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Permits 239 Beach Avenue CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001401 Date 10/16/08 Property Address . . . . . . 239 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12500 --------------------------------------------------------------------------- Application desc replace windows and doors ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HYMAN PELLA WINDOW AND DOOR 239 BEACH AVENUE Q/A:A DANIEL WOLFF, III ATLANTIC BEACH FL 32233 8174 BAYMEADOWS WAY W. JACKSONVILLE FL 32256 (904) 731-8330 ----------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee 47 . 50 Issue Date . . . . Valuation . . . . 12500 Expiration Date . . 4/14/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 , 50 . 00 . 00 Grand Total 142 . 50 142 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w r Se C-IX ww m O i p z a C-s z x a o o a z O 72 00 ° U o on 41 v z Z oho t� ° moo co a � ` z ay � A UZy oasZ � 14 Aaa osF L . A � " � o. 42 n P, OC U o.Z wAb y � b .i a S ifs, "O 6i .r .2 b J. . Q L e L L. U G OviZv, ri� � E- ti adtica0a 0 * cn OD x `n � W •a 00 0 M cO sem» Y^ to 00 a G U Q 000 \ C c tn .. 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Verified By: Configurations of glass conform to ASTM E1300- Created by Independent Third Party: 02. Evaluation Reports Created by Independent Third Party: 5398.2 =lDesiciner Series- Large Fixed (411-H-764.01) Large Fixed Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-C30 (1524mm x 1854mm). Created by Independent Third Party: Configurations of glass conform to ASTM E1300- Evaluation Reports 02. 1 Created by Independent Third Party: 5398.3 Designer Series - Large Fixed (411-H-764.00) Large Fixed Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-C30 (60in x 73in). Configurations of Created by Independent Third Party: glass conform to ASTM E1300-02. Evaluation Reports Created by Independent Third Party: 5398.4 IlDesigner Series -Large Fixed (411-H-763.00) Lar a Fixed Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-C60 (59in x 73in). Configurations of Created by Independent Third Party: glass conform to ASTM E1300-02. Evaluation Reports Created by Independent Third Party: 5398.5 Designer Series-Vent-Size (411-H-762.00) Fixed Casement Window Fixed Casement(Structurally Enhanced) Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-R70 (35in x 73in). Configurations of Created by Independent Third Party: glass conform to ASTM E1300-02. Evaluation Reports 11 Created by Independent Third Party: 5398.6 Designer Series-Vent-Size (411-H-762.01) Fixed Casement Window Fixed Casement(Structurally Enhanced) http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtDqutaA6Az%2fg4... 9/29/2008 1 lorida Building Code Online Page 3 of 4 Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-R70 (889mm x 1803mm). Created by Independent Third Party: Configurations of glass conform to ASTM E1300- Evaluation Reports 02. 1.1 Created by Independent Third Party: 5398.7 Designer Series Smart Sash (411-H-765.01) Clad Vent Casement Window II-Clad Vent Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: C-70 (889mm x 1854mm). Created by Independent Third Party: Configurations of glass conform to ASTM E1300- Evaluation Reports 02. 1 Created by Independent Third Party: 5398.8 Designer Series Smart Sash (411-H-765.00) Clad Vent Casement Window II- Clad Vent Casement (Structurally Enhanced) Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: C-C70 (35in x 73in). Configurations of Created by Independent Third Party: glass conform to ASTM E1300-02. Evaluation Reports Created by Independent Third Party: 5398.9 Designer Series Smart Sash (411-H-770.00) Clad Vent Casement II Clad Vent Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: C-050 (35in x 73in). Configurations of Created by Independent Third Party: glass conform to ASTM E1300-02. Evaluation Reports Created by Independent Third Party: 5398.10 Designer Series Smart Sash (411-H-770.01) Clad Vent Casement II Clad Vent Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: C-050 (889mm x 1854mm). Created by Independent Third Party: Configurations of glass conform to ASTM E1300- Evaluation Reports 02. Created by Independent Third Party: 5398.11 Designer Series Vent Size (411-H-766.01)Vent Sized Fixed Casement Fixed Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-R15 (1219mm x 1854mm). Created by Independent Third Party: Configurations of glass conform to ASTM E1300- Evaluation Reports 02. 1 Created by Independent Third Party: 5398.127� Designer Series Vent Size (411-H-766.00)Vent Size Fixed Casement Fixed Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqutaA6Az%2fg4... 9/29/2008 Tlorida Building Code Online Page 4 of 4 Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-1115 (48in x 73in). Configurations of Created by Independent Third Party: glass conform to ASTM E1300-02. Evaluation Reports Created by Independent Third Party: 5398.13 Designer Series Vent Size (411-H-767.00)Vent Size Fixed Casement Fixed Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-R50 (35in x 731n). Configurations of Created by Independent Third Party: glass conform to ASTM E1300-02. Evaluation Reports Created by Independent Third Pa 5398.14 Designer Series Vent Size (411-H-767.01)Vent Size Fixed Casement Fixed Casement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: F-R70 (899mm x 1803mm). Created by Independent Third Party: Configurations of glass conform to ASTM E1300- Evaluation Reports 02. Created by Independent Third Party: Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 32399-2100 (850)487-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved.Copyright and Disclaimer Product Approval Accepts, i1CYMd Ml�t�T'M http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqutaA6Az%2fg4... 9/29/2008 Elorida Building Code Online Page 1 of 2 23 3 BCIS Home ' Log In Hot Topics Submit Surcharge Stats&Facts !, Publications I FBC Staff BCIS Site Map Links ' Search Product Approval •►Jd' USER: Public User Product Approval Menu>Product or ARp11ca,ion_-5ga_rsh>A,pplication List>Application Detail j pal FL# FL7302 Application Type New Code Version 2004 Application Status Approved - Comments Archived Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-3494 robinsonsj@pella.com Authorized Signature Aaron Ryan ryanaj@pella.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Referenced Standard and Year(of Standard) Standard Year 101/I.S.2-97 1997 101/I.S.2/NAFS-02 2002 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvIg46Ksx 1 K... 10/14/2008 Florida Building Code Online ' Page 2 of 2 Product Approval Method Method 1 Option A Date Submitted 08/04/2006 Date Validated 08/04/2006 Date Pending FBC Approval 08/04/2006 Date Approved 08/22/2006 [7302.1 mmary of Products # Model, Number or Name Descri tion Designer Series II 411-H-823.00 - .01 Hinged Glass DoorInactive/Active Clad OutswingHinged Door mits of Use Certification Agency Certificate pproved for use in HVHZ: No FL7342_RO_C_CA. CDL._f9r...P.ella....>..-4.-.Q6.pdfpproved for use outside HVHZ: Yes Quality Assurance Contract Expiration Datempact Resistant: No esign Pressure: +40/-40 Installation Instructions Other: HGD-C40 (1907mm x 2426mm) F.L..7.3..02_R0_II_H5hin.ged...Dogr0. 02.0.5.._(.3)_MU...pdf (75.062in x 95.5in) Configurations of glass Verified By: Window and Door Manufacturers conform to ASTM E1300-02. Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 7302.2 Designer Series II 411-H-823.02 - .03 Hinged Glass Door Inactive/Active Clad Outswing Hinged Door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL7302 RO C CAC CCL for Pella 8-4-06.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No Design Pressure: +70/-70 Installation Instructions Other: HGD-C70 (1905mm x 2438mm) FL7302 RO II HShingedDoorO30205 (3)MU.pdf (75.062in x 95.5in) Configurations of glass Verified By: Window and Door Manufacturers conforms to ASTM E 1300-02 Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: Flack Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 32399-2100 (850)487-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved.Copyright and Disclalmer Product Approval Accepts: 3- ® Rid urrrzagn.b Satrtrtl w p ueFt.rr http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvIg46Ksx 1 K... 10/14/2008 WINDOW REPLACEMENT INSTRUCTIONS FOR CASEMENT, DOUBLE-HUNG AND CLAD FRAME WINDOWS USING FRAME SCREWS These instructions were tested and developed for replacing windows in wood-frame wall construction systems designed to manage moisture. Installation recommendations for other types of wall construction,wall systems,conditions,multiple windows or bow bay windows,may be obtained from Pella Corporation or a local Pella retailer.Building designs,construction methods,building materials,and site conditions unique to your project may require an installation method different from these instructions and additional care onyour part. Determining the appropriate installation method is the responsibility of you,your architect,or other construction professional. Note.This instruction is not for use in applications that have vinyl,steel or aluminum siding where water may be behind the siding above the window.In these applications, the siding may need to be removed and window installed using the new construction Installation instruction that is attached to the window. YOU WILL NEED TO SUPPLY: TOOLS REQUIRED: •Cedar or Impervious shims/spacers(12 to 20) •Tape measure •Closed cell foam backer rod/sealant backer(12 to 30 ft.), •Level •Pella SmartFlash'"foil backed butyl window and door flashing tape or equivalent •Square •High quality exterior grade polyurethane or •Hammer silicone sealant(1 tube per window) """_ am— •Great Stuff-Windowand Door Insulating Foam Sealant by the •Screwdrivers Dow Chemical Company or equivalent low pressure polyurethane (#2 Phillips and Flat blade) window and door foam-DO NOT use high pressure or latex foams. •Drill •#8 x 3-1/8"Finish head screws' r---- •#10'Torx head driver bit Installation willrequire two or more persons for safety reasons. REMEMBER TO USE APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT. 1 l 1 5; 'Flashing tape #1 #8 x 3-1/8" Flashing tape #2 / Finish head screw W ABRAH TY Always read the Pella'Limited Warranty;before purchasing or installing Pella'products.By installing this product,you are acknowledging that this Limited Warranty is part of the terms of the sale.See Limited Warranty for complete details at http✓lwarnwtypella.com. 1 PREPARE THE OPENING 1B y 3f , 1B ( A. Prepare the rough opening.It must be the correct size window frame plus 3/4° in both width and height),square,plumb and the sill must be level.If needed,block in the rough opening on both sides,the top and the bottom. Note:Ifinstalling new blocking,install the blocking so it's,lush with the exterior sheathing of the house.DO NOT attempt to install a i C s; window in an undersize opening. B. Apply sill flashing tape#1. Cut a piece of flashing tape 12" longer than the opening width.Apply at the bottom of the opening as shown.If the sheathing or water resistive barrier is exposed,apply the flashing tape (1 B)so it overhangs 1"onto the exterior sheathing or water resistive barrier. Note.-The tape is cut 12"longer than the width so that it will extend 6"up each side of the opening 1D C. Tab the sill flashing tape and fold. Cut 1°wide tabs at each corner (1/2° from each side of corner) :r (1C).Fold tape to the exterior and press firmly to adhere it to the water resistive barrier. Note:This step is not required if the exterior trim has not been removed. D.Apply sill flashing tape#2.Cut a piece of flashing tape 12° longer than the opening width.Apply at the bottom,overlapping tape#1 by at least 1 Do not allow the tape to extend past the interior face of the framing (1D). E. Install and level sill spacers.Place 1°wide by 3/8" thick spacers on the bottom of the window opening 1/2"from each side.Spacers are also required at points where windows are joined in multiple window applications.Add shims as necessary to ensure the spacers are level. Once level,attach spacers and shims to prevent movement. Note:Improper placement of shims or spacers may result in bowing the bottom of the window. F. Test fit the window. 2PREPARE THE WINDOW FOR INSTALLATION I pVER� VERY ' I VERY I _ —CJI 6' 16' 6' 6' 16"—►IJ 6" 6" 16"—+,JI 6' 6' 6' —7 E • Single • EVRY EVERY • • 9 Multiple Windows 16" • Window • � • • . • • . • . • • • A. Casement:On the room side of the window,drill 1/8"diameter "1/2- 6 clearance holes through the head,jambs and sill of the frame.Space clad Frame Head the holes a maximum of 6" from each end and a maximum of 16 2Double-Hung Head B on center. Double-Hung Jamb Note.'On vent casements,place the holes so that they do not interfere --1" with the roto operator and the latch points on the lock side of the window. Drill 1/8" Drill 1/8" clearance hole clearance hole 2B Drill 1/8' 1/4" clearance hole Drill 1/8" R 1" clearance hole TCasement Sill 2B Drill 1/8" clearance hole B. Double-Hung and Clad Frame: On the room side of the window, Clad Frame Sill drill 1/8"diameter clearance holes through the frame at the 12" locations shown.Space the holes a maximum of 6"from each end and a maximum of 16" on center. Double-Hung Sill 3SETTING AND FASTENING THE WINDOW A. Slide the window into the opening,placing the bottom of the window on the spacers at the bottom of the opening.Position the window so that the exterior face of the frame extends a minimum of 3/4" onto the exterior wall material to allow for the application of backer rod and sealant(See illustrations in Step 4 3B for sealant details). Center the window between the sides of the opening to allow clearance for shimming, and insert one#8 x 3-1/8" finish head screw into each of the top clearance holes.This will hold the window in place while shimming it plumb and square. B. Place shims 1"from the bottom and top of the window between the window and the sides of the opening and at the midpoint of the window side.Adjust the shims as required to plumb and square the window in the opening.Also shim behind all the pre-drilled clearance holes. Note.Do not shim above the window or in the space between the spacers at the bottom of the window. DO NOT over shim. C. Fasten the window to the opening by driving#8 x 3-1/8"finish head screws into each of the pre-drilled clearance holes. x 3-1/8' Clad Frame Head finish 3C finish head acre -� 1/2" Double-Hung Jamb I I 1 3C #8 x 3-1/8" finish head screw Double-Hung Head Casement Sill 3C 3fftg�Q finish head screw 1/4" 3C #8 x 3-1/8' finish head screw f Double-Hung Sill D.Check window operation (vent units only). Clad Frame Sill Architect Series and Designer Series Double-Hung:Cut the checkrail bands and remove the shipping spacers.Open and close the window a few times to check for proper operation.Make sure the window will tilt correctly. Close and lock the window. ProLine Double-Hung:To remove side spacers,slide them up to approximately 4" above the bottom sash.Lift the clip by the interior leg and rotate upward to remove. Raise the bottom sash approximately 2",and tilt the sash in by depressing the jamb liner and pulling inward on the top corners of the sash.Remove the sash clips and return the sash to its original position. Casement:Unlock the window by lifting up on the lock handle.Turn the crank to open the window. Remove the shipping spacers from between the sash and window frame. Close and lock the window. Note.If there are any problems with the operation of the window,recheck shim locations and adjust for plumb and square. 4SEALING THE WINDOW TO THE EXTERIOR WALL CLADDING When applying siding,brick veneer or other exterior finish material,leave adequate space between the window frame and the material for sealant.Refer to the illustration that corresponds to your finish material. Note.The sealant details shown are standard recommendations from the sealant industry. Contactyour sealant supplier for recommendations and instructions for these and any other applications. BRICK,VENEBR woo WOOD 51DINO SID WITH TRIM ;£ Backer Rod and Sealant typical Sealant typical Sealant typicalz?. Insulate 3/8"Clearance „_...�--1/8"Clearance Insulate 3/8"Clearance and .,::;.` AccessoryGroove Insulate Accessory and Accesso Groove and n .. Groove al per Pper � seal r Step 5 ^—Perimeter Sealant Ste 5 T...,". Perimeter Sealant Pa must extend to room Step 5 sider�oAmust extend to room f Accessory side of Accessory F G g Groove. t ° Nin. 4 SEALING THE WINDOW TO THE EXTERIOR WALL CLADDING (continued) A. Insert backer rod into the space around the window deep enough to provide at least a 1/2"clearance between the backer rod and the exterior 4A face of the window. Note:Backer rod adds shape and depth for the sealant line. B. Apply a bead of high quality exterior grade sealant to the entire perimeter 4B of the window. C.Shape,tool and clean excess sealant.When finished,the sealant should be the shape of an hourglass. Note:This method creates a more,flexible sealant line capable of expanding and contracting. �" 51NTERIOR SEAL Caution:Ensure use of low pressurepolyurethane window and door installation foams and strictly follow the foam manufacturer's recommendations for application. Use of high pressurefoams or improper application of the foam may cause the window to bow and hinder operation. A. Apply insulation foam.From the interior,insert the nozzle between the window frame and the rough 5B opening and apply a 1"deep bead of insulation,ensuring the insulating foam is between the window frame(not the jamb extension) and the rough opening.Also ensure the insulating foam contacts the flashing tape at the bottom of the rough opening.This will allow room for expansion of the foam and will minimize squeeze out.Allow the foam to cure completely(usually 8 to 24 hours)before proceeding to the next step. n Note:DO NOT completely,fill the space from the back of the backer rod to the interior face of the opening. " B. Check window operation (vent windows only) by opening and closing the window. Note.If the window does not operate correctly,check to make sure it is still plumb, 1eve4 square and that the sides are not bowed.If adjustments are required, remove the foam with a serrated knife.Adjust the shims,and reapply the insulating foam sealant. 61NTERIOR FINISHING Visible wood surfaces of Pella'products must be finished. Failure to do so voids the Limited.Warranty.If products cannot be finished immediately,cover with clear plastic film to protect from dirt,damage and moisture.Remove any construction residue before finishing.Sand A wood surfaces lightly with 180 grit or finer sandpaper.DO NOT use steel wool. BE CAREFUL NOT TO SCRATCH THE GLASS. Remove sanding dust. For additional information on finishing see the Pella Owner's Manual or go to www.pella.eom. Note. To maintain proper product performance do not paint,finish or remove the weather-stripping mohair dust pads,gaskets or vinyl parts.Air and water leakage will result if these parts are removed.If paint,stain or finish gets on the mohair weather-stripping immediately blot it thoroughly with a rag and allow it to dry.Flake off any remaining residue.After finishing allow windows to dry completely before closing them. Pella Corporation is not responsible for finishing imperfections. Use of inappropriate finishes,solvents,brickwash or cleaning chemicals will cause adverse reactions with window and door materials and voids the Limited Warranty. EXTERIOR FINISH The exterior frame and sash are protected by aluminum cladding with our tough EnduraClad'or.EnduraClad Plus baked-on factory finish that needs no painting. Clean this surface with mild soap and water. Stubborn stains and deposits may be removed with mineral spirits.DO NOT use abrasives. DO NOT scrape or use tools that might damage the surface. Use of inappropriate finishes,solvents,brickwash or cleaning chemicals will cause adverse reactions with window and door materials and voids the Limited Warranty. CARE AND MAINTENANCE Care and maintenance information is available in the Pella Owner's Manual.You can obtain an owner's manual by contacting your local Pella retailer.This information is also available on www.pelk.com. Florida Building Code Online Page 1 of 2 m BCIS Home Log In Hot Topics 's Submit Surcharge ? Stats&Facts I Publications FBC Staff BCIS Site Map Links Search s� 'fit Product Approval 0Rt USER:Public User Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL7302 Application Type New Code Version 2004 Application Status Approved Comments fn Archived Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-3494 robinsonsj@pel la.com Authorized Signature Aaron Ryan ryanaj@pella.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Referenced Standard and Year(of Standard) Standard Year 101/I.S.2-97 1997 101/I.S.2/NAFS-02 2002 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvIg46Ksx 1 Km... 9/29/2008 Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option A Date Submitted 08/04/2006 Date Validated 08/04/2006 Date Pending FBC Approval 08/04/2006 Date Approved 08/22/2006 FrflHingedDoor of Products Model, Number or Name Description Designer Series II 411-H-823.00 - .01 Hinged Glass Door Inactive/Active Clad Outswing Hinged Door se Certification Agency Certificate for use in HVHZ: No FL7.3Q.7RQ_C_ ACOL fQr_PQlld.._$..-4-_Q.F...p f for use outside HVHZ: Yes Quality Assurance Contract Expiration Date esistant: Noessure: +40/-40 Installation Instructions Other: HGD-C40 (1907mm x 2426mm) FL7.30.7_R.Q_II_H_Shinged.Q9rQ. 02Q. ....(3.)M_U...pd...f (75.062in x 95.5in) Configurations of glass Verified By: Window and Door Manufacturers conform to ASTM E1300-02. Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 7302.2 Designer Series II 411-H-823.02 - .03 Hinged Glass Door Inactive/Active Clad Outswing Hinged Door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL7302 RO C CAC CCL for Pella 8-4-06.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No Design Pressure: +70/-70 Installation Instructions Other: HGD-C70 (1905mm x 2438mm) FL7302 RO II HShingedDoorO30205 (3)MU.pdf (75.062in x 95.5in) Configurations of glass Verified By: Window and Door Manufacturers conforms to ASTM E 1300-02 Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: Back F Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 32399-2100 (850)487-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved.Copyright and Disclaimer Product Approval Accepts: 10 RN 99 E VrFlaieH fr1<wxW VIR'Fr. http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvIg46Ksx 1 Km... 9/29/2008 Cc I � "I'M :if wo --------------- A q- R Z t � > n. 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I��1N $�- $Q a .2r - pep pp� q Cyt & a Cr SI71N 11 4 .H 4 _ e8 ; R ` Sy1y,J�y City of Atlantic Beach APPLICATION NUMBER r � Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 � 3J�? E-mail: building-dept@coab.us Date routed: D City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: d3 RiA h �V�. De ment review required Yes No �13uildin Applicant: �� /� ��(�� DziD r' Planning &Zoning Public Works P . ACPublic Utilities roject �P& : : ;., Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP CATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circ) e. Comments: (B�UILNDI PLANNING &ZONING • PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: [-]Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 1 , 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 y OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845 BUILDING-DEPTCCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 231q 3f ACA Awe.11"tom t2 t 5'00 0 (05 1 ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL SUB DIVISION ❑ADDITION [3CONVERTING USE 11COMMERCIAL LOT BLOCK�� JALTERAN ❑ACCESSORY BLDG. IL' w 1 'cPoc,�xs i T1 i�'r REPAIR ITIO 13 REPAIR 11 POOL/SPA 13 YES N/A � A,,o y V\C.PBa�b; ❑MOVE ❑OTHER ❑NO AME: 1 CO ANY N E: 23 COMPANY NAME: 9. GkS • > S1c-f- S (ta.l "iao,.,'• Boor Co. • 1 AME: '1 24.LICENSEE NAME: 10.ADDRESS: 17.STATE O FLORIDA LICENSE NO.: �L 25.STATE OF FLORIDA LIC SE NO.: Z3 rtj-Ack 1 AHS • � 0<772-3, 1 F=,Q 18.ADDRESSA804 26 ADDRESS: y v ZZ3 3 " FI. -77-2 "v J 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHO E: 28.FAX NO.: at-N- qQ Zi '131 -$C:i3-A 1 7 - D 74 tr7 13.CELL PHONE: 3 21.CELL PHONE: 29.CELL -0 -33 22. EM3LAO-5 — (4 tf D 14,EMAIL DR 30 EMAI ADDRESS: Jhw- �' E��y ZX• corV� , 31.NAME: - 7 33.NAME: 35.NAME: N 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANC!NG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Wool- ig ed: Date: Signed: Date: 9 Z y '0& Before me this.� da 2007 m the county of Before me this d o 2007 in the county of Duval,State a,h pe nally appeared D tate of Florida,h s e on(ally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true andaccurate. t >✓� Notary Public at Large,State of 0 t 4V6,County of �.��') Notary Public at Large,State of `� !County of _ ❑Personally Known `• I"ersonally Kno It roduced Ident fi ti r f ❑Produced ide tificetion- IN Notary Signature: Notary Signature: ,2a1 en Ce ave .Q1e�_"' -_ :_-Commission#DD602177 '_ •_:Commission#33602177 ;€.. Expires January 13,2011 Expires January 13 2011 ' f ... q ' ��• �,.,A.Bonded Troy Fain-insurance.Inc.300-365-7018 � 1 Bonded Troy Fain-lowrante.Inc.800.905.7019 COAB FORM BLDG01:REVISED:1/10/2008 NOTICE OF COMMENCEMENT State of c7fLt QGZ. Tax Folio No. 170 1 G10 - O pO 0 County of 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 of the Florida Statutes,the following information is stated`in��this NOTICE OF COMMENCEMENT, Legal Description of property being improved: G- (v T I(O - a S -21 6 A-1-��Jt1G ,�CAC-R Address of property being improved: 3-1 A- Pic Q fik 322:33 General description of improvements: 2 C.t_U q w I vyk O.J S CQ0012.S 0 W S C4 opej to s Owner: Address: Z3 eA F� Owner's interest in site of the improvement: 3tZ Fee Simple Titleholder(if other than owner): Name: actor:?Cjja CZtACPQ,,>' 002 Ilst Address: 1 lVJ Telephone No.: C7 - p Fax No: '7 3 7 - O?49 Surety(if any) K24 Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of th t Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE � . �•� �igned Da 4�.••••��, Janice S. Havel Before . �—day of int County o Duval,State = ' Commission#DD602177 Of Florida,has person�Ly alf eared LIU AAA A. �,�:•.•, ,z Expires January 13,2011 Not Pu — air a County of uval. /� r�'A, Bonded Troy Fain•insurance.Inc 800.38&7019 Notary �'" g 'State of Flor �,� V My commission expires: v� `f�1 x- Personally Known: or ✓Produced Identification: ' rrww+ww�swou PERMIT WORKSHEET Certificate of Occupancy - Job Address: 23� Type Work: Property Owner: ' 1 Phone # -z-4(- Contractor: 5�3 Q �aS Phone # S1,z9 y Permit#: Z� 3 l3 Date Issued: 04 _ Z5?3 13 Tree Permit# Foundation Permit# Demolition Permit# GAG,✓a 3035� BUILDING ELECTRIC • L _ MECHANICAL ZR3(3 PLUMBING Z`1313 Tem .Power# Footing t -OJ JEA Release Date Temp. Power Slab Letter Rec'd. Underslab Tie Beam Temp Pole# ..3 Lintel JEA Release Gas Piping Date Nailing/ Water/ Sheathing Sewer �axf►a �,. d� s �I Rough/ ?J) b Framing Z-'I-pej Rough Rough Topout Insulation �� JEA Release Date Building Electric Mechanical Plumbing Final I j Final Final Final JEA Release Date Drainage Inspection: Pool Permit# Inspections: Steel Final Elec./Grounding Final Roofing Permit# Inspect: Nailing/Sheathing Final --� Fire Inspection: Failed Inspections: Date Paid: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION ` �� (Alterations&Additions) r✓ Date: 1 19 i o Job Address:_;M eA< kA AVE,4JJtE- Owner of Property: CAARL-C-5 I N Y �Q _-AAJ Address: 13r Q C 3A p j L Telephone: G j(1-q 9.Z`j Legal Description: BlockNu bUe . Lot Number: Zoning District: Contractor: B State License Number: Q G G atoz3 y 1c) Contractor Address:r-,REEN CMI Telephone: 90y -5—.?9 - Fax: `r't;/ 5 Describe proposed use and work to be done: P E V-t.0 p t=- q p,c V4 NnM e (wt s i s(o tE) A"p C)t' Z F-F i7ZA-Oc f IZAAAt4zzA j7 t7 �Tio.,( - U�rt22 sF�7�ZtTtav :,.,r l�ra.2 Present use of land or building(s): `�.t Valuation of proposed construction: 114-6Q, oc7u What are the dimensions of the added space: `�(�, feet x 3 3 feet Tc�7ga. S.F ,uJ<r; 0n a)'�+iw Nv Ay Will the added area be heated and cooled? ` i=-s New electrical or increase in service? ,ycilcgS c Add plumbing fixtures?1 FvLL 3firt+rho^ Add fireplace? Yr 5 -,u ,,,;a Add heating/air conditioning? Y E.S Is approval of Homeowner's Association or other private entity required? _ If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? 9NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and vrovide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, d four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atlantic-beach.ft.us Page 2 Revised 1/04 r ` CITY OF ATLANTIC BEACH N 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032121 Date 2/02/06 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . REPLCE DRIVEWAY W/ PAVERS Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -------- ---------- ------ - ------ ----------- ------ SANTAYANA, GEORGE 58 BUILDERS INC 239 BEACH AVENUE 5803 C .R. 209 SOUTH ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 529-8086 - -- --- -- ----- - ------- ------------------------- ------------------------------ Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --- --- - ---------- ---------- ---------- ---- ------ -------- -- Permit Ree Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH BUILDING /ZONING DEPARTMENT D. Ford �- `� r 800 Seminole Road L. Hioums Atlantic Beach,Florida 32233R 81160 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # — IK;;1_ 9 1 Property Address: � �� Applicant: M.t I Project: r (� This permit app ication has been: 0 Approved Reviewed and the following items need attention: 7'"D lJ • l.o 4fth 5 7Z Q0 TD Please re-submit 7wr ation when these items have been completed. Reviewed By: Date: Date Contractor Notified: + 6 �I10 J R.O.W.Permit Attachment of / for A." R.O.W.Permit# issued 2J �— ,20 Atlantic Beach,FL 32233 Owner's Name: talcs Q,, 4 r qY Property Address: X1,3 9 E A ck A JE,1 4 L ,A 41A,j Lark 3a3 3 Subdivision: Lot#/Block#: lv4 -43 86 k p 7 R.E. #: 54y !(e .�S - —IS L REVOCABLE ENCROACHMENT PERMIT � S REVOCABL ENCROACHMENT PERMIT, issued on this -- day of 20 , by Atlantic Beach, Florida, a municipal corporation organized and existing under th aws of the S to of Florida,hereinafter referred to as"CITY"and of Atlantic Beach,Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: )As 410 ,E(L L_ C oP «CMJra) 01R�vt wfls �s�ti�r.J Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: o?39 Z V_A-J, A 0&. The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 j 'd 9�8S-LbZ-b06 nH goeaa oi4ue14U jo RIZO dt►S:ZO s0 i0 q8J USER shall,at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this I—day of ,2006. CITY OF ATLANTIC BEACH,FLORIDA, By: --�i a 1 H2 a a municipal corporation: Property Owner By: - imZCviir 7A ..,. 7 Rick Ca , Pub c Works Director STATE OF FLORIDA COUNTY OF DUVAL On this day of -4�b(LUkVq 204 personally appeared before me, a Notary Public in and for said County and State, , the property owner of "')3°1 'G £w+-k AJr, ' Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. otaryublic in for said County and State Prrty Owner (to a signed in presence of the N ary AUGUSTA B-WHITHAM 110th Public,State of Florida My COMM. 9 COMM.O ,No,DD 442369 M Page 2 of 2 Z 'd SIBS-L},Z-b06 na queau 013ueiqu do RITO des:ao s0 i0 q9-d CITY OF ATLANTIC BEACH PUBLIC WORDS DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 v" / _._ (904)247-5843 Fax / www.coab.us PLAN REVIEW CONMENTS Permit Application # 2/ 2— Property Property Address: Iif Applicant: Project: 1: rl* Y >� Your application is approved as noted by the Public Works Department. A inal application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: Revocable Encroachment Permit required for pavers in Cit right-of-way (Code 19-7),. Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904)247-5834. Reviewed by ' k er, P.E., Public Works Director Date 2' Signature Contractor Notified Date CITY OF ATLANTIC BEACH Y CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 " Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date PERMIT# ISSUED BY THE CITY Job Address3� �Ac� A ilEx/ln Permitee: �R� �►,�c�E2s 2,�Jc . Telephone# 07 Permittee Address: 1 t 00 5A a ,5 s 0; ) l s t Dpi. �v,;} c7 v►-G `',,�-�Fy �►�a Requesting Permission to Construct: n. rr .,.,�aL� d e. S` ;.✓s 1 a U e R s Location: (Reference to Cross-Street) C� t:_w 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches_ A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (✓) No ( ) Date: Bell South Telephone Company Yes (/) No ( ) Date: 4a-14, - r- Ferrell Gas Yes ( ) No Date: Comcast Yes (4 No ( ) Date: ID-ii -o 5 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shai! meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of3 t�,,�.�.4,, (Contractor's Project Superintendent) located at S_,)k Telephone* 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. _Calculations showing_ang� increase in isva ery9oas area on owner's lot or in the city Right sof Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER �l Signed: Date: d� �kcv AUGUSTA B. WHITHAM Before a this,-- 14 Oi% n the County of Duval, State Of rida,has personally appea Notary Public, State Of Florida Notary ubl at Large,State of Florida, ounty of Duval. My comm.exp. June 19, 2009 My co mi ion expirep:1 Personally Known: Comm, No.DD 442369 Produced Identification: R.O.W.Permit Attachment of / for �� 0— R.O.W.Permit# issued �/ 3-- ,20 Atlantic Beach,FL 32233 Owner's Name: ANAS oQ-Saw 9 rale Property Addri J EtJ 4 C_ A410 wk lAel. 3 )-),S 3 Subdivision: Lot#/Block#: lui -43 86,_k, a 7 R.E.#: 5-6 /6 a5 - �9 REVOCABLE ENCROACHMENT PERMIT �S REVOCABL ENCROACHMENT PERMIT, issued on this day of 20 , by Atlantic Beach, Florida, a municipal corporation organized and existing under th aws of the S to of Florida, hereinafter referred to as"CITY"and of Atlantic Beach,Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: ,its 1Ii.✓$ Au tns 4.ttii.- Co�C(LJJr.J ola;Wz wAs Is 4f.) Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: a 39 Z EA--L, 9,)g- The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 t .d St es-Lira-�,06 nH 4oeag oisuelgU jo RITO dsG:20 90 10 qac USER shall,at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this I day of ,2006. CITY OF ATLANTIC BEACH,FLORIDA, By: --lAP—J a municipal corporation: Property Owner By: G �`�im �a�Z,cm r Attest: Rick Cat , Pub c Works Director STATE OF FLORIDA COUNTY OF DUVAL On this day of 2006; personally appeared before me, a Notary Public in and for said County and te, , the property owner of X9't AJe, , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. By: �- otaryublic in for said County and State Pr rty Owner (to We signed in presence of the N ary AUGUSTA g•WHIT"AM Notary Public,State of Florida jUne 19, My comm. exp :QD 442369009 Page 2 of 2 a -d st es-LbZ-t o6 na 4oeaa o i iue j id jo Rq T 0 db5 :Z0 90 To qaj F tz CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J =w ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001401 Date 12/16/08 Property Address . . . . . . 239 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12500 ---------------------------------------------------------------------------- Application desc replace windows and doors ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HYMAN PELLA WINDOW AND DOOR 239 BEACH AVENUE Q/A:A DANIEL WOLFF, III ATLANTIC BEACH FL 32233 8174 BAYMEADOWS WAY W. JACKSONVILLE FL 32256 (904) 731-8330 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee 47 . 50 Issue Date . . . . 10/16/08 Valuation . . . . 12500 Expiration Date . . 4/14/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 . 50 . 00 . 00 Grand Total 142 . 50 142 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r , CITY OF ATLANTIC BEACH R_1 �"'�" 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 `� � OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 3Cj P�AA1C lI u�o ❑NEW BUILDING ❑DEMOLITION XRESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL '^ ❑ALTERATION ❑ACCESSORY BLDG. .Q ❑REPAIR ❑POOL/SPA ❑YES ❑N/A , cW t'.vI r lu � Z ��J ❑MOVE OTHER ❑NO (+9.NAME: ( - 14.COMPANY NAME: 23.C PANY NAME: p0a, W t✓L ' CC) ' lfLNAME: 1l 24.LICEN NAME: GTf r 1-0 GS 10 ADDRESS: 17.STATE OF FLORIDA LICENSE NO.:�� / 25.STATE OF FL RIDA LICENSE NO.. G ATL 18.�ADDRESS: ^ � 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 12-111,,<NO.: I t+� 13.CELLPHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: .sbw- e �cISM W-1 11a ax. cc✓t-� 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. rt3 Signed: Date: Signed: Date: Before me this day of ,2007 in the county of Before me this day of ,2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: C fff:FA CODE COMPLIANCE COAG FORM BLDG01:REVISE 0/2008 SEE T'LAI�TTIC BEACH REmaR A-,')DfTIONAL QUIffyTS OAtvv GONDfI IONF, S. L E CQP�' REVIEWED BYDATE:l 0-& s v ° o � w as �LL a W a ° o' o CIO o 'd o � � 0 -S U 40, ° o COD, U U � � � 'a" W c� o3 ° A 3 Con Zo o cd � .8 ->a P, 8 1 1 1 Ld0 o H ° a con . a . to v 0 O bo 0 to a� � o W o G o •�, o o ^' O + O cd O Z CA 0 E-+ cnvs O x U A w a� a A O y,n :3 �; W �+ (V C,i 4 ki �o N _lk 0 cn 4.4 a w 0 0 a 0 a v a A 0 0 U b C� N H O o A El o > o O U m 4� rA V O U y 4ti r, a 00 CR cn O � O � _�+ OO � CJ � cd b4 ,� � e� �2, bA m � ctl P$04 Fo 0 O o, Cn rn W Con U - U °o on kn- ',O t. o6 0; t- 00 C1 iri tib U JU A i e '4F O a w w 0 0 w w a 0 v A v 0 b 0 a w w 0 Ocd -- p p r p p ron � QO uo a, r-+ cV M 4 vl \O F- O ,-- CV M d wi �,G � W W a Vctl U ,on rq ^� • o ti o cj .15 o v a a`�i NO"p rte„ .,"O„ di �, O g A 0 cit O/ ;�N Q L7 a0 c�ti O v q' O 'C7 C� Q' =Cd O 4r O 'p O c) UCU •°� a ami Q --� a � O 2 -0w 0 clli w � U Lq ^' wry v a � o " �" U Florida Building Code Online Page 1 of 3 BCIS Home Log In Hot Topics Submit Surcharge j Stats&Facts Publications ( FBC Staff SCIS Site Map Links ; Search 612roduct Approval 7tt USER:Public User • Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL10015-RO Application Type New '" Code Version 2004 Application Status Approved Comments iy Archived Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-3494 robinsonsj@pelia.com Authorized Signature TRAVIS EISENBARTH tmeisenbarth@pella.com Technical Representative Joseph Hayden Address/Phone/Email 102 Main Street Pella, IA 50219 (641) 621-6096 jahayden@pella.com Quality Assurance Representative Dan Tauke Address/Phone/Email 102 Main Street Pella, IA 50219 (641) 621-3314 djtauke@pella.com Category Windows Subcategory Casement Compliance Method Certification Mark or Listing Certification Agency Miami-Dade BCCO - CER Validated By Referenced Standard and Year(of Standard) Standard Year TAS1994 1994 TAS201 1994 TAS202 1994 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtDgtTtctwnUDA9T... 12/9/2008 Florida Building Code Online Page 2 of 3 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 11/20/2007 Date Validated 11/20/2007 Date Pending FBC Approval 11/23/2007 Date Approved 12/11/2007 Date Revised 10/02/2008 ._........__ .__..___ _.._..._._.._....____ Summary of Products FL# JModel, Number or Name Description 10015.1 HIG Aluminum Clad Wood Aluminum clad wood impact resistant vent Vent Casement Window casement window, mortise and tenon joints. Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL10015 RO C CAC 07-0619-12.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes Design Pressure: +75/-75 Installation Instructions Other: Vent Casements, Wind Zone 4, Missle FL10015 RO II 07-0619-12.pdf Level D, Cycle Pressure +/-75, 35" x 65" max Verified By: Miami-Dade BCCO - CER size, glazed wi 11/16" IG glazing wi PVB Created by Independent Third Party: interlayer, Reference NOA attachement 07-0619- lEvaluation Reports 12 pdf for further information.Configurations of Created by Independent Third Party: Glass Conform to ASTM E1300-02 10015.2 HIG Aluminum Clad Wood Aluminum clad wood impact resistant vent Vent Casement Window casement window, mortise and tenon joints. Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL100.15._RQ_C CAC0_..7-0619=_12_,.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes Design Pressure: +75/-75 Installation Instructions Other: Vent Casements,Wind Zone 4, Missle FL1QQ15_RO II_Q7__-0619.-12.pdf Level D, Cycle Pressure +/-75, 35" x 73" max Verified By: Miami-Dade BCCO -CER size, glazed with; 9/16" monolithic glazing wi PVB Created by Independent Third Party: or SGP interlayer, or 1" IG glazing wi PVB or SGP Evaluation Reports interlayer. Reference NOA attachement 07-0619- Created by Independent Third Party: 12 pdf for further information.Configurations of Glass Conform to ASTM E1300-02 10015.3 HIG Aluminum Clad Wood Aluminum clad wood impact resistant vent Vent Casement Window casement window, mortise and tenon joints. Limits of Use Certification Agency Certificate Approved for use In HVHZ: Yes FL10015 RO C CAC 07-0619-12.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: Yes Design Pressure: +75/-85 Installation Instructions Other: Vent Casements, Wind Zone 4, Missle FL10015 RO II 07-0619-12.pdf Level D, Cycle Pressure +75/-85, 32" x 71" &35" Verified By: Miami-Dade BCCO -CER x 65" max size, glazed wi 9/16" monolithic glazing Created by Independent Third Party: wi SGP interlayer or 1" IG glazing wi SGP Evaluation Reports interlayer, Reference NOA attachement 07-0619- Created by Independent Third Party: 12 pdf for further information. Configurations of Glass Conform to ASTM E1300-02 10015.4 HIG Aluminum Clad Wood Aluminum clad wood impact resistant vent Vent Casement Window casement window with wide stiles and rails and screwed joints. Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL10015 RO C CAC 07-0619-12.pdf http://www.floridabuilding.org/pr/pr_app_dti.aspx?param=wGEVXQwtDgtTtctwnUDA9T... 12/9/2008 Florida Building Code Online Page 3 of 3 Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: Yes Design Pressure: +60/-60 Installation Instructions Other: Vent Casements,Wind Zone 4, Missle FL10015 RO II 07-0619-12.pdf Level D, Cycle Pressure +/-60, 35" x 65" max Verified By: Miami-Dade BCCO -CER size, glazed wi 11/16" IG glazing wi PVB Created by Independent Third Party: interlayer, Reference NOA attachement 07-0619- Evaluation Reports 12 pdf for further information.Configurations of Created by Independent Third Party: Glass Conform to ASTM E1300-02 10015.5 HIG Aluminum Clad Wood Aluminum clad wood impact resistant vent Vent Casement Window casement window with wide stiles and rails and screwed joints. Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FLl_Q.Q1. _R.Q_ _OAG_.4..7.-QC1.9.-12.pd...f Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes Design Pressure: +60/-60 Installation Instructions Other: Vent Casements, Wind Zone 4, Missle FL10015 RO II 07-0619-12.pdf Level D, Cycle Pressure +/-60, 35" x 73" max Verified By: Miami-Dade BCCO -CER size, glazed with; 9/16" monolithic glazing wi PVB Created by Independent Third Party: or SGP interlayer, or 1" IG glazing wi PVB or SGP Evaluation Reports interlayer. Reference NOA attachement 07-0619- Created by Independent Third Party: 12 pdf for further information.Configurations of Glass Conform to ASTM E1300-02 Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florlda 32399-2100 (850)487-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved.copyright and Disclalmer Product Approval Accepts: Y"'T'r aecar«d Y[IIIFYF http://www.floridabuilding.org/pr/Pi_app_dtl.aspx?param=wGEVXQwtDgtTtctwnUDA9T... 12/9/2008 < D cnM. c CD c m m 3 c 0 D W c7 0 CD C C = 07 Z Cl)Cn rt O (a C CD 3 a C D d CD N N ID D `! a a g c') CD _ CD C S OD v cn --I O C N O. C7 CO N rt p co C13 Q. 0 ca cn w Z coca = c ro 0 3 CD f o - 0 CD CD z 0 Ch rte+ CD A CL� `'C > > C ( ' a '� CD o O t , Z tD w cm CD O N-0 0 CD m _i n y N O m 7 B v W D _.. 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(D (n p CD N.O G) y d� w 'p rn y n w0 mwm 7 -apo Zia rn c d =p_ 5 O (Q m n C7 c = cCD a wp c c mQ) CD to m � "m y m to m O O v n� o y 0 OC Dc A �D�P-to� `o -O, o A p o T m It n `� co Ow *=rnS r cn� -0nd pb 0 MCl)CD 3. 3 _ T O 0 ID y o ��m O nTi zn �� w W O n � 0 ^ O KP�ytox W CD m ZCD o T Ov) x s O Dg n p m o C� w i �• r o' D O = Cn GD N Nc4i y x � a ,�B n_�P .� CD _•to �• CO CSD O= O (O CaD CD CD o. c�Z OD S CnD O T1, CD g�� C C O d Cy _ CDO CD Cn PL CD CD Z CD 3 9 CD0) a, 0 M 1M I®QADE � MIAMI-Dr�DE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)372-6339 NOTICE OF ACCEPTANCE (NOA) www.miamidadexov/buildinecode Pella Corporation 102 Main Street Pella,IA 50219 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Division(In Miami Dade County) and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code,including the High Velocity Hurricane Zone. DESCRIPTION: 10'-0"Aluminum Clad Wood Outswing French Glazed Doors— L.M.I. APPROVAL DOCUMENT:Drawing No.1499,titled Architect Series"10'-0"Aluminum Clad Wood Outswing French Glazed Doors",sheets 1 through 11 of 11,dated 11/08/2006 with the latest revision dated 03/23/2007,prepared by W.W. Schafer Engineering&Consulting,P.A., signed and sealed by Warren W. Schafer,P.E.,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:Large and Small Missile Impact Resistant LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,Pella,IA or Shenandoah,IA and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. APPROVAL of this NOA shall be considered after an approval application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use, and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and supersedes NOA#06-1228.04 and consists of this page 1 and evidence page E-1 and E-2,as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D.Gascon,P.E. NOA No.07-0914.01 Expiration Date: May 16,2012 j,�0-� Approval Date: November 15,2007 0 L Page 1 Pella Corporation NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. 1499,titled Architect Series"10'4"Aluminum Clad Wood Outswing French Glazed Doors", sheets 1 through 11 of 11,dated 11/08/2006 with the latest revision dated 03/23/2007,prepared by W.W. Schafer Engineering&Consulting,P.A., signed and sealed by Warren W.Schafer, P.E. (Submitted under NOA#06-1228.04) B. TESTS 1. Test reports on: 1)Air Infiltration Test,per FBC,TAS 202-94 2)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 3) Water Resistance Test,per FBC,TAS 202-94 4)Large Missile Impact Test per FBC,TAS 201-94 5)Cyclic Wind Pressure Loading per FBC,TAS 203-94 6)Forced Entry Test,per FBC 24113.2.1,TAS 202-94 7) Correction of glazing description,dated March 23,2007 along with marked-up drawings and installation diagram prepared by Architectural Testing,Inc., Test Report No.ATI-68351.01-201-18,dated 10/23/06, signed and sealed by Joseph A. Reed,P.E. (Submitted under NOA#06-1228.04) C. CALCULATIONS 1. Anchor verification calculations and structural analysis,complying with FBC-2004, prepared by W.W. Schafer Engineering&Consulting,P.A.,dated 03/23/2007, signed and sealed by Warren W. Schafer,P.E. Complies with ASTM E1300-98102 (Submitted under NOA#06-1228.04) D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office(BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 05-1208.02 issued to E.I. DuPont DeNemours&Co.,Inc.for "DuPont Butacite PVB,Interlayer"dated 01/05/2006,expiring on 12/11/2010. F. STATEMENTS 1. Statement letter of conformance,dated December 12, 2006, signed and sealed by Warren W. Schafer, P.E. (Submitted under NOA#06-1228.04) Jaime D.Gascon,P.E. Chief,Product Control Division NOA No.07-0914.01 Expiration Date: May 16,2012 Approval Date: November 15,2007 E-1 0001-LZ9-149 cast-sec-tss!x+e cost-UL-M:3NONd Fci»'ON 'a L 0itCC V YN30YV0 Nom ffwj 3'd N3d3YHZ)S' EtlM C 6tZOS YI Y-n3d / tOx-a 3ima nnYi umnm•N seas L33SIS NIYIN ZOl 7J(/Zri 'Y d 'ONLvinsw0 sP NOLMOdHOO Yn3d ONR133NION3 H3d3YHO5 M 'M may/ 9 OYAM" S1NY1�nSHOO j J Y�'� � ' SHOO" H3N3HJ ONIMSInO lOYdV41 OYIO MUINinn-' *.0 Ol 531M3S iaMHO21Y {• 3p0 A8 NO0dWa530 NOISN3Y 'ON Nov Id11.21 J r� C O��Dn O00 NOf Or NOr 00 �^ 0= 8 N O F4 10 00 CV 6n O,60; . . = ,r Q fn ON t0 nip�(j dp cV OM On Of 1nh� IJ.1 i1 7 Q�+. 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(Z_C' search contact us help Mnaiutx nalln ftantx M.Nerinlr �,Hlm.rlonx nixl Sal,n'iurrt, f.',utnl ar"I HlpiWiri�s Pella Atrhltecturai Design Manual Coastal B High Winds Windows Fled!'dame Oked Set Fixed Frame Direct Set Single-Laminated HurricaneShield Impact-Resistant Glass Minimum Frame Maximum Frame Wind-Borne Glass Glazing Debris Protection Width Height Width Height Mbslle Wind Zone Single- PVB 10 84 10 42 D 4 Laminated SGP 10 120 10 84 D 4 Glass GlazingDesign He mark Pressure FPAB TDI NOA Certification Single- PVB 60 NA — 05-0818.05 411-H-696 Laminated SGP +/-75 NA WIN-478 05-0818.05 411-H-696 Laminated Insulated HurricaneShield Impact-Resistant Glass Minimum Frame Maximum Frame Wind-Borne Glass Glazing Debris Protection Width Haight Width Height Mlnlle Wind Zone - Laminated Insulated Glass SGP 10 10 120 60 D 4 Glass GlazingDesi nHallmark Pressure FPAS TDI NOA Certification Lamiated Glass nated InsulSGP 60 FL4874 WIN-478 — 411-H-749 Complete Product information Complete Product Information-All Brands JE Detailed Product Descriptions ii ® Curved Shape Impact-Resistant w/ILTs Detailed Product Descriptions iir'7i/ IdifJ Rectangular and Angled Shapes-Interior Glazed Impact-Resistant Detailed Product Descriptions Unit Sections/Cross-Section Details Curved Shapes for Removable Grilles sIem�. I 9/16"Single-Laminated and 1-1/4"Laminated Insulated IaNG Curved Shapes with Integral Light Technology (� 7/16'and 9/16"Single-Laminated and 1-1/4"Laminated Insulatedat t Rectangular and Angled Shapes-Interior Glazed ,,,, 7/16"and 9/16"Single-Laminated and 1-1/4"Laminated Insulated as t Specifications in 3-Part CSI Format Clad Frame Windows CSI Specifications I ®may® Curved Shape Windows CSI Specifications HurricaneShield Impact-Resistant Glazing Fixed Frame Direct Set with HurricaneShield Impact-Resistant Glass 91 U-factor,Solar Heat Gain Coefficient,Visible Light Transmission,and ENERGY STAR Performance(US and Canada) Curved,Rectangular and Angled Shapes Glazing Performance OR Sound Transmission Class and Outdoor-Indoor Transmission Class Rectangular and Angled Shapes STC-OITC 19 Vent Area,Visible Glass,Performance.Class and Grade(Design Pressure) Curved Shapes Design Pressure Performance IE Interior Glazed Rectangular and Angled Shapes Design Pressure Performance w7/ http://www.pellaadm.com/aspx/coastal.aspx?tid=1&pid=32&bid=16&mid=&nav=c&step... 12/9/2008 MIAMhGADE MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)372-6339 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/buildingcode Pella Corporation 102 Main Street Pella,IA 50219 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division(In Miami Dade County) and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code,including the High Velocity Hurricane Zone. DESCRIPTION:Series"H.I.G.Vent"Aluminum Clad Wood Casement Windows-L.M.I. APPROVAL DOCUMENT: Drawing No. 1518,titled"Series HIG Aluminum Clad Impact Casement Window",sheets 1 through 5 of 5,dated 03/23/2007,prepared by W.W.Schaefer Engineering&Consulting, P.A.,signed and sealed by Warren W.Schaefer,P.E.,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and Approval date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence page E-1,as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D.Gascon,P.E. NOA No.07-0619.12 �.t Expiration Date: November 15,2012 'o Z4�o7 Approval Date: November 15,2007 Page 1 Pella Corporation NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. 1518,titled"Series HIG Aluminum Clad Impact Casement Window",sheets 1 through 5 of 5,dated 03/23/2007,prepared by W.W. Schaefer Engineering&Consulting, P.A.,signed and sealed by Warren W. Schaefer,P.E. B. TESTS 1. Test reports on 1)Air Infiltration Test,per FBC,TAS 202-94 2)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 3)Water Resistance Test,per FBC,TAS 202-94 4)Large Missile Impact Test per FBC,TAS 201-94 5)Cyclic Wind Pressure Loading per FBC,TAS 203-94 6)Forced Entry Test,per FBC 24113.2.1,TAS 202-94 along with marked-up drawings and installation diagram,prepared by Architectural Testing, Inc.,Test Report No.ATI 71262.08-201-18,dated 07/20/2007,signed and sealed by Joseph A.Reed,P.E. C. CALCULATIONS 1. Anchor verification calculations and structural analysis,complying with FBC-2004,prepared by W.W. Schaefer Engineering&Consulting,P.A.,dated 04/12/2007,signed and sealed by Warren W.Schaefer,P.E. Complies with ASTM E1300-98/02 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office(BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No.06-1205.10 issued to E.I.DuPont DeNemours&Co.,Inc.for their "DuPont Sentry Glass®Plus"dated 02/15/07,expiring on 01/14/08. 2. Notice of Acceptance No.05-1208.02 issued to E.I.DuPont DeNemours&Co.,Inc. for their "DuPont Butacite PVB Interlayer"dated 01/05/06,expiring on 12/11/10. F. STATEMENTS 1. Statement letter of conformance,dated December 30, 1997,signed and sealed by Humayoun Farooq,P.E. 2. Statement letter of no financial interest,dated December 30, 1997,signed and sealed by Humayoun Farooq,P.E. 3. Laboratory compliance letter for Test Report no.ATI 71262.08-201-18,issued by Architectural Testing,Inc.,dated 07/20/2007,signed and sealed by Joseph A.Reed,P.E. 4. Laboratory addendum letter for Test Report no.ATI 71262.08-201-18,issued by Architectural Testing,Inc.,dated 10/12/2007,signed and sealed by Joseph A.Reed,P.E. G. OTHER 1. None Jaime D.Gascon,P. . 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In 1 o U ^f V�.y a In O -N I O a ^ a 0 Z a0 .6 0 0 0 00 0oC)e Io Z UC, o O O N I -1 M O cep —^I go OUI{ ON1 Q. 1 a. O O �O N = N O O In O O fn' O O bni OOO o mZo Z O N ` O S a rn T Z N O 1TT T V) pp 00 fr N O 00 6 00 To T o /703 rrLyr�y City of Atlantic Beach APPLICATION MBE R •� Building Department (To be assigned by the ilding Department.) ` 800 Seminole Road 1 U �� Atlantic Beach, Florida 32233-5445 �0 Phone(904)247-5826 • Fax(904)247-5845 �rF I �of 3 �' E-mail: building-dept@coab.us i Date routed: /Z City web-site: http://www.coab.us rr11� O V APPLICATION REVIEW AND TRACKING FORM CN et review required Yes No Property Address: ing Planning &Zoning Applicant: ,�, y,�,rdl_ r�►►�" ��_ Public Works illw :,,:. n 0 ,:- � _.� Public,Utilities Project. Ap�AAC�� i Public Safety fam ,r L9n j&z Ta Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI TION STATUS Reviewing Department First Review: 2Approved. ❑Denied. (Circle one.) Comments: CBUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: /02If PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH BUILDING AND PLANNING SS1 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 S) TELEPHONE:(904)247-5800 v FAX:(904)247-5845 http://ci.atlantic-beach.fl.us March 8. 2004 TO WHOM IT MAY CONCERN Re: Zoning and Land Use verification for 239 Beach Avenue within the City of Atlantic Beach Dear Sir: This letter serves to confirm that the above referenced property is zoned Residential, Multi- family (RS-2) and is located within a RM (Residential, Medium Density) future land use designation as established by the Comprehensive Plan for the City of Atlantic Beach. Subject to all other applicable permitting requirements, the proposed residential use is consistent with the established Zoning District and the Comprehensive Plan designations and does not contravene local setbacks and zoning codes. Please feel free to call 247-5817 with any further questions. Sincerely, Sonya B. boerr, AICP Community Development Director Don Ford, CBO Building Official vLl-- 31 .3 tQ•�LANrc v Z' F11)RIOP � 11 OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted I �CrLr►ti�� `>Ott Et,t7 I�.ls t�tt2p .cwt paAV ©kt I K17166ZID(Z 2,� Sc•u��o�.t_ t7R��3-� wl;.�ss �r�ec�� $40.00 REINSPECT FEE 3 It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m.to 5:00 p.m. Monday through Friday. BLDG r ICE _t_ OT OF ECTIONS FppR-c�` p &TI�.N� O R �t N T REMOVE DATE JOB ADDRES IC , d THIS JOB HAS N T BEEN LEshaEb made The following additions or corrections before the.ob will be acce ted. >J 1 t LST t $35.00 REINSPECT FEE [] NO CHARGE Builder or other It is unlawful for anyly Carpenter, Contractor, art of the all persons, to cover , cause to 'be bor other material, until the work with flooring, lath, ie time to approve proper inspector has had amp installation. BLDG After additions or corrections have EIEC been made contact the nspechin. Dept MECH______----- at 247-5826 for an Ithrou th Friday Ce PLMG_____------ hours are Monday throng to 5:00 P.m- y CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 - INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029313 Date 4/14/05 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . CONSTR OF 2STORY OFF GRDE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 450000 Owner Contractor ------------------------ ------------------------ HYMAN, C. AND HEALY, J. 58 BUILDERS INC 239 BEACH AVENUE 5803 C.R. 209 SOUTH ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 241-4929 (904) 529-8086 --------------------------------------------- ------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc REWIRE AND REPLCE UG SVC Sub Contractor BILL THOMPSON ELECTRIC CO, INC Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 t` PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH s ELECTRICAL PERMIT APPLICATION r Date: �1J Property Address: e _z--Xx e4j� Owner: fi /-rE'� Telephone#: I Contractor: A G.