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OF DEPTH > # 3 REBAR TO BE USED TYPICAL THROUGHOUT > EMERY BAR-END TO BE OVERLAPPED 30 BAR DIAMETERS • (EQUIVALENCE 11.25") ` • > SEE ATTACHED PLANS FOR VENT LINE DETAILS TYP.WIDTH �AT TOP OF BEAM " TOP BAR STARTS r' 6 ' FROM TOP OF BEAM = O 7 IRON TIE BEAM 3 • of L6" 4 TYP.BEAM THICKNESS DRAWN BY: CAC DATE:6 Apr. '05 SCALE: N.T.S. DESIGNER: CAC (904)641 -5265 5HALLOW - DEEP FLAT GAGE TYPICAL STEEL LAYOUT FOR SHELL WITH DEPTH WATERLINE UNDER 7ft. WATERLINE TILE C #3 REBAR ON 12" • POOL i4-CENTERS TYP. \ DUAL MAIN DRAINS FOR ANTI-ENTRAPMENT PURPOSES OR 7 IRON TIE BEAM (7 IRON TO BE PLACED EVERY 24") WATERLINE TIE WATERLINE • ` X13 REBAR ON 17' 'f-CENTERS TYP. POOL • DUAL MAIN DRAINS FOR ANTI-ENTRAPMENT PURPOSES TOTALLOT: 13,005 Ft. CUSTOMER ELECTS TO USE ONE OF THE FOLLOWING OPTIONS: HOUSE: 2,143 Sq.Ft. APARTMENT: 670 Sq.Ft. 1. HARD WIRED ALARMS ON ALL DOORS / APART.WALKWAY: 54 Sq.Ft. AND WINDOWS LEADING TO POOL AREA DRIVEWAY: 697 Sq. Ft. 2. CHILDPROOF FENCE LANAI: 228 Sq.Ft. 3. POOL COVER A/C PADS: 18 Sq. Ft. 4. OTHER APPROVED METHOD: WOODEN DECK: 0% POOL ADDITION: 0%Sq.Ft. 2"TE TOTAL IMPERVIOUS: 2,493 Sq.Ft. 1'/:"RE (APPROX.29.29'/) 2"SUCTi01 TOTAL PROPOSED FROM EQUIF IMPERVIOUS.: 2,493 Sq.Ft (APPROX.29.29•/) 1'MA) \TO VENT T APPROX.PROPERTY LINE LOCATION o BENCH PIE TO BE WITHIN MAIN DRAINS to (12"WIDE) 45'FROM SPA (SEE DETAIL THIS PAGE) O POOL LIGHT (300 watt) V-0" w POOL DEPTH O INDICATES BACK OF EXCAVATION W SKIMMER c► 0 r- EXISTING POND s RESIDENCE D City of Atlantic Beach <� APPLICATION NUMBER Building Department ��.. (To be assigned by the Building Department.) 800 Seminole Road + Atlantic Beach, Florida 32233-5445141 Phone(904)247-5826 • Fax(904)247- 45 �� �r;31�� E-mail: building-dept@coab.us + Date routed: u U City web-site: http://www.coab.us APPLICATION REVIE AND TRACKING FORM G � �Q C� /✓� Property Address: Department review required Yes No Buil Innninn P. Applicant: r4A Oq ndF.D T Zonin 0 r . . ., _ .... hlic Utilities ....., ,..:..,... . _.. _ PrO�ect: Gc� Q 4 Public a ety Fire Services Other Agency Review or Permit Required Review or Receipt Date x of Permit Verified B Florida Dept. of Environmental Protection � V Florida Dept. of Transportation St.Johns River Water Management District /O Army Corps of Engineers f V Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: KApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WO KS Reviewed Date: PUBLI TILITI S Second Review: ❑Approved as revised. ❑Denied. Comments: PUB IC FETY FIRE RVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: eS, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001114 Date 11/24/08 Property Address . . . . . . 631 BEACH AVE Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc NEW POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GOELZ, DONNA FLORIDA BONDED POOLS 631 BEACH AVENUE 8608 BEACH BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 641-5265 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 5/23/09 ---------------------------------------------------------------------------- Special Notes and Comments Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Grand Total 195 . 00 195 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road s� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us City web-site: http://vmw.coab.us Date routed:p://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �21 Department review required Yes No uil ' oc n &Zonin Applicant: CLOO AS ndfb T60 � g2r ic.Uti ities Project: Public a ety Fire Services Other Agency Review or Permit Required Review or Receipt Date k of Permit Verified B /� (u Florida Dept. of Environmental Protection � V Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers y Division of Hotels and Restaurants o Division of Alcoholic Beverages and Tobacco Other: APPLICAT N STATUS Reviewing Department First Review: proved. [—]Denied. (Circle one.) Comments: BU 1(ANNING &Z PUBLIC WORKS Reviewed by: Date: lD l� lx__ PUBLIC UTILITIES Second Review: DApproved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j x ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001750 Date 12/29/08 Property Address . . . . . . 631 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GOELZ, DONNA FERRANTI ' S ELECTRIC 631 BEACH AVENUE 1697 IVEY ROAD ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 529-7422 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/27/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH _ ,a 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 r OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US " i ar ELECTRICAL PERMIT APPLICATION DUVAL COUNTY <1.IJOB'ADDRESS: 2.IS;THIS A Sill}PERMIT:: 3sDATE ❑NO ' n ❑YES PERMIT#: PROPERTY OWNER,',,. " 4.NAME. 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: �"o �► Cr��L 16-il -� J ELECTRICAL CONTRACTOR: r7.NAME OF COMPANY: � 8.ADDR� . v 9.STATE OF FLORIDA` L0 N NO: 1-10 L/ONE: s-- 11.FAXNO.: 1,1 - 1?111 12.EMAIL ADDRESS: 1 OFFICE PHON 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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) nths at any time after work is commenced. CONTRACTORS SIGNATURE: CLASS OF.WORK: 1T RVICE: 18.METER NUMBERr." ❑MULTI FAMILY-#OF UNITS: RESIDENTIAL SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE;: .;.. ❑ALTERATION ❑SIGN GMLD ❑NEW 5 NATIONAL ELECTRICAL CODE ❑REPAIR IR-r0-0L/SPA 113 REWIRE ❑OTHER: LIST ALL ELECTRICAL . 20.TYPE OF SERVICE: ❑OVERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON ❑POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: *OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: P60 L-IJ , BLDG02 Permit Application Elec:REVISED:12/182008 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000093 Date 1/21/09 Property Address . . . . . . 631 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc swimming pool wiring ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GOELZ, DONNA DAVID PRUETTES ELECTRICAL SVC. 631 BEACH AVENUE 331-8 PARKRIDGE AVE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 272-7225 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . POOL WIRING Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/20/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. l� CITY OF ATLANTIC BEACH 4 I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 si OFFICE:(904)247-5826•FAX NO.:(904)247-5845 { BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1:JOB ADDRESS.� € " M.' s 2:IS THIW,A SUB'PERMIT'.., lS?3 AJCGCT, L� ❑NO �l 1114 Atlantic Beach FL 32233 EYfE$ PERMIT#: .,= � ��«�, r.: �,-�.3,. .�;,r.� . .n.. ,• .....�pROPER_T,IEOWNER„ .•�:�: �.� ,.�,a.. ;.� :•,_w" ,...� .,�.�„�� .,.r:;.., 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ;n`"��.ELEGTRICAt:CONTRACTOR.�K,. , x. �; a 7.NAME OF IMPANY, 8.ADDRESS.: t�-W'S 331-�) FL 32 C(e 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: z 3 -�s. 7- Z2?--:7zZ7 \)r k—kL ADDRESSi"QC� SL� So u+vNI 13,OFFICE PHONE: 7 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 time r co ced. CONTRACTORS SIGNATURE ,.'16:CCJISS OF WOR1f.,., rt 'mak , € _ , .s r.• 17-�SERVJGE a s.'� ';;;18:M ❑MULTI FAMILY-#OF UNITS: ESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 18 Bty11.DINfe' . .,° . f 'CURRENGt3 W- ' „_ ❑ALTERATION ❑ ®'OLD'OLD ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ❑REPAIR CI POOL/SPA ❑ REWIRE ❑OTHER: .. ­' sST �e 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPICITY: OCC '1 ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W:, —r-WAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: 25. FEEDERS: #OF AMPS: #OF_ 26. LIGHTING FIXTURES: INCANDESCENT: FLUOF 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMF f, 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,P ; t 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-10C 31.SWITCHES: 0-30 AMPS: 31-1C AIR.Col #OF UNITS: COMP. MOTOR HP RATING: #OF UNITS: COMP. MOTOR HP RATING: Rs 33' x, .. ,. NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: . . 34.,TRANSFORMERS UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: Ay r .. .5_,. .. ` , .'