWDATE OF`IS UE E9UItRING fulATERIAL,RUE3BI5H AN,I3 C1E~I ' ita.FROM THIS WORK M11aT i��}T�iE`#?i:ACE~f� IN PUSI IC: P Ce,At+1CJ Mt�tS3 I3E:'" k CLEARED LII"AND HAUL E3 AWAY BY I iTNER CONTRACTOR OR OWNER. y ' � FAILU E 'fJ C0MPLY1,'WITH THE MECHANICS' <A �N LAW CAN RESULT N THE PROPERTY OWNERPAYINGi'T'WI%E OORUIL01 140 IMPROVEMENTS. TOEt {Yi:55ANt ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN>� SUBS TO REVOCA�Q�tl�ft> i VIOLATIOti.QF APPLICASLE PRC)V18lCtE iS OF'LAW. Tmf fI54.f}t► fmiff WW: ,041323, ATLANTIC$EcAGH E3UiLDIN4 DePARTMENT t ..�. Address �� f fgC(-� Qt fJ (( FsmoPF- .i L Heated Square Footage 3 S @ $ J-3,0 0 per sq ft - Garage/Shed @ $ r sq ft - $ Carport/Porch @ $ r sq ft ¢ $ Deck @ $ persgft = $ Patio @ $ r sq ft - $ TOTAL VALUATION: $_ � �. � ;2-3 ,oo T 'Dotal valuation 1st $ Remainder Valuation per or portion thereof ------------- ------------------------------ - Total Building Fee ADDITIONAL PERMITS and/or FEES FigImm + ?i Filing Fee $ Mechanical ; C) Fireplaces @ 15.00 $ ^� Plumbing ; BL3LDING TEMnT FEE $ /.�1-1� Electric/New +------- - - --- ------ ----------- ------------ - - - -- - - Electric/Tem Septic Tank BvzLnnG PERMIT' $ / f� Well WATER METERCHAR[E $ Swinn�ix� Pool, SEWER II�fPAG'T FEE $ �� WATER FEE Sign NEDUS $ Water Connection $ Sewer Connection $ $ Water Meter Elevation Certificate GRAND 70TAL DUE $ ---------------------------------------------------------------------------------------------- cAL ULATIONS and/or NOM r I CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITION Owner(s) : Address: Sys &9Ct► 4yi Phone: � /Di j L � Lot # Block or Unit # ��« Subdivision Contractor: 6 &d� Describe work to be done: AaAeY- -n �-o /J,,r4 Present use of building: 041 e- Valuation* Proposed use: A"o L/WLe Is this an addition? e If yes, what are the dimensions of the added space: 21y, ft. X �'o " ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADION TO THE EXISTING STRUCTURE. Signature OWNER: ~ Date: Signatu ,epC �ijT$ QR: Dat CITY OF ATLANTIC BEAW Pca,vNING& ZONINc("'ICE NOV 1. :3 10 � NOV 121991 147 Budding and Zoning OWNER BUILDER PERMIT AFFIDAVIT Suite of Florida ) City of Atlantic Basch > BEFORE ME, the undersigned authority, personally appeared ----1i1-TC-C N_-t� ------------- who upon firat being duly sworn, deposes and says: P .c _ .r L Ire' Lat TZw�S� and the legal owner of-the-following propertys Subdivision ---�-4- qa /!c - ac h—------------------ Block ---- =0 - Lots '---------- - ---- ---- AKA _S�i — lcti_= 4- =------------------ I .am applying for a building permit pursuant to the Owner Builder exemption not forth in Florida Statute, Section 489. 103. Florida law requires that I have been provided vitt, the following DISCLOSURE STATEMENT% DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of 425,000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes ,and zoning regulations. It is your responsibility to make sure that people employed by you have licenses .+required by state law and by county or municipal licencing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. J�tL� PropertyOwnitr---------------------- ------ - Sworn to and sub'CIT ibed b e this- of .c�' � �• 19 ILA. 1961 LAWS sxAMCO►ORM dee Fs :19.19 R&I-LUNCIV, of (90minenrenwnt 006PARt W OYKi0ATO hlh= it MV too= J The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is'�stated in this NOTICE OF COMMENCEMENT. Description of property......N.....1 ......... ..«.....NJNy.......`�...:�.'.... ��».N....««.NN'J/cc..k..»,��N« 1c f N..............N....N..N.N.N.....N ..........................