- BOX 3301 50 Telephone#: wSAo/ Contractor Address: ATLANTIC BEACH, FL 32233 Fax#: Z70°dS 4/�V In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Build'ng Type: ElTrailer I Service: If other construction is O New al"�Residence ❑ Temp. ❑ New being done on this building ❑ 11d ❑ commercial ❑ Signs ❑ Increase or site,list the building �'' jam"" � Permit n� ber: Re-wire Addition Sq. Ft. Repair Conductor Size: AMPS: 7,00 COPPER El ALUMINUM Switch or Yyr RACE p/ Breaker AMPS PH W �j VOLT WAY .G i Existing Service l Z JVOLT/ RACE Size AMPS ,.(j�6/ PH / W C� WAY Z I i Feeders: NO. SIZE ; NO ____";1Z1- I NO SIZE Lighting Outlets j CONCEALED 1 OPEN j i Receptacles CONCEALED ! OPEN 10 AMPS ';j 100 AMPS Switches j Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. JPHS UNDER600V OV E R600V 1 Transformers NO. KVA NO. KVA j No.Neon_Transf. Ea._Sign i Miscellaneous �/ Z -e7 Fk'7` 800 eminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845 . http://www.cLattantic-beac%Aus r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030634 Date 6/23/05 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . GAS PIPING Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ 58 BUILDERS SAWYER GAS COMPANY f 98 PENMAN ROAD JAX BEACH FL 32250 (904) 246-6471 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 m BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Jd Y CITY OF ATLANTIC BEACH Fl MECHANICAL PERM I A PLICATION Date: (5 - 0 S Property Address: �_�,—S� VC- Owner: S� l,u ;I nau _ Telephone#: Contractor: s�f�1�L:9C G6Je Telephone Contractor Address: Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the'City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: LP _Natural Central Utility ❑ oil — — Cl 313 ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat Space _Recessed _Central Floor 19\ Residential ❑ Air Conditioning: Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm 13 Refrigeration ❑ New Building , ❑ Cooling Tower:Capacity >;pm 19 ❑ Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers Gas Piping ❑ Other-Specify r ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer B'TU's Agency r TANKS Nominal Capacity Type Liquid Serial Approving How Marty &Dimensions Contauied Manufacturer No. Agency aN& mwmA 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• httu://www.ci.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030359 Date 5/16/05 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . 300AMP, 1PH, 3W, 240V, 31' Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HYMAN, CHIUCK BILL THOMPSON ELECTRIC CO, INC 239 BEACH AVENUE P.O. BOX 330150 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . GARAGE HOUSE METER 239-GMO-1 Permit Fee . . . . 125 . 00 Plan Check Fee . 00 Issue Date . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 125 . 00 125 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ffs AA 14 INS BUILDING OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: f� r- Property Address: 6� Owner: Telephone#• I _ i Contractor: S + (� 4 5'jPG��`C, _ Telephone #: Z`f�/ Contractor Address: �� Fax#: 7-70 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Bu` g Type: E) Trailer I Service: If other construction is 13 New Residence ❑ Temp. ❑ N being done on this building ❑ Old ❑ Commercial ❑ Signs Increase Or site,list the building Permit number: Re-wire ❑ Addition Sq. Ft. ❑ Repair Conductor Size: AMPS: 700 COPPER ❑_ ALUM Switch or / Z RACE Breaker AMPS PH / _ W � VOLT l WAY Existing Service J 2 RACE Size AMPS �� PH / W VOLT/' WAY it Feeders: NO. SIZE NO ,L1 NO SIZE —--- -- Lighting Outlets I CONCEALED 1 OPEN i Receptacles CONCEALED OPEN Switches i Incandescent 1 Fluorescent & M.V. Fixed o.Ioo AMPS OVER BELL Appliances TRANSFER. Air H P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT . i I Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V J Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign .¢ice Miscellaneous f �h PL'Jl f/1 �✓lP �- �Q`!//G /�J /� 800 Seminole Road - Atlantic Beach,Florida 32233-5445 t' y e- ( � hon: (904)247-5800- Fax: (904)247-5845- http://www.cLatiantic- a h.fLus } �S, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD j � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029313 Date 4/14/05 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . CONSTR OF 2STORY OFF GRDE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 450000 Owner Contractor -------------------- - -- - - ---------------------- - HYMAN, C. AND HEALY, J. 58 BUILDERS INC 239 BEACH AVENUE 5803 C.R. 209 SOUTH ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 241-4929 (904) 529-8086 ------- ------------- - -- - --- - --- - -------------------------- -- ---- -- - - --- ----- Permit . . . . . . ELECTRICAL PERMIT Additional desc REWIRE AND REPLCE UG SVC Sub Contractor BILL THOMPSON ELECTRIC CO, INC Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ----- --- - - ------- --- -- ----- -- - - ---- --- - - Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL I , l -_.• r..C'v.l i � 'li�'k.-L Z'.1^�'� .r_ .;1 ..:i 1 1f 1 t 1 k 1 ( 1 I f t I 1 1 I 1 1 1 1 I i I I ................... cc 1 fi 1 i t ... ..............•.............. rh'Ull KEVIN E MULL I CAN PHONE N0. 994 641 4419 Mar. 04 2004 06:23PM P1 13 Q 0 n O p a 0 n Q ---�- --- -Q-- -� it ii ii 14 11 11 11 11 it 11 II 11 11 ' fl -----_�A_------""`-- _----.-------- Eo 1+ It t I I+ It {1 1` "91 j1 1 _ i 11 1 1 I Ij 11 i I 11 t3 ! ----- --- --------- 1 ' I1 , 1 ;I ti +' 11 ,1 11 �' 11 ' 1. 208 gpflT"°- If u` d iY pr.Y A� f l f r Ac ess j Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Gavpc=t/Porch --Per sq ft = - I r7 VD Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ $ Total Valuat—ion lst /0— LLE $ Reminder Valuation per thousand or portion thereof -------------------------------------------- Total Building Fee $ C C, ADDITIONAL PERMITS and/or FEES REQUIRED i —UIRED + k Filing Fee $ =C, Mechanical Fireplaces @ 15.00 $ Plumbing i BUILDING!PERMIT FEE $ Electric/New ------------------------------------------------- Electric/TEup Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ Swimming Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES 411° CITY OF'ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS OwnerZ°Q �a Address 66q &Ad Phone Architect 1,Jt/l is Address Phone'-W Contractor -5Afw-Q-. AS G(-U'kL '_ Address Phone Contractors License/Certification Numbers Expiration Date Property Address 2q el� Q,v�� Zoning Lot # Blcok or Unit # Subdivision Valuation of Construction $ 5Z)o Type of Construction Describe Work to be Performed Q ` Materials to be Used Llx q C.eF'�1� xatL Present Use of Building h , Proposed Use of Building Flood Zone Dimensions of New Area: HEATED GARAGE OR STORAGE PORCH ax ( LECK PATIO YES NO NUMBER Will there be an increase in number .of units? Will there be a decrease in number of units? Any additional plumbing fixtures? Anyti new fireplaces? SUBMIT TWO COMPLETE SETS OF PLANS INCLUDING SITE PLAN Signature OWNER Date-LA/m/S Signature OONTRACIOR Date ��++ L P CITY OF ATLANTIC BEACH a ) 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Jj, Application Number . . . . . 04-00029313 Date 12/16/04 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . CONSTR OF 2STORY OFF GRDE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 450000 Owner Contractor ------------------------ ------------------------ HYMAN, C. AND HEALY, J. 58 BUILDERS INC 239 BEACH AVENUE 5803 C.R. 209 SOUTH ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 241-4929 (904) 529-8086 ---------------------------------------------- ----------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Perm +- 1545 . 00 Plan Check Fee 755 . 00 . . . Valuation . . . . 450000 -------------------------------------------------------- .,crier Fees . . . . . . . ST CONSTRUCTION SURCHARGE 9 . 12 AB CONSTRUCTION SURCHARGE 1 . 01 WATER IMPACT FEE 420 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due Permit Fee Total 1545 . 00 1545 . 00 . 00 . 00 Plan Check Total 755 . 00 755 . 00 . 00 . 00 Other Fee Total 465 . 13 465 . 13 . 00 . 00 Grand Total 2765 . 13 2765 . 13 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL s!.rL'� 1� CITY OF ATLANTIC BEACH P, PERMIT CALCULATION SHEET Date: / Address a 3 �E•E c c-E Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft = $ r, TOTAL VALUATION: $ ��,�'p 000 /,, // 0, 000 $ Total Valuation 1St $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: P.VL-- TOTAL BUILDING FEE $ ZONING: a I �z- + 1/2 Filing Fee $_ FLOOD ZONE: — , - (�) Fireplaces @ $35.00 $ r 4a IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ !!;/2 d SEWER IMPACT FEE $ -0- WATER oWATER METER/TAP $ —0- CAPITAL -b-- CAPITAL IMPROVEMENT$ r-o SEWER TAP $ p SFr" G •$-�F --A-C ( O ) RADON HRS .0050 $ - 0- SECTION 0SECTION H PAVING ( ) $ — 0 - CROSS OCROSS CONNECTION $ ?� ST(?os 7) SURCHARGE $ OTHER $ _ GRAND TOTAL DUE: $ 027(05 - 13 1/13/03 a 3 WATER IMPACT FEE WORKSHEET ADDRESS:_ DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers,residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 3 / Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountain/lcemaker Y2 Floor drains 2 Hose bib 1 Kitchen sink,domestic 2 Kitchen sink,domestic with food waste grinder and/or dishwasher 2 Laundry tray(1 or 2 compartments) 2 Lavato 1 Shower compartment domestic 2 ( Z Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink(circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet,private installation 4 Water closet,public installation 6 TOTAL NUMBER OF UNITS= / MULTIPLIED X20 TOTAL$ r CITY OF ATLANTIC BEACH D.Forel JST' BUILDING/ZONING DEPARTMENT S r ) 800 SEMINOLE ROAD J ,r ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 v. FAX:(904)247-5845 r J331�r http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# O iy - 29 313 Property Address: 2- 39 5Ep C ll Av E N U E Applicant: SS dU I MRS I N C Project: CP MTPAC114N ©F 2-STORY OFF GRAPE , �PWE f 'DDITIVN This permit application has been: 3/Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by: C-L Date: /a - (' -0 1 CITY OF ATLANTIC BEACH s' BUILDING PERMIT APPLICATION J NOV `j F (Alterations& Additions) Date: o� Job Address: 233 RACAJ AYt-Ai j i Owner of Property: C qA(_L_C 5 `_D t `{ /1 -gni t�— _j A n)L-T S fA f A l Y Address: 2-5 i7 �Lk A r� Ay Telephone: Zq1-y 9 Z7 Legal Description: Block 5 ler: Lot Number: 3 Zoning District: Contractor: 5803 NUfM ROAD 209 S. State License Number: CG C a(o�i q 15 Contractor Address: Telephone: 90Y 5-09 - X30 F6, Fax: 9L, Y Z9 - -76�1P Describe proposed use and work to be done: V E vutu O r- 4e,.- `f`i (W t 5 i s o c) Atv p 42 2 5 OL!J CEP C FiZA-M4ZF- ADDma--A - ci'-(,_-2 Present use of land or building(s): R , Valuation of proposed construction:J 45D Dc's 0 What are the dimensions of the added space: 3(P feet x 3 3 feet relr4A. s,c yf�,ur/or;,yvn Q)"HVA, Will the added area be heated and cooled? `iii=.S New electrical or increase in service? iAlORC45 t 1,1Er 0r"-sCA5, CX-6 C:izr—k Add plumbing fixtures?l huu.3rrareo.-% Add fireplace? YDS -+yfw,a Add heating/air conditioning? Y S Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? MNO. Applicant certifies that no change in site grade or fill material will be used on this project. El YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. CRNO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement d four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.f.us Page 2 Revised 1/04 r 111 CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION�� Location: L&t 3, 2k,k Q-1 -Pib+ Y)0 1 AtLAnti tet,ti Fl �N JCI 13 EACtR AV� �}�1c,n+(C, 13each ?a,�� 3 Type of Development: Flood Zone: x Required Lowest Floor Elevation: /. l C( M X4-77- V, L'j �to , 3 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 e in a pro osed development. Applicant's Signature: Date: / /9 Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1117/03 f�, DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE J ATLANTIC BEACH,FLORIDA 32233-4318 Sid TELEPHONE:(904)247-5834 FAX: (904)247-5843 J .. V SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us I'1� PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicant: " bu l l.0T R5 INC. Address: 13q 'KPCIA A%JtNU� Project: C0r15�fkycTIioy ©F 2-SIORy Your application is approved as noted by the Public Works Department. inal application approval must come from the Building Department. u Your permit application has been reviewed by the Public Works Department and the following items need attention: Provide erosion and sediment control plans with details . Provide construction site management plan, noting parking and location of dumpster. Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247-5834. Reviewed by k Carper, P.E., Public Works Director Date lt 7 e Signature Contractor Notified Date 6zX Pad ( 3 D CITY OF ATLANTIC BEACH r� ✓ BUILDING PERMIT APPLICATION =r �° (Alterations&Additions) Date: �lI« IOl Job Address: Averay i�-7 Owner of Property: C 40-LC 5 `D W-(VAN -A-1i lD 3'A^t Z_T S t-1 f M,Y Address: 25 D E) E a C)i A d E Telephone: Legal Description: Block 58It Number:_ 'j _Lot Number: 3 Zoning District: Contractor: DdKb, State License Number: e6 G &(D�y lei Contractor Address:(;RFE I CallE CDPC, cl 82943 Telephone: 9 0cl 529 - 8Q 8(R Fax: fu 5729 - -76/(e Describe proposed use and work to be done: PF-V-4-0 O F 4e)< 114 OrI ,AAE W F F s o t) A'"p C a Aa57av c?t a,J Z S To R, o IPF CWS l- D 0 177 IN-A o'+x 2 A�7� 7i� 7'0 /,Q_(rzr9 Present use of land or building(s): ` f. Valuation of proposed construction: t L45D o-Y 0 What are the dimensions of the added space: 3s,e feet x 03 feet ri74A- S F. A� »- a))+.+tivxc Will the added area be heated and cooled? `(C—S New electrical or increase in service? IAle r2tASt N£T rrJ uce*e t -oc.4 a b[t- Add plumbing fixtures?1 F=oLL"Nom Add fireplace? YE.S �w,N Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? &0 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? YNO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit, NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, d four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/04 s In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that al o provided is application is correct. Signature of owner: �7x Date: 1 hereby certify that I have re d ex d s application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be 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 goePrning of construction or the performance of construction of t property. I understand that the issuance of this permit is contingent upon the above information being true and corr d a an supporting data have been or shall be provided as required. Signature of Contractor: Date: Addre d contact information o person t receive all correspondence regarding this application(please print). 58 BUILDERS, INC. Na GRFEN COVE RPM EL 32043 Mailing Address: Telephone: `10 5Z4 Lh p 6 Fax: (20 )52 q -7716 E-Mail: 649—v ie-q _;8!2 bs XSc, AS TO OWNER: Sworn to and subscribed before me this J4 day of 0 of C�M ,20 . State of FJo 'daCounyt uv„ 1 �GELESTE R. BEA' „n t Notary's Signature: ), L& t -- p„otic- State of C .[.0 -- - C ” � 0(1?F WMIJ r t tri LJ 211 LV- - _ _ Personally known ,. i - , -- "' ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ��-fin bP� ,20 . State of Florida,County of Duval MARYA J, LECCE Notary's Signature: Notary Public, State of Florida My comm, exp. Mar, 8, 2008 Eg/Personally known Comm. No, pp 297906 ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 3 Revised 1/04 J f CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION�� Location: Lof S. 81n cK a11 2164 ,'10 i , SiA„j IV', " a�I,a tiu i,, -p S A a 3qi Q�t o cH A v C Aj1c M+c 'Beac k 3 a 3 3 Type of Development: :3 no,ie-tQ, ,\ ��s Flood Zone: X Required Lowest Floor Elevation: Wl'ff M -M ,¢S- v t L j 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 a in a pro osed development. Applicant's Signature: Date: ////9/0 ,L/ Department Use: Required lowest floor elevation: ? As built lowest floor elevation: i J Survey filed with Building Department: Building Department Representative Revised 1/17/03 FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: 4219 Builder: 58 Builders Address: Permitting Office: City, State: 0 Permit Number: Owner: July Healy& Chuck Hyman Jurisdiction Number: Climate Zone: North 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:42.5 kBtu/hr _ 3. Number of units,if multi-family 1 - SEER: 13.00 _ 4. Number of Bedrooms 5 _ b. Central Unit Cap:42.5 kBtu/hr 5. Is this a worst case? No _ SEER: 13.00 _ 6. Conditioned floor area(ft2) 4219 ft2 c. N/A 7. Glass area&type Single Pane Double Pane a. Clear glass,default U-factor 0.0 ft2 0.0 ft2 _ 13. Heating systems b. Default tint 0.0 ft2 0.0 ft2 _ a. Electric Heat Pump Cap:38.5 kBtu/hr _ c. Labeled U or SHGC 0.0 ft2 679.0 ft2 HSPF:8.35 8. Floor types _ b.Electric Heat Pump Cap:38.5 kBtu/hr _ a. Slab-On-Grade Edge Insulation R=0.0,237.0(p)ft _ HSPF:8.35 _ b.N/A _ c. N/A c. N/A _ 9. Wall types _ 14. Hot water systems a. Frame,Wood,Exterior R=19.0,3981.0 ft2 _ a. Electric Resistance Cap:50.0 gallons _ b.N/A _ EF:0.88 c. N/A _ b. Electric Resistance Cap:50.0 gallons _ d.N/A _ EF:0.88 _ e. N/A c. Conservation credits _ 10. Ceiling types _ (HR-Heat recovery,Solar a. Under Attic R=30.0,2152.0 ft2 _ DHP-Dedicated heat pump) b.N/A _ 15. HVAC credits _ c. N/A (CF-Ceiling fan,CV-Cross ventilation, 11. Ducts _ HF-Whole house fan, a. Sup:Unc. Ret:Unc. AH(Sealed):Interior Sup.R=6.0, 1.0 ft _ PT-Programmable Thermostat, b. Sup:Unc. Ret:Unc. AH(Sealed):Interior Sup.R=6.0, 1.0 ft MZ-C-Multizone cooling, MZ-H-Multizone heating) Glass/Floor Area: 0.16 Total as-built points: 44887 PASS Total base points: 58018 1 hereby certify that the plans and specifications covere Review of the plans and t%ESr by this calculation are in compliance with he lori specifications covered by this tion - ap o Energy Code. calculation indicates compliance yQ3`,,,;''�� ,,,�,,..`�� PREPARED B Dwa a art with the Florida Energy Code. `� o Before construction is completed DATE: HIg` this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 compliance with the Florida Energy Code. Florida Statutes. D OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: 2 - - O EnergyGauge®(Version: FLRCPB v3.30) FORM.600A-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT FGLASSPESditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 4219.0 20.04 15218.8 Double,U=0.87,SHGC=.66 S 0.0 0.0 4.5 35.87 1.00 161.4 Double,U=0.87,SHGC=0.66 S 0.0 0.0 18.0 35.87 1.00 645.6 Double,U=0.87,SHGC=0.66 SE 0.0 0.0 5.0 42.75 1.00 213.8 Double,U=0.87,SHGC=0.66 S 0.0 0.0 20.0 35.87 1.00 717.3 Double,U=0.87,SHGC=0.66 SW 0.0 0.0 5.0 40.16 1.00 200.8 Double,U=0.87,SHGC=0.66 S 0.0 0.0 12.5 35.87 1.00 448.3 Double,U=0.87,SHGC=0.66 W 0.0 0.0 19.3 38.52 1.00 741.6 Double,U=0.87,SHGC=0.66 W 0.0 0.0 96.0 38.52 1.00 3698.3 Double,U=0.87,SHGC=0.66 W 0.0 0.0 48.0 38.52 1.00 1849.1 Double,U=0.87,SHGC=0.66 W 0.0 0.0 12.5 38.52 1.00 481.5 Double,U=0.87,SHGC=0.66 N 0.0 0.0 6.8 19.20 1.00 129.6 Double,U=0.87,SHGC=0.66 N 0.0 0.0 45.0 19.20 1.00 864.0 Double,U=0.87,SHGC=0.66 N 0.0 0.0 18.0 19.20 1.00 345.6 Double,U=0.87,SHGC=0.66 E 7.0 9.0 2.3 42.06 0.58 55.1 Double,U=0.87,SHGC=0.66 E 5.0 9.0 12.5 42.06 0.69 362.9 Double,U=0.87,SHGC=0.66 E 0.0 0.0 25.0 42.06 1.00 1051.6 Double,U=0.87,SHGC=0.66 E 0.0 0.0 40.5 42.06 1.00 1703.6 Double,U=0.87,SHGC=0.66 S 1.5 2.0 11.3 35.87 0.57 228.1 Double,U=0.87,SHGC=0.66 W 1.5 2.0 13.5 38.52 0.60 313.3 Double,U=0.87,SHGC=0.66 S 1.5 2.0 30.0 35.87 0.57 608.3 Double,U=0.87,SHGC=0.66 S 1.5 2.0 4.0 35.87 0.57 81.1 Double,U=0.87,SHGC=0.66 W 1.5 2.0 54.0 38.52 0.60 1253.2 Double,U=0.87,SHGC=0.66 W 1.5 2.0 40.5 38.52 0.60 939.9 Double,U=0.87,SHGC=0.66 N 1.5 2.0 6.3 19.20 0.76 90.8 Double,U=0.87,SHGC=0.66 N 1.5 2.0 12.5 19.20 0.76 181.6 Double,U=0.87,SHGC=0.66 N 1.5 2.0 6.8 19.20 0.76 98.1 Double,U=0.87,SHGC=0.66 N 1.5 2.0 45.0 19.20 0.76 653.7 Double,U=0.87,SHGC=0.66 E 1.5 2.0 2.3 42.06 0.59 56.1 Double,U=0.87,SHGC=0.66 E 1.5 2.0 60.0 42.06 0.59 1496.6 Double,U=0.87,SHGC=0.66 N 1.5 2.0 2.3 19.20 0.76 32.7 As-Built Total: 679.0 19703.7 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 19.0 3981.0 0.90 3582.9 Exterior 3981.0 1.70 6767.7 Base Total: 3981.0 6767.7 1 As-Built Total: 3981.0 3582.9 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 FORM,60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 48.0 4.10 196.8 Exterior 81.8 6.10 499.0 Exterior Wood 33.8 6.10 206.2 Base Total: 81.8 499.0 As-Built Total: 81.8 403.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 2152.0 1.73 3723.0 iUnderAftic 30.0 2152.0 1.73 X 1.00 3723.0 Base Total: 2152.0 3723.0 As-Built Total: 2152.0 3723.0 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 237.0(p) -37.0 -8769.0 Slab-On-Grade Edge Insulation 0.0 237.0(p -41.20 -9764.4 Raised 0.0 0.00 0.0 Base Total: -8769.0 As-Built Total: 237.0 -9764.4 INFILTRATION Area X BSPM = Points Area X SPM = Points 4219.0 10.21 43076.0 4219.0 10.21 43076.0 Summer Base Points: 60515.4 Summer As-Built Points: 60724.1 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 60724.1 0.500 (1.090 x 1.147 x 0.86) 0.263 1.000 8615.5 60724.1 0.500 (1.090 x 1.147 x 0.86) 0.263 1.000 8615.5 60515.4 0.4266 25815.9 60724.1 1.00 1.081 0.263 1.000 17230.9 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 FORM 600A-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT FGLASSESditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point .18 4219.0 12.74 9675.0 Double,U=0.87,SHGC=.66 S 0.0 0.0 4.5 13.30 1.00 59.8 Double,U=0.87,SHGC=0.66 S 0.0 0.0 18.0 13.30 1.00 239.3 Double,U=0.87,SHGC=0.66 SE 0.0 0.0 5.0 14.71 1.00 73.5 Double,U=0.87,SHGC=0.66 S 0.0 0.0 20.0 13.30 1.00 265.9 Double,U=0.87,SHGC=0.66 SW 0.0 0.0 5.0 16.74 1.00 83.7 Double,U=0.87,SHGC=0.66 S 0.0 0.0 12.5 13.30 1.00 166.2 Double,U=0.87,SHGC=0.66 W 0.0 0.0 19.3 20.73 1.00 399.0 Double,U=0.87,SHGC=0.66 W 0.0 0.0 96.0 20.73 1.00 1989.9 Double,U=0.87,SHGC=0.66 W 0.0 0.0 48.0 20.73 1.00 995.0 Double,U=0.87,SHGC=0.66 W 0.0 0.0 12.5 20.73 1.00 259.1 Double,U=0.87,SHGC=0.66 N 0.0 0.0 6.8 24.58 1.00 165.9 Double,U=0.87,SHGC=0.66 N 0.0 0.0 45.0 24.58 1.00 1106.0 Double,U=0.87,SHGC=0.66 N 0.0 0.0 18.0 24.58 1.00 442.4 Double,U=0.87,SHGC=0.66 E 7.0 9.0 2.3 18.79 1.22 51.6 Double,U=0.87,SHGC=0.66 E 5.0 9.0 12.5 18.79 1.14 268.0 Double,U=0.87,SHGC=0.66 E 0.0 0.0 25.0 18.79 1.00 469.8 Double,U=0.87,SHGC=0.66 E 0.0 0.0 40.5 18.79 1.00 761.1 Double,U=0.87,SHGC=0.66 S 1.5 2.0 11.3 13.30 2.27 338.9 Double,U=0.87,SHGC=0.66 W 1.5 2.0 13.5 20.73 1.13 317.5 Double,U=0.87,SHGC=0.66 S 1.5 2.0 30.0 13.30 2.27 903.8 Double,U=0.87,SHGC=0.66 S 1.5 2.0 4.0 13.30 2.27 120.5 Double,U=0.87,SHGC=0.66 W 1.5 2.0 54.0 20.73 1.13 1270.1 Double,U=0.87,SHGC=0.66 W 1.5 2.0 40.5 20.73 1.13 952.6 Double,U=0.87,SHGC=0.66 N 1.5 2.0 6.3 24.58 1.01 155.9 Double,U=0.87,SHGC=0.66 N 1.5 2.0 12.5 24.58 1.01 311.8 Double,U=0.87,SHGC=0.66 N 1.5 2.0 6.8 24.58 1.01 168.3 Double,U=0.87,SHGC=0.66 N 1.5 2.0 45.0 24.58 1.01 1122.3 Double,U=0.87,SHGC=0.66 E 1.5 2.0 2.3 18.79 1.21 51.2 Double,U=0.87,SHGC=0.66 E 1.5 2.0 60.0 18.79 1.21 1365.9 Double,U=0.87,SHGC=0.66 N 1.5 2.0 2.3 24.58 1.01 56.1 As-Built Total: 679.0 14931.3 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood,Exterior 19.0 3981.0 2.20 8758.2 Exterior 3981.0 3.70 14729.7 Base Total: 3981.0 14729.7 1 As-Built Total: 3981.0 8758.2 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 FORM-60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 48.0 8.40 403.2 Exterior 81.8 12.30 1006.1 Exterior Wood 33.8 12.30 415.7 Base Total: 81.8 1006.1 As-Built Total: 81.8 818.9 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 2152.0 2.05 4411.6 Under Attic 30.0 2152.0 2.05 X 1.00 4411.6 Base Total: 2152.0 4411.6 As-Built Total: 2152.0 4411.6 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 237.0(p) 8.9 2109.3 Slab-On-Grade Edge Insulation 0.0 237.0(p 18.80 4455.6 Raised 0.0 0.00 0.0 Base Total: 2109.3 As-Built Total: 237.0 4455.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 4219.0 -0.59 -2489.2 4219.0 -0.59 -2489.2 Winter Base Points: 29442.5 Winter As-Built Points: 30886.4 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 30886.4 0.500 (1.069 x 1.169 x 0.88) 0.408 1.000 6963.1 30886.4 0.500 (1.069 x 1.169 x 0.88) 0.408 1.000 6963.1 29442.5 0.6274 18472.2 30886.4 1.00 1.104 0.408 1.000 13926.3 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 FORM.600A-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 5 2746.00 13730.0 50.0 0.88 5 0.50 2746.00 1.00 6865.0 50.0 0.88 5 0.50 2746.00 1.00 6865.0 As-Built Total: 13730.0 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 25816 18472 13730 58018 1 17231 13926 13730 44887 PASS yy�jTHE ST�_g ?�o�.n Cy COD W8 � EnergyGaugeTM' DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.30 FORM,600A-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfm/s .ft.window area; .5 cfm/s .ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 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;between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier is installed that extends from and is sealed to the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access. EXCEPTION:Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker electric or cutoff as must be provided. External or built-in heat trap required. Swimming Pools&Spas 612.1 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 j efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed, insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min. R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTm DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.30 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =86.9 The higher the score,the more efficient the home. July Healy&Chuck Hyman, , , , 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:42.5 kBtu/hr _ 3. Number of units,if multi-family I - SEER: 13.00 _ 4. Number of Bedrooms 5 b. Central Unit - Cap:42.5 kBtu/hr _ 5. Is this a worst case? No - SEER: 13.00 _ 6. Conditioned floor area(ft2) 4219 ft2 c. N/A 7. Glass area&type Single Pane Double Pane - a. Clear-single pane 0.0 ft2 0.0 ft2 - 13. Heating systems b. Clear-double pane 0.0 ft2 0.0 ft2 - a. Electric Heat Pump Cap:38.5 kBtu/hr _ c. Tint/other SHGC-single pane 0.0 ft2 679.0 ft2 - HSPF:8.35 _ d. Tint/other SHGC-double pane b.Electric Heat Pump Cap:38.5 kBtu/hr 8. Floor types - HSPF:8.35 _ a. Slab-On-Grade Edge Insulation R=0.0,237.0(p)ft _ c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:50.0 gallons _ a. Frame,Wood,Exterior R=19.0,3981.0 ft2 - EF:0.88 _ b.N/A _ b.Electric Resistance Cap:50.0 gallons _ c. N/A _ EF:0.88 _ d.N/A _ c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0,2152.0 ft2 _ 15. HVAC credits b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH(Sealed):Interior Sup.R=6.0, 1.0 ft - MZ-C-Multizone cooling, b. Sup:Unc. Ret:Unc. AH(Sealed):Interior Sup.R=6.0, 1.0 ft MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) 'TBE sT in this home before final inspection. Otherwise,a new EPL Display Card will be completed p4 = 9r�0 based on installed Code compliant features. Builder Signature: Date: "`„ d Address of New Home: City/FL Zip: �'c0D wE � *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPAIDOE EnergyStarmdesignation), your home may qualify for energy efficiency mortgage(EEM) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnergyGauge®(Version:FLRCPB v3.30) Residential System Sizing Calculation Summary July Healy&Chuck Hyman Project Title: Code Only 4219 Professional Version Climate: North 11/1 R/gnn4 Location for weather data: Jacksonville - Defaults: Latitude(30) Temp Range(M) Humidity data: Interior RH 50% Outdoor wet bulb 77F Humidity difference 49 r. Winter design temperature 32 F Summer design temperature 94 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 38 F Summer temperature difference 19 F Total heating load calculation 66483 Btuh Total coolina load calculation 76283 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total(Electric Heat Pump) 115.8 77000 Sensible(SHR = 0.7) 95.3 59500 Heat Pump +Auxiliary(O.OkW) 115.8 77000 Latent 184.1 25500 Total Electric Heat Pum 111.4 85000 WINTER CALCULATIONS Winter Heating Load for 4219 sqft) Load component Load Duts(5%) Window total 679 sqft 22475 Btuh Wall total 3981 sqft 9156 Btuh ""'dows(34%) Infil.