. ;',,, ,..,; ..,,35 MISCELANEOUS REPAIRS::L s,. DESCRIBE IN DETAIL: 1 COAB FORM BLDG02:REVISED:8/13/200 t x �;4TECilaY Charlie Crist D id Flora Department of ` Governor Environmental Protection Jeff Kottkamp FLOR A Marjory Stoneman Douglas Building Lt. Governor 3900 Commonwealth Boulevard Michael W. Sole Tallahassee,Florida 32399-3000 Secretary (Mail Station 300) June 26,2008 Thomas C. and Donnalea V. Goelz c/o Kevin Partel Coastal Consulting and Restoration,PA 4230 Myrtle Street St.Augustine, Florida 32084 Dear Mr.Partel: NO PERMIT MODIFICATION REQUIRED Permit Number: DU-405 Permittee Name: Thomas C. and Donnalea V. Goelz Project Address: 631 Beach Avenue,Atlantic Beach Project Location: Between approximately 148 feet and 198 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County This will acknowledge the receipt of your request dated June 25, 2008, to alter the construction or activities authorized by Permit Number DU-405 as follows: increase the shore-normal length of the swimming pool by 5 feet in the landward direction, from 35 feet to 40 feet long; and increase the excavation and corresponding fill amounts by approximately 5 cubic yards,from 45.4 to 50.3 cubic yards. The staff has determined that the proposed alterations do not increase the potential for adverse impacts to the beach/dune system or adjacent properties, or reduce the structural soundness, and that the proposed alterations are minor. No formal modification of the permit is required. Enclosed are stamped, approved plans depicting the proposed changes. You may proceed with construction as authorized. All terms and conditions of the permit, including the periodic reporting requirements, remain in effect. Upon completion of the project, the alterations are to be noted, along with the authorization contained in this letter, in the final certification report. No additional permanent exterior or landscape lighting or other actvities are authorized. If you have any questions or concerns, or need additional information,please contact me at the letterhead address(add Mail Station 300),by telephone at 850/921-7849,or by e-mail to valerie.iones@dep.state.fl.us. Sincerely, 0 Valerie Jones,Pe it anager CCCL,Bureau of eaches and Coastal Systems vj/ Enclosure cc: Thomas C.and Donnalea V. Goetz,Property Owners Trey Hatch,DEP Field Inspector Duval County Building Official "More Protection,Less Process" Printed on recycled paper. s FLORIDA DEPARTMENT OF ENVIRONMENTAL: PROTECTION Bureau of Beaches and Coastal Systems W 3900 Commonwealth Blvd., Mail Station 300 FLOR A y Tallahassee, Florida 32399-3000 w Telephone(850)488-7708 NOTICE TO PROCEED Permittee Name: Permit Number: DU-405 Thomas C. and Donnalea V. Goetz Permit Expires: May 28, 2011 c/o Kevin Partel, President Coastal Consulting and Restoration, PA 4230 Myrtle Street St.-Augustine, Florida 32084 You are hereby granted final;authorization:to proceed with construction or activities authorized .by this notice. Authorized work must..conform o-fh -project description,' approved plans, all the conditions of Chapter 62B=33, .Florida: Admidistrative Code,: any preconstruction ;requirements; and all permit conditions of the Final Order. Project Description: Construction of a landward swimming pool, other structures/activities, excavation, and placement of fill. Project Location: Between approximately 148 feet and 198 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project Address: 631 Beach Avenue, Atlantic Beach. Special Instructions: A preconstruction conference is required. The permittee shall comply with all permit conditions. Questions regarding this notice should be directed to the undersigned at the above address. �t 2�" E' Valerie Jones, Permit Vger I hate VJ/dw cc: Permit File Permit Information Center Trey Hatch, Field Inspector Thomas C. and Donnalea V. Goetz, Property Owner City of Atlantic Beach, Building Official Post Conspicuously on the Site 1 DFT Form 73-131 (Updated 2/06) Florida Department of Charlie Governor Environmental Protection Jeff Kottkamp Lt.GovernorMarJoI? Stoneman Dou las Building� •r. � r 3900 Commonwealth Boulevard Tallahassee,Florida 32399-3000 Michael W.Sole Secretary May 28, 2008 Thomas C. and Donnalea V. Goelz c/o Kevin Partel, President Coastal Consulting and Restoration, PA 4230 Myrtle Street St. Augustine, Florida 32084 Dear Mr. Partel: Notice to Proceed Permit NumVer ,^DU 405 Per mitt +�f lame. '`TbbrliWC. and�Don nalea V. Goelz Yours request for a permit'puruattt to lection 161.053, Florida Statutes, for construction or other activities sea. and of the:coastal construction control line, has been approved by the Department of Environmental Pt6ktibAll�ii 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 General Permit Conditions and any Special Permit Conditions closely before starting construction. General Permit Conditions 1(q) and 1(s) pertain to written reports which must be submitted to the Department of Environmental Protection 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. The permit will expire on May 28, 2011. Upon receipt of a timely written request signed by the permittee or authorized agent, the Department will consider extending the permit for up to but no more than three years. 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. 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 d 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 (2 1)days after your receipt of this notice. "More Protection, Less Process" www.dep.st ate,f 1.us Kevin Partel, President May 28, 2008 Page Two 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. Rule 28-106.201(2), Florida Administrative Code, explains what must be included in a petition for a formal administrative proceeding. Section 120.54(5)(b)4, Florida Statutes, and Rule 28-106.201(2) of the Florida Administrative Code, explain what must be included in a petition for a formal administrative proceeding. Unless otherwise provided by statute, and except for agency enforcement and disciplinary actions that shall be initiated under Rule 28-106.2015, F.A.C., initiation of proceedings shall be made by written petition to the agency responsible for rendering final agency action. The term "petition" includes any document that requests an evidentiary proceeding and asserts the existence of a disputed issue of material fact. Each petition shall be legible and on 8,.1/2 by11 inch white paper-.,Unless printed, the impression shall be on one side of the paper Only and tines shall be double-spaced. (a) The flame and address of eacti•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 will be affected by the agency determination; (c) A statement of when and how the petitioner received notice of the Department's action; (d) A statement of all disputed issues of material fact. If there are none, the petition must so indicate; (e) A concise statement of ultimate facts alleged, including the specific facts the petitioner contends warrant reversal or modification of the Department's proposed action; (f) A statement of the specific rules or statute the petitioner contends require reversal or modification of the Department's proposed action, including an explanation of how the alleged facts relate to the specific rules or statutes; and (g) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Department's proposed 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. Kevin Partel, President May 28, 2008 Page Three Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Sections 120.569 and 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 120.68 of the Florida Statutes and Rules 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 Section 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,medtation as an-alternative remedy. und_cr Section 120.573 before the deadline for-filing a petition. Choosing mediation will not-adversely affect the right to a hearing ifmediation does rioti result in a settlement. The proceduresfor-"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. (h)The signatures of all parties or their authorized representatives. Kevin Partel, President May 28, 2008 Page Four 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. The authorized work is strictly limited to that described on the enclosed Final Order. If you have any questions Y.. : pertaining to"this permit, please_codtact-nae by:mail ,at the,.letterhead•address-(add Mail Station 300), by telephone at-(850)92'1-7849,or by-email -at'vateHe.iones@d6p.state.fl.us. Sincerely, A. ValerieJones, Permit nager Bureau of Beaches and Coastal Systems VJ/dw Enclosures cc: Permit Information Center Trey Hatch, Field Engineer City of Atlantic Beach, Building Official Thomas C. and Donnalea V. Goelz, Property Owner RO1FtR STATE FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Division of Water Resource Management Bureau of Beaches and Coastal Systems r 3900 Commonwealth Blvd.-Mail Station 300 FLOR A y Tallahassee, Florida 32399-3000 (850)488-7708 PERMIT NUMBER: DU-405 PERMITTEE: Thomas C. and Donnalea V. Goelz c/o Kevin Partel, President Coastal Consulting and Restoration, PA 4230 Myrtle Street St. Augustine, Florida 32084 PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES 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 February 28;2008, and was determined to be,complete pursuant to rule„on February 28, 2008- The Toposed 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 6213- 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 May 14, 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: May 28, 2011 LOCATION: Between approximately 148 feet and 198 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project address: 631 Beach Avenue, Atlantic Beach. PROJECT DESCRIPTION: Landward Swimming Pool 1. Location relative to control line: A maximum of 79 feet seaward. 