«...............N.................N«....N.................NN.NN.N....».........N............N.N.N.N..NN....NNNN...«......N...............N.N ..........................................«...«....................«......_..N«...............NN..........N........»........N............... .««N...N...............�...«........N«..............N«.«... . .. _..............................N.......NN........................N.....N..NN....N......N..................................N.........NN...NN...«...... ..N.N..«. N...Na.«.....«... .. .... General description of improvements•• L`i.`N:.4(.......NIk.d °.`.: :.NN...N .NNN�� '�.1�?1;• ««.N«N.N.M... Owner.............� � 12 2...�.......i �1��s� _....4 ?:`. ................................� ��;�' � :`�:......N...N.«NN...NN...N.............N.....N N...... . . ..... .. ... .. .. Address......................` ..........-Ch....:`�.�:�.N....,......,NN................«.....................NN.N.....N.. ..N...N..N...N....N....N.N._.._.....N.....N..N.......N......�.N.......� Owners Wered in site of the wnprovemeM...N...NN..�«:«�.....'..: s; .....N...._.........«.N ...� »NN.N.....«.NNN.....NNN._.«NN...N...«. . Fee Simple Title holder (if other 16n owner) Name...........................................J.4.:... ........«..M....«.................................................... ........N..«..........«....«...«N......«..............N«.N..«....... ._.. I1Wfes.----....N...............N...N..........N............N..................NN.......N....N......N........................N................N .. ...... Contractor..... IV 1 ».N.....N......».N.....«.N... ....................................«..«.N....N...........NN..N......N..N............N«N.NN. ... Add►ees«....«..NN..N...........N...«..................«...........N..NN....NN«......N....................N........ NN........... surely (t N«............ ,,�. N.....N.NN..NN............N..........................N..N....«..N..........NNNNN Addreu_....NNN..«....NNN.NN...N..N.N.N....N...N..........NNN.NN..«.N.».NN«........ of bund Name of person within the Slate of florid@ dw*wsd by owner upon whom notions or other doann@nes army l» served: Alan+........... ..«NN...N'.. N....�?�v�. . _.......N....N..N.N...........N...N.M.M..N...N...N.«..............M.....N.NN....NN.N.N. Nw..NN 0 Address........... «.....«........N...N.«.N..N.N..N.......N.N..N....NNN.N.N.N...M....N.N...........N.NNN.NN.......NN.....N«..NN.............. NNNN....«.N....NN»N NN...........«.. In addition to himself,owner designates the following person to receive a copy of the lienors Notice as provided in Section 713.13(1) (F), Florida Statutes. (Fill In at Owners option). NO"..............N......«............ti...............N.N..NNN.NN............»...............N..«»....N.........NNNNN.N...NN.....NN..N...N. Address...................................N...................N......................N.....NN................ .._.._. .....,.. ,_...NN......_N«..«......._.. NN.......NNN..«.........N.N.._..... T"18 GPAGX FOR RRCOROtR'e Ysa oNLV I /•�; •• h -.f i va \ r 4 1 ` `' f t ..4j ; T:T } -�--=- l R O V E D P ATLANTIC BEP i, ,' Of j, x� i qL 4 IA i a i r-- _ f , +"tee a a 1 y\�4 i I �W. wto . � a j. 05 • ,p x r o yt�1w-ow �e /�/.✓a t`Q ' • ��• ' ,�,.�.,• EST>.. `�= M' t � • 1 .� IVA loop? 14 at 8 � s . : �'9sd• oa�c+\ � J v a. "3x k L .P,PROVED C{TY OF ATLANTIC BE �( 13UJILDING OFFICE NOV 1 1991 ;:�• � APPRCiVED . �,� CITY OF ATLANTIS BEACH p fo jRi�/ ' fyWNO Nv/c /N eaves'O,�4CK ^A B 4 =71-0 ,4oL•�' y N '�. n � � i _� s ,fit�t ^ •r• .: �---�= APPROVED ,oil CITY OF ATLANTIC BEACH s.