(30%) Door total 82 sqft 1448 Btuh Ceiling total 2152 sqft 2798 Btuh Floor total 237 ft 7300 Btuh Infiltration 482 cfm 20140 Btuh Subtotal 63317 Btuh Doors(2%) CelFngs(4%) Duct loss 3166 Btuh Floors(11%) Walls(t4%) TOTAL HEAT LOSS 1 66483 Btuh SUMMER CALCULATIONS Summer Cooling Load for 4219 sqft) Load component Load Window total 679 sqft 35976 Btuh Latent internal(3%) Wall total 3981 sqft 5335 Btuh Latent infil.(15%) Door total 82 sqft 863 Btuh Ceiling total 2152 sqft 3142 Btuh Int.Gain(M) Floor total 0 Btuh Wtndows(47%) Infiltration 347 cfm 7244 Btuh Ducts(7%) Internal gain 4200 Btuh Subtotal(sensible) 56759 Btuh lnfll.(9%, Duct gain 5676 Btuh Daors(,%) Total sensible gain 62434 Btuh "`ells('%) Cellings(4%) Latent gain(infiltration) 11549 Btuh EnergyGauge® Latent gain(internal) 2300 Btuh Sys izing based on C a al Total latent gain 13849 Btuh PREPARED TOTAL HEAT GAIN 76283 Btuh DATE: I�` EnergyGauge® FLRCPB v3.30 System Sizing Calculations - Winter Residential Load - Component Details July Healy& Chuck Hyman Project Title: Code Only 4219 Professional Version Climate: North Reference City: Jacksonville (Defaults) Winter Temperature Difference: 38.0 F 11/16/2004 Window Panes/SHGC/Frame/U Orientation Area X HTM= Load 1 2, SHGC=.66, Metal, 0.87 N 4.5 33.1 149 Btuh 2 2, SHGC=0.66, Metal, 0.87 N 18.0 33.1 596 Btuh 3 2, SHGC=0.66, Metal, 0.87 NW 5.0 33.1 166 Btuh 4 2, SHGC=0.66, Metal, 0.87 N 20.0 33.1 662 Btuh 5 2, SHGC=0.66, Metal, 0.87 NE 5.0 33.1 166 Btuh 6 2, SHGC=0.66, Metal, 0.87 N 12.5 33.1 414 Btuh 7 2, SHGC=0.66, Metal, 0.87 E 19.3 33.1 637 Btuh 8 2, SHGC=0.66, Metal, 0.87 E 96.0 33.1 3178 Btuh 9 2, SHGC=0.66, Metal, 0.87 E 48.0 33.1 1589 Btuh 10 2, SHGC=0.66, Metal, 0.87 E 12.5 33.1 414 Btuh 11 2, SHGC=0.66, Metal, 0.87 S 6.8 33.1 223 Btuh 12 2, SHGC=0.66, Metal, 0.87 S 45.0 33.1 1490 Btuh 13 2, SHGC=0.66, Metal, 0.87 S 18.0 33.1 596 Btuh 14 2, SHGC=0.66, Metal, 0.87 W 2.3 33.1 74 Btuh 15 2, SHGC=0.66, Metal, 0.87 W 12.5 33.1 414 Btuh 16 2, SHGC=0.66, Metal, 0.87 W 25.0 33.1 828 Btuh 17 2, SHGC=0.66, Metal, 0.87 W 40.5 33.1 1341 Btuh 18 2, SHGC=0.66, Metal, 0.87 N 11.3 33.1 372 Btuh 19 2, SHGC=0.66, Metal, 0.87 E 13.5 33.1 447 Btuh 20 2, SHGC=0.66, Metal, 0.87 N 30.0 33.1 993 Btuh 21 2, SHGC=0.66, Metal, 0.87 N 4.0 33.1 132 Btuh 22 2, SHGC=0.66, Metal, 0.87 E 54.0 33.1 1787 Btuh 23 2, SHGC=0.66, Metal, 0.87 E 40.5 33.1 1341 Btuh 24 2, SHGC=0.66, Metal, 0.87 S 6.3 33.1 207 Btuh 25 2, SHGC=0.66, Metal, 0.87 S 12.5 33.1 414 Btuh 26 2, SHGC=0.66, Metal, 0.87 S 6.8 33.1 223 Btuh 27 2, SHGC=0.66, Metal, 0.87 S 45.0 33.1 1490 Btuh 28 2, SHGC=0.66, Metal, 0.87 W 2.3 33.1 74 Btuh 29 2, SHGC=0.66, Metal, 0.87 W 60.0 33.1 1986 Btuh 30 2, SHGC=0.66, Metal, 0.87 S 2.3 33.1 74 Btuh Window Total 679 22475 Btuh Walls Type R-Value Area X HTM= Load 1 Frame- Exterior 19.0 3981 2.3 9156 Btuh Wall Total 3981 9156 Btuh Doors Type Area X HTM= Load 1 Insulated - Exter 48 17.9 857 Btuh 2 Wood - Exter 34 17.5 591 Btuh Door Total 82 14486tuh Ceilings Type R-Value Area X HTM= Load 1 Under Attic 30.0 2152 1.3 2798 Btuh Ceiling Total 2152 27986tuh Floors Type R-Value Size X HTM= Load 1 Slab-On-Grade Edge Insul 0 237.0 ft(p) 30.8 7300 Btuh EnergyGauge® FLRCPB v3.30 Floor Total 237 7300 Btuh Manual J Winter Calculations Residential Load - Component Details (continued) July Healy&Chuck Hyman Project Title: Code Only 4219 Professional Version Climate: North 11/16/2004 Infiltration Type ACH X Building Volume CFM= Load Natural 0.40 42190(sgft) 282 11780 Btuh Mechanical 200 8360 Btuh Infiltration Total 482 20140 Btuh Subtotal 63317 Btuh Totals for Heating Duct Loss(using duct multiplier of 0.05) 3166 Btuh Total Btuh Loss 66483 Btuh Key:Window types(SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (Frame types-metal,wood or insulated metal) (U-Window U-Factor or'DEF'for default) (HTM-ManualJ Heat Transfer Multiplier) Key: Floor size(perimeter(p)for slab-on-grade or area for all other floor types) EnergyGauge® FLRCPB v3.30 System Sizing Calculations - Summer Residential Load - Component Details July Healy&Chuck Hyman Project Title: Code Only 4219 Professional Version Climate: North Reference City: Jacksonville (Defaults) Summer Temperature Difference: 19.0 F 11/16/2004 Type Overhang Window Area(sqft) HTM Load Window Panes/SHGC/U/InSh/ExShOrnt Len Hot Gross Shaded Unshaded Shaded Unshaded 1 2,SHGC=.66,0.87, N,N N 0 0 4.5 0.0 4.5 28 28 126 Btuh 2 2,SHGC=0.66,0.87,N,N N 0 0 18.0 0.0 18.0 28 28 504 Btuh 3 2,SHGC=0.66,0.87, N, N NW 0 0 5.0 0.0 5.0 28 56 280 Btuh 4 2,SHGC=0.66,0.87, N, N N 0 0 20.0 0.0 20.0 28 28 560 Btuh 5 2,SHGC=0.66,0.87, N,N NE 0 0 5.0 0.0 5.0 28 56 280 Btuh 6 2,SHGC=0.66,0.87, N,N N 0 0 12.5 0.0 12.5 28 28 350 Btuh 7 2,SHGC=0.66,0.87, N,N E 0 0 19.3 0.0 19.3 28 77 1482 Btuh 8 2,SHGC=0.66,0.87, N, N E 0 0 96.0 0.0 96.0 28 77 7392 Btuh 9 2,SHGC=0.66,0.87, N, N E 0 0 48.0 0.0 48.0 28 77 3696 Btuh 10 2,SHGC=0.66,0.87, N, N E 0 0 12.5 0.0 12.5 28 77 962 Btuh 11 2,SHGC=0.66,0.87, N, N S 0 0 6.8 0.0 6.8 28 42 284 Btuh 12 2,SHGC=0.66,0.87, N,N S 0 0 45.0 0.0 45.0 28 42 1890 Btuh 13 2,SHGC=0.66,0.87,N, N S 0 0 18.0 0.0 18.0 28 42 756 Btuh 14 2,SHGC=0.66,0.87, N,N W 7 9 2.3 0.0 2.3 28 77 173 Btuh 15 2,SHGC=0.66,0.87, N, N W 5 9 12.5 0.0 12.5 28 77 962 Btuh 16 2,SHGC=0.66,0.87,N, N W 0 0 25.0 0.0 25.0 28 77 1925 Btuh 17 2,SHGC=0.66,0.87, N,N W 0 0 40.5 0.0 40.5 28 77 3118 Btuh 18 2,SHGC=0.66,0.87,N, N N 1.5 2 11.3 0.0 11.3 28 28 315 Btuh 19 2,SHGC=0.66,0.87, N,N E 1.5 2 13.5 8.4 5.1 28 77 628 Btuh 20 2,SHGC=0.66,0.87, N, N N 1.5 2 30.0 0.0 30.0 28 28 840 Btuh 21 2,SHGC=0.66,0.87,N, N N 1.5 2 4.0 0.0 4.0 28 28 112 Btuh 22 2,SHGC=0.66,0.87,N, N E 1.5 2 54.0 33.6 20.4 28 77 2511 Btuh 23 2,SHGC=0.66,0.87, N,N E 1.5 2 40.5 25.2 15.3 28 77 1883 Btuh 24 2,SHGC=0.66,0.87,N, N S 1.5 2 6.3 6.3 0.0 28 42 175 Btuh 25 2,SHGC=0.66,0.87, N,N S 1.5 2 12.5 12.5 0.0 28 42 350 Btuh 26 2,SHGC=0.66,0.87,N, N S 1.5 2 6.8 6.8 0.0 28 42 189 Btuh 27 2,SHGC=0.66,0.87, N,N S 1.5 2 45.0 45.0 0.0 28 42 1260 Btuh 28 2,SHGC=0.66,0.87, N,N W 1.5 2 2.3 1.1 1.1 28 77 118 Btuh 29 2,SHGC=0.66,0.87,N, N W 1.5 2 60.0 37.3 22.7 28 77 2790 Btuh 30 2,SHGC=0.66,0.87, N,N S 1.5 2 2.3 2.3 0.0 28 42 63 Btuh Window Total 1 679 35976 Btuh Walls Type R-Value Area HTM Load 1 Frame-Exterior 19.0 3981.0 1.3 5335 Btuh Wall Total 3981.0 5335 Btuh Doors Type Area HTM Load 1 Insulated-Exter 48.0 10.6 510 Btuh 2 Wood-Exter 33.8 10.4 353 Btuh Door Total 81.8 863 Btuh Ceilings Type/Color R-Value Area HTM Load 1 Under Attic/Dark 30.0 2152.0 1.5 3142 Btuh Ceilina Total 2152.0 3142 Btuh EnergyGauge® FLRCPB v3.30 Manual J Summer Calculations Residential Load - Component Details (continued) July Healy&Chuck Hyman Project Title: Code Only 4219 Professional Version Climate: North 11/16/2004 Floors Type R-Value Size HTM Load 1 Slab-On-Grade Edge Insulation 0.0 237.0 ft(p) 0.0 0 Btuh Floor Total 237.0 0 Btuh Infiltration Type ACH Volume CFM= Load Natural 0.35 42190 246.6 5154 Btuh Mechanical 100 2090 Btuh Infiltration Total 347 7244 Btuh Internal Occupants Btuh/occupant Appliance Load gain 10 X 300 + 1200 4200 Btuh Subtotal 56759 Btuh Duct gain(using duct multiplier of 0.10) 5676 Btuh Total sensible gain 62434 Btuh Totals for Cooling Latent infiltration gain (for 49 gr. humidity difference) 11549 Btuh Latent occupant gain (10 people @ 230 Btuh per person 2300 Btuh Latent other gain 0 Btuh TOTAL GAIN 76283 Btuh Key: Window types(SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (U-Window U-Factor or'DEF'for default) (InSh-Interior shading device:none(N), Blinds/Daperies(B)or Roller Shades(R)) (ExSh-Exterior shading device:none(N)or numerical value) (Ornt-compass orientation) EnergyGauge® FLRCPB v3.30 Unitary Air-Source Heat Pump Page 1 of 1 Unitary Air-Source Heat Pump Program &Product Identifier Today's Date 11/16/2004 03:16:22 PM Created Date: 03/25/2002 Last Modified Date: 12/16/2002 at 05:20 PM Status: Active Obsolete: No Manufacturer: THE TRANE COMPANY ARI Reference Number: 280688 ARI Program: HP ARI Type: HRCU-A-CB Trade/Brand Name: XR12 Weathertron NAECA Designation: Yes Outdoor Model Number: 2TWR2042A] Indoor Unit(s): TWE040E13 Ventilation Rate: Product Performance Ratings ARI Rating Cooling Capacity(Btuh): 42500 SEER Rating(Cooling): 13.00 Heat Pump Only High Temp 470 F Heating Capacity(Btuh): 38500 Region IV HSPF Rating: 8.35 Low Temp 170 F Heating Capacity(Btuh): 23800 Sound Rating ARI Sound Rating(dB): Footnotes C' Back Data management&Internet services are provided by In.tertek ■�1i http://www.ariprimenet.org/ari-prog/Direct.nsf/Off29eac0137ea5c85256bbc004c l 53d/9a7... 11/16/2004 Unitary Air-Source Heat Pump Page 1 of 1 Unitary Air-Source Heat Pump Program &Product Identifier Today's Date 11/16/2004 03:16:22 PM Created Date: 03/25/2002 Last Modified Date: 1.2/16/2002 at 05:20 PM Status: Active Obsolete: No Manufacturer: THE TRANE COMPANY ARI Reference Number: 280688 ARI Program: HP ARI Type: HRCU-A-CB Trade/Brand Name: XR12 Weathertron NAECA Designation: Yes Outdoor Model Number: 2TWR2042A1 Indoor Unit(s): TWE040E13 Ventilation Rate: Product Performance Ratings ARI Rating Cooling Capacity(Btuh): 42500 SEER Rating(Cooling): 13.00 Heat Pump Only High Temp 47° F Heating Capacity(Btuh): 38500 Region 1V HSPF Rating: 8.35 Low Temp 170 F Heating Capacity(Btuh): 23800 Sound Rating ARI Sound Rating(dB): Footnotes C3 Back Data management&Internet services are provided by Intertek I AL rr a■1� http://www.ariprimenet.org/ari-prog/Direct.nsf/Off29eac0137ea5c85256bbc004c l 53d/9a7... 11/16/2004 5 MIR RETURN PHONE# f j,�CPF02b Boc)k 1.2157 Page 2468 FLA. 1977 LAWS FS 713.13 : j1n1 CTQ 409 r Pa e: 2468 Q/} Notice me l-eme P ed d Recorded 11/22/2004 11:56:46 AM FULLER CLERK �RTUIT GIRT To whom it may concern: RECORDING f 5.00 TRUST FUND $ 1.00 REC ADDITIORII t 4.00 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 .....J.�.. ......,��..�a!S .. q.U�....... �a �fi G CGl t-0 1- 3 ............... . t34t I..a.7........�..............�.�9........ G�-1....like.............1 ► .....3 233...... ................I......................................................................I.......................... General description of improvements ..L...$ y ( 2eo .......................................................................................................................................... ..................................I............ . Owner...... b ..... (�..:... ?d.. Cr!). �.....��:............ a + 1... ............................................... H n� � Address ....d..`J.,D....... ,�,P��'?...... ................... ....�?::....,...4.... ..4��:�'......r�-:...�.��3..�.................. Owner's interest in site of the improvement................................................................................................................ Fee Simple Title holder(if other than owner Name .......... CZ.rG�? .........................,........,..........................,...,.... Address ....................... ....................... .................................................. ContractorPw..; :-:....... 58:BUICU: . .0t�1................................................................................... Address ...., .. ..........b96AbUhTY.R0AD249-S... ........................ Surety(if any) ......................... GREEN COWSP99--91...1904c...............................................................I......... Address .....................................................................................I.......................... Amount of bond$ ....................... Any person making a loan for the construction improvements: Name ........................................................................................................................................................................... Address ....................................................................................................................................................................... Person within the State of Florida 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 Lienor's Notice as provided in Section 713.13 (1)(h), Florida Statues. (Fill in at Owner's option). Name ......................................................................................................................................................................... Address ...................................................................................................................................................................... This space for recorder's use only n (�-t' ..... .. .......... er Sworn to and su scribed before e this�5 day of /�. ► 1. �- ......... pis n ................... h/ / ................... ��— .z :,_ Notary Public � ' • Public ,9t C o, risr,ian f DD0681)89 i � " Bor7a1 ri'.l�•N1':irilal Notary Js CITY OF ATLANTIC BEACH C.Ford BUILDING/ZONING DEPARTMENT s Doerr---) 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 r FAX:(904)247-5845 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# 04- 2 q 313 Property Address: 239 aE A C N A-4F N m Applicant: 5� p Umnm INC Project: CONST Rk,ICYjoN 0� 1.51ORY ©Vi GpAn� . �'RRMt AJ)DIT10N This permit application has been: proved ❑ Reviewed and the following items need attention: 1112S FACED 2134F Please re-submit your pli tion when these items have been completed. Reviewed by: Date: �` CITY OF ATLANTIC BEACH i I-�' 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030549 Date 6/16/05 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . INSTALL AH/HP/HS Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---- -- - ---- ------- ------ ---- - -- --- -------------- HYMAN HEALY AIR ENGINEERS INC 239 BEACH AVENUE f 10947 BEACH BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-2333 - - ---- - --- -------------- -- -------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 91 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -- -- ------- - ----- ---------- ---------- ---- -- ---- ---------- Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CO S. BUILDING OFFICIAL CITY OF ATLANTIC BEACH s MECHANICAL PERMIT APPLICATION FRED Date: 4j— -OS I, Property Address: ;)37 &4v 14 tl-e— Owner: 4yi2VM - 44�/ Telephone #• Contractor: / e/f 1,/'L2e4e5., Telephone #: D -40.411- 333 Contractor Address:,/0951713mnlf 6 Jaime Fax#: SArk-Scs�v[I�e �,Fl 32Z�� In consideration of permit given for doing the work as described in tI*above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building � Electric or site,list the building permit number:. ❑ Gas: _LP _Natural. Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK i ❑ Heat Space _Recessed �X Central _Floor 13 Residential ❑ Air Conditioning: _Room )(Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _ Manlift Escalator (Number) ❑ Replacement of Existing System LlGasoline Pumps (Number) ❑ Tanks (Number) U New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify. ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency E-02-YC ,44X Kt� HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer .}BTU's Agency t, TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://Www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029313 Date 3/16/05 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . CONSTR OF 2STORY OFF GRDE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 450000 Owner Contractor ------------------------ ------------------------ HYMAN, C. AND HEALY, J. 58 BUILDERS INC 239 BEACH AVENUE 5803 C.R. 209 SOUTH ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 241-4929 (904) 529-8086 ---------------------------------------------------------------------- ------ Permit . . . . . . MECHANICAL PERMIT Additional desc REPLACE EXISTING HVAC Sub Contractor AIR ENGINEERS INC Permit Fee . . . . 151 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 151 . 00 151 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 151 . 00 151 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD BUILDING OFFICIAL CITY OF ATLANTIC BEACH s MECHANICAL PERMIT APPLICATION ra�,wr JF3� Date: S•�S Property Address: W3/ Owner: 1 y/A#/v -�7/Rz r Telephone #: Contractor: t IfIkkP IAIC , Telephone#: 90Vl Contractor Address: A?5�7 A6A AV Fax#: 75 aACK.3c:nP7r y& In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building Electric or site,list the building permit number: Cl Gas: _LP _Natural _Central Utility O Oil ...7 ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed Central _Floor Residential ig Air CQnditioning: Room _Central pf Duct System: Material Thickness ❑ Commercial S'CG &AC—K Maximum capacity cfm (3 Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm �( Existing Building C) Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) PC Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel O Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping Cl Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving II Number Units Description Model# Manufacturer Ton's Agency &I OE Tr?AA E3. 5 P i4o HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer ?TU's Agency 447-57r(to RA AryAT /yio 4 16 w de&r�n MW ?. w TANKS Nominal Capacity Type Liquid Serialrovin APP g How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us I CITY OF ATLANTIC BEACH .� 800 SEMINOLE ROAD SO j _ _ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029313 Date 2/07/05 Property Address . . . . . . 239 BEACH AVE Tenant nbr, name . . . . . . CONSTR OF 2STORY OFF GRDE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 450000 Owner Contractor ---- ------- ------ - ------ - ----- -- --------- ------- HYMAN, C. AND HEALY, J. 58 BUILDERS INC 239 BEACH AVENUE 5803 C.R. 209 SOUTH ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 241-4929 (904) 529-8086 ------------ -- ----- --- ------------ ------------------------- --------- -------- Permit . . . . . . PLUMBING PERMIT Additional desc INSTALL 26 FIXTURES Sub Contractor PLUMB-PAL, INC. Permit Fee . . . . 217 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 217 . 00 217 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 217 . 00 217 . 00 . 00 . 00 a PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. µ 1 BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Ville Date: ' 7 - Property Address: 2 3 9 3 f 4. 4 ile— Owner: Ne-c6 Telephone#• Contractor: Telephone#: ?-Y(. Contractor Address: z o s a C-ort(. c4c -t 1 Fax#• Z YZ. 3 'C In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, G"' New list the building permit number: ❑ Re-Pipe 9 31 3 Number of Fixtures: _ Bath Tubs Showers Closets Shower Pans / Dishwashers 3 Sinks Disposals Urinals Floor Drains Washing Machine 6 Lavatory Water / Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: b $7.00 + $35.00 = 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATIONX3,�� Location: L&f -3, B In<,k _►A t >10 5u�fa 1 vj s jc-n-€1" IL L A h b i,,h li-A -x Type of Development: S k y-\��iC � Ac fl-* C--� - Flood Zone: X Required Lowest Floor Elevation: 4S` b V, LT (it •-7 3 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 a in a pro sed development. / / Applicant's Signature: Date: // t/O q Department Use: Required lowest floor elevation: As built lowest floor elevation: , Survey filed with Building Department: Building Department Representative Revised 1117/03 "now �c FLORIDA DEPARTMENT OF .11 FLORIDA ENVIRONMENTAL PROTECT 9, N NOTICE TO PROCEED Permit Number: DU-350 Permittee: Permit Expires: August 2, 2007 Charles D. Hyman and Janet S. Healy 239 Beach Avenue Atlantic Beach, Florida 32233 You are hereby granted final authorization to proceed with the construction or activities authorized by the permit number referenced above. Authorized work must conform with the detailed project description, approved plans, and all conditions including preconstruction requirements included in the final order. A brief description of the authorized work follows. Project Description: Construction of a two-story landward addition, a frangible walkway and patio, landscape improvements, excavation and placement fill. Project Location: Btween approximately 450 feet and 550 feet north of the Department of Environmental Protection's reference monument R-52, in Duval County. Project address: 239 Beach Avenue, Atlantic Beach. Special Inst.ruct.ions: A preconstruction conference is required. Questions regarding the permit or this notice should be directed to the undersigned at: Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd. - M.S. 300 dyjQL-4. Tallahassee, Florida 32399-3000 _6A Date of Notice William S. Wilkinson, E.S. Telephone (850) 487-4475 WSW/jg cc: Permit File Permit Information Center Bobbie Nelson, Field Inspector City of Atlantic Beach Building Official DEP eom,73-isi(Rev.01,97) Post Conspicuously on the Site Department of Environmental Protection Marjory Stoneman Douglas Building Jeb Bush 3900 Commonwealth Boulevard Colleen M.Castille Governor Tallahassee, Florida 32399-3000 Secretary August 3, 2004 Charles D. Hyman and Janet S. Healy 239 Beach Avenue Atlantic Beach, Florida 32233 Dear Mr. Hyman and Ms. Healy: NOTICE TO PROCEED MODIFICATION PERMIT NUMBER: DU-350 PERMITTEE NAME: Charles D. Hyman and Janet S. Healy Your request for a permit pursuant to Section 161.053, Florida Statutes, for construction or other activities seaward of the coastal constriction control line, has been approved by the Department of Environmental Protection. However, construction may not commence until after the permittee complies with any preconstruction requirements described in Special Permit Condition 1. Please read the permit and permit conditions including both the Standard Permit Conditions and any Special Permit Conditions closely before starting constriction. Standard Permit Conditions 1(q), 1(r), and 1(s) pertain to written reports which must be submitted to the Department of Environmental Protection under the signature and seal of a professional engineer, architect, or land surveyor (as appropriate) at specified times. Forms for use in preparation of these reports are enclosed. Make sufficient copies of the periodic report form to provide the required reports. The periodic reports are due in the office of the Bureau of Beaches and Coastal Systems on a monthly basis on the last working day of each month. No progress reports are required until such time as constriction activities have started. Failure to comply with the permit, including the various reporting requirements contained in the permit conditions, will result in issuance of a violation notice or order to cease and desist all activities authorized by the permit. The Department may order illegal construction removed and legal remedies pursuant to Chapter 161 and 775, Florida Statutes, including but not limited to fines of up to $10,000 for each day of violation. Any notice of violation, including notice of delinquent periodic reports, will be mailed directly to the property owner. The permit will expire on August 2, 2007. Upon receipt of a written request signed by the permittee or authorized agent, the Department will consider extending the time limit of the permit. You must apply for a new permit for completion of any work not accomplished under the original permit. Although you may apply for a new permit, there is no assurance that such new permit for the same construction or activities would be approved. "More Protection, Less Process" Printed on recycled paper. Charles D. Hyman and Janet S. Healy August 3, 2004 Page 2 Any person whose substantial interests are affected by any decision of the Department on the application has the right to request an administrative hearing in accordance with the provisions of Sections 120.569 and 120.57 of the Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-106.201 of the Florida Administrative Code, as indicated below. Send requests for hearings to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department.must receive the request within twenty- one days after your receipt of this notice. When the Department receives an adequate and timely tiled request for hearing, the Department will request the assignment of an administrative law judge. Once an administrative law judge is requested, the referring agency will take no further action with respect to the proceeding except as a party litigant, as long as the Division of Administrative Hearings has jurisdiction over the formal proceeding. Section 120.54(5)(b)4, Florida Statutes and Rule 28-106.201(2), Florida Administrative Code, explain what must be included in a petition for a formal administrative proceeding. (a) The name and address of each agency affected and each agency's file or identification number, if known; (b) The name, address, and telephone number of the Petitioner, the name address, and telephone number of the Petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding, and an explanation of how the Petitioner's substantial interests are or will be affected by the agency determination; (c) A statement of when and how the Petitioner received notice of the agency decision; (d) A statement of all issues of material fact disputed by the Petitioner or a statement that there are no disputed facts; (e) A concise statement of the ultimate facts alleged, including a statement of the specific facts that the Petitioner contends warrant reversal or modification of the Department's action; (f) A statement of the specific rules or statues the Petitioner contends require reversal or modification of the Department's action, including an explanation of how the alleged facts relate to the specific rules or statues; and (g) A statement of the relief sought by the Petitioner, stating precisely the action that the Petitioner wants the Department to take with respect to its action. A person may request an extension of time to petition for an administrative hearing. The person filing the request for extension must do so within the time limits for filing a petition described above and serve all parties with the request. The request must state why an extension is needed. The Department will grant an extension only when good cause is shown. If a petition or request for extension of time is filed, further order of the Department becomes necessary to effectuate this notice. Accordingly, the Department's final action may be different from the position taken by it in this notice. Actions undertaken by you under this permit, pending the lapse of time allowed for the filing of such a request for hearing, may be subject to modification, removal, or restoration. Charles D. Hyman and Janet S. Healy August 3, 2004 Page 3 Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Section 120.57 of the Florida Statutes and to participate as a party to the proceeding. If a legally sufficient petition for hearing is not timely received this notice constitutes final agency action. When this order becomes final, any party to the order has the right to seek judicial review under Section 120.57 of the Florida Statutes and Rule 9.030(b)(1) and 9.110 of the Florida Rules of Appellate Procedure by filing a notice of appeal with the Department of Environmental Protection, Office of General Counsel, Department Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399, and with the appropriate district court of appeal within thirty days after this final order is filed with the Department Clerk. The notice filed with the district court must be accompanied by the filing fee specified in Subsection 35.22(3) of the Florida Statutes. Any subsequent intervention will only be at the approval of the presiding officer upon motion filed under Rule 28-106.205, Florida Administrative Code. A person whose substantial interests are affected by the Department's proposed agency action may choose to pursue mediation as an alternative remedy under Section 120.573 before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth below. A person may pursue mediation by reaching a mediation agreement with all parties to the proceeding (which include the applicant, the Department, and any person who has filed a timely and sufficient petition for a hearing) and by showing how the substantial interests of each mediating party are affected by the Department's action or proposed action. The agreement must be filed in (received by) the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, by the same deadline as set forth above for the filing of a petition. The agreement to mediate must include the following: (a) The names, addresses, and telephone numbers of any persons who may attend the mediation; (b) The name, address, and telephone number of the mediator selected by the parties, or a provision for selecting a mediator within a specified time; (c) The agreed allocation of the costs and fees associated with the mediation; (d) The agreement of the parties on the confidentiality of discussions and documents introduced during mediation; (e) The date, time, and place of the first mediation session, or a deadline for holding the first session, if no mediator has yet been chosen; (f) The name of each party's representative who shall have the authority to settle or t recommend settlement, and (g) Either an explanation of how the substantial interests of each mediating party will be affected by the action or proposed action addressed in this notice of intent or a statement clearly identifying the petition for hearing that each party has already filed, and incorporating it by reference. Charles D. Hyman and Janet S. Healy August 3, 2004 Page 4 (h) The signatures of all parties or their authorized representatives. As provided in Section 120.573 of the Florida Statutes, the timely agreement of all parties to mediate will toll the time limitations imposed by Sections 120.569 and 120.57 for requesting and holding an administrative hearing. Unless otherwise agreed by the parties, the mediation must be concluded within sixty days of the execution of the agreement. If mediation results in settlement of the administrative dispute, the Department must enter a final order incorporating the agreement of the parties. Persons whose substantial interest will be affected by such a modified final decision of the Department have a right to petition for a hearing only in accordance with the requirements for such set forth above, and must therefore file their petitions within twenty-one days of receipt of this notice. If mediation terminates without settlement of the dispute, the Department shall notify all parties in writing that the administrative hearing processes under Sections 120.569 and 120.57 remain available for disposition of the dispute, and the notice will specify the deadlines that then will apply for challenging the agency action and electing remedies tinder those two statutes. You are advised that notice of this agency's final action on this permit has been given to other interested parties. They have twenty-one days from receipt of the notice to exercise any rights they may have under Chapter 120, Florida Statutes. Actions undertaken by you under this permit, during this period may be subject to modification, removal or restoration. The authorized work is strictly limited to that described on the enclosed final order. Please direct any questions pertaining to this permit to me by letter at the above address, or by telephone 850/487-4475. Sincerely, aL. S, j William S. Wilkinson, E.S. Bureau of Beaches and Coastal Systems WSW/Jg Enclosures cc: Permit File Permit Information Center Bobbie Nelson, Field Inspector City of Atlantic Beach Building Official ��,q�gFOtE(tION STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Division of Water Resource Management .fJ Bureau of Beaches and Coastal Systems W 3900 Commonwealth Blvd. -Mail Station 300 FLORIDA Tallahassee Florida 32399-3000 (850) 487-4475 PERMIT NUMBER: DU-350 PERMITTEE: Charles D. Hyman and Janet S. Healy 239 Beach Avenue Atlantic Beach, Florida 32233 PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINAL ORDER FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the coastal construction control line which are indicated in the project description, was filed by the applicant/permittee named herein on May 5, 2004, and was determined to be complete pursuant to rule on May 5, 2004. The proposed project is to be located landward of the 30-year erosion projection and the existing line of construction established by major structures in the immediate area. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons, the Department finds that upon compliance with the permit conditions, the activities indicated in the project description are of such a nature that they will result in no significant adverse impacts to the beach/dune areas or to adjacent properties; that the work is not expected to adversely impact nesting sea turtles, their hatchlings, or their habitat; that the work is expendable in nature and/or is appropriately designed in accordance with Rule 62B-33.005, Florida Administrative Code; and that it is an activity or type of construction which the designee of the Chief of the Bureau of Beaches and Coastal Systems has authority to approve or deny pursuant to Delegation of Authority, DEP Directive 137, effective June 21, 2001. Based on the foregoing considerations, the designee approves the application; authorizes construction and/or activities at the location indicated below in strict accordance with the project description, the approved plans (if any) and the General Permit Conditions which are attached and are by this reference incorporated herein, and any additional conditions shown below, pursuant to Subsection 161.053(5), Florida Statutes. EXPIRATION DATE: LOCATION: Between approximately 450 feet and 550 feet north of the Department of Environmental Protection's reference monument R-52, in Duval County. Project address: 239 Beach Avenue, Atlantic Beach. PROJECT DESCRIPTION: Two-Story Landward Addition 1. Location relative to control line: Approximately 81.3 feet seaward. PERMITTEE: Charles D. Hyman and Janet S. Healy PERMIT NUMBER: DU-350 PAGE 2 2. Exterior dimensions: Approximately 24.7 feet in the shore-normal direction by approximately 33.5 feet in the shore-parallel direction. Excavation/Fill Total net excavation 3.6 cubic yards. Excavated material to be used on site as backfill for stemwall foundation. Other Activities 1. A frangible walkway and patio on the landward side of the structure. 2. Landscape improvements west and south of the existing dwelling. SPECIAL PERMIT CONDITIONS: 1. Prior to commencement of construction activity authorized by this permit, a preconstruction conference shall be held at the site among the contractor, the owner or authorized agent, and a staff representative of the Bureau of Beaches and Coastal Systems to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. Contact Bobbie Nelson toll free pager number 877 314-1329. All locations shall be staked in the field prior to the conference. 2. All permanent exterior lighting shall be installed and maintained as depicted on approved lighting plans. No additional permanent exterior lighting is authorized. Approved plans are incorporated into this permit ty reference. Done and ordered this day of 2004, in Tallahassee, Florida. Attachment: General Permit Conditions FILING AND ACKNOWLEDGEMENT of Florida FILED, on this date, pursuant to 5120.52 Depa ment of Envi nmental Protection Florida Statutes, with the designated Department Clerk, receipt of which is hereby acknowledged. Tony D Neal, P.E., Program Administrator Deputy Jerk Dat Bureau of Beaches and Coastal Systems J Florida Department of Environmental Protection(DEP) Division of Water Resource Management Bureau of Beaches and Coastal Systems 3900 Commonwealth Boulevard,Mail Station 300 Tallahassee,Florida 32399000 A (850)487-4475 General Permit Conditions Rule 62B-33.0155,Florida Administrative Code (1)The following general permit conditions shall apply,unless waived by the Department or modified by the permit: (a) The permittee shall carry out the construction or activity for which the permit was granted in accordance with the plans and specifications that were approved by the Department as part of the permit. Deviations therefrom, without written approval from the Department, shall be grounds for suspension of the work and revocation of the permit pursuant to Section 120.60(7), F.S., and shall result in assessment of civil fines or issuance of an order to alter or remove the unauthorized structure, or both.No other construction or activities shall be conducted. No modifications to project size, location, or structural design are authorized without prior written approval from the Department. A copy of the notice to proceed shall be conspicuously displayed at the project site. Approved plans shall be made available for inspection by a Department representative. (b)The permittee shall conduct the construction or activity authorized under the permit using extreme care to prevent any adverse impacts to the beach and dune system,marine turtles,their nests and habitat,or adjacent property and structures. (c)The permittee shall allow any duly identified and authorized member of the Department to enter upon the premises associated with the project authorized by the permit for the purpose of ascertaining compliance with the terms of the permit and with the rules of the Department until all construction or activities authorized or required in the permit have been completed and all project performance reports, certifications, or other documents are received by the Department and determined to be consistent with the permit and approved plans. (d) The permittee shall hold and save the State of Florida, the Department, and its officers and employees harmless from any damage,no matter how occasioned and no matter what the amount,to persons or property that might result from the construction or activity authorized under the permit and from any and all claims and judgments resulting from such damage. (e) The permittee shall allow the Department to use all records, notes, monitoring data, and other information relating to construction or any activity under the permit, which are submitted, for any purpose necessary except where such use is otherwise specifically forbidden by law. (f)Construction traffic shall not be operated and building materials shall not be stored on vegetated areas seaward of the control line unless specifically authorized by the permit. If the Department determines that this requirement is not being met,positive control measures, such as temporary fencing, designated access roads, adjustment of construction sequence, or other requirements, shall be provided by the permittee at the direction of the.Department. Temporary construction fencing shall not be sited within marine turtle nesting habitats. (g) The permittee shall not disturb existing beach and dune topography and vegetation except as expressly authorized in the permit.Before the project is considered complete, any disturbed topography or vegetation shall be restored as prescribed in the permit with suitable fill material or revegetated with appropriate beach and dune vegetation. (h)All fill material placed seaward of the control line shall be sand which is similar to that already existing on the site in both coloration and grain size. All such fall material shall be free of construction debris, rocks, clay, or other foreign matter; shall be obtained from a source landward of the coastal construction control line;and shall be free of coarse gravel or cobbles. (i)If surplus sand fill results from any approved excavation seaward of the control line, such material shall be distributed seaward of the control line on the site,as directed by the Department,unless otherwise specifically authorized by the permit. 0) Any native salt-tolerant vegetation destroyed during construction shall be replaced with plants of the same species or, by authorization of the Department, with other native salt-tolerant vegetation suitable for beach and dune stabilization. Unless otherwise specifically authorized by the Department, all plants installed in beach and coastal areas — whether to replace vegetation displaced, damaged, or destroyed during construction or otherwise— shall be of species indigenous to Florida beaches and dunes, such as sea oats,sea grape,saw palmetto,panic grass,saltmeadow hay cordgrass,seashore saltgrass,and railroad vine. (k)All topographic restoration and revegetation work is subject to approval by the Department, and the status of restoration shall be reported as part of the final certification of the actual work performed. (1) If not specifically authorized elsewhere in the permit, no operation, transportation, or storage of equipment or materials is authorized seaward of the dune crest or rigid coastal structure during the marine turtle nesting season.The marine turtle nesting season is May 1 through October 31 in all counties except Brevard,Indian River,St.Lucie,Martin,Palm Beach, and Broward counties where leatherback turtle nesting occurs during the period of March 1 through October 31. (m)If not specifically authorized elsewhere in the permit,no temporary lighting of the construction area is authorized at any time during the marine turtle nesting season and no additional permanent exterior lighting is authorized. Page 1 Effective:June 13,2004 (n)All windows and glass doors visible from any point on the beach must be tinted to a transmittance value (light transmission from inside to outside)of 45%or less through the use of tinted glass or window film (o)The permit has been issued to a specified property owner and is not valid for any other person unless formally transferred.An applicant requesting transfer of the permit shall sign two copies of the permit transfer agreement form, agreeing to comply with all terms and conditions of the permit, and return both copies to the Bureau. The transfer request shall be provided on the form entitled "Permit Transfer Agreement"—DEP Form 73-103 (Revised 1/04),which is hereby adopted and incorporated by reference. No work shall proceed under the permit until the new owner has received a copy of the transfer agreement approved by the Department.A copy of the transfer agreement shall be displayed on the construction site along with the permit.An expired permit shall not be transferred. (p) The permittee shall immediately inform the Bureau of any change of mailing address of the permittee and authorized agent until all requirements of the permit are met. (q) For permits involving major structures or activities, the permittee shall submit to the Bureau periodic progress reports on a monthly basis beginning at the start of construction and continuing until all work has been completed. If a permit involves either new armoring or major reconstruction of existing armoring,the reports shall be certified by an engineer licensed in the State of Florida.The permittee or engineer,as appropriate, shall certify that as of the date of each report all construction has been performed in compliance with the plans and project description approved as a part of the permit and with all conditions of the permit, or shall specify any deviation from the plans,project description, or conditions of the permit. The report shall also state the percent of completion of the project and each major individual component. The reports shall be provided to the Bureau using the form entitled"Periodic Progress Report"—DEP Form 73-111 (Revised 1/04),which is hereby adopted and incorporated by reference. Permits for minor structures or activities do not require submittal of periodic reports unless required by special permit condition. (r) For permits involving habitable major structures, all construction on the permitted structure shall stop when the foundation pilings have been installed. At that time the foundation location form shall be submitted to and accepted by the Bureau prior to proceeding with further vertical construction above the foundation. The form shall be signed by a professional'surveyor, licensed pursuant to Chapter 472,F.S.,and shall be based upon such surveys performed in accordance with Chapter 472,F.S.,as are necessary to determine the actual configuration and dimensioned relationship of the installed pilings to the control line. The information shall be provided to the Bureau using the form entitled"Foundation Location Certification"—DEP Form 73-114B(New 1/04),which is hereby adopted and incorporated by reference.Phasing of foundation certifications is acceptable.The Department shall notify the permittee of approval or rejection of the form within seven(7)working days after staff receipt of the form. All survey information upon which the form is based shall be made available to the Bureau upon request. Permits for repairs or additions to existing structures with nonconforming foundations are exempt from this condition. (s)For permits involving major structures,the permittee shall provide the Bureau with a report by an engineer or architect licensed in the State of Florida within thirty(30)days following completion of the work.The report shall state that all locations specified by the permit have been verified and that other construction and activities authorized by the permit have been performed in compliance with the plans and project description approved as a part of the permit and all conditions of the permit;or shall describe any deviations from the approved plans,project description, or permit conditions, and any work not performed. Such report shall not relieve the permittee of the provisions of paragraph 62B-33.0155(l)(a),F.A.C. If none of the permitted work is performed, the permittee shall inform the Bureau in writing no later than 30 days following expiration of the permit. The report shall be provided on the form entitled"Final Certification"DEP Form 73-115B(Revised 1/04),which is hereby adopted and incorporated by reference. (t)Authorization for construction of armoring or other rigid coastal structures is based on an engineering review and assessment of the design and anticipated performance and impact of the structure as a complete unit. Construction of any less than the complete structure as approved by the Department is not authorized and shall result in the assessment of an administrative fine and the issuance of an order to remove the partially constructed structure. Modifications to the project size, location, or structural design shall be authorized by the Department in accordance with Rule 62B-33.013,F.A.C. (2) The permittee shall not commence any excavation, construction, or other physical activity on or encroaching on the sovereignty land of Florida seaward of the mean high water line or, if established, the erosion control line until the permittee has received from the Board of Trustees of the Internal Improvement Trust Fund the required lease, license, easement, or other form of consent authorizing the proposed use. (3)The permittee shall obtain any applicable licenses or permits required by Federal,state,county,or municipal law. (4)In the event of a conflict between a general permit condition and a special permit condition,the special permit condition shall prevail. (5)Copies of any forms referenced above can be obtained by writing to the Department of Environmental Protection, Bureau of Beaches and Coastal Systems,3900 Commonwealth Boulevard,Mail Station 300,Tallahassee,Florida 32399-3000,or by telephoning (850)487-4475,extension 108. Page 2 Effective:June 13,2004 rpm .ate PERIODIC PROGRESS REPORT Bureau of Beaches and Coastal Systems Division of Water Resource Management Florida Department of Environmental Protection PERMIT NUMBER: DU-350 Mail to: 3900 Commonwealth Boulevard Mail Station 300 CHARLES D. HYMAN AND Tallahassee,Florida 32399-3000 PERMITTEE NAME: JANET S. HEALY 1. If construction has occurred, please describe its maximum extent in the space provided below(If no work at all has been performed,please report Not Started." If construction or other authorized activity has begun but no progress has been made since the last report, please report"No Progress"): CONSTRUCTION TO DATE INCLUDES: 2. All work performed as of this date is described above and is hereby certified to be in compliance with the project description and plans approved by the Department of Environmental Protection as part of the permit and with all conditions of the permit. Locations and elevations of all construction as of this date have been specifically verified as applicable and have been found to comply with the project description,approved plans,and conditions of the permit. No unpermitted construction or activity has occurred(Any exceptions to the statement above are to be described and explained under Item Number 1 above, as part of this report.The explanation should state why the construction or activities not in accordance with the permit has occurred.) 3. The property owner or authorized agent may sign these progress reports. However for new armoring or major reconstructed armoring, the reports must be signed by an engineer licensed in the state of Florida following each period in which construction has occurred. (Seal) Signature of Engineer(if applicable) Date Typed or Printed Name of Engineer(if applicable) Florida Registration Number(if applicable) Signature of Property Owner or Authorized Agent(if applicable) Date Typed or Printed Name of Property Owner or Authorized Agent DEP Form 73-111(Revised 1/04) 7. KOR FINAL CERTIFICATION Bureau of Beaches and Coastal Systems Division of Water Resource Management Florida Department of Environmental Protection Permit Number: DU-350 Mail to: 3900 Commonwealth Boulevard Mail Station 300 Charles D. Hyman and Janet Tallahassee,Florida 32399-3000 Permittee Name: S. Healy This is to certify that the work under this permit for construction or other activities seaward of the coastal construction control line pursuant to Section 161.053, Florida Statutes, which was granted by the Florida Department of Environmental Protection to the above named permittee, was inspected by the undersigned and was found to be acceptable and satisfactory in accordance with the approved plans and project description and with all conditions of the permit. All permitted construction or activities have been completed, and no unpermitted construction or activities have occurred. Location and elevations specified by the permit and approved plans have been verified and found to be correct, and topography and vegetation have been either preserved or restored as required by the permit. FOR WORK INCLUDING: Construction of a two-story landward addition, a frangible walkwav and natio, landscape improvements, excavation and placement of fill. NOTE: Any deviations from the permit and any portions of the permitted work not actually performed shall be noted and described in detail as an exception to this certification. Signature of Engineer or Architect Date Typed or Printed Name of Engineer or Ai-chitect (Seal) State of Florida Registration Number DEP Form 73-115B(Revised 1/04) t<;y DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 J RAY: (904)247-5843 t p" . SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # 44 . 29313 Applicant: T3U 11^p��s INC. Address: �-39 1 Jt AC N project:. C01YS1�mC I iv Of- 2- S1ORy OTr GRA • TpAMt ADDITION . Your application is approved as noted by the Public Utilities Department. Final application.approval must come from the Building Department. a Your permit application has been reviewed by the.Public Utilities.Department and the following items need attention: 007 - .a- ,_ AOL Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewe Donn aluzniak c Utilities Director Date Signature Contractor Notified Date -Lal)e-ec/ FLORIDA DEPARTMENT OF FIOR A ENVIRONMENTAL PROTECTION NOTICE TO PROCEED Permit. Number: DU-350 Permittee: Permit. Expires: August 2, 2007 Charles D. Hyman and Janet S. Healy 239 Beach Avenue Atlantic Beach, Florida 32233 You are hereby granted final authorization to proceed with the construction or activities authorized by the permit number referenced above. Authorized work must conform with the detailed project description, approved plans, and all conditions including preconstruction requirements included in the final order. A brief description of the authorized work follows. Project Description: Construction of a two-story landward addition, a frangible walkway and patio, landscape improvements, excavation and placement fill. Project Location: Btween approximately 450 feet and 550 feet north of the Department of Environmental Protection's reference monument R-52, in Duval County. Project address: 239 Beach Avenue, Atlantic Beach. Special Instructions: A preconstruction conference is required. Questions regarding the permit or this notice should be directed to the undersigned at: Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd. - M.S. 300 Tallahassee, Florida 32399-3000 Date of Notice William S. Wilkinson, E.S. Telephone (850) 487-4475 WSW/jg cc: Permit File Permit Information Center Bobbie Nelson, Field Inspector City of Atlantic Beach Building Official DEP Fom73-131(Rev.01/97) Post Conspicuously on the Site �pI,UTE�TiO. Department of Environmental Protection ' — — - - - Marjory Stoneman Douglas Building Jeb Bush 3900 Commonwealth Boulevard Colleen M.Castille Governor Tallahassee, Florida 32399-3000 Secretary August.3, 2004 Charles D. Hyman and Janet S. Healy 239 Beach Avenue Atlantic Beach, Florida 32233 Dear Mr. Hyman and Ms. Healy: NOTICE TO PROCEED MODIFICATION PERMIT NUMBER: DU-350 PERMITTEE NAME: Charles D. Hyman and Janet S. Healy Your request for a permit pursuant to Section 161.053, Florida Statutes, for construction or other activities seaward of the coastal construction control line, has been approved by the Department of Environmental Protection. However, construction may not commence until after the permittee complies with any preconstruction requirements described in Special Permit Condition 1. Please read the permit and permit conditions including both the Standard Permit Conditions and any Special. Permit Conditions closely before starting construction. Standard Permit Conditions 1(q), 1(r), and 1(s) pertain to written reports which must be submitted to the Department of Environmental Protection under the signature and sea] of a professional engineer, architect, or land surveyor (as appropriate) at specified times. Forms for use in preparation of these reports are enclosed. Make sufficient copies of the periodic report form to provide the required reports. The periodic reports are due in the office of the Bureau of Beaches and Coastal Systems on a monthly basis on the last working day of each month. No progress reports are required until such time as construction activities have started. Failure to comply with the permit, including the various reporting requirements contained in the permit conditions, will result in issuance of a violation notice or order to cease and desist all activities authorized by the permit. The Department may order illegal construction removed and legal remedies pursuant to Chapter 161 and 775, Florida Statutes, including but not limited to fines of up to $10,000 for each day of violation. Any notice of violation, including notice of delinquent periodic reports, will be mailed directly to the property owner. The permit will expire on August 2, 2007. Upon receipt of a written request signed by the permittee or authorized agent, the Department will consider extending the time limit of the permit. You must apply for a new permit for completion of any work not accomplished under the original permit. Although you may apply for a new permit, there is no assurance that such new permit for the same construction or activities would be approved. "More Protection, Less Process" Printed on recycled paper. Charles D. Hyman and Janet S. Healy August 3, 2004 Page 2 Any person whose substantial interests are affected by any decision of the Department on the application has the right to request an administrative hearing in accordance with the provisions of Sections 120.569 and 120.57 of the Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-106.201 of the Florida Administrative Code, as indicated below. Send requests for hearings to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department.must receive the request within twenty- one days after your receipt of this notice. When the Department receives an adequate and timely filed request for hearing, the Department will request the assignment of an administrative law judge. Once an administrative law judge is requested, the referring agency will take no further action with respect to the proceeding except as a party litigant, as long as the Division of Administrative Hearings has jurisdiction over the formal proceeding. Section 120.54(5)(b)4, Florida Statutes and Rule 28-106.201(2), Florida Administrative Code, explain what must be included in a petition for a formal administrative proceeding. (a) The name and address of each agency affected and each agency's file or identification number, if known; (b) The name, address, and telephone number of the Petitioner, the name address, and telephone number of the Petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding, and an explanation of how the Petitioner's substantial interests are or will be affected by the agency determination; (c) A statement of when and how the Petitioner received notice of the agency decision; (d) A statement of all issues of material fact disputed by the Petitioner or a statement that there are no disputed facts; (e) A concise statement of the ultimate facts alleged, including a statement of the specific facts that the Petitioner contends warrant reversal or modification of the Department's action; (f) A statement of the specific rules or statues the Petitioner contends require reversal or modification of the Department's action, including an explanation of how the alleged facts relate to the specific rules or statues; and (g) A statement of the relief sought by the Petitioner, stating precisely the action that the Petitioner wants the Department to take with respect to its action. A person may request an extension of time to petition for an administrative hearing. The person filing the request for extension must do so within the time limits for filing a petition described above and serve all parties with the request. The request must state why an extension is needed. The Department will grant an extension only when good cause is shown. If a petition or request for extension of time is filed, further order of the Department becomes necessary to effectuate this notice. Accordingly, the Department's final action may be different from the position taken by it in this notice. Actions undertaken by you under this permit, pending the lapse of time allowed for the filing of such a request for hearing, may be subject to modification, removal, or restoration. Charles D. Hyman and Janet S. Healy August 3, 2004 Page 3 Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Section 120.57 of the Florida Statutes and to participate as a party to the proceeding. If a legally sufficient petition for hearing is not timely received this notice constitutes final agency action. When this order becomes final, any party to the order has the right to seek judicial review under Section 120.57 of the Florida Statutes and Rule 9.030(b)(1) and 9.110 of the Florida Rules of Appellate Procedure by filing a notice of appeal with the Department of Environmental Protection, Office of General Counsel, Department Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399, and with the appropriate district court of appeal within thirty days after this final order is filed with the Department Clerk. The notice filed with the district court must be accompanied by the filing fee specified in Subsection 35.22(3) of the Florida Statutes. Any subsequent intervention will only be at the approval of the presiding officer upon motion filed under Rule 28-106.205, Florida Administrative Code. A person whose substantial interests are affected by the Department's proposed agency action may choose to pursue mediation as an alternative remedy under Section 120.573 before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth below. A person may pursue mediation by reaching a mediation agreement with all parties to the proceeding (which include the applicant, the Department, and any person who has filed a timely and sufficient petition for a hearing) and by showing how the substantial interests of each mediating party are affected by the Department's action or proposed action. The agreement must be filed in (received by) the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, by the same deadline as set forth above for the filing of a petition. The agreement to mediate must include the following: (a) The names, addresses, and telephone numbers of any persons who may attend the mediation; (b) The name, address, and telephone number of the mediator selected by the parties, or a provision for selecting a mediator within a specified time; (c) The agreed allocation of the costs and fees associated with the mediation; (d) The agreement of the parties on the confidentiality of discussions and documents introduced during mediation; (e) The date, time, and place of the first mediation session, or a deadline for holding the first session, if no mediator has yet been chosen; (f) The name of each party's representative who shall have the authority to settle or recommend settlement, and (g) Either an explanation of how the substantial interests of each mediating party will be affected by the action or proposed action addressed in this notice of intent or a statement clearly identifying the petition for hearing that each party has already filed, and incorporating it by reference. Charles D. Hyman and Janet S. Healy August 3, 2004 Page 4 (h) The signatures of all parties or their authorized representatives. As provided in Section 120.573 of the Florida Statutes, the timely agreement of all parties to mediate will toll the time limitations imposed by Sections 120.569 and 120.57 for requesting and holding an administrative hearing. Unless otherwise agreed by the parties, the mediation must be concluded within sixty days of the execution of the agreement. If mediation results in settlement of the administrative dispute, the Department must enter a final order incorporating the agreement of the parties. Persons whose substantial interest will be affected by such a modified final decision of the Department have a right to petition for a hearing only in accordance with the requirements for such set forth above, and must therefore file their petitions within twenty-one days of receipt of this notice. If mediation terminates without settlement of the dispute, the Department shall notify all parties in writing that the administrative hearing processes under Sections 120.569 and 120.57 remain available for disposition of the dispute, and the notice will specify the deadlines that then will apply for challenging the agency action and electing remedies under those two statutes. You are advised that notice of this agency's final action on this permit has been given to other interested parties. They have twenty-one days from receipt of the notice to exercise any rights they may have under Chapter 120, Florida Statutes. Actions undertaken by you under this permit, during this period may be subject to modification, removal or restoration. The authorized work is strictly limited to that described on the enclosed final order. Please direct any questions pertaining to this permit to me by letter at the above address, or by telephone 850/487-4475. Sincerely, 490"�- 1 S, ) — , .11 William S. Wilkinson, E.S. Bureau of Beaches and Coastal Systems WSW/jg Enclosures cc: Permit File Permit Information Center Bobbie Nelson, Field Inspector City of Atlantic Beach Building Official O��E��pFOtE(flON` STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Division of Water Resource Management W • /• / Bureau of Beaches and Coastal Systems FLORIDA 1 3900 Commonwealth Blvd. Mail Station 300 Tallahassee, Florida 32399-3000 (850) 487-4475 PERMIT NUMBER: DU-350 PERMITTEE: Charles D. Hyman and Janet S. Healy 239 Beach Avenue Atlantic Beach, Florida 32233 PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINAL ORDER FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the coastal construction control line which are indicated in the project description, was filed by the applicant/permittee named herein on May 5, 2004, and was determined to be complete pursuant to rule on May 5,'2004. The proposed project is to be located landward of the 30-year erosion projection and the existing line of construction established by major structures in the immediate area. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons, the Department finds that upon compliance with the permit conditions, the activities indicated in the project description are of such a nature that they will result in no significant adverse impacts to the beach/dune areas or to adjacent properties; that the work is not expected to adversely impact nesting sea turtles, their hatchlings, or their habitat; that the work is expendable in nature and/or is appropriately designed in accordance with Rule 62B-33.005, Florida Administrative Code; and that it is an activity or type of construction which the designee of the Chief of the Bureau of Beaches and Coastal Systems has authority to approve or deny pursuant to Delegation of Authority, DEP Directive 137, effective June 21, 2001. Based on the foregoing considerations, the designee approves the application; authorizes construction and/or activities at the location indicated below in strict accordance with the project description, the approved plans (if any) and the General Permit Conditions which are attached and are by this reference incorporated herein, and any additional conditions shown below, pursuant to Subsection 161.053(5), Florida Statutes. EXPIRATION DATE: LOCATION: Between approximately 450 feet and 550 feet north of the Department of Environmental Protection's reference monument R-52, in Duval County. Project address: 239 Beach Avenue, Atlantic Beach. PROJECT DESCRIPTION: Two-Story Landward Addition 1. Location relative to control line: Approximately 81.3 feet seaward. PERMITTEE: Charles D. Hyman and Janet S. Healy PERMIT NUMBER: DU-350 PAGE 2 2. Exterior dimensions: Approximately 24.7 feet in the shore-normal direction by approximately 33.5 feet in the shore-parallel direction. Excavation/Fill Total net excavation 3.6 cubic yards. Excavated material to be used on site as backfill for stemwall foundation. Other Activities 1. A frangible walkway and patio on the landward side of the structure. 2. Landscape improvements west and south of the existing dwelling. SPECIAL PERMIT CONDITIONS: 1. Prior to commencement of construction activity authorized by this permit, a preconstruction conference shall be held at the site among the contractor, the owner or authorized agent, and a staff representative of the Bureau of Beaches and Coastal Systems to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. Contact Bobbie Nelson toll free pager number 877 314-1329. All locations shall be staked in the field prior to the conference. 2. All permanent exterior lighting shall be installed and maintained as depicted on approved lighting plans. No additional permanent exterior lighting is authorized. Approved plans are incorporated into this permit y reference. Done and ordered this day of va 2004, in Tallahassee, Florida. Attachment: General Permit Conditions FILING AND ACKNOWLEDGEMENT of Florida FILED, on this date, pursuant to 5120.52 Depa ment of vi nmental Protection Florida Statutes, with the designated ` Department Clerk, receipt of which is hereby acknowledged. /;1/(7 41 Tony D Neal, P.E., Program Admini rator Deputy Jerk Dat Bureau of Beaches and Coastal Systems STRUCTURAL NOTES 1 . DESIGN LOADS: A. ROOF LIVE LOADS : 20 . P.S.F. B. FLOOR LIVE LOAD: FIRST & SECOND 40. P.S.F. C. WIND LOADS: 0 - 30. Ft. 110. M.P.H. STANDARD BUILDING CODE - 1988 D. SOIL BEARING: SEE NOTE 3. 2500 . P.S.F. 2 . MATERIALS: A. CONCRETE: DESIGN AND CONSTRUCTED PER A.C. I . 318-83 ITEM COMPRESSIVE STRENGTH MIN. @ 28 DAYS FOUNDATION 3000. P.S. I . FILLED CELLS OF C.M.U. 3000. P.S. I . B. REINFORCING STEEL: CONFORM TO ASTM A-615 GRADE 30 . C. STRUCTURAL STEEL: DESIGN PER CURRENT ADDITION OF A. I .S.C. 1 . SHAPES AND PLATES CONFORM TO ASTM A-36 . 2. WELDING ELECTRODES CONFORM TO ASTM A-233 CLASS E70. 3 . CONECTION AND ANCHOR BOLTS SHALL CONFORM TO ASTM A-307 4 . CONNECTIONS NOT BOLTED SHALL HAVE ALL CONTACTING STEEL SURFACES CONTINUOUS WELDED WITH SUFFICIENT WELD TO FULLY DEVELOP THE THINNER MATERIAL. D. FRAMING LUMBER: SOUTHERN PINE PER N.F.P.A. , NATIONAL DESIGN SPECIFICATION FOR WOOD CONSTRUCTION. 1 . SAWN LUMBER SHALL BE NO. 2 @ 19% MIN. M.C. AND Fb=1200 . PSI . 2 . STRUCTURAL GLUED LAMINATED TIMBERS WITH Fb=2400 PSI . E . PLYWOOD ROOF AND WALL SHEATHING: CONFORM TO THE AMERICAN PLYWOOD ASSOCIATION STANDARD AND SHALL BE 1/2" THICKNESS APA C-D INT. WITH EXTERIOR GLUE (CDX) MIN. F. CONCRETE MASONRY UNITS : CONFORM TO ASTM C-90 . MORTAR SHALL BE TYPE M OR S . G. WOOD FRAMING HANGERS AND STANDARD HURRICANE CLIPS SHALL BE SIMPSON "STRONG-TIE" OR EQUAL. 3 . SOIL BEARING: STRUCTURE IS DESIGN FOR A UNIFORM SOIL BEARING OF 2500 PSF. RECOMMEND OWNER HAVE SOIL ON SITE INVESTIGATED BY A ENGINEERING SOIL CONSULTANT TO VERIFY BEARING CAPACITY. S K ENGINEERING ASSUMES NO RESPONSIBILITY FOR FOUNDATION FAILURE DUE TO ACTUAL SOIL BEARING OF LESS THAN 2500. PSF AT FOUNDATION ELEVATION. 4 . ALL STRUCTURAL WORK AFFECTED BY MECHANICAL, ELECTRICAL AND PLUMBING EQUIPMENT SHALL BE VERIFIED WITH P-QU.WIVNT BEFORE PROCEEDING WITH STRUCTURAL WORK. 1 � r rY OF Office of Building ng Official Date EST FOR INSPECTION T Receiime r- ved A.M. Permit Nory , 3 P.M. OW6 t No. Owner's Name BUILDING Locality CONCRETE Contractor s/ �� Framing p ELECTRIC Re Rooting ❑ Footing ❑ PLUMaING Tiab nel Q Temp pole ung Rough ❑ MECHANICAL Top put Air.Cond.& ❑ ❑ Heating Mon, READY FOR INSPECTION Fire place ❑ Tues. ECTbN Pre Fab Inspection wed' Made �> Thurs. Friday A.M. lnspector A.M. --------- P.M. P.M. nalInspection ``�'tw"o Pection❑ S;11- Ica S'% Certif' eo Occupancy date f � DATE: L/ ' ' PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: -? ------' ------------ ��.' ? ------- ------ ' ----------- L L ` ------ i i SINCERELY, BUILDING INSPECTION DI cc:FILE r CIT �y OF Office of Building Official REQUEST FOR INSPECTIO Date •J Permit o, Time A.M. Received � P.M. � /'� District N Job ddress / Locality Owner's Name Contractor s�L�SI NG C CRETE ELECT ICAL LUMBING ❑ F Ing ❑ Roug ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Lintel ❑ Fire Place ❑ READY FOR INSP Pre Fab Mon. Tues. Wed. Thu Friday. A.M. Inspection Made f l Inspector �""--- ection Certificate of Occupancy Date CITY OF 4&6a is BeacA-ANow-4C Office of Building Official REQUEST FOR INSPECTION Date Permit No. 2G r Time �� A.M. Received �7 P.M. 1 District No, Job Ad ess Locality Owner's Name — Contractor EUfLDtN.G=----' CO RETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Foo ti"g ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Thurs. Friday P.M. - < ------ Inspection ., � gra � +�" _Inspection Made Inspector Final inspection❑ Certificate of Occupancy Date 1 CITY OFA 1 / Office of Building Official REQUEST FOR INSFESTIQN `7 a Date Permit No. `l Time A• /� / / ( j Received - District No. q/, `( � (/ r Job Add ss x-Loclity Owner's Name j�J}'( i Contractor B D N ETE MECHANtCAi. Fram ~❑ Footing ❑ Air.Cond.& [:I- Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab - " READY FOR INSPECTION A.M. ues. Wed. Thurs. Friday P.M. ' tion Made Inspector �� -- Final Inspection❑ 1 Certificate of Occupancy Gt Gle �u.� /J Date .a TRANSMITTAL DOCUMENT FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. Address Enclosed are our (blue) copies of the permits. Please update your records accordingly. Than� yo /Li��K UILDIN CITY OF ATLANTIC BEACH /vcb A TRANSMITTAL DOCUMENT FOR�JEA DATE: The following permits have passed "rough" inspection: Permit No. ' Address Enclosed are our (blue) copies of the permits. Please update your records accordingly. TY�a you, BUILDING CLERK CITY OF ATLANTIC BEACH /vcb 4977 DEP1lWMENT OF BUIL00tiTr CITY dF ATLANTIC.OSACH ' PERMIT INFORMATION - -- LOCATION INFORMATION -- Por fit Number: 4977 Address r' 239 HE+ACM AVENUE Permit Type s MECHANICAL ATLANTIC . BEACH,: FLORIDA 32233 Class of WIork r NEW ---------- LEGAL, DESCRIPTION Canmtr�.. Typet. WOOD FRAME Lot Block: Section; Proposed Upet SINGLE FAMILY Township RNGs I Dwellingot Cade. 0 Subdivis3ion z Estimated Value: $0,00 I arcay. amt: $0.01 Tot $43.00 A*ou $43.00 car i s «. ...� NATION - = - - -«- APPLICATION FEES _„_ PERMIT _ 13.Ot? Ae AVENUES �� Iff R-1 1IMFA FE D � � � ► O P n 4 0 �AxER MSTCFT EO.00 RADON GAS-H. R. S. $0.00 ... _ H }F+f 1Ft]RNA N - -- - RADON, GAS - 5% $0.00 ,.. .w ..w.A. .nNags,-.1' "'N CON w. . M ... . WATER ..'IAP w._ $0. 00 Addre�a. 109 ':AC# BLVD. SEWER TAP $0.00 � X. 2 1G HYDRAULIC SHARE .� O.00 n Type 7 O RE-INSPECT FEE Mesa, tea,. .t,- OTHER 1NOTES: { F NOTICE"—ALL COkCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE '81JiLDINGMATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULEt3 AWAY BY EITHER CONTRACTOR OR OWNER ;FAILURE TO'COMPLY WITH THE MECHANICS' LIEN,.L AW CAN RESULT IN SHE PROPERTY OWNER PAYING TWICE FOR SUILt INrx IMPx W92 Iwo N t ISSUED ACCORDINGTO APPROVED PLANS WHICH ARE PART OF THIS 'PERMIT AND SUBJEW&WiVOCATICMIR VIOLATION OF APPLICA$LE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DE ARTMENT �< BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ,? ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, ll, III, and IV. '• Street Address: C259 LOCATION OF Intersecting Streets: Between -AcZ�WLIL� &a1lV, �And-----e�� BUILDING Sub-division II. IDENTIFICATION To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good..practice listed therein. Name of Mechanical Contractors Contractor (Print) Master Name of Property Owner xV Siynatura of Owner Signature of or A 1tu rimed Agent Architect or Engineer t.E�IERAL INFORMATION A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Efectrie THIS BUILDING OR SITE4 ❑ 6n—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CON5TRUCTI/ON, Q on PERMIT Y Z1L 13 Other — Specify IV. MOCK464WAL EQUIPMENT TO SE INSTALLED NATURE OF WORK ' (Provide complete list of components on beck of this form) Residential or O Commercial & .Heat ❑ Span ❑ Recened OL Control O Floor .✓ New Building 0—Air Coadltionin9: ❑ Room Of—Contral )/ ❑ Existing Building 0--Duct System: Material � � Thiek `roars r� 13Replaeemertt of existing system Maximum capacity NQo rP c.f.m. A New installation(No system previously 1nstotted) f ?J ❑ Extension or add-on to existing system i (3 Refrigeration ❑ Other— Specify 13 Cooling tower: Capacity 9.p.m• Q Fire sprinklers: Number of head Q Hwator ❑ Mantift ❑ Escalates (number) THIS SPACE POR OFFICE USE ONLY Q Gasoline pumps (number) (Ree 8 (3. Tanks. (number) Remarks ❑ LPG containers (number) Q Unfired pressure verset Permit Approved by Data. Q OIAer — Specify permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Cq" Number Units Description Model Number 11F ufacturer (Toos)� y� �- CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: C) IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. r ELECTRICAL FIRM:Uo,,�-Ck ' . TER ELE6TI 1 IAN SIGWATURE NAME - � ADDRESS: a3ci 7L rc I RFD BOX BLDG.SIZE BETWEEN: RES.(/) APT.( ► COMM.1 1 PUBLIC( 1 INDUS.1 1 NEW( 1 OLD(4 REW.1 1 ADDITION( ) TRAILER ( ) TEMP.( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW( ) INCREASE( 1 REPAIR ( ► FEE CONDUCTOR SIZE: AMPS - COPPER f ALUM. i SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE QN5AMPS PH 3 W - , OLT 64 RACEWAY O DID FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMP$. SWITCHES INCANDESCENT .,. FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES , BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING, COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS e CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAALFIRM: `e. iWiTER ELECTRICiAN SIGNATURE JOURNEYMAN NAME T"e\\4)CA-! �, �G�C;� ADDRESS: t 1C C r t i - RFD BOX BLDG.SIZE BETWEEN: 1 / RES.I✓) APT.( 1 COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW I1 4 OLD( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW h) INCREASE ( 1 REPAIR ( ) FEE _ CONDUCTOR SIZE AMPS ` ' COPPER I I ALUM. (14 SWITCH OR BREAKER ' AMPS PH 3 W VOLT z,f0 e- RACEWAY _,3 EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES i I I I BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING ' COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PNS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS n ORPART t �1 3 �#'XU it '" ATL t><A ,3 33 OCR PTIOX y + '� tic�t s IIltsk3tian I 101 -fAMILY TO r 00 m e i" 'x f » *00 tip t *214. 53 I WATER quylin ic Tian APPLI regs r ' n <: pRX1 00 A Pus VA if ? k L[r'- i7Ji . ( y��y� y��^ G , WW .:. �!IIIfK11 "T *0... .., 777 RIC4�+4 TYPO s a00 tai E NOMI Erow AND rtOOt1"as must"INSPEC744 4 1 141 i/C lDSI k OktHS AFTER DATA Of ISSUE $U 1:@lN13(VIAT RI 4l, ?�} $N Aft CI Fi#S'FROM I WQRK MUST NaT B .PLACED IN PUEIiC SIw'IipI:rAND x UST BE C!I*Aj:jM""4tt RIVE $ 1~� d1 , i CC7NTRAt;, t R alit t}WhM,IR. THEL MECjHAN1CS' Lj !S$ # 61 f 3©INt � I�d.ANs VIHIGH'ARE PART OF THIS,PERMIT1/tr}CATft)OF LAW. t�4 � ,zY . RTt�AN" IC ENT ..... . ; r � 1 `Y OF +I�r.�`ic Qeac�i-�� Office of Building Official j l/REQUEST FOR INSPECTION �/ � Date ` / Permit No. Z `��7 (/—" Time 1 Received J P.M District No. Job dress Low Owner's !! �� Name rasfor. BUIL -WING CON ETE ELECTRICAL UMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ As Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon, ,� Tues. Wed. Thurs. Friday P.M. inspection Made (I P.M. Inspector �r Final Inspectfon�.N Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date a Permit No. Time A.M. Received P.U District No. J ddre Owner's 1�—C _ ' /� ✓ Name BUILDING CONC TE CTA'CAL PLUMBING MECHANICAL Framing ❑ Footin ❑ WiFiag—gam Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION -- A.M. Mon. u :r ','Jed. Thur Friday�� P,M. t, t3 v e A.M. Inspection Made Inspector m r—li ,i,ll H Final Inspection Certificate of Occupancy Date CITY OF f4&a^4*C B -A;Amk Office of Building Official REQUEST FOR INSPECTION Date /1' , Permit No. Time C f A.M. Received P.M. /hstrict No. z .3 Job Addressocelli Owner's -• -! Name r tractor BUILDING NCRET LECTRICAL PLUMBING MECHANICAL Framing 0(::::F!.ting Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ a ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. ed. Thurs. Friday_ P.M. �.-. ? Inspection Made 4 Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date _ CT TimePermtt No. � Received District No, Jo ddress Owner's Name Name '7L..,�_� L BUILD( Contractor _C RETE LECTAICAI Framing Footing p PLUMBING E ANICAL Re Roofing p ough Wiring ❑ Rough p emp Is ❑ Air.Cond.& ❑ Lintel p Top Out p Heating Fire Place Mon. OR INSPECTION Pre Fab t ed, Thur Friday A.M. Inspection Made . A,M. —-------_P•M. Inspector � .-• ._ Final Inspection p Certificate of Occupancy Date CITY OF / Office of Building Official Data REQUEST FOR INSPECTION Time Received t A M Permit No. l 'PI .GT"' c District No, Job Address Owner's Name Locality BUILDING CONCRETE Contractor Framing ❑ Footing ELECTRICAL PLUMBIN ❑ G Re Roofing Rough Wiring o ugh MECHANICAL slatr Lintel 0 Temp Pole 0 Top Out 0 Air.Cond.& p O Heating READY FOR INSPECTION Fire Place ❑ �Tu�es�. Pre Fab Inspection Made I V V V Thurs. A.M, �} �; �� Friday A.M. Inspector Final Inspection❑ Certificate of Occupancy Date�_ CITY OF C�i< I �Office of Building Official ` * REQUEST FOR INSPECTION Date Permit No. Time c� A.M. R ed P.M, District No, Job Addre6s Locality Owner's it LJ Name Contract BUILDING CONCRETE ELECTRICAL��JPLUMBIN MECHANICAL Framing C Footing 11 Rough Wirin,Q Rough f ❑ Air.Cond.$ ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ! ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A. N Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF '-Y�t 4&� BISA a4-AM'f�Nf4 �j ,a 3 U 7 Office of Building Official REQUEST FOR INSPECTION Date Permit No, �/ Time4 A.M. Received P.M. District No. Job Address 4`'"'" Locality Owner's Name Contractor BUILDING CONCRETE / ELECTRICAL PLUMBING 0 MECHANICAL Framing ❑ Footing tY Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. s. Wed. Thurs. Friday P.M. r7 J A.M. Inspection Made :, P. . Inspector `' Final Inspection❑ Certificate of Occupancy Date DEPARTMENT OF BUlL01, Q CITY OF ATLANTIC BEACH. LOCATION INFEIRMATI N --------- 4653' - 9 , 3 Addre918 s 239 BRACH AVENUE Type OT111111TISS, ATLANTIC IIRACIIj FLORIDA3223 1 C 06,0 bf Wor'k Is NCRI~A I _ _ LEGAL DESCRIPTION CRIT TICIFt r« Type1 ..*Ot FRAME Lott , E31c k i Section I' a caa� d tl6e r SINGLEF M1,L.Y 7'rawnshp a RUG: d rr r i x C >t C Subdivislon 2 B i�t�it d ul , �tC1 � I p 'ay. cost t " $0-:00, HTotsl " k 125.70 *125. 70 En £$ NATION M Yiw tM A � �L' Atk FEES ARIA xEtPI I $0.00 l AVENUE 1A i} wr y 'OL ��y s IMPACTFEE BU.jc)O 4I #'d..Milik � r r .r,.t+ V ' �'€ � 'ryTr+3Zr .,: n t b�` •'s"*°"" 5 Alk ekry, ia,. ' "y tr l 7 {�,$y, �{{yyy�� yp�;":. aY py y�yw{ gyp ."v° .,r yyp + {�yJ.,," „. {ou k !•A!'�I GA -1�K R.S. N�iY+� T il1A OlmATi �� 51# . 00 a• w .w N� UIx �`Ir1C# BDEP AFAQ f St `SAP, *0. 0 0 'kYDRAvLIC BIIAREE $0, 00 T� R _T Nr PECT FEE'” to, BEC. I'I IMPAd"t, fiE kC3 � ty .. 1440, f NOTICE--ALL CE3NCRETE f0ill AN©FOOTINGS MUST BE INSPECTED BEF©RE'"ROURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BU1LQIt4 MATERIAL,RUBBISH AICD-DEBRIS FROM THIS WORK MUST NOT BE PLACED IN,PUBLIC SPAG;, AND MUST BE' Ca"EA# { U"P AND HAULED AWAY BY EIT'FtER CONTRACTOR OR OWNER :I URE T0�0 M -LY,`,WITH THE MECHANICS' 1.1E"N LAW?CAN RESULT'IN Eft',PAYING TWICE FOR BUILDIIU+G I�APIMEhITS " TIME.- 007 x' 1� ED CCORDING Tbl'APPRdVED PLANS WHICH ARE PART OF THIS PERMIT AND S SU8JfftTO REt/C3CAT1f AT1 N"Of , PPLiCABLE' RC V) 10, 4 pF LAW. TE 1 j IPT �I, AT�.I NTlC EACH 8 rTMENT By: " fi - ON- 7777777 VIERA#RT�tENT 00 BUIL�#iN� CITY&ATLANTIC SEA' . � PE1 1 I 21lf --- --mow_ LOCATIO)tI( INFORHATION r att Nu b sxs' 50, Addy s s 239 B ACH AVENUE rmit Typed O� �. ATLANTIC BRACH,' FLORIDA 32233 C saw cif woo Amoy LEGAL« 1?E I P 'I L 1 Cans tr Typ Y WOOD' FRAME: Lot: , . $100k 9, 27 Section A PrO d U*0`4 SINGLE FAMILY fi Townwhip t o Dt► I1i>rG t ' 0 Code - 0 Subdivision: *0.00 Ttl e+,ol: 654.00 ► � ;; , $SO.QO , Da m` 0 . Will work �x � ' �� BTORX GARAGE A"N"ION - APFI, CATIfJI� FIrES NA `' PERMIT DO. A+ oa sf A�VENUE � WATER IMPACT FEE � �� *O»QO ' + H,' FLORID s Ysaw I F so.O ryu y t' 1 iu +y{.'' , A . .. x XF6NAT% �,�:.�. _ 9ADO -c A 6 r ADO + : y {. ` NING ctA>IAY wTEI TAP ' 40.00 ' ... AO g ' rAP �O.tit JAC � L LE'p FLORIDA HYDRAULXC HARZ so Ott ' so 00 QRFE *0"00e ' GC. IMSACT JVE w Y i 6 Y j NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST"8E"INSPECT ID POURINt3 PERMIT VolD SIX MONTHS AFTER DATE OF ISSUE 41 SUI Lpi IG ATERIAL,RUSOISH AND DedRiS FR00'CHIS WORK IvtUS7-NOT 8E PLAbED IN PUBLIC SPACE,AND MUST 8E �LEA1�D UP AND HAULED AWAY 8*EITHER CONTRACTOR OR OWNER q ► i�.0 # E TO,' + pL" ,til#� M THEM A 11CS° LIEN P11 � RG 1�i � } C � �t � R. �►Ai,f'l�:" ,.t�'it TBES 188UID ACCORDING TO �4PPROitED PLANS WHICH ARE PART OF THIS PI*RMtI" AND SUB . TO RE�/OCA OR tt'Ifl-ATION OF APPLICASLE;FPROVISIONS'O LAW. " fEmm ATLANTIC BEACH P10.RTMEN'f d f y .a .�«� '.r.` .. t 41- CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(a) .Address s 2 39 �3E ff �¢ve �� --- - - _..--------------Phones _ �__y3/�------- Lot !-_.3 _ Block or Unit f v77 ` --- Subdivisions_ --- _ --_ _ Contractors_fit Lco t A?ee-v-IA L Co 757- 7.3// _- - Describe work to be done: ----------------.--------------------r.---------ter_----------------- r ----------------------------------------------------------------- Present use of building=_-L% i�'2 U L------------------------------ Valuations-------------------------------------___------..-------- Proposed uses__________________________ -------------------------- Is this an addition?_________ If yes, what are the dimensions of the added space:.........ft. X ---------it. Will the added area be heated and cooled?________ New electrical for increase)?_____ Nov plumbing fixtures?-___ Nov fireplace?....Now Neat/AC?________ SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:................. ------------- Date:........... Signature CONTRACTOR: e-G Date: OGT z3 � APPROVEDtEt CITY OF ATLANTIC BEACH RI_ANN1�f (�Nlni., OFFICE �? } 'r OCT ;? 1991, ar I.NCREASE WATER SERVICE TO 1" — t C1;ORC{E SANTAYAid:� 239413EACH AVENUE 246-4319 i i I i J013 COST RECORD I)f5C_Itll'TIC)N —� QTY.' :MATERIALS; 7LA(3OIt '+` TOTAI. 1" METER _ 1 $145 .00 _ 1" METER ENDS 2 $4.30 1" RUBBER WASHERS 2 _x.72 SUB TOTAL $150 02 10% 0.11. $15 000 TOTAL X165 02 — I CREDIT FOR 3/4" METEI _:718 5 00 ADJUSTED TOTAL 8 2 i I 1 2 MEN ($27 .45/HR) }SOI 1 HR $27 .45 i i 30% O.H. $8.23 TOTAL $35 .68 i _ I - — I ——MATERIALS— I.ASOR——101AI_-- - T01A1. $80J,02 ``35 J68 $115.70 j 1v11SG J013 LX11LN5[S IM(LINl" j ON lut Io«LxrrNsr_s $10.00 I 1 TRUCK ($10.00/LIR) 1'( R 1 HI' . TOTALCOST $125 .70 r-1 TOTAL St RING PRICf. iRe Lf55 TOTAL COST a i co Q 4 CROSS PROFIT 2 L^ UssOVf RI ICAO COs1 G1z .5 .- ^6.Or SrI.1ING PRKF } TOTAL $10.0 NEI' !'ROrIT '125 .170 Cy7 G l (< Oct \ i 4 I PRICE CIL101"ie APPLICATION FOR WATER AND/OR SEWER TAP 9 APPLICANT NAMES _ __L _ _-- --- ; �__________ !TAILING ADDRESS - __ ----------- --- ---------- PHONE NUMBER DATE--// ��l ---------------/- ----- -------------------- SERVICE REQUESTED / (/ 21�'`� l'L Y _�`��''� _ - ----- !3 -------------------------- ---------------- SERVICE LOCATION_ �`_� _l�_ _ _ ?� � - !______ ------------------------------------------------ DATE SENT TO DATE RETURNED PUBLIC WORKS y�______ TO BUILD. DPT. __-t1� ��1_ v DATE OWNER NOTIFIED_____________________ !1t �i 1 Nov 71991 Building and Zoning _t+ d�toi CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: t M ER ELECTRICIAN ifAATURE V JOURNEYMANn NAME �Sa Z ADDRESS: l ewch (4YG RFD BOX BLDG.SIZE BETWEEN: RES.14 APT. ( 1 comm.( ) PUBLIC ( 1 INDUS. ( 1 NEW( ) OLD (0 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW O ) INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE a'O'C) AMPS ( PH 3 W O93(DVOLT CWC-RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES IBELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS i i , TRANSFORMFRS- 11NnFR Rnn V AVFR ann v F_ FLORIDA DEN RTMENT OF NATURAL RESOURCES Permit Number: 01703 — bkA Division of Beaches and Shores Bureau of Coastal Engineering and Regulation Application Date: Me"ory Stoneman Douglas Bldg. 33900 Commonwealth Blvd. O Tallahassee, Florida 32399 No. of Pages Attached: (904)488-3180 APPROVED PERMIT PURSUANT TO SECTION 161.053 OR 161.052, FLORIDA STATUTES FINDINGS OF FACT: An application for authorization to conduct the activity indicated in the project . description shown below was filed with the Department on the date shown above. CONCLUSIONS OF LAW: The application was considered by the designee of the Director of the Division of Beaches and Shores, found to be in compliance with the requirements of Secti n 1613-33.07, Florida Administrative Code (F.A.C.), and approved pursuant to Paragraph(s) 16B-33.12(11)( ), F.A.C. Approval is granted in accordance with the project description includin any speci is conditions and approved plans, and conditions provided in Section 16B-33.15, F,A„C-. __._�__ LOCA �- Q PA , 3ZZ3 3 ►2- S/ PROD / . SPECIFIC PERMIT CONDITIONS: elf This permit expires on: i (�g Approved plans: are attached; are not attached. PERMIT APPLICA N A P V R THE DNR, DIVISION OF BEACHES AND SHORES Q BY: v� /7 8F Section 16B-33.15, F.-A..C., received by the applicant: do hereby certify that: (1) I am either the owner of the subject property or have the own is consent to secure this permit on the owner's behalf; (2) I agree to obtain all necessary local, state, and federal permits prior to commencement of the work authorized above; (3) I acknowledge that the authorized wurk is what I requested; and (4) I am fully rceponsible to have the autho ized activ ties carried out in such a manner as to comply with all applicable conditions: O�CJ �� Mailing ?37 f�._, _ / ¢�] ,,,- Address: �/ / L/c'Ar2 AVZ j b%MLice 's Signature)) 'AfIAV '11r_ �c lel r• �GY� 2ao� Applicant's Telephone Number: Area Code ` y / 15 7 b — q-;17 DISCLAIMER: THIS PERMIT IS NOT VALID WITHOUT APPROPRIATE LOCAL APPROVAL AND IS NOT INTENDED IN ANY WAY TO CONTRAVENE LOCAL SETBACK REQUIREMENTS OR ZONING OR BUILDING CODES. THIS PERMIT MUST BE POSTED ON THE SITE ALONG WITH LOCAL APPROVAL DURING ANY ACTIVITY APPROV BY THIS PERM . I HAVE READ AND UNDERSTAND THIS DISCLAIMER: icent's ignature [White Copy-Tallahassee Office] [Yellow Copy-Applicant] [Pink Copy-Designee] DNR Form 73-122 (3/86) CITY OF 4&4u4-0 Office of Building Official �F )REQUEST FOR INSPECTION Date ! PermitNo. Sty Time Received p.M. District No. ,Lab Address kocality Na er's \ontractor BUILDING ONCRETE ICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION, A.M. Mon. Tues, Wed. Thurs. Friday P.M. C Inspection Made -- Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date �T'z ` Permit No. TimeM. Received P. District No. a 3 -`.r C Job Address Locality Owner's Na CBContractor LNG CONCRETEDIELECTRICAL PLUMBING MECHANICAL Framing ] Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing , ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating _T,k/SU L.4TW d jpp ' Lintel ❑ Fire Place ❑ Pre Fab r— READY FOR INSPECTION A.M. Mon. Tues. Wed. Thu Friday P.M. C Inspection Made Inspector "— Final Inspection❑ Certificate of Occupancy Date CITY Office of Building �'— -- j REQU SPECOffiCial �.. Date = EST FOR I Time NTION Received r Permit No, District No. ddress Owners --�„ Name ' BUILDING La Framing 0 CONCRETE L Contractor C Re Roofing ❑ Footing EL Contractor RI A f� slab PLUMBING Lintel MECHANICAL TBmP PoJe Rough Top put C7 Air.Cond, d Mon, q t1eating Tues. READY FOR I NSPECTIO Fire placeInspection Made t N Pre Fab -- 7hurs : Inspector F—rid�aY A.M.P. a M. Final lnspectio� L;7 Certificate of ��JJ Occupancy Date <S Mn QEP, MENT'OF BUfI�,1��NCv' CITY 1 ATLANTIG,BEACH } tj ` '-- # #IT INFOR #hTION _,�,�. .� � � ._ � ��.�.� LOCATIdWINFORMAT�C1N PlijilirI t #a to#mar: Addres s s 239 8 C AVENUE, ►ar�tit 'Type: #U7.�IHG ATLANTIC BRACH, FLORIDA 32233 ON ------.:--_ LEGAL: DZSCHIP'CION - -... . ..�.. - _' Lott � 8106k t 2"7 Soction s' Pi*Obbod Uses 1 Ilmd).v, FAMILY RNIB t O brt lis�g�e t 1 ` Code'% , p Subdivision i Improv Ccaet t ` 00 �. Tafel Fees m *sizi.00 00 AA,44 , /20491 W nark ? GARAGE AND UPS'TAT*S LIVING ' AREA tNATION -�Aft'no7�a , ** APPLICATION FEES -�- � #9`AYA fAa ` P IMI ' $4,:M,00 Adel° �° Aii�Ett.lE WATER ,IMPACT "FEE *10'0#00, C1 � FLORIDA SE INPACT FEE F 40.0 Ph em, «+ , "itARill, b wwAyAy , • • • • w + RADON GAG: ' 5% *VI Oy, ., 9Lx K E 1 MATER TAP, 40.00, �.' Adores . 0. wj ' Tj ATILA SEAF>r~ 32233HYlFtAU :IC #A#E3.t3 r4It Ill � rs 11"CRC Typos 1 ItZ_INSPECT FEE �.C?O A - H IMPACT FEE Q . s , l5 �� #e•"�!"-S�'!.M,cam, w a�,;u,� 1�� - r .. w�a a �6 r NOTE�:' d a '^r NOTICE-ALL CONCRETE FOR AND FOOTINGS MUST BE INSPECTED BEI 6RE`POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ING,MATERIAL,RUBBISH AND'0EBRIS FROM THIS WORK MUST NOT'BE PLACED IN PUBLIC SPACE,AND MUST BE f 'UP AND HAULED AWAY 8Y EITHER CONTRACTOR OR OWNER . ,. VIRE Tt I�IPI '� WITH THE PAECHANICS' LIEN l.,A►�11/ CAN RESULT IM C3P 1 TY t 1�ltNE # PA ING TWICE FQR SUILDING `IItAPRt / NT5," CORING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBjewls'w t APPLICAMRI RRI1ISlONS OF,LAW .,, H'BUILDINO DEPARTM-ENT fir} _... Square Footage Y @ $ 5-3.O . per sq ft = $ ge/Shed jj—(V@ $ /AY.C1O per sq ft = $ / 0, 5'f sport/Porch -- - @ $ per sq ft = $ Deck —._ @ $ — per sq ft = $ Patio �" @ $____:- per sq ft = $ TOTAL VALUATION: $ S y� ,-:2 0 e 6 010 0 J ILI Total Valuation 1st $ 150,D O v Remainder Valuation q . per thousand or portion thereof --------------------------------------------, Total Building Fee $ ?c9U o G ADDITIONAL PERvaTS and/or FEES REQUIRED + k Filing Fee $ Mechanical ,/ ; Fireplaces @ 15.00 —� BUILDING PERMIT FEE $ C> Plumbing ' Electric/New L Electric/Terms °`'� ,�- Septic Tank BUILDING PERMIT $ WATER MEM CHARGE $ Well Skdmd.np, Pool SEWER IMPACT FEE $ - ----- Sign WATER IMPACT FEE $ 166,00 Water Connection MISCEdANEOUS $ /V c ,�� c►N $ Sewer Connection Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ,0 ---------------------------------------------------------------------------------------------- CALCUTATIONS and/or NOTES CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) :__ Z60L=__ .1 -- -- ` �--------------- Phone z -------------- Phone:« _L/C?_ _ 'Lot _yBlock or Unit fQSubdivision: Contractors__ _ ell i _ 111�[r , _��_----- ------------------ Describe work to be done: µ-'u # _ �✓ �/' �' : --------------------------------------------- ----------------------------------------------------------------- Present use of 'buildings_ mow 9t A#-___________________..____ Valuations ------------------------------------------ r Proposed uses- a.-_ �a________ Is this an addition?__1_4___ If yes, what are the dimensions of 010 the added apace:_ ____ft. X ft. Will the added area be heated and cooled?_#'e. __ New electrical (or increase)?- New plumbing fixtures?,;, LLI Nov fireplace?_'_New Heat/AC? SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. r• Signature OWNER. _ _ Date: Signature CONTRACTOR: ---- Date:_?/-!v --- ApPROV CITY OF ATLANTIC BEACH L PLANNING &ZOMNG OFFICE , . AUG ® 91 Odding and Zoning Y CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR 1 EACH WATER FIXTURE UNIT INSTALLED 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. y BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) 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) 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) i FLUSHING RIM SINK (8) ' COMBINATION SINK AND TRAY WITH -FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET _DRINKING FOUNTAIN (1/2) BLOWOUT (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 �I.J e 4CN 96.et C FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 0-A Section 9—Residential Point System Method Climate Zones Department of Community Affairs NORTH 1 2 3 PROJECT NAME !s BUILDER: AND ADDRESS: ` PERMITTING CLIMATE 1 ❑ 2❑ 3❑ OFFICE: ZONE: OWNER:CIZ /J,UAJI �` hT�/�j PERMIT JURISDICTION NEW CONSTRUCTION j IF MULTIFAMILY,NUMBER OF CONDITIONED S0. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA a FT CLEAR T1NT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: PREDOMINANT EAVE OVERHANG SINGLE- S0, SINGLE SO. MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH `� oI FT PANE FT PANE FT. REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE- SO. DOUBLE SO. SINGLE-FAMILY DETACHED CONDITION: ❑ LENGTH a,N FT. PANE FT PANE FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = ❑ .❑ b c> F° M FT ❑ FOT m ADJACENT MASONRY R = ADJACENT FRmAME R = ADJACENT STEEL R = ADJACENT LOG R = FO. m .� FT m FT �m FT � m CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = I SINGLE ASSEMBLY R = SLAB PERIMETER R = RAISED:WD CON❑ R = 91 I I FO . FO. [11 [�T FT m 2 `A FT m DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN CENTRAL ❑ ELECTRIC STRIP HEAT CEILING FANS ELECTRIC SOLAR: 11 .MUNCONDITIONED PUMP S.F. _ SPACE R = ROOM ❑NATURAL GAS ❑CROSS VENTILATION ❑ NATURAL GAS HEAT RECOVERY icNecxl ❑ � ❑ PACKAGE TERMINAL ❑ ROOM UNIT OR ❑OTHER❑ WHOLE HOUSE FAN El OTHER FUELS DEDICATED � IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL ❑ATTIC RADIANT ❑ NONE HEAT PUMP: 11 •�❑ SPACE R = EI NONE HEAT PUMP NONE BARRIER E.F = �,❑ SEERIEER = © .� AOUEHSPFI L"1. ❑ MULTIZONE EF _ 9 NUMBERS I 1 j ��J BEDROOMS - INFILTRATION PRACTICE USED i S T n ?j O 1 X 100 = ®, ❑ #1 N #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P,I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify that the plans and specifications coveTokthe calculation are in compliance with the Review of plans and specification c ered by this cal lation i 'care compliance with Florida Energ�BY Code. the Florida Energy Code.Before�nst)ctioniscom ered,thi b Idin II be inspected /yfor compliance in accordance witcn 553.908, S. PREPARED DATE: /I hereby Corti this b ilding is in com lance i I py Coda, y BUILDING OFFICIAL: OWNER AGENT: DATE: �N: 1211 FLCRIDA ENERGY EFFICIENCY CO�E FOR BUILDING CONSTRUCTION Sect��o 9 Comoliaoce Program - Resiuential Point Svs�em Method ;�rsion 1 . 0 January , 1991 Deoartment Of Co'nmunitv A &airs Printout generated Oy EPI91 and submitted in lieu of Form 900-A-9� �HIS COMPLIANCE 71AM IS VOLT? IF S!�BMITTED AFTER JANUARY 1 , 1991 _.........._ .............__________________..........____________.........___..........____............ ____________ P�OJECT �AME: Santavana Res��ence | PERMITTING OFFICE : ..............____............ ....._____________.......... AND ADDRESS : | -------------... .........---------------- � CLIMATE ZONE : ------------------------------ -------------- Pelkv | PE04IT NO . : _..........____ ................ ___...._____-____ | _.......... ___________ OWNER : � JURISDICTION NO . : _.........._........ _____ ........_____ ____..... _________ _........._________________ ........ ...___...............______________________..............._________.............. _________ COMPONENT : DIMENSION: VALUE : RATING: V�vUE : OFFICIAL CHECKLI5T �TRUCTL'�E TYPE : Single-Familv PREDOMINANT EVE OVERHANG Length : PORCH OVERHANG Length: 3. 90 WlmDOW - Couble Clear Total Area 280 . 30 All Vertica� Hass Total Area 280 . 30 oil Skvlight Glass Total Area .00 WALLS DOORS CEILINGS 0, ITCHED Under Attic Area : 391 . 00 R-Val : 30.00 FLAT Under Attic Area : 57 00 R-Val : 36,00 FLOORS Rsd Wood Aojacent Area : 8�4 . 00 R-Val : DUCTS Uncondit�oned Space -engtn ALL R-001 : 6,00 Central A/C SEER : WKS Ceiling Fan : Credit HEATING Heat Pumo top WATER ElecL~ : c Heat Rec . w/Heat Pump INFILTRATION Conditioned Floor Area: 524 . A0 Pract : 2 . 00 AS BUILT P�INTS / BASE POINTS * 100 = EPI 18 . 2Q5 . 38 1�, 7n0 . 5!- 99 . 48 GUARS rO ��R .34�I ........... .....____ ........ ........______________...............____..................___.........____............... _________ ....... _____.....______________________________________.......... ..._________........ ______________ �r �ccorJance with Sec . 553. 907 F . S. , the plans all soeci�'.cations I �ereby certify that the plans and covered by this calculatinr ��oecjfications covered by this calcu- � comoliance with Lhe Florida Eneroy lation are in com:liance with the | Code . Before construct�on is completed �lorida Energy Code . ` this building will bo insoectej for � compliance in accordance with Section ' ` ` ** PRESCRIPTIVE MEAS�RES ( Must be not or weeded bv all residences ) ** =============================================================================== C�MPONENTS SEC�ION REQU1REMENTS =============================================================================== WIN0OWS 04 . 1 Maximum o� 0. 34 CFM per ! Wear foot of ocerable sash crack . ............ _ _....................... .....___ _........ _____ .............___.....__ EXTERIOR & 904 , 1 Maximum of 0 . 5 CFM per so . ft . of door area . Ircludes ADJ�CENT DOO�S sliding glass doors , solid core , voog panel , insulated , or glass doors only . ........._............. _..........__...._____ _ ...____ .....__--- ............. _.............. ........__.....______..... ____ EXTERIOR JOINT5 904 . 1 To be caulked . gasketed . weather striooed or Diner- Oise seale� . .... ...______ ............. _.....__ _.....___ WATER HEATERS Must bear label indicating compliance w/ASKRAE stand- ye-ard 90 or comply with efficiency and stand�y loss Switch or clearly marked circuit breaker ( elec�r�c ) . or cut-off (gas ) most be provided . An external or built in heat trao most be orovided . ...... ... ........___ ...._.....______---_.........__..........___ .............____............. .......... ________ SWlMMING PO�LS 904 . 3 Scas and heated oc'ols must have covers ( except solar & SPAS heated ) . Non-commercial Pools must have a pumP timer . Gas sua & puol minimum thermal effici�''��v of 78 ..................................................................__________________ �~�r WATER 904 .4 Insulation is reguired only for recirculating systems PIPES In sui % cases, oioinq heat loss shall be limited to 17 .5 BTU/V/Linear Ft . of pipe . ... ......._____ _.....______ ........._..........______.....__............. ......... ............................................................._ ........__ SHOWER HEA�S 904 . 5 Water be restricted to no more than 3 gal- lons no- minute at 80 PSIG. ... ........ ___ _........ ___ _..... . . .___ _......................................................... _....._ _.........._______ HVAC �UCT 903. 2 Cunstrun too in accordance with industry standards & CCNSTRUCTION 904 .6 local mechanical codes . Ducts in unconditioned soace musi be insulated to minimum R-4 .2 & jojnts must be sealed . ............____ _.....____....._____..........__..... ______________ HVAC C347ROLY 904 . 7 Separate readilv accessible manual or automatic thermost�� for each system . ............ ___ _.........____ ............ _______ INSULATI�N 9O4 . 9 Ceili:gs minimun R-19 . Common Walls CBS R-3 . Frame Common Ceilings & Floors ** INFILTRATlON REDUCT ��s PRACTICE COMPLIA�CE CHECKLIST ** =============================================================================== C��pONENT5 REQU[REMENTS P�ACTICE #2 �omoly �i �h Prac �i �e U and the following . ........._____________ Rxterior Walls & Floors Too :�ate peoetrat1ons sealed . InfiltraWon ba''rier installed . Sole plate/floor joint caulked or s�aled . szterzor Walls & Penetratioos . , o±nLs ano cracks on interior surface Ceilinqs caulken , se, ied , and qasketed . DucWorx Ductwork in sPace must be sealed . Fireplaces Equipped with outside cor'�ustion air , doors . and "! We dampers . Exhawst Fans Equipped with dampers . Combustion devices see 903.2 ( f > . Combustion Appliances Provided with outslde combustion air . AVW~� �~ S�MMEP CALCULATIONS === BASE === / === AS-BUILT === =============================================================================== S�ASS-.......... ------------- | ORlEN A�EA x BSFM = pOl�T5 � TYPE SC OR TEN AREA x 5PM x SOF = POINTS N 61 . 80 38 . 3 2366.9 | DSL CLR N 19 .8 38. 3 . 82 61G. 4 | DBL CLR N 15. 0 38. 3 . 83 476 .5 | D6L CLR N 27 . 0 38 . 3 . 84 47�� ' 1 E 104 . 40 79 . 7 8320 . 7 DBL CLP E 79 . 2 79 . 7 . 77 4899 . l ) D8L CLR E 5 . 0 79 . 7 .94 374 .6 � DBL CLR E 20 . 2 19 . 7 . 82 1320 .2 S 54 . 00 66. 2 3574 .8 1 DBL CLR S 12 .0 66 . 2 .55 437. 6 | DBL CLR � 15 . 0 66 . 2 .58 579.6 | DBL CL� S 27 . 0 66. 2 . 71 1260. 1 W 60 . 10 79 . 7 4790 .0 | DBL CLR W 29 . 7 79 . 7 . 77 1833 .4 CLR W 2. 2 79.7 .65 113 .� | DBL CLR v' 8 .0 79 . 7 . 75 477.6 20 . 2 79 .7 . 82 1720 -- ... ____________________________________________ _____________ . 1J x COND . FLOOR / TOTAL GLASS = ADJ . ' GLASS = AW GLASS | GLAMS AREA AREA FACTOR POINTS POINTS | P3INTS ..................__________ ___ _.....____________ _........ ___________________ _ . 15 824 .00 280 . 30 . 441 19 ,052 . 39 8, 401 . 27 | 14 . 581 .77 NON GL�S5------------ ) AREA x BSPM = POINTS PE R-vLUE -SEA x SPM = POINTS .................. --..............--...............-..... | Ext �007 . 0 . 9 936 . 3 | E` t Wood Frame 11 . 0 1007 .0 1 . 70 171 � , 9 ' DOORS---------------- � CEILINGS------------- � UA S24 ,0 .6 494 . 4 | �oder Artic 30 , 0 ��1 .0 . 6C 228 .6 � Under Att�c 30 . 0 530 . 0 . 60 318. 0 ' FLOORS--------------- ' nod 324. 0 -4 . � -3287 , 8 � Rso Wood Ad� acent 19 , 0 824. 0 ' INFILTRATION--------- � 824. 0 8. 0 824 .0 8 .00 6592.0 =============================================================================== rOTAL S�MMER POINTS � 13 106 �1 , . 23 " 761 .S7 =============================================================================== TOTAL x SYSTEM = COOLIN� � �OTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING SUM PTS ! ULT POINTS �PON TOOT 10 MULT MULT MULT POINTS ............. ____.....____....................________ _..........___....................___.............._______ ............. ........_____ 13 , 106. 21 . 42 5 . 504 . 61 | 23 , 761 .87 1 ,00 ; , ;On . 338 .860 7 '597 .81 WINTER CALCULATIONS ***************************************************************************x*** =============================================================================== GLAS�----.......................... .....----..... � G�IEN AREA x BWPM - POINTS | TYPE SC SRIEN AREA x WPM x WOF = POp � � ........_........ ________ ............................... .....____........ _..... ____________ N 6� . 80 7 . 3 451 . 1 19 . 8 7 . 3 1 . 27 | DBL CLR N 15 .0 7 . 3 1 . 25 136 . 9 DBL CLR N 27 . 0 7 . 3 1 . 23 242 . 4 E 104 . 40 -9 . 2 -960 . 5 W. PLR E 79 . 2 -9 .2 . 39 -287 .5 � DBL CLR E 5 .0 -9 . 2 . 82 -37. 9 -95 . 4 ' 5 54 .00 -28 .4 -1533 . 6 � DBL CL� S 12 . 0 -28. 4 .57 � DBL CLR S 15 ,0 -28 . 4 .64 -271 .5 � DBL CLR S 27 . 0 -28 . 4 .81 -621 . 1 W 60 . 10 -9 . 2 -552 . 9 | DBL CLe W 29 . 7 -9 . 2 . 39 -107.B / DBL CL� W 20 . 2 -9 . 2 . 51 -95 . 4 _..........__.....___..........___ _..... _ . 15 COND . F103R / TOTAL GLASS = ADJ . ^ GLASS = AD'J GLASS | GLASS AREA AREA FACTOR POINTS POINTS | POINTS ..........________ ........... _ _........ ____..........________________ ' 15 824 .00 280 . 30 . 441 -2 ,595 . 26 -1 , 144 .66 1 -1 . 172 .55 =============================================================================== NON GLASS------------ � AREA x BWPM = POINTS ( TV P-VALUE AREA x WPM = POINTS ..........____... ....._____.........._____....... __ _.....___ ........... ______ WALLS- ........---...............------..... 2215 . 4 | Ext Wood Frame 11 . 0 1007. 0 3. 70 3725 . � | DOORS---------------- ( ` CEIL ]NGS------------- | 9G8 . E 30 . 0 381 .0 1 . 20 457 , 2 � Under Attic 30 . 0 530 .0 1 . 20 636.0 FL3ORS--------------- ' Rod 824 .0 1 . 0 791 . 0 | Rod Wood Adjacent 19.0 824 . 0 2,20 1812 . 8 INFILTRATION--------- | 824. 0 7 . 4 6097 . 6 | Practice 42 824 . 0 7 . 40 609r.6 =============================================================================== TOTAL WlNTER POINTS | 8 948 18 ' , . ' 11 , 556 . 9� =============================================================================== TOTAL x SYSTEM = HEATING TO7AL x C�F x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS | COMPON RATIO MULT MULT MULT POINTS ........__....._....................___........ __.......................................... _ ........__....._ _........................_.........._____............... ........... __.............. ......................_..... 8, 948. 18 . 58 5 , 189 .94 | 11 , 556 .95 1 . 00 1 . 100 . 495 1 ' 000 6 ,292.76 =============================================================================== ******************************************************************************* WATER HEATING ******************************************************************************* === BASE === { === AS-55ILT === =============================================================================== NUM OF : MULT = TOTAL | TANK VOLUME EF TANK x MULT x CREDIT = TOTAL BEDRMS | RATIO MULT _.........__..................................____..................._______________.....______....._________________.......... ________ 2 3803 . ; 7 , 606 . 00 1 50 .90 1 .000 3719. 7 . 58 4, 314. 81 SUMMARY ******************************************************************************* === FASE === \ === AS-BUILT === =============================================================================== COOLING HEATING HOT WATER TOTAL COOLIHS HEATING HOT WATER TCM; POINTS + POI"My + POINTS = POINTS | POINTS + FOE!INTS + POINTS = POINTS _............. ____..........__ ....................................... ________....._____ ... ........_.....____..........____.....__....................___...................____.................. _ 5504 . 6 5189. 1 7606. 0 18,300 .55 ) 7597 .8 A292 .8 4314 .8 18 . 205.3G =============================================================================== ***************** * EPI = 99 . 48 * ***************** ' ID .EPpRTMINT OF BUtLQ1Nt CITi OF ATLANTIC BEACH PER IRFCRMATION �-- LOCATTO ,. It > � , 3724 Addar*08 s' ;239 46AGH, AVENUE33 ; `RE-1I�CtF ATL. rITIC BEACH,, , Ij3iTs1� Cl>a is + W rr C . 'ERATI ii _ .....� LEGAL t)ESCirtTRTIC�N' Ce n�rtt T r a 1 C3QD FRAM L of: I+►► opc d° 1 ` 'NQS E 'A i Ly T atirsxs hales 1 1 G Q rr+ lYin asa Codes0 Subdi,�lwions "Vift outod slue $0.00 xi0prov. Copts Total F o i 022. 50 Aiount " X3222. so f 'MOxk D H AVENUE SECTION ONLY r i s OtRATXQN VIWP�I , APPLICATION FEE".` pJ1'me NA PERMIT . Ad AVER E YIATER� IMPACT` F`RL SC3. Qt's s C1 ," FLORIDA 22 � S �'� FEE � O f � � R .D,ON OAS-H.. R. S. $O.00 .._ F'EtRNAT RA CK E - �,.�.. . Ot RG WATER "r'APt .QQ A dac i so ,� °� � l�T*SET U SEDER, T`AP. REX�H, OLORIDA . 32,2 HYDRAt11:' SR,�Ft> £ .00 Uicenite t RCOO , . Type: 7 RE` Inspect F"E t� SEC. R II'C 'AC'T 'EE T HE Mo I � I��ESr 3 NOTICE-- 1LL:60"CRETE.FORMS AND FOOTINGS MUST SEINSPECTED-REF©RE POURROO ' PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ` S-UtLD#NG MATERIAL,RUSBISH ANDDEBRIS FROM THIS WORK MUST NOT,BE PLACED#N PUBLIC SPACE,AND MUST BE CLEARED UPAND HAULED AWAY BY EITHER CONTRACTOR OR OWNER, i a� f FAIL,!# T ~C Nl.P► . 'ITH THE MECHANIC' ' LIEN LAS/ CAN RESULT IN Tf- E 0it�P��i" "'. N �t ��I,Y�NG TWICE FOR BU1L.C?1N ��At�RC�Y�� t`NTS." 'i'' to 1!lTti iEI Wt"! ISSUED ACCP II ,#NG 7fQ APPf OVED PLANS WHICH ARE PART OF THIS PERM1T ANdtSUB.i REVOCATIt VICri.ATION OFA PPI.ICABLE PROVISIONS OF LAW. was Imo; s. i ATLANTIC BEACH BUILDING DEPARTMENT _yaw„hi,§iY2,:..a.,'t_.,..,��'? �E,,w.ts�o-.,n,..,� CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address: ,)J 9 �-�3 09�' Phone: Lot # Block or Unit # Subdivision Contractor: 0 Address: 6 I lv�A, Phone: c-;Z C7,"- 3 C/ State License No. a C'. C)C' l� 3 Describe work to be done: Q Materials to be used: - rC�-tome Signature OWNER: Date: Signature CONTRACTOR: DEPARTMENT OF BUILDING CITY OF ATLANTIG BEACH ». I"R"tt!!2T "N# R3�A flN '-- _ -ti. GC + !►`!" I k#t ZN IFtRt4!t1 t# ----_- -- , I"�x•t�x►1.t !W't1lAlt�t�S`7I"t ",�!'� tlexr�s�s ��'9 Llr�".`1!t[^'!'1' h1I°L"!"Rkl I"v3t"axt 'rypel n C"Aw1A, 7A,.L; ATL,.l1UTXIC IMEAIC", rLC1ftX0A 2 Conetr. Ty,p*l W` OD I"`mAnxt cat: 10014 t *40ctxc l rrapc►med uses lar"mm rAnxLr Townships KIM% 0 t'►1to.Llings% I • Cod&s _0 4 TCrt 2 ro"I Al ert.00 } AtwcrtulPlt I�'K cit I 0:4m.m I ir� �GlkR ,, V.+„J1 MIE3k`kLY�l�Fw x } L Wfaf' b ° rN�".> , " 50 -------- �° � A� �Y�H - ArrL1 ATZO" tr>S� --».,.,- Ii�rtE`S'ri,l T 00 A"Cfd2C jRId#s k a Ta ftt$gt i�rA"!'LK 3 ti*AtC '! rum $0.010 r r !'IxCaxi t 1A, 11CA`I 1 iC SCA.tm Z 40h a M!!� 4 > • IS, tiG X11 T $ "1 A!" 4110.00 rarclrrer :+t� ► l :1FA0 13vw9cK TAI* 00. ft*r fttAUL Xt: Z'tARIL' xii len soI KA003 Type 0 IwUIS m a sh MWO. H 1"I'AC T 1"Off; �4+C..,C1C► r 4 4 M 1 Asn� F f 5a i* C NOTES: 4 V S 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. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY ONER PAYING TWICE FOR BUILDING IM. �N1NTS." VXIDAT ION; v I I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERM{ OBJECT T aCAT14ly FOR VIOLATIONOF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: ; BUILDING AND ZONING INSPECTION DIVISION j CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street address: /} OF intersecting Streets: Between (.C.C�Q� yC�t 1� And BUILDING Subdivision II. IDENTIFICATION -To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attachpd plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Nance of Mechanical Contractors Contractor (Print( VIA / Master Nasse of Property Owner Signature of Owner Signature of or Aulhorhod Agent Architect or Engineer 111. ONERAL INFORMATION A, Type of hosting fuel: e' IS OTHER CONSTRUCTION BEING DOME ON (3 Eteetric THIS BUILDING OR SITE4 j'e5 Q Ges—1, LP E3 Natural ❑_ Contraf Utility IF YES., GIVE NUMBER OF CONSTRUCTION OR PERMIT 29 A(-3 (, Ofhar _" Specify IV, ►MCHMIICAL BO{HPMINT TO Si INSTALLED NATURE OF WORKl7 V IProvide complete list of components on back of His form) Residential or ❑ Commercial Q' Heat Q Space ❑ Recessed O Control O Floor l❑�New Building 0 Air CwWWwping: (3 Room Q Contra) Existing Building 33�Ducf System: Materia Tbieknas`_�.. ❑ Replacement of existing system Maxim capacity cf.m. New installation(No system previously Insteltled) 0 Rsifrigantion Extension or add-on to existing system . d, Cooling toward Capacity 9.p-m. 13 Other -Specify 13 Fire sprinklers: Number of haad� Q Elevator Q Moniift Q Escalator (number) THIS SPACE P'OR OFFICE USE ONLY El Gasoline pumps (number) (Ree/irodl 13 T04111:11 (number) Remarks Q -LPG cents (number) 0 unfired pressure vowi 0 Sellas, Permit Approved Q OIMr —Specify Permit he Xj" ALL EQUIPMENT AIR CONWTIONING.AND REFRIGERATION EQUIPMENT Capadt Nwniber Vaita Deseriptift Model Number Manufactnrar ( �y �A l�,c 0003336 DEPARTMENT OF BUILDING .CITY OF ATLANTIC BEACH �e�°�]EL Alluret�+er a �� Actctx e��x �"�Wt ltRthG'tt I►YLttt t!~ floc vt 'ry prey t�>C.t 'lXtt Ak A7't.Al1'!'IC 151SACtti' rtmytxDh � :l clews OX vo rk s ADox rto" - L.t 1/rrL L� rcttir�r��att, y +ns�tr �!"ype s 1 OOD t1"1ttRlMxLr L,c+t,a Islock x rsectIan x ovell:ln;ges I 0000% Bei OuiaolvZolona matimeteo value% *0.00 Aas tax G !' aCpts *20 k 1 wol�ay.� �y�y� F ♦ j nyy�y� �{�1 �yy�/ y �hy� (� pt 0036 � �r iwaTy„na"k. � l ii'd 1>V14ill if:ai r� .x.�iJwr� mw �'w ti w S 40 tfitixl�Yclk4tfi fieJt'1/t�.`tlt?l;? 'Mt✓!�'t"!l�tt LtTtrA�C"t' rime J"" Y1r1�7t ti� z 4 3C► M!!t” "t lL "t"1".Lt s Ky.00 14 im po rrt, ob i+lr,. �# Tftxc 010or Amr or YAN WATZ" TAr AdQre!9PlS t al ' "t"w 1a „ x"s t.RoAl.t k°ti L".l►Wn :Irmo �►ki. k�K r�,�A�`M¢ , �x°�I�;>e~, t~� a'r-ra�►�aa ttx°t�rt.�cxt:.z� �rtwxz~ mar !raa. 'rp po I", + ► rrlr -�x» »��t` x ►.two (VOTES: J NOTICE=ALL CONCRETE FORMS AND FOOTINGS MUST SE 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. "FAILURE TO CQMPtY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IM4PR� IE�I��I' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJAW REVOCAT AOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ' • ATLANTIC BEACH BUILDING DEPARTMENT By 71 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �''�a" 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. / '47, J r � 1 D ELECTRICAL FIRM: ASTER ELECTRi&AN SIGNATURE JOURbJEYMAN 11 NAME lke-,Ll db ADDRESS: ;;)3q 2"Ch CZAl('- RFD BOX BLDG.SIZE BETWEEN: RES.(�4 APT.( 1 COMM.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( 1 OLD VA REW.( i ADDITION 1 ) TRAILER ( ► TEMP.( 1 SIGNS I ) SO. FT. SERVICE: NEW( 1 INCREASEII 1 REPAIR ( 1 FEE _ CONDUCTOR SIZE AMPS COPPER ( i ALUM. (X) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS 1 PH v W d''�)VOLT ", RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. i VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS I— T w a - MISCELLANEOUS TR0111SFnRMFRS! UNDER 600 V. OVER 600 V. Y 0012943 DEPARTMENT OF BUILDING OF ATLANTIC BEACH �._.:..�. rl�>ltl:r=r �N!'"bll1111'Tt�i't1 �. = Lt'71G'ATt'sCirK xrlr�erttt�t7rsr�tw Ir r p t x#iaaetlauw[,act l A Cf*r4ra*a X011 DDA r" A;vIr"t><!:' rrtrlat: rp ► oJ� A x'w > 'fr�ri �► rs, I .kxMrz�X .r +Const,.ar. Ty pe a WOOD rnpt"s Lot s !block s 'fit t3 o"% 1'ropoilwa totes 01fte.LIG rAnrwr Runt b > wr s>�xrig a Y I Code: 0 >�:lRE1M►lMte?Ct V1Ml"W1 0 111IM110k t*prov. Cost t 7`Cr Gi l Ibttt'1i4'!fo i *1*11 .*0 A ► +aar # tli "s &ti41 W., A001t 1C 1 "Ir op, 21#0 ,*r.'t'1"iC1it*r z .v+1t.'t-r T lUtt +A76" drtl l!' A'M"x,C'"t* IVAI vot ftl ^C,T lip" 010100 ** }� ' Lt f �y 1 Hy M"L+C!#t bA �:w l ✓�� .X"PA►aiCT 4eti!,.r, 110.00 RFSt .A4"J m " t n Il� i I� m� E N ;,V �i 2 . a �:7 « . 1�1!crrArari�» �+t�txallr CtAtx9i �x ��►.t� icsr► � ,Y x >x �r r *0.00 k W 11]IU1ithULZC "1'lHA*nis �iC3«tab L,atC"iar3ettRllr3 Typ*2 IL so NOTES. SCOIRV 7664"Post-it"Routing-Request Pad ROUTING - REQUEST Please IrI+ETICE ❑ READ To 111 11<E. POUR G ❑ HANDLE ❑ APPROVE and BIIpINO A+IACERt ❑ FORWARD IN PUBLIC SPACE,AND MUST BE CLIAREtrI'UPANI ❑ RETURN ❑ KEEP OR DISCARD "FAILURE I ❑ REVIEW WITH ME LAW CAN RESULT IN HE PROPE Date From I M Tr7 ENTs.19 ISSUED ACCORDING TO APPROVED,PLANS WHICH ARE P4RT'OF THIS PERMI pSUBJECTf /OCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. .I } ATLANTIC ACH BUILDI RTMENT lAl, f Address. jj l f_"-( /7 LiG .- �l`� F V, 010C <- G" Heated square Footage rib @ $ per sq ft = $ Garage/Shed to @ $ per sq ft = $ Carport/Porch ,C_ @ $ per sq ft = $ Deck @ $ Per sq ft = $ Patio � @ $ per sq ft = $ TOTAL VALUATION: $ 1,7 TbETV,aluation lst $ A F0 Remainder Valuation j'o�per thousand or portion thereof --- Total Building Fee $ 5 d AMITICNAL PROI[I S and/or FEES REWIRED ; + k Filing Fee $ Mechanical ; 1 Fireplaces @ 15.00 $ 115 . 00 Plumbing Bum= PERMIT FEE $ -5 Electric/New ' ----------------------------------------------- �_ Electric/Temp BUILDING PERMIT $ Septic Tank 7S� Wen WATER METER CHARGE $ mn mzng Pool SEWER IMPACr FEE $ Sign WATER DTACr FEE $ Water Cormection MISCELLANEOUS $ Sewer Cormection $ Water Meter $ Elevation Certificate - GRAND TOTAL DUE $ A-57,56 ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF r rtic Ve4d - 9&'Zid4 BUILDING PERMIT APPLICATION 716 OCEAN BOULEVARD REQUIRED SUBMITTALS P.O.BOX 25 ATLANTIC BEACH,FLORIDA 92239 Each application for building permit must be accompanied by two complete TELEPHONE(904)249.2995 sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); and a recent survey of the land for new construction and additions. APPLICATION CHECKLIST 1. Building Application form _ 2. Two complete sets of plans Tit a �i?TF 3. Detailed Site plan 4' � w 4. Recent Survey, if required 5. Owner/Builder Affidavit" Building and Zoning .Required when owner acts as contractor TIME REQUIRED FOR PERMITTING VARIES; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED. SCHEDULING INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, mechanical, etc.) 5. Insulation 6. Final inspection/Certificate of Occupancy. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15 is charged for all reinspections. PROPERTY' DESCRIPTION CITY OF 1 , -------- 716 OCEAN BOULEVARD Lot #_--_ --_Block #-17 __Section # P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Subdivision: Street Name DESCRIPTION OF WORK orAddress:---------------------------------- If in a FLOOD HAZARD Flood Zone:--------------area complete page 3. Brief Description•_ C 0 aL fI�O.vj F Class of Work: J , (New/Remodel/Addition) oInk_G ZONING INFORMATION Type of _ /r Construction• C f_ f}►vJ� Vj S n�� jcT� Zoning Proposed District: Use:_ Estimated Value $__,/--2 Exceptions or Materials;__�4 --------------------- Variances Granted: ------------------------- Solid or ------------------------------------------- Filled Ground: Roof: f& Sit k-5 OWNER INFORMATION [ 1 Method of Heating:_ 86 1 lul A�/ nor 1 Property Owner: ��-. �' S14&b+1 Ati ' J 6 --1/ 3if /---- --------------- Phone:---Mailing _ Address -, _ -----� J---- ----------- zip:- ��----- 43c-^fin CONTRACTOR INFORMATION Contractor: Cs t.d- N� <a ' 7.2j / l ------------------------------- Phone:---------- -------------- ---- Mailing �+ Address: ------------------------------------------------ Zip'--------------- Expiration License Number: Date: 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 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 UNDER TAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND RRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED REQUIRED. +( Owner Signature _ _ _ -- - -- Date___ Contractor Signature----------------------------Date------------ 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 pians 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 OWNER BUILDER PERMIT AFFIDA:'IT State of Florida 3 City of Atlantic Beach > BEFORE ME, the undersigned authority, personally appeared -------------------------------- who upon first being duly sworn, deposes and says: I, ��` t --3� Z r ty: and the legal owner of the following roe ------ Subdivision ----- ----------------- Block ---��-------- Lots -3----------- AKA ----------------------------------- I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 485. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEME14T 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 $25, 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 licensing 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. Prapert Owner-- -- - Sworn to and subsc ibed before ane this __ ___ ay ZONING AND SUBDIVISION REGULATIONS § 24-101 (4) No additional structure not conforming to the requirements of this article shall be erected in connection with the nonconforming use of land. (b) Reversion. A nonconforming use which is changed to a conforming use shall not be permitted to revert to any nonconforming use. (c) Nonconformance not grounds for variance. The presence of a nonconforming use or structure in a zoning district shall not in and of itself be allowable as legal grounds for granting of variances for other surrounding properties. (Ord. No. 90-82-74, § 2(III, E, 5), 7-26-82) Sec. 24-86. Secondary dwellings. (a) In any zoning district, when a lot has a width of fifty (50) feet or more and extends from street to street, a secondary single dwelling which may be combined with a private garage may be erected in the rear of a principal dwelling; provided that the secondary dwelling shall not be more than twenty-five (25) feet high, that there shall not be less than twenty (20) feet between the principal and secondary dwelling, the side yard regulations which apply to the principal dwelling shall also apply to sides of the secondary dwelling, and no part of a secondary dwelling shall be nearer than five(5)feet to the rear lot line of any lot. (b) Any existing secondary dwelling or accessory building that is encroaching on the street right-of-way shall not be rebuilt, enlarged, remodeled or structurally altered unless such encroachment is removed from the street rights-of-way. (Ord. No. 90-86-102, § 2, 7-14-86; Ord. No. 90-88-128, § l., 1-25-88) Secs. 2487-24-100. Reserved. DIVISION 5. ESTABLISHMENT OF DISTRICTS Sec. 24101. Introduction and purpose. The city is hereby divided into zoning districts, as listed and described below, with such requirements as set forth for the purpose of implementing the goals and objectives of the comprehensive plan.The following is established in this division: (1) The intent of each district; (2) General requirements for each district: a. Permitted uses; b. Uses by exception; c. Minimum lot or site requirements; d. Minimum yard requirements; e. Building restrictions. (Ord. No. 90-82-74, § 2(III,F, 1),7-26-82) Supp.No.6 1433 p a § 24-83 ATLANTIC BEACH CODE lot or parcel of land may be used for one single-family dwelling in any residential district, provided the minimum yard requirements for that residential district are maintained, and provided that the owner of said lot has obtained relief through action of the community development board and the city commission. (Ord. No. 90-82-74, § 2(III, E, 3), 7-26-82; Ord. No. 90.90-15, § 2, 6-25-90) Sec. 24-84. Yards;obstructions; double frontage lots. (a) Obstructions. Every part of a required yard shall be open from its lowest point to the sky,unobstructed,except for the ordinary projection of sills,belt courses,cornises,buttresses, ornamental features, chimneys, flues and eaves. No such projection shall project more than forty(40)percent of the width of the required yard over which they project. (b) Double frontage lots. On double frontage lots,the required front yard shall be provided on each street, except the required front yard on through lots between Beach Avenue and the Atlantic Ocean shall be the yard which faces the Atlantic Ocean,and the front yard on double frontage lots between beach Avenue and Ocean Boulevard shall be the yard which faces Ocean Boulevard. (Ord.No.90-82-74, § 2(11I,E,4),7-26-82;Ord.No.90-86-102, § 2,7-14-86;Ord,No.90-86-105,'§ 2, 7-14-86) Sec. 24-85. Nonconforming uses or buildings. (a) Continuation of nonconforming uses or buildings. Where on July 26, 1982,lawful uses of land exist which would not be permitted by the regulations imposed by this article,the uses may be continued so long as they remain otherwise lawful,provided: (i) No such nonconforming uses' halle ,fre ,ytor extended to occupy a greater area of landhan was occupied on July 26,'1982, or upon amendment of this article. (2) No such nonconforming uses shall be moved in whole or in part to any portion of the lot or parcel other than that occupied by such uses on July 26, 1982, or upon amendment of this article. (3) If any such nonconforming uses of land are discontinued or abandoned voluntarily for that use for a period of at least six(6) months, any subsequent use of the land shall conform to the regulations specified by this article for the district in which the land is located. If fifty (50)percent of the structure for the nonconforming use is destroyed, the structure shall not be reconstructed for any nonconforming use. a. Unsafe buildings or structures. Any structure or building or portion thereof declared unsafe may be restored to a safe condition. Permits are required; b. Alterations. A nonconforming building mg be miaintain and repairs and alterations shallbe made pt� t3 �"si.sltrttti�`sball.be"mad$ except those :1.1m t ►y lWincluding eminent domain proceedings. Rej.�,�irs, such asplumbingor changing of partitions or other alterations, are perm.Lted. Permits are required. f; Supp.No.10 1432 rf.,►. f ssa f.wws (� Ps s f 3.f! ahloce PONY M� tache of �f to it Wn 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. ! D.sciptiott of property...LQ.f....3 ..: ..1.7../',1 .:L ..,�1 . .. / ......»«..................««......«...«...,......«..«..........................................«««..«....««........ ..... « GM»ral detvip m of in oveaienta.......!""7 i„l, ,�.:I ...Gl,�. '«......2.1 ... f�..._..« _/ .......... Z, ..�.«....... ..........................««.«... .....««. Owner.......6.1"zo!eYe........(7...... ........ :1.:. /)PA A « ...«..._........... _..«._.« _. Address..... ..�t.... � , �:: .........A ........... .:. A.. Owners intered in site of the kWovemit......«.......«...«............................ ..............«... .....««««..««.««». IFN Simple R6 holder (if other than owner) Name..........................................................«...........y....«.......................................................«..............................«.....»...........«.. .........«« ..... Contrador......................«......««.......««.....»..««...............................«....«....................................................«....... Addyw..............................«««.............«.....«...............«....«.«»«.........«...........................««.......«........... .....».«. SurmaV .....«.....«..«....«.....................................»..........».........«.... Addreu«..«...««..«.......««.«.»«.»..««.....«.«.«.....«.«..«.«........«........«.»««...............«.«...........«.....«....Miourt of Ind i.....«.... Name of person **m the State of Reside d looted by ow.aer upon whom notices or other docs oms my be servo& �Ia,n.........C.�.:.a.&.. «»...��?'+.: �.. ..-,A-...«.......................««...««....«.«......... ... . A&kess...... `.... ... .«./..1 C.:? .tri...«. .' . .....«.....Z :.6 A. In addition to himself,owner designates the following persori to receive a copy of the Lienors Notice as provided in Section 713.13(1) (F), Florida Statutes. (Fill in at Owner`s option). Nar,,......... .d r. .......: ,'„. .x .l. ..... ...... ....« «.«.««......«.......«. «._.«.«...«««..» 21 � ��.. j s7 4922 I ©EpgRTMEF" OF BUILDING PERMIT � NO. / CITY 'c:.BEACH.FLORIDA A�P IX. tIX!for w (d a ..,MT TO BUILD where work. for which � 1 THIS PERMIT MUST BE POSTED ON JOB permit is required b92 this code is started Date FEBRUARY ��' 19 — without obtaining a 1 Fee$ 22 50 — permit, the fee shat Valuationbe doubled. aid to City Treasurer,and is This permit not valid until above fee has been P able provisions of law. subject to revocation for violation of app ARTTiUR D. DUNSTANE This is to certify that FLORIDA 239 BEACH AVENUE ATLANTIC BEAD �_ { A DECK AS PER ' has permission to build— SINGLE �j RA SINGLE FAMILY Zone d D, DLR3STAi3E S/�I,ANTIC BEACIi Owneby ARTS Block 7 Lot 3 House No- 239 B According to approved plans which are part of this permit CONCRETE FORMS NOTICE—ALL AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE in material,rubbish and debris / --► O Builds g rk must notce dr from this woes in public sp0: ,3and up and haul Lovay try { tractor '0 �OOfI Building Official• 1 i �{ DATE CONTRACTOR ` FOR OFFICE PERMIT USE ONLY NUMBER ._ PLUMBING i ELECTRICAL SEWER WATER i -Awl' A .D, Dilw , wr - a 7- : C17Y ©F 10Z.-OA-111-C Ar-oft-ll IT IJ IPOloo�72ce- MV/- 7V 8UI LSO ,4 ' AO 7/0 joZ''cA- s/a pF 1 0� IVoAIF AW ,07- 2 3 cSUGfi� BO Y/D ot`clr W/L C zp4ec' Coir/s'7"�py�T SET bV CMI Cor ?`,E"'/ ooletle w11- G 8g' Turd F- --r- ,4,�svv�- W1 7;V ;07XE ?Z�� D rte' T��' l a-oVe- 40' v OVA'O:- oc e,--f V vwr, (,P,1A9ffZ' sE� -47r�C1061,0W A4 T//�0 fi0 C'a )C dT Cr /s //DO o . TSE PviQAW - o/= sv �� y�0 , P0000, 0f Afit�;N�� D MUjL'ajNa 4rvc xCy FEg v it �• - �Y;_ ^'.11n y�� r } ��' ��4n•`µ ��...�� ~, a+ Va +R n i F t� w ,b 10 ft �,? F 'A � i "�4 � �+NE� �'y k� •iq � y J.�/(t "'.�k ��'3.r ""�'..d �s x}4 .�3. f1 Y rt 2 Its J. lk4 " 4 `iti 4 b° L Its ti tri, i a ; 0 rz _ o ,,.,e tz 05; f b a 0 r 3 m a) c �s td N > H �C 0 x a) H , Baa 4 00 N v t2l _ co C O H, C!1 cn H �_ O =i O ao O Z O. alp P1 CCLC � C o � d c � I a N En Qq a 1 i I t A W I _ � I � H H P-1 H ISA I � z - I � W O H C U OZ ,O 0 o � CL v w fA A fn a a PC D Z � W N C W 00 C pp M x _ HPL E, Cl) W U LJJ N W O co J ca 2 o m �. r ts-1T LOF Jf �, Office of Building Official { / REQUEST FOR INSPECTION �- Date, t �V Permit No. Time A.M. Received P.M. District,'No. Job Address c lity Owner' Name N Contractor Wv� UILDING PLASTERING ELECTRICAL PLJUM NG HEATING Foundation ....❑ Wire ...........❑ Rough Wiring ..C] Rough . .. Rough ...... ❑ Chimney ......[j Lath ..........❑ Finish Wiring ..❑ Final 1 ... i..... Final Framing .......❑ Scratch .......El Fixtures .......❑ Sewers Water Heater ..❑ Final ........(j}/Brown ........C] Motors .......❑ Gas Footing ..... E] Finish .........El Temp-Pole ❑ essp�ol .,'.... Slab ..........(-I Wallboard .....❑ Final Inspection.VTop•o t ....... Water, Lintel Beam . .❑. ....L... READY FOR INSPECTION A.M. Mon. u s. �r� Wed. Thurs. Fri. P.M. _�_ �V dM. Inspection Made I I Inspector I i CITY OF 4&44dW'c Becci-6;&jd- 4 Office of Building Official // REQUEST FOR INSPECTION Date—.,L— ��? [i? Permit No. ` Time A.M. Received _P.M. District No. 13 Job dress Locality Owner's og Name LCz'_ 97 -iF�. Contractor BUILDING CONCRETE ELECTRICAL PLUMBING 'ME HANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ {d Air. nd.8' ❑ Re Roofing ❑ Slab ❑ Temp Pole U. Top Out ❑ Heat['g / Lintel ❑ iFire ace L-;e Pre Fj READY FOR INSPECTION A M Mon. Tues. Wed. Thurs. P.M. I/ .- A.M. Inspection Mad � .,/f � P.M. 1 Inspector Final Inspection❑ Certificate of Occupancy Date 1 DEPARTMENT OF BUILDING 0 CITY OF ATLANTIC BEACH,FLORIDA PERMIT N0. ', PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB '•t11 6.0 i+ 4 C.T Date JLM 19, 19 85 37 1 i� 6/19/3 i a lfa *OOCAC Valuation$ 'AEC A UCAL Fee$ 46• � , I to 1131 G'- i OCt) This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation off applicable provisions off law. t7�� This is to certify that W.L1�6.e.it'1t'17 & �7t.AYa BEAT LYLJ has pelmission to kid IM AU ET & ZIR I I Classification RESEO IDL Zone Owned by GEORM SAIYrAYANA Lot Block SfD i House No. 939 BEACH AVE IIF According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS I ,I AFTER DATE OF ISSUE `--♦ O Building material, rubbish and debris ii from this work must not be placed i in public space, and must be cleared = up and auled away by either con- ct ner. Building Official i FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR I iPLUMBING l ELECTRICAL SEWER WATER AIM aid CITY OF LTLAN'I I C LEACH, }LOU DA APPLICATION FOR MECHANICAL P, ��IiT E{ IMPORTANT '--/%pp1ioant fo cornplofo all Roms in s"i'rorn I. � !' L(Y:ATION (t:or+ik, So.A, East,Wast) (Address) Strsatsl OF i• t !JILDIkG Loo Ne 6:cc! No Swb dir;s:oa (Stat• portion of 64 if I.ra than fu0 6f--.Attack 6gsl d•acrip+:on per d**4 in dwpl;c if ry� 11. TYFE OF NPOPOSED 1.t;.C, ',-NICAL WOP.K All tpprcentt tornpWo Ports A --+ 0 A. US. OF WILDING 1. .0 VA 11 RESIDENTIAL IS. rc.ah (ir.didwk, r4lisrD. nMprofiit irrdjfir;*A.eft. I. One family 11. ❑ uhny IL ❑ 'Ar-c Iiwoe�d. St to or, 1 gaers.•ew/� 2. ❑ T"or mors family- 12. ❑ sc-k". Gtsrary, T--- -- Enter eumbsr of rooms Okof "Cat;" C. NATUKE ^-* WORK I ` 3. ❑ Tranaianl, l.atel, rr.otel. rc,oming Lows - 13. ❑ sows, m*runfilo IT. N ' Wwil4;ng �� Enter numlaer of wnita. Oti.aw I{. Fisting bw"d'.�.g. 4. ❑ 06ar r•stdanCai 14. ❑ OTMER-SPECIFY __ 11. ❑ pi-emc-at of e1illl664, lM0 20. Nov instailatkpn (irle.s+y�fens �irt.tosrsly kaetktl4d� NON-RESIDENTIAL 21. ❑ 6hnsion or a�ld-0n;4e r,i�fuj►q ryMrR. 5. ❑ Arnwwnont, mcrosConal 22. ❑ Otbor-sp+t , i 6. ❑ CSk mh. *Aor raYgiout }4 r T. ❑ industrial . t. ❑ Garage. %*►rice ►talioa E TYPE OF ;UILDtNG a �. ❑ Hospital, institutional _ 3t, ❑ Nwmbar of 10. ❑ Office, bank, profassionol 32. ❑ Wood fromt 0. MECHANICAL EQUIPMENT TO CE INSTALLW 3t, ❑ Mason y and ikaol l Pro.ido 'ale fist of con onanh oa back of W fZe"I I P P 14. ❑ Rainfersad conkn/o; 23. (J Furnace: ❑ Space ❑ Racaued 0 F6w 40. ❑ Structwral s+eilil 24. Air Conditioning: ❑ Rool�n Cents! 41. ❑ Othar 2S. Duct Systom. Matarial_1Jl/�\. 1 iA#c wess_ r Mas;rnum capacity TONAGE: 1-1 THIS SPACE 0409 USI ONLY 2T. (3Cool;nq toyer' Capacity q•p.sR. 21. ❑ Firs sprinktan: Numb*r of IwdL 21. ❑ Ela.stor ❑ Man:ifl ❑ Esu•*+o• (nwrrSarJ 30. ❑ 6esarne p�rnp _ �(awm�iar) 31. ❑ Ton1L (nwr*La►J Rernar4t 32. ❑ LPG conlainw (nw +bo►) 33. ❑ Unfir*d pm"Urs•enol 'armit Approved by W1a►. 34. ❑ Uleft ►erswif Fear � 35. ❑ Oth-t -- Spacily I11. GENERAL INFORIAATION A. Type of 64!;09 Srel: E3. 1 IS OTMER COkSTRUCTtON 'EIN 00 41. C3 Esa-aric Olt I THIS BUILDING OR SITI:T ----- I'j r i i 2 1,4 f ' U '�Qo� oNl�nza tznl ss HZIM HONVMfoOOV a31VM a3M3S IVJINl0313 ONisvmld a010VHIN00 31V0'. 713ewnN AlNO 3Sf1 11W043d 301dd0 80:1 i -letay3o Su'PI!ng U21HIO •Jaumo ioi -uoa iayp kq .ieme pained us do 2[NIHDVW ONIHSVM paieap aq ;snuu pue °aaeds aTignd ui paaeid aq 3ou ;sntu 31aon+ sign tuox3 z sisgap pue gsigqna 'Teiaa4vtu�uipiing o �_� ♦ 10,S'IFISOaSIQ df1SSI 40 alVCI 'daJAV SNRHSVMHSI(ISHINOW XIS QIOA IIW'dUd •`JNIRIflOd H'dOd'dg QUDUS -NI dH JSfIW SJNI.LOOd QNB' S2t3 ZFIHH 2IHs yr1 SW'dOd d. MdDNOD 'TIV—'3DIJ ON IitiTzad situ jo lxed an ttaiqw sueid panoidde oi Sutploaay S2IHMOHS •ori asnoli Q/S looig ' DoT Kq paumo auoZ '�"""� IIOI�e01}ISSEi� oissiwiad se JIT � o� u q i WSW 59= a�qa �}ivaa of st silty -tArl}o suois!noid algeaq{dde}o 0613910!A w3 uogeaonai w aaafgns si put'jainseal•y,ci!o,toz pled uaoq segj-j anoge 1p-pile-wu uuuad silty i $aaa $uoijenieA 0001 —Sid'6I 0-n T;3ZV MCI 9/11A v I +tit;0 9 / ZI1 a1100'Cl• +pM�jn sof NO 431SOd 391Sf1W II W63d SIHI ai no Ol llWa3d ON 11W2�3d valmold'i4Pv3e 11NK1,LV 40 A110 wjgJNIClimi jCh N3WJ-2lVd34 'I I 4640 ' '04PARTMENT OF BUILDING CITY OF ATLANTIC BEACH t LCA A' ` Rt> b r r ' '4 r P ►x^la t. ` YI P »ON]k 4 ATLIA$T SDA 32233 Cir ? 4 Work s, AtENL4�A ' C6h ypo 4000,1 F#A E Loto �ion: Px'a►pc� "ed Uses tDLt I.F`AM L Tc�wrr� 0 Dre3� Giad I b 5ubcdivfita sit �n or «D441 I lot Au �3«RC1 r a t .t" W RESIDghl «g, p r PL Al Eg smATION 11 PRR"I � r. �� T ' �3, 5O Acle ire ` ' 00.00 O.00A E1R I'Cl t 'IAT l3 [ - RADEIN : AS � � � l�U. `�' �O. �3f� ° tr "RR' `YAC , �, if O. OQ rH Add>e �x 3"9 ACS__RL'k" � SZNMTAP J , fly? � LfM FL 32224 HYDRAULIZ �,.� �� .00 2 7 Y 's 0 RE-IN P ` OTHER fi � �, .00 NOTES. I TILE ALL CONCRt*9 FORM$AND FOOTINGS MUST BE INRi+EC t D., l PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE i i ; 111"T ' i, BUII.6lN 1 IAT RIAL,RUBBISH Ad0ESPIS FR.DM THIS WORK MUST NOT BE.PLACED PA ID MUST BE � CLEA0 P_A r D HAUI:Ea AWA' �Y EITHER;CCNTRACTOR OR OWNER i { M1 N4NUf R TD t?MP ( ITH '" 'HE` MECHANIGs' Li uLT'IN Av OW # 'A ING TWICE FOR BU1SITS." 04140 PR�1�UEO A O ,DING TO APPROYiD 'AN PIANS WHICH ARE PART OF THIS PERM R � .T VOR ViOLATIF�N OF !PPOCAke OR 61005 FlAW. ATLAN7IG AC BUILDING DEPAFt1MENT s {' # CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT . JOB LOCATION PLUMBING CONTRACTOR f 6' • ; - 3 Z_6tBr te. • LICENSE NUMBERS 0- C'Q ,as- OWNER BUILDING CONTRACTOR U� F TYPE OF BUILDING SINKS / S HORS LAVATORY WATER HEATERS I BATH TUBS DIS HERB URINALS _LDISPOSAW CLOSETS LWASHING MACHINE FLOOR DRAINS _OTHER'/ N s:A jl- TOTAL FIXTURE COUNT 3 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORWCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMING CODE. i ,II i DEPARTMENT OF BUILDING ® U C � CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 17,50 T 37,unCKT Date ' - 22, 19 7i<d ! t / lti CCCAG I Valuation$ 24,794.00 Fee$ 37.50 J741 114 2I0 ti/L This permit not valid until above fee has been paid to City Treasurer,and is ' subject to revocation for violation of applicable provisions of law. This is to certify that Mr' George Santayam 239 Beach Avenue has permission'to build Ad4t](n PS per p10M I Classification Rosi mtial Zone RS2 Owned by George Santayana I Lot 3 Block 27 _s/D.A.B. i House No. 239 F;pAcb A't'remip According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10 .4---D O Building material,rubbish and debris a from this work must not be placed in public space, and must be cleared a d away by either con- ac r neer/. iBuilding Official. FOR OFFICE PERMIT DATE V CONTRACTOR USE ONLY NUMBER PLUMBING I� j ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH, FLORIDA ':' App.—ovw by APPLICATION FOR ELECTRICAL PERMIT ii 1 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 ' f IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED ;IN I 4E LILOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS` D S ¢(FICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATION OD ;AND CITY OF ATLANTIC BEACH ORDINANCES. i f ELECTRICAL FIRM: ER ELECTRI AN SIGWATURE .�.. NAME. 1 cS. ADDRESS: r2 3 9 13 cc t a(- o u c aP'I jc(ooF�p R D--,-B0X r BLDG.SIZE BETWEEN: _ _ 4 RES.V4 APT.( 1 COMM.( 1 PUBLIC( ) INDUS. ( 1 NEW( 1 OLD 1 t REW.( 1 ItbDITION 1 1 TRAILER ( ► TEMP.I 1 SIGNS ( 1 SQ FT. ' SERVICE: NEW 1 1 INCREASE J REPAIR ( 1 F E~ CONDUCTOR SIZE ,/ AMPS S COPPER 1 ALUM. TCH OR BREAKER \ZS AMPS 1 PH 3 W ��10�'JVOLT C /2 EXIST.SERV.SIZE aco AMPS I PH 3 W JOLT RACMWA FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOT RECEPTACLES CONCEALED OPEN T T iI 0.30 AMPS. 91.100 AMPS. \ SWITCHES h INCANDESCENT 'f FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-H A • I ' 4 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE MISC NEOUS q. TRANSFORMERS: UNDER 600 V. OVER 600 V. C I CITY OF ATLANTIC BEACH, FLORIDA APPrcwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: G IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN HE iF L4WING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANSI ND $ IFI I TIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL`REGULATION I�'CODE ,AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE 1 NAME - N ADDRESS:CM &Ae-A D---�._BOX BLDG.SIZE BETWEEN: 1p . . t � RES.( ! APT. ( 1 comm.1 1 PUBLIC I 1 INDUS. ( ) NEW( ► OLD ik) iW.( 1 ADDITION ( ) TRAILER t ! TEMP.I 1 SIGNS ( ► SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR I ► j EE t � 1 CONDUCTOR SIZE AMPS COPPER f I ALUMJ SWITCH OR BREAKER AMPS PH I W VOLT RAC W' MOTORS H.P. VOLTAGE PHS NO. H.P. VOLTAGE i { SIGNS NO NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLA R } EACH SIGN Date axle DEPARTMENT OF BUILDING City of Atlantic Beach, Florida Application for Permit for I Permit No . B EOffice (� Miscellaneous Alterations M p UOnly and Repairs Contractor ",%.*4ddress O�31 � Phone t,-�V( -q3/1 Owner_ S&Imw Address__ SA*U& Phone S/n.t5 The undersigned hereby applies for a permit to ff Building on part of Lot No . -3 _Block vlr? Subd. At side of , between-- and and -- d Streets . Valuation �7}600-�' Present use for building i��`5tct�vc c If residential , what type dwelling (single-family, duplex. . ) .S/N 1v F MI How many families accomodated now? OAJt:`" When altered? 8N6�?- If business , what type? A/ Will food be prepared for sale on premises? t�� What plumbing/mechanical work to be done? U -v Aqif Z s bI� Size of present building fb Size of extension 6`jq S Size of lot , Vic? OU Number of stories now 0Alt C--3- When altered T�w� Material of existing building_ k.)pcJc- Extension Si4'M ------ --------------- ---------------------------------------------------- CITY p P R OTIC EE) NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HERE Ir'G GFF'CE In consideration of permit given for doing the work descr ' '11 T� above statement, we hereby agree to perform said work i -c danc with the attached plans and specifications , which are , in accordance with the building regulations of the Ci Si ugh Con actor Date S, t u r Oran Date ADDRESS MECHANICAL PERMIT# PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # i TEMPORARY ELECT. # Heated Square Footage �� @ $ ,7per sq ft = $ 1) Garage/Shed @ $ per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION $ C,! z Total Valuation Data lst Remainder Valuation @ $ per thousand or portion thereof TOTAL BUILDING FEE + 2 FILING FEE $�` FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ ------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10. 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ A P P R O V E o TOTAL SEWER IMPACT FEES $ CITY OF A T LANDC BEACH Bull-DING TOTAL WATER CONNECTION CHARGE $ F E 6 MISCELLANEOUS CHARGES $ �6 J GRAND TOTAL DUE : $ f��, Ciel UI• AlL;u.11t, bLA(;H APPLICATION FOR PLUT`tBING PERMIT DATE _ NEW TYPE OF BUILDING OWNER'S NAME REPIPE RESIDENTIAL ADDITION COMMERCIAL LOCATION PLUMBING FIRM ADDRESS MASTER PLUMBERG1T A P p R P print int LANTIC BEACH SUILD)IVG QFrIG� CITY/COUNTY OCCUPATIONAL LICENSE NO. 0 1�_�5 STATE CERTIFICATE NO. BUILDER OR CONTRACTOR �- ----------------------------- SINKS LAVATORY BATH TUBS URINALS FLOOR DRAINS CLOSETS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS WASHING MACHINE OTHER TOTAL FIXTURE COUNT G _> INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BRE .KDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DE?-LAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UN: TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY (1 UNIT) KITCHEN SINK CONBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN SINK Wi DRINKING FOUNTAIN (11 UNIT) WASTE GRINDER DISHWASHER (2 UNITS) FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARB] LAVATORY, SURGEONS (2 UNITS) SHOWERS GROUP PER HEAD BEAUTY PARLOR SURGEONS SINK (3 UNITS) (3 UNITS) (2 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERYSINK (4 UNITS) URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS) BLOWOUT (8 UNITS) URINAL WALL LIP URINAL STALL, (4 UNITS) WASHOUT (4 UNI': URINAL TROUGH EACH 2' _ WASHING MACHINE RES. WASH SINK EA S) SECTION (2 UNITS) (3 UNITS) OF FAUCETS _ WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) 00 TOTAL FIXTURE UNITS