2. Exterior dimensions: Irregularly shaped rectangular pool, a maximum of 35 feet in the shore-normal direction by 11.7 feet in the shore-parallel direction. PERMITTEE: Thomas C. and Donnalea V. Goelz PERMIT NUMBER: DU-405 PAGE 2 3. Type of foundation: 16-inch diameter concrete piles. 4. Top elevation of swimming pool: +17.5 feet(NAVD),for pool coping;pool will be surrounded by existing lawn in lieu of pool decking. 5. Bottom elevation of swimming pool: Approximately +10.5 feet(NAVD). 6. Maximum depth of swimming pool: 6 feet. 7. Height of pool coping above existing grade: 1.75 feet. Excavation/Fill I. r ..Total vo.lu.me-of excavation: ApproAmately 45.4 cu bid yards. Volume of net excavation: None;excavated material'fo.be placed.-as:.f111-oh the project site."See Special Permit Condition 3. 2. Location of excavation: From approximately 44 feet to 79 feet seaward of the control line. 3. Maximum depth of excavation: To approximate elevation +10.5 feet(NAVD); 5.25 feet below existing grade. 4. Volume of fill to be placed: Approximately 45.4 cubic yards. Volume of net fill: None. 5. Location of fill to be placed: From approximately 38 feet to 84 feet seaward of the control line. Other Structures/Activities 1. A minimum 4-foot high pool fence around the swimming pool and a seaward fence and gate near the pool equipment pad are to be located a maximum of approximately 105 feet seaward of the control line. 2. A concrete slab pool equipment pad of dimensions 3 feet shore-normal by 3 feet shore-parallel is to be located a maximum of approximately 110 feet seaward of the control line. 3. Demolition and removal of a portion of a brick walkway. See Special Permit Condition 4. SPECIAL PERMIT CONDITIONS: l. 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(contact Trey Hatch at toll-free pager number 1-877/314- . 1329)to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. The proposed locations of the structures shall be staked out for the conference. PERMITTEE: Thomas C. and Donnalea V. Goelz PERMIT NUMBER: DU-405 PAGE 3 2. Existing vegetation shall be disturbed only to the minimum extent necessary to complete work within the authorized construction limits. 3. All excavated material shall be maintained on site seaward of the coastal construction control line. 4. All rubble,debris,bricks, and damaged or broken concrete on the site resulting from this demolition and construction shall be removed and relocated landward of the coastal construction control line. 5. Pool light illumination shall not exceed 1/2 watt per square foot of pool surface area. No other permanent exterior or landscape lighting is authorized. 6. No other structures or activities are authorized. Approved plansare incorpordtd into this,permit by reference. Done and ordered this \day. of_ Q 2008, in Tallahassee, Florida. Attachment: General Permit Conditions FILING AND ACKNOWLEDGEMENT State of Florida FILED,on this date, pursuant to S 120.52 Department of Environmental Protection Florida Statutes, with the designated Department Clerk, receipt of which , is hereby acknowledged. Fri Wettstein, Environmenta anager Deputy Clerk Date B reau of Beaches and Coastal Systems 1 ` s FINAL CERTIFICATION Bureau of Beaches and Coastal Systems Division of Water Resource Management fL4R(6A Florida Department of Environmental Protection Permit Number: DU-405 Mail to:Mom 3900 Commonwealth Boulevard Mail Station 300 Thomas C. and Tallahassee,Florida 32399-3000 Permittee Name: Donnalea V. Goetz This is to certify that the work under the permit for construction or other activities seaward of the coastal construction control line pursuant to Section 161.053, Florida Statutes,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 landward swimming pool,other structures/activities,excavation, and placement of fill. 1 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. Date I Signature of Engineer or Architect "Typed or Printed Name of Engineer or Architect (Seal) state of Florida Registration Number II 1)EP Dmor73-1 lsB(1Jpdaicd 9/05) 1._----- i PERIODIC PROGRESS REPORT ' ,�NAIF(fgiy Bureau of Beaches and Coastal Systems ( �� Division of Water Resource Management I fIORIDA Florida Department of Environmental Protection PERMIT NUMBER: DU-405 Mall to: 3900 Commonwealth Boulevard Mail Station 300 THOMAS C.AND Tallahassee, Florida 32399-3000 PERMITTEE NAME: DONNALEA V.GOELZ i 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"): i CONSTRUCTION TO DATE INCLUDES: I I i l I i i i 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 under1tem Number 1 above,as part of this report. The explanation should state why the construction 4 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. r (Seal) Signature of Engineer(if applicable) Date , tI Typed or Printed Name of Engineer(if applicable) I Florida Registration Number(if applicable) i I Signature of property owner or Authorized Agent(if applicable) Date Typed or Printed Name of Property Owner or Authorized Agent i DEP Form 73-111 (Revised 6/04) _—_ Florida Department of Environmental protection(DEP) � MAiEO Division of Water Resource Management Bureau of Beaches and Coastal Systems t 3900 Commonwealth Boulevard.Mail Station 300 Tallahassee,Florida 32399-3000. FLOR A• } (aso)408.7708 General Permit Conditions Rule 62B-33.0155,Florida Administrative Code ] The following geperal 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 suspensionof 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 work,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 duiy 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 arid 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 authorizedunder 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.speeifically forbidden by law. f) Construction traffic shall not occur 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 fill 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. j) Any native salt-tolerant-vegetation destroyed during construction shall be replaced with plants of the same species or, by airthorizatioil 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 eats,sea grape, saw palmetto,panic grass,saltmeadow hay cordgrass,seashore saltgrass, and railroad vine, and-grown from stock indigenous to.the region in which the project is•located• 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 anytime during the marine Wale nesting season and no additional permanent exterior lighting is authorized. General Permit Conditions(June 13,2004) Page I CITY OF ATLANTIC BEACH _ ti 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07_ r OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1,J0$ADDRESS,.. . ...4� .. t. n. ' „.4,..t, 9. . .,.L� 2 NALUAT)ON OF WO K ?.„ ,SQ FT:UNDER R QF, °4sLEG''k1 `DESCRIPTION�._u5.'CLA S'OFp,WORKP�. „n_ .S3sd yr t a,g ,�,, 6�, 6.,US50F1 STRUCTURE,,t; ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION - ❑CONVERTING USE ❑COMMERCIAL „71 DESCRIPTION OF WORK;k ;t, .„„ m 9+, ,�� Y... � ❑ALTERATION ❑ACCESSORY BLDG. IRE SPRINKLER+ ❑REPAIR >POOL I SPA ❑YES ❑NIA c� M t Vv Gam. a G�C1 L_.E ❑MOVE ❑OTHER ❑NO ROPERTY,OWNER„r P. !-,..�.,"z,,.. . �:,Aae,,,.•. ii ,�,._,,,,,.CONTRACTOR,'s•`; „x `,,,?4,�. a ..�, =�r n , ARCHITEGTI ENGINEER �, 9.NAME: r 15.COMPANY NAME: 23.COMPANY NAME: -rtid rA R S C- G-1 - G-1< 0 f=L;. 16.NAME: 24.LICENSEE NAME: QWS 0 V) 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: � G; -Sieg 18. D RESjS: 26.ADDRESS: ,^ o I.L. ,4 FL, 11.OFFICE PH NE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 4 - 44 13.CELL PHONE: 21.CEL PH NE: 29.CELL PHONE: - I 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 1 ' FEE SIMPLE,TITLE HOLDER r ..; l`tA BONDING COMPANY FFI § ''I iMOR1 GAGE LENDER 2. OTHER.TNAN'9W NEK7,, E.t +.n. es a 8 s..,,., w r..,H .t ;.`,......zs._ „a A. ., ,n,u . �"F% 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. c� ,� r: 7 a" i I OWNER c�`AGENT:,. CQ�ITf ACO g. a , , .,,,.,.Ec ..� .r� -, s,,.a.,n ,�Ic - s i Vii,S� ,.s ,� .N ° �, z,„may s. r a Cn:sa°x3 h'�wt� 4 °. ,1.�., a,; , ' (1f Agent Power of Qttomey or#A9ency� erRequlyd) a ,,,, , ,, , ,,, ,, ;a�.,.a is rw �. �n=��t..7�... .{Ruallfier Ot!tY���� „ ..a� ��r„�� ...�n�,�. �.M Signed: Date: Signe Date: Before me this day of 2007 in the county of Befo/,State is day of 2007 in the county of Duval,State of Florida,has personally ap earJJ�0511EfiIJJJ,, / Duv of Florida,has personally appeared herin by himself/herself and affirms thjfa:Q��40t# ns are herin by himself/herself and affirms tho"INUkilts and declarations are true and accurate. :aV��ber ISPo 9� % true and accurate. ��Q,LES E.Pp/��/!� Not ublic at Lar e,State of 'it' Yq f :*S Not Public at Large,State o V '••MASS( •nQf�''r Not i QQ` Personally Know y :•V 6,2p 9� ❑Produced Identifl ti n '' • • �� ❑Produced Identi i N Notary Signature: u .•'F�\`� Notary Signature: !li!!HN{tt1M�� y9p••;�ay dedthN�m�; 0@` 111 TNI 11 COAB FORM BLDG01:REVISED:8/2/2007 arc>\►�ce�►�cw►z - - NOTICE OF COMP Doc#2008295384,OR 8K 14706 Page 769, Number Pages:1 Permit No. Recorded 11/2412008 at 12:12 PM, JIM FULLER CLERK CIRCUIT.COURT DUVAL COUNTY State of Florida RECORDING$10.00 County of The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following informatidn is provided in this NOTICE OF COMMENCEMENT. Legal description of property(Include Street Address if available) l/C S I General d scription of lmpro�ements t z Owne Address v Owners Interest in site of the Improvement cp Fee Simple Title holder(if other than owner) Name Address ContractorF 1�t C— Address o <S Y% L( L 1 Surety Address Amount of bond $ Any person making a loan for the construction of the Improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes. Name Address In addition to himself,owner designates Of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of I ing unless a i rent date is specified) Signature of Owner Printed Name of Owner I Notary Rubber Stamp Seat 1 I have relied upon-the following identification of the Affiant ��\1\tiNiilfgf//j` `�,'�$E.Pb �/�4 and su a th' day of 20aB Pb �o� er 1B�oKyN -Novq Signature g* waleTOP ';;0?W s #00 SW84 — ��— yyp�• �p'Q'= Printed Name Base Area 68 68 Finished Open Porch 68 0 Finished Open Porch 68 0 Deck 68 0 Base Area 50 50 Finished Garage 437 0 Finished upper story 1 437 437 Finished Garage 115 0 Deck 115 0 Deck 23 0 Finished Open Porch 70 0 Total 4792 3578 Building Type 0106 - GARAGE APT SOH—Bldg 2 Year Built 1923 Type Gross Area Heated Area Finished Garage 432 0 Finished upper story 1 432 432 Finished Garage 144 0 Finished upper story 1 144 144 Finished Garage 224 0 Balcony 224 0 Unfinished Storage 126 0 Balcony 126 0 Total 1852 576 J_ APPLICATION Ci of Atlantic Beach City `4*� APPLICATION NUMBER Building Department, !, (To be assigned by the Building Department.) 800 Seminole Road .�> Atlantic Beach, Florida 32233-5445 � a Phone(904)247-5826 Fax(904)247-5845 d'119r E-mail: building-dept@coab.us �a�p �' Date routed: U City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: AE_ Department review required Yes No uil • Applicant: _ rLo&ha _?,6 0 LS n &Z o n i n-0 Hint r .. „ ,.. hLic Utilities Project: 26 0 L Public a ety Fire Services Other Agency Review or Permit Required Review or Receipt Date y� of Permit Verified B /� lu Florida Dept. of Environmental Protection � V Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers V Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: []Approved. (Circle one.) Comments: 4Denied. BUILDING PLANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES 1 Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: .1% 1 \�;J�. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 L �, E-mail: building-dept@coab.us Date routed: Q City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �21 WRd&k- ►/'� Department review required Yes No uil Applicant: &tonin Project: 'ALL) �>QO. blic Utilities Publica ety Fire Services Other Agency Review or Permit Required Review or Receipt Date y� of Permit Verified B Florida Dept.of Environmental Protection � V Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers y Division of Hotels and Restaurants �- Division of Alcoholic Beverages and Tobacco Other: APPyf,AT10N STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: (2UILDINGD PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES FILE .. Y Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: ~' r CITY OF ATLANTIC BEACH �7� 1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUI LD ING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1-,JC�$ADDRES,S x'..., .. .. .t' 2:VALUAT,IIONOFWORK3,SQ FT�UNDERif00F ,. 651 B a H = 41LZn i 1 G 1-39aAC PL . aT4Ei LEGAL DESC,fRIP.TION.,,;:, a iAe .,.: °°ae o-x+Eau, s, a ii! s...,o. ii E :cv�s OF woRKr„ ... t� s,. 6°11,SES,T2ICTUR6r Egti: ❑NEW BUILDING ❑DEMOLITION R ❑RESIDENTIAL LOT BLOCK SUB DIVISION .� ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7;DE5CRlPTION'OFWORK ;� �_ , ',•?", .E. ❑ALTERATION ❑ACCESSORY BLDG. $:`FIE2ESPIiINKLER,.., ..I'.;. �n / ❑REPAIR POOL/SPA 11YES ❑N/A 1 M i�t , "Poo o o L_ ❑MOVE ❑OTHER ❑NO it <Via',r PROPERTY OWNER CONTRACTOR.?" , „:QPM .n�ARCHITECT1ENGINEER:� � , , �., aE�@�� ,R, 9.NAME: t 15.COMPANY NAME: — ,o M�S C- 0 AA vkuaA 23.COMPANY NAME: _”`� - FU 4^1 f7fA '130 AtkaCl?0 QLS 61 O L' 16.NAME: 24,LICENSEE NAME: Z1<�; 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: �li"IRe ff-S przovt-E- 18. D RESS: 26.ADDRESS: a9 13L-%AD 11.OFFICE PH NE• _ 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CEL PH NE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: � s SIMPLE,TITLE HOLDER l BONDING COMPANY fi p`w l'= 1NORfGAGE LENDER a.,.�tIF flTF�EFj-J.IJAN-QWN�R7.,.GE4^u,, "a ,, a, *s a ..p,a.., ..,:r ... °: ...g:E2 :,,,;a r°.rkg°.. ,a.a,,,,, .,......<..: sEa zfza .. a. ,.,. - ...... ,. 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. OWOWNER' , a ER os.r...,§,Nx, :.. a cuao-°;p•P:o-aa1 ° ,'.^, - - as E3#n F aaa yaPa,.£E E•y,.° , .. CONTpp�CGE T T a � . TA ,nY tsc'Eat",rys°iEAgent pwetf �of Attorney 6rAgencyLetter : Signed: Date: Signe 444 Date: Before me this day of 2007 in the county of Befot,State is, day of 2007 in the county of Duval,State of Florida,has personally ap`\\\`e`Pi�jiIE I�� Duv of Florida,has personally appeared ..... herin by himself/herself and affirmst` a•�" per/Sr2�Fins are herin by himself/herself and affirms th��lt�>�twlry�y,s and declarations are true and accurate. � true and accurate. \\��\X`�?�_ .S E,p0 Not ublie at Lar e,State of =*• yp f :* ? Not Public at Large,State o `CJS•'•�ISSI •M (�{�iIr Personal) ' 'V E i•. € Y i . :Q� Personally Know .� • P 9 • � yr 11 Produced Identifl ti n i • e �� ❑Produced Identi i Notary Signature: .•' �c \'`\ Notary Signature: �rAgPfi16t111111 9 ••°w dedthN Com'\ lrlST COAB FORM BLDG01:REVISED:8/2/2007 Florida Department of Charlie Cast Governor Jeff Kottkamp Environmental Protection Lt.Governor �LOR A Marjory Stoneman Douglas Building 3900 Commonwealth Boulevard Michael W. Sole Tallahassee,Florida 32399-3000 Secretary (Mail Station 300) June 26,2008 Thomas C. and Donnalea V. Goelz c/o Kevin Partel Coastal Consulting and Restoration,PA 4230 Myrtle Street St.Augustine,Florida 32084 Dear Mr.Partel: NO PERMIT MODIFICATION REQUIRED Permit Number: DU-405 Permittee Name: Thomas C. and Donnalea V. Goelz Project Address: 631 Beach Avenue,Atlantic Beach Project Location: Between approximately 148 feet and 198 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County This will acknowledge the receipt of your request dated June 25, 2008, to alter the construction or activities authorized by Permit Number DU-405 as follows: increase the shore-normal length of the swimming pool by 5 feet in the landward direction, from 35 feet to 40 feet long; and increase the excavation and corresponding fill amounts by approximately 5 cubic yards,from 45.4 to 50.3 cubic yards. The staff has determined that the proposed alterations do not increase the potential for adverse impacts to the beach/dune system or adjacent properties, or reduce the structural soundness, and that the proposed alterations are minor. No formal modification of the permit is required. Enclosed are stamped, approved plans depicting the proposed changes. You may proceed with construction as authorized. All terms and conditions of the permit, including the periodic reporting requirements, remain in effect. Upon completion of the project, the alterations are to be noted, along with the authorization contained in this letter, in the final certification report. No additional permanent exterior or landscape lighting or other actvities are authorized. If you have any questions or concerns, or need additional information,please contact me at the letterhead address(add Mail Station 300),by telephone at 850/921-7849,or by e-mail to valerie.jones@dep.state.fl.us. Sincerely, Valerie Jones,Peit anager CCCL,Bureau of eaches and Coastal Systems vj/ Enclosure cc: Thomas C. and Donnalea V. Goelz,Property Owners Trey Hatch,DEP Field Inspector Duval County Building Official "More Protection,Less Process" Printed on recycled paper. FLORIDA DEPARTMENT OF CF��p�pRDiEQIDN ENVIRONMENTAL PROTECTION W Bureau of Beaches and Coastal Systems FLORA(t A 3900 Commonwealth Blvd.. Mail Station 300 Tallahassee, Florida 32399-3000 Telephone(850)488-7708 NOTICE TO PROCEED Permittee Name: Permit Number: DU-405 Thomas C. and Donnalea V. Goelz Permit Expires: May 28, 2011 c/o Kevin Partel, President Coastal Consulting and Restoration, PA 4230 Myrtle Street St.-Augustine, Florida 32084 You are;hereby granted final authorization_to proceed with construction or activities.authorized .by this �? notice. Authorized work.must conform to the.project description,;approved plans, allthe conditions of Chapter 62B=33, Florida Administrative .Code,: any preconstructi6p. .requirements and all permit conditions:Af the Final Order. -- Project Description: Construction of a landward swimming pool, other structures/activities, excavation, and placement of fill Project Location: Between approximately 148 feet and 198 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project Address: 631 Beach Avenue, Atlantic Beach. Special Instructions: A preconstruction conference is required. The permittee shall comply with all permit conditions. Questions regarding this notice should be directed to the undersigned at the above address. Valerie Jones, Permit .anger [ ate VJ/dw cc: Permit File Permit Information Center "Trey Hatch, Field Inspector Thomas C. and Donnalea V. Goelz, Property Owner City of Atlantic Beach, Building Official Post Conspicuously on the ,Site J DET Farm 73-131 (Updated 2/06) PRDiE�TION Charlie Crist � xt � s Florida Department of Governor Environmental Protection Jeff Kottkamp Marjory Stoneman Douglas Building Lt.Governor o• 3900 Commonwealth Boulevard Tallahassee,Florida 32399-3000 Michael W. Sole Secretary May 28, 2008 Thomas C. and Donnalea V. Goelz c/o Kevin Partel, President Coastal Consulting and Restoration, PA 4230 Myrtle Street St. Augustine, Florida 32084 Dear Mr. Partel: Notice to Proceed Permit Number ,J)U 40,5 Permitf �`l a`me `Th(-): ifis�C'.-and-Donnalea V. Goelz tis a.vs Your request for a permit,pursuafnt to Section 161.053, Florida Statutes; for construction or other activities sdiWard of the coastal construction control ,line, has been approved by the Department of Environmental P6tectibA,.01 l-lowever, 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 General Permit Conditions and any Special Permit Conditions closely before starting construction. General Permit Conditions 1(q) and 1(s) pertain to written reports which must be submitted to the Department of Environmental Protection 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. The permit will expire on May 28, 2011. Upon receipt of a timely written request signed by the permittee or authorized agent, the Department will consider extending the permit for up to but no more than three years. 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. 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 . 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 (21)days after your receipt of this notice. "More Protection, Less Process" www.dep.state.,f 1.us Kevin Partel, President May 28, 2008 Page Two 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. Rule 28-106.201(2), Florida Administrative Code, explains what must be included in a petition for a formal administrative proceeding. Section 120.54(5)(b)4, Florida Statutes, and Rule 28-106.201(2) of the Florida Administrative Code, explain what must be included in a petition for a formal administrative proceeding. Unless otherwise provided by statute, and except for agency enforcement and disciplinary actions that shall be initiated under Rule 28-106.2015, F.A.C., initiation of proceedings shall be made by written petition to the agency responsible for rendering final agency action. The term "petition" includes any document that requests an evidentiary proceeding and asserts the existence of a disputed issue of material fact. Each petition shall be legible. and on 8"'1/Z by°t } inch white paper, Unless printed, the impression shall be on one side of the paper only and tines shall be double-spaced. (a) The Name and. addressof 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 will be affected by the agency determination; (c) A statement of when and how the petitioner received notice of the Department's action; (d) A statement of all disputed issues of material fact. If there are none, the petition must so indicate; (e) A concise statement of ultimate facts alleged, including the specific facts the petitioner contends warrant reversal or modification of the Department's proposed action; (f) A statement of the specific rules or statute the petitioner contends require reversal or modification of the Department's proposed action, including an explanation of how the alleged facts relate to the specific rules or statutes; and (g) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Department's proposed 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. Kevin Partel, President May 28, 2008 Page Three Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Sections 120.569 and 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 120.68 of the Florida Statutes and Rules 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 Section 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.alternatiwe-remed� 'und.er Section. 120.573 before the for filing a petition. ;Choosing mediation will not-adversely affect-the right to a hearing if mediation does nofre`sult in a settlement. 'rhe 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. (h)The signatures of all parties or their authorized representatives. Kevin Partel, President May 28, 2008 Page Four 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. The authorized work is strictly limited to that described on the enclosed Final Order. If you have any questions pertaining to;this permit;: please contact -nae by::rnail -at the,,.letterhead.address (add Mail Station 300), by telephone aV(850) 921-7849,or:by-ernail at'vaterie.iones@dep.state.fl.us. - Sincerely, Valerie .Tones, Permit nager Bureau of Beaches and Coastal Systems VJ/dw Enclosures cc: Permit Information Center Trey Hatch, Field Engineer City of Atlantic Beach, Building Official Thomas C. and Donnalea V. Goelz, Property Owner pko1E(iloK STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION �. Division of Water Resource Management Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd. -Mail Station 300 FLORIDA Tallahassee, Florida 32399-3000 (850)488-7708 PERMIT NUMBER: DU-405 PERMITTEE: Thomas C. and Donnalea V. Goelz c/o Kevin Partel, President Coastal Consulting and Restoration, PA 4230 Myrtle Street St. Augustine, Florida 32084 PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the coastal �constructlou control line which are-indicated in the.project deseription,was filed by the applicant/permittee named herein on-February 28;20Q8,.and, w..as`determined:to-be.complete pursuant to rule,on February 28, 2008.- The . proposed project is to-be located landward of the 30-year erosion projection and the existing.lirie 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 6213- 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 May 14, 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: May 28, 2011 LOCATION: Between approximately 148 feet and 198 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project address: 631 Beach Avenue, Atlantic Beach. PROJECT DESCRIPTION: Landward Swimming Pool 1. Location relative.to control line: A maximum of 79 feet seaward. 2. Exterior dimensions: Irregularly shaped rectangular pool, a maximum of 35 feet in the shore-normal direction by 1 l.7 feet in the shore-parallel direction. PERMITTEE: Thomas C. and Donnalea V. Goelz PERMIT NUMBER: DU-405 PAGE 2 3. Type of foundation: 16-inch diameter concrete piles. 4. Top elevation of swimming pool: +17.5 feet(NAVD), for pool coping;pool will be surrounded by existing lawn in lieu of pool decking. 5. Bottom elevation of swimming pool: Approximately +10.5 feet(NAVD). 6. Maximum depth of swimming pool: 6 feet. 7. Height of pool coping above existing grade: 1.75 feet. Excavation/Fill l Total volume of excavation Approkirnatefy 45.4 cubiti yards. Volume of net excavation:.None;excavated materia to.be placed as.fil.l-oh the project site .''See Special Permit Condition 3. 2. Location of excavation: From approximately 44 feet to 79 feet seaward of the control line. 3. Maximum depth of excavation: To approximate elevation+10.5 feet(NAVD); 5.25 feet below existing grade. 4. Volume of fill to be placed: Approximately 45.4 cubic yards. Volume of net fill: None. 5. Location of fill to be placed: From approximately 38 feet to 84 feet seaward of the control line. Other Structures/Activities 1. A minimum 4-foot high pool fence around the swimming pool and a seaward fence and gate near the pool equipment pad are to be located a maximum of approximately 105 feet seaward of the control line. 2. A concrete slab pool equipment pad of dimensions 3 feet shore-normal by 3 feet shore-parallel is to be located a maximum of approximately 110 feet seaward of the control line. 3. Demolition and removal of a portion of a brick walkway. See Special Permit Condition 4. 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(contact Trey Hatch at toll-free pager number 1-877/314- . 1329) to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. The proposed locations of the structures shall be staked out for the conference. PERMITTEE: Thomas C. and Donnalea V. Goelz PERMIT NUMBER: DU-405 PAGE 3 2. Existing vegetation shall be disturbed only to the minimum extent necessary to complete work within the authorized construction limits. 3. All excavated material shall be maintained on site seaward of the coastal construction control line. 4. All rubble, debris, bricks,and damaged or broken concrete on the site resulting from this demolition and construction shall be removed and relocated landward of the coastal construction control line. 5. Pool light illumination shall not exceed '/2 watt per square foot of pool surface area. No other permanent exterior or landscape lighting is authorized. 6. No other structures or activities are authorized. Approved`plans.are incorporated into this,permit by reference. Done and ordered=this d day. of 2008, in Tallahassee, Florida. Attachment: General Permit Conditions FILING AND ACKNOWLEDGEMENT State of Florida FILED,on this date, pursuant to 5120.52 Department of Environmental Protection Florida Statutes, with the designated Department Clerk, receipt of which f , is hereby acknowledged. d Fri :Wiettstein, Environmenta anager Deputy Clerk Date B reof Beaches and Coastal Systems 1 i FINAL CERTIFICATION M�ypiERl Bureau of Beaches and Coastal Systems Division of Water Resource Management FGORl6A Florida Department of Environmental Protection Permit Number: DU-405 Mail to: 3900 Commonwealth Boulevard Mail Station 300 Thomas C. and Tallahassee,Florida 32399-3000 permittee Name: Donnalea V. Goelz "Phis is to certify that the work under the permit for construction or other activities seaward of the coastal construction control line pursuant to Section 161.053, Florida Statutes, 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 landward swimming pool,other structures/activities,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. i Date signature of F-ngineer or Architect 'Typed or Printed Name of Engineer or Architect (Seal) State of Florida Registration Number DEP I-orm 73-115B(Updated 9/05). __ I i PERIODIC PROGRESS REPORT NH1 rtorE(Iipy Bureau Of Beaches and Coastal Systems i �Jrs, Division of Water Resource Management j FLORI Al� Mail to: Florida Department of Environmental Protection PERMIT NUMBER: DU-405 3900 Commonwealth Boulevard Mail Station 300 THOMAS C.AND Tallahassee,Florida 32399-3000 i PERMITTEE NAME: DONNALEA V. GOELz 1. If construction has occurred, please describe its maximum extent in the space provided below(if no work at all has i been performed, please report"Not Started." If construction or other authorized activity has begun but no progress i has been made since the last report, please report"No Progress"): CONSTRUCTION TO DATE INCLUDES: I I I i I i r 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 i period in which construction has occurred. 1 1 (Seal) I Signature of Engineer(if applicable) Date i i Typed or Printed Name of Engineer(if applicable) —Florida Registration Number(if applicable) ,i i i Signature of Property owner or Authorized Agent(if applicable) Date Typed or Printed Name of Property owner or Authorized Agent I Dr:P Form 73-111 (Revised 6/04) _ Florida Department of Environmental Protection(DEP) �a��µttoitlt>o Division of Water Resource Management Bureau of Beaches and Coastal Systems 3900 commonwealth Boulevard.Mail Station 300 4W, Tallahassee.Florida 32399-3000. FIOR(DA. (e50)08-7708 General Permit Conditions Rule 6213-33.0155,Florida Administrative Code J 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 specification's 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 work,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) Thd 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 occur 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 fill 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. j) Any native salt-tolerant-vegetation destroyed during construction shall be replaced with plants of the same species or, by abthorizatioh 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,and-grown from stock indigenous to.the region in which the project is•located, 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 t0rde nesting season and no additional permanent exterior lighting is authorized. General Permit Conditions(June 13,2004) Page I PERMIT WORKSHEET Certificate of Occupancy Job Address: U3l Type Work: (3eu�h �ZqIq r Property Owner: Phone # conn GCC-17, Phone 32Sd Contractor: Phone # r Permit#: Date Issued: o ash�� Building Inspections: Footing (,-2 . Slab -1 �Et-to Tie Beam cA- Z8Z LAZ Lintel I mance- Nailing / Sheathing - d Framing / Cover Up Insulation -p Final Building Tree Permit# YES NO Electrical Permit# e,_.- Date/ Copy to a 'Z S8�C7 PS 3 r � JEA Temp, Pole Permit# Date/ Copy to Clq ' 6�Ia 1� JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric - 1 - Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough - Final Plumbing Permit# ", Inspections: ough / Underslab Topout Water/Sewer Final Drainage Inspection: �— Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: _ Date Paid: .� ,� �:, tii W N Z D L.C)�r rno m Qxl fel IA --I �- m �mom$��r 0 M p ?v>� Smre�� v -1 rn >oo pp Co QO�OZ z2 C Cc -C mog BEACH AVENUE g z o ?�i 660""--9,FAo (/) p M a (40.0' RIGHT OF WAY) rad r C4 to p In o o ; o >m o ' W > D-N� ir -� m .4 6Jo 50.00' (DEED) m> o 8 z d Z or �v� D e !�'iltlm 0% N 04'03'11" W ov'm'' Dcd °"��'o^(f� 1-2 r �° `r �^' $„f 50.05' (MEASURED) osN�rn oorozl^'DZZ�W �O '� rh R N SO.DS'_(_MEASURED) e 0 -D y p n -u-<y r O p F o x n 50.0-(DEED) Ao 6.6' N 24.3' 0�Irri � X rh W O C7 Z �� o og I37 TWO 5TORY �wNr -arOt•,n{� Az a FRAME srO v APARTMENT v 1''m2 3 m b w I m o G7 OVER GARAGE m�x��yranom O V5. CJ >' AO 8.5 Je.O' a q\pp C 110 XD I OZovA DW m y ...... LOT 4 .....m o Z O n Av 0, �O l m o BLOCK 31 �c>>.z�9lrn oC 'C'O'AST.AL-."TROL LME Z p rrnn m b 0 �Dc(7 <z O m ra os'io`aD'.w `so;oS - il-i =a Z<,,� rQi 0 oOc: w row cnJ D -rt CJ 50.0' r °-+i�"-,i• �"'; A 1n-1 -4 N Z W O r In � n X WEST I5' LOT 3 o n '. :.. ° R Oz z�i m m t� D-1 INGRESS ec EGRESS EASEMENT j3 iL ITT �k V' '., ..r ►• ,r i'..- n O Z r D ��y xgym $ �-, LOT 3 ..... N o `:�: OOA �r'?wD BLOCK 31 Op .r nZ C�'y••x z t., m A fel "try to .�•«j.."•_'``S ae nQ�z m Z O-im d (n O .`.•.c O cn m Cn (Tl 50.D'- ---- ---- - r'L:;. 3.3 ono N 2 r' D fel r c) _ -12� _-- s r D PRIVATE ROAD(PLAT) 5 v A o . N — _ O ,�� W •. ('� !1 `✓ r�I 60' D r O W v+' "I D b �Dm O 120' =1 OO D N O -I N n � a N t Lf) { pz U 64 00 fD Rl.Z7 ym Zrmn rl N N s.e' 0>0 ? W s 00 D 'O O to P �:4h rTi 0 C7 4p VI Z, Z'Z to O a 9.T 3.dc 0 m f'-D r AVf Yu Gr r r o �yv f*1 ... ........ .........x Y C O ZONE IX"... C A Or- M (yCn a 27 X ZONE "AO-(DEPTH 2') n II o vn yO7 v �T > 4 r Zo-2 pvl v[f7 o Z � o orn 50o -co c i z Ln o rn WOOD DECtt� 4.2 CA 3CCA�g v c tDir :E yr yb ��+ mZO m m a� uo n� ;v�{� fr z i�v C��CcDn D o o b y y LOT T N LOT 2 p rn O�'� r' BLOCK 31 -!g BLOCK 31 � D n II m Y D mm r= `o ')u v � pro f y drD>n p 'A T � li Imz? .m c) - .m 0 _ q � A � FI, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD .� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . 04-00028242 Date 5/10/04 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . DEMO GARAGE W/2ST.APT Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GOELZ, DONNA CLADDAGH CONSTRUCTORS, INC. 631 BEACH AVENUE 3997 AMERICA AVE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-1012 ------- --------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 i, 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 FFICIAL r r fi 4 J~ CITY OF ATLANTIC BEACH DEMOLITION PERMIT APPLICATION Date: tl-lL?ala Job Address: n3 r X31. A✓6vvC Owner of Property: r.-- Address: aAddress: /?1 &gAcd, A Telephone: 7-"-51 k-S Legal Description: Block Number: 31 Lot Number: Z Zoning District: AMA­7%c- 196" Contractor: G L ADO/i`GW 5• x;­c. State License Number: c-- ,&c---o5183`7 Contractor's Address: 39-r7 /Ac _J"5Cavv1'14 6g_ ,,4' c7Z- 3 ZZ sb Telephone: 11of,-) 744/-/oi4 &AV JT/3- 7Z-,F Fax: Z0cZ-93gwf� Describe proposed use and work to be done: 25-noz:r sly GN9,4aE LAd T veA�It277w -r IN o eon 7b Ae7Ay L4010'1b Cv//¢•'4T coO�s Present use of land or building(s): 5 Is approval of Homeowner's Association or other private entity required? /vo 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? M NO. 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. (KNO. 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. Attach Tree Removal Application if trees are to be removed or relocated I hereby certify that all inf tin vie wit this application is correct. Signature of Owner. Date: [A 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 property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 Signature of Contractor: 4� 7W' Date: 3 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this Cy day of �/�1 , ,20_� State of Florida,County of Duval Notary's Signature: JENNIFER SCHLUETER MV COMMISSION#DD 121301 MP-ersonally known EXPIRES:May 27,2066 ❑ Produced identification Bonded ThruNotary PublicUrulerwrtlers Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20" State of Florida,County o� ltarrs�,�` '101 Bingha ,Z�� 5`? MOSsIoNF .� - Notary's Signature: N * ❑ Personally known =�c : ►.• #DD104705 ;c= 21"Produced identification Type of identification produced 1 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �.• � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00028127 Date 4/21/04 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GOELZ, DONNA FERRANTI ' S ELECTRIC 631 BEACH AVENUE 1697 IVEY ROAD ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 529-7422 ------------------------------------------ ---- -- ---------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 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 r Y CITY OF ATLANTIC BEACH w r ELECTRICAL PERMIT APPLICATION Date: 41116-TL 2-OD C1 Property Address: �j Jl �� � 1-� �l/L N Ll C✓ Owner: =2,,ki 6-o&L Z Telephone#: 3S`-t Contractor: /2 k j l Z�Z.T i C_ Telephone Contractor Address: )U 9 r7 -7✓eL/ Ai ,� C'� rra, (lye Sp,Fax#:q0y-S�9^�z/2_ j 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: Building Type: ❑ Trailer Service: If other construction is ❑ New 2-*-Residence ❑ Temp. ❑ New being done on this building Or site,list the building Old ❑ Commercial ❑ Signs ❑ Increase p it number- 0 Re-wire ❑ Addition Sq.Ft. ❑ Repair U2 Conductor Size: AMPS: COPPER Fj ALUMINUM Switch orRACE I t Breaker AMPS )--C)0 PH � W VO�k� WAY Existing Service RACE � Size AMPS PH W 3 VOLT WAY Z Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS 31 100 AMPS Switches 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. PHS UNDER600V 0 R600 Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 7tn o r'&, P)1 rc-e4) aE's''6 C 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us �z��� _ 5--� �r�" CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027303 Date 11/25/03 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . RENEW PERMIT #25870 Application description . . . REINSPECTION FEE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - --- ------------------ -- - ----------------------- GOELZ, DONNA OWNER 631 BEACH AVENUE ATLANTIC BEACH FL 32233 ------------------------------------------------------ -- - --------- - -- ------- Permit REINSPECTION FEE Additional desc RENEWAL OF EXPIRED PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 0 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 ISI 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 .1 CITY OF ATLANTIC BEACH f) 800 SEMINOLE ROAD -� ATLANTIC BEACH, FLORIDA 32233 ..N'" INSPECTION PHONE LINE 247-5826 ��J.r3Y�p Application Number 03-00026328 Date 7/02/03 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . STONE AND COPPER PIPE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 Owner Contractor ------------------------ ------- ----------------- GOELZ, TOM OWNER 631 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- -- - ------- - -- ------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL f5u`J r CITY OF ATLANTIC BEACH 1� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us x . PLAN REVIEW COMMENTS Permit Application # Applicant: Address: — Project: ,,_ 1 �,F C�n,��T-'T� r' r.�►c t o Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date 7''y3 Contractor Notified Date `Y C � a s51 CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION Date: [,, j LO-3 Job Address: I � � Owner's Name: U 01'L—L Address: tp-� I f,i?R (,LI �y Z, Phone: Legal Description: Block Number: 3 Lot Number: Zoning District: Fence Contractor: Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: '-�b N C - c:,o P L,-T� C f 1�E Valuation of fence: 5()-(j j1p proval of Homeowner's Association or other private entity required? If yes,please submit with this application. terior Lot ❑ Corner Lot Dumpster or storage tank enclosure j1Tre Protection: O. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that all mf rmatio ovi d With this application is correct. l Signature of Owner: Date: ! �, Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print): Name: Mailing Address: (0 Phone: (21 _Fax: t3Z ' � `'��j E-Mail: T'� Ct`L.Z��. ACL . C('yj 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.ci.atiantic-beach.tt.us Page 1 Revised 1/14/03 w N Z z m go o �-g��� rn 00 �nlcc C Z mminZvirZivmi Alm D rm m o �wom �¢¢ BEACH AVENUE >� r , rmyo r ro 9 Mr wWbWc oO (40.0' RIGHT OF WAY) g zOvOoOp� *1�o v � � 50.00' (DEED) ° 4> vri v> m 0 pu %zMw o 1nNm �2 N 04'03'11" W �i oOooTmryovbcz3mn�=(� ,Y c m 9„ 50.05' (MEASURED) ►�-+v 1,s pm op P r1 R 50.03' (MEASURED) o r v-!- 0 Z r Q C;) I I 71 S '^ 50.0'(DEED) P y 214.3' >01P Z 991>c > a g uwo ? 8.6' ISY 0Xrn m m D ••�• 1. o R �0 TWOSTORYAwv3r JO0rn�z 0z APARTMENT m w O A n u=N r j �` ' OVER GARAGE k m AU > x p D� ro now 300ot --1� n8.5' D O�rTf YW n I ga LOT 4 .....mow,. oNPi°'�ov00,A0 vbiQ 00 'BLOCK 31 m v�z DmZ!go "0 rz O COASTAL-CONTROL ld+E z r A-Ontm>m .n�v n O 0° - if1 w n A v A_ v Qv1j EJ y\ W ;.���.�' COOL m�jn�� m� n 50.0 ..' :>�•.. c Qn 0 g o 0 D WEST 15'LOT 3 ... ;.,,... ..��_.!{r..�r_.'V•�",.r.•;ri �i'``�.�. n pp�47 O-�N Z w C +< 1 INGRESS &EGRESS EASEMENT :A•. �:S=t.t�"$'+",+• �•,�,. m n m T'1 2 p.Z m TTI �k .tt... .::i,��.i�r�.-..�.F� m 7C V ',1' -f1 O :f.. .;L..►. -.Y.S .i,'.r n'-I m 3 x ;t.v;,�.. ., .,(; Z p r � gN 3 tn v�LOT . '; :. .. wnX Db BLOCK Jt Op m$ 9Z 12 Z v nal W i.Cn i• y p OD M N�, M CL v If Fu 7- f'11Z-4 31 m D PST:Tos 2 1 i�.'lr ::;.i. Fr C) CJ 0 O moi �� --4 °��' W0 41n m C N3Kl n >fTl --- - ---- ---- � a D m S !'� u PRIVATE ROAD(PLAT) O i 1C i 0o p ihppi 11. '�• e.0• P > 0 W v k > Q D Iza' N O A 1 f� W N -• Z N `1 � ��w (r1 rc m n N +t.e' O>Ln 2 u+ C D ma e.r m X 301. 00 Q - r $A �Si�upM Val vNd� m -< 3.0 ,, fan141�, uDdIV1610 an0 •lhli M0�11 d w Q �^rn z i�V nt rep ,bw do”aat 3.: N m ZONE 'x' call.......... e o z a1 �th,eg�twu of p M aihat :r B ZONE 'AD'(DEPn( 2') Z D C O Is ,rW F l v �it�ii OewO Q .r ?; Bu IdMp ri y In :e.r p .2 g i am*. WOOD Df CX m -4 �n m a (n-4 ED zR, >m -D �DGD N o h o LOT 1N� LOT 2 _m(A g m o r nm BLOCK 31 -42 BLOCK 31 D n DD z > �� �m cZi 1�7,0M D n* ..,.....�.. w.v .. . i h!�a9 4a t�+t wfto b":,s e� UXJ CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025870 Date 5/29/03 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . RENOVATE/EXPAND GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 43200 Owner Contractor ------------------------ ------------------------ GOELZ, DONNA OWNER 631 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 250 . 00 Plan Check Fee 125 . 00 Issue Date . . . . 5/27/03 Valuation . . . . 43200 Expiration Date . . 11/23/03 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 120 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 250 . 00 250 . 00 . 00 . 00 Plan Check Total 125 . 00 125 . 00 . 00 . 00 Other Fee Total 155 . 00 155 . 00 . 00 . 00 Grand Total 530 . 00 530 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL INQ r 3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -'�- ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 ti. Application Number . . . . . 03-00025870 Date 5/27/03 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . RENOVATE/EXPAND GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 43200 Owner Contractor ------------------------ ------------------------ GOELZ, DONNA OWNER 631 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 250. 00 Plan Check Fee 125 . 00 Issue Date . . . . Valuation . . . . 43200 Expiration Date 11/27/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 250. 00 250 . 00 . 00 . 00 Plan Check Total 125. 00 125 . 00 . 00 . 00 Grand Total 375 . 00 375 . 00 .00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW, BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET J Date: - 2 S -0 3 Address Ay F. - /�F-No U*-tr 6*ttzfa W/Raort dov Heated Square Footage 00 @ $ per sq ft = $ y a 2 0 0 Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft= $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation 1 S` $ Remaining Value $ , per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + %2 Filing Fee $ FLOOD ZONE: ( ) Fireplaces @$35.00 $ r-Q IMPERVIOUS SURFACE: ILDING PERMIT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ _ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ CTION H PAVING ST( ) SURCHARGE $ O OTHER $ GRAND TOTAL DUE: $ 1/13/03 . t -��• CITY OF ATLANTIC BEACH �S 800 SEMINOLE ROAD / ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX: (904)247-5805 � SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # Applicant: Orn C- Q!E�,,L--Z- Address: (La &6 2nINT Project: F—'- �1'03IP14our application is approved �Q,(h Y�(�- o� Your permit application has been reviewed and the following items need attention: 777 Please re-submit your application when these items have been completed. Reviewed b Signed ate,/)> Contractor Notified Date (b) Two-family and Townhouse Dwelling Units shall be separated by a firewall which shall meet the Florida Building Code firewall separation requirements for Multi-family construction. (c) Dwelling Units separated by a breezeway, or similar type connection, shall not be considered as Two- family Dwellings or Townhouses, and shall be required to meet regulations applicable to Single- family Dwellings. (d) Adjoining Two-family or Townhouse Dwellings Units shall be constructed of substantially the same architectural style, colors and materials. (e) Adjoining Two-family or Townhouse Dwellings Units shall be constructed at substantially the same time or in a continuous sequence unless an existing Structure is being renovated within the same Building footprint. Sec. 24-88. Garage Apartments (as allowed in combination with Private Garages). In any residential Zoning District, where a Lot has a width of fifty (50) feet or more and extends from Street to Street(or Street to Ocean front in the case of Ocean Front Lots), a single Garage Apartment in combination with a Private Garage may be constructed on such double frontage Lots(See Section 24-84.) subject to the following provisions. (a) The Structure containing the Private Garage and the Garage Apartment shall not exceed twenty-five (25)feet in height; (b) The total Floor Area of the Structure containing the Private Garage and the Garage Apartment shall not exceed seventy-five(75)percent of the heated and cooled area of the Principal Dwelling. (c) There shall be not less than twenty (20) feet between the Principal Dwelling and the Structure containing the Private Garage and the Garage Apartment. (d) The Use restrictions and the minimum Yard requirements that apply to the Principal Dwelling shall also apply the Structure containing the Private Garage and the Garage Apartment. (e) A Garage Apartment shall not be leased or rented for less than ninety(90)consecutive days. (f) A Structure containing a Private Garage and a Garage Apartment shall remain in joint ownership with the Principal Dwelling and shall not be subdivided from the Lot on which the Principal Structure is located. (g) Any existing Structure containing a Private Garage and Garage Apartment that is encroaching into the Street Right-of-way shall not be rebuilt, enlarged, remodeled or structurally altered unless such encroachment is removed from the Right-of-way. (h) Development of Garage Apartments occurring after the initial effective date of these Land Development Regulations shall be consistent with the Density limitations as set forth within the adopted Comprehensive Plan, as may be amended. Secs. 24-89 through 24-100. Reserved. Ordinance Number: 90-01-172 Effective Date: January 01,2002 Adopted: November 26,2001 38 J3 �' CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: Job Address: 3 g .0 Owner of Property: `T-0 M ©-U L-L Address: 'S M L Telephone: (n j(p - Legal Description: Block Number: '3 1 Lot Number: Z Zoning District: Contractor: 5 EL,- State License Number: Contractor's Address: Telephone: Fax: AND 12L-M O V A-Te Describe proposed use and work to be done: EX P ANN, GX 6 i 1 hl 6, 64 ZA-C� C071-A-� Present use of land or building(s): 5 i a QA-CI-E Valuation of proposed construction: SO U(� What are the dimensions of the added space: feet x feet T'DT7h. (90 0 SQ FT Will the added area be heated and cooled? `f E1j New electrical or increase in service? Yl55 New plumbing fixtures? 'q ES New fireplace? N O New heating/air conditioning? N05 Is approval of Homeowner's Association or other private entity required? N n If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? NO. Applicant certifies that no change in site grade or rill 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, Owner/Contractor Affidavit if owner is contractor,and 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.atlantic-beach.fl.us Page 1 Revised 1/14/03 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 all in atio prov' a wit this pplication is correct. Signature of owner: Date: 3 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 performan of nstrucfi6n of the property. I understand that the issuance of this permit is contingent upon the above information being u and ect th the ans a4supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: —rp M 6LZ Mailing Address: (OA A-TJ (,(.( 3 Zz,13 Telephone: ( � Fax: 0!) E-Mail: ( n�L�L cO�► AS TO OWNER: Sworn to and subscribed before me this day of Y�> � I 200-5 State of Florida,County of Duval JENNIFER CS�t1LUETER Notary's Signature: Q41pY'P� : +r „- MY COMMISSION#DD 121301 ❑ �•: ,; EXPIRES:May 27,2006 Personally known 3,�Rfr Fo?= Bonded Thru Noiary Public Undenv 0ers Produced identification � � Type of identification produced 67 L'I-2- AS AS TO CONTRACTOR: Sworn to and subscribed before me this day of neral , 2003. State of Florida,County of Duval Notary's Signature: JENNIFER SCHLUETER MY COMMISSION#DD 121301 ❑ Personally known EXPIRES:May 27,2006 Produced identification Bonded Th ru Notary Public underwriters Type of identification produced '�'�'��. 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 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 w' FAX:(904)247-5805 -=K SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 2-J`l'1y Applicant: 0 E'L' Address: L- \) Project: f` o Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date r ;s1 ' CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: f { 03 Job Address: Pn,3'� B tVt �-RA-�,T� C, CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: 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 A 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 IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE IS AN OF AN O R-BUILDER PERMIT. PROPERTY OWNER/BUILDE SWORN TO ANMSUBSEFORE Ij? EFORE ME THISDAY OFy JENNIERe� *_ MY COMM121301"y EXPIR06%} ap dad Thre writers N Y PUBLIC `ax OMMISSION XPIRES: TE: PHRASES UNDERLINED ABOVE. CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Jt3 Application Number . . . . . 03-00025963 Date 4/28/03 Property Address . . . . . . 631 BEACH AVE Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GOELZ, DONNA OWNER 631 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 4/28/03 Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE 16" OF CABBAGE PALM TO BE MITIGATED WITH 8" OF PALM TO BE PLANTED ON-:SITE. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 44' .,,F BUILDING OFFICIAL Minutes of Tree Consemafion Board April 25, 2003 Page 2 1. 631 Beach Avenue: Building Official Ford advised that the applicant, Tom Goelz,was not able to attend the meeting but requested that the Board review his application. A motion was made by Board Member Owens,seconded by Board Member Shaughnessy, and unanimously carried to direct the Building Official to issue a permit for the removal of 16" of cabbage palm to be mitigated with 8" of palm to be planted on site. 6.. Reports and Announcements A. Schedule Special Called Meeting re Paradise Preserve: Ms. Karen Beck of Bestcon, Inc., introduced herself and stated that the purpose of the special called meeting would be to determine the mitigation requirements for the rights-of-way for Paradise Preserve. The Board scheduled the meeting for Saturday,May_3, at 8:30 a.m. at Paradise Preserve,with an alternate rain date of Saturday, May 10. Chair Mears expressed concern with regard to a tree tagged for removal on the City right-of-way on Coquina. Building Official Ford suggested that the Board prepare a letter to Public Works describing the tree and location,the Board's concerns, and a request to save the tree. Building Official Ford updated the Board on the following: 1. The annual reception for the Boards and Committees was scheduled for August 21. 2. The new Tree Removal Application would go into effect the first week of May. 3. The Mayor and Commissioners proposed a change in term limits and this issue would be addressed at the April 27 Commission meeting. 7. Adiournment There being no other.business or discussion,the meeting was adjourned at 10:03 a.m. Barbara Mears, Chair CM OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted wl�ez} (7) copies and received by w LM on the Friday ten (IO) days_prior to the scheduled meeting in order to he placed on the ag nda. -- *INCOMPLETE A.PPLICATION5OR J,N&CO ATELY M,RED SITES WILL NOT BE PROCESSED. 1. Tb M G-,ro (03 t 9="c APPLICANT NAME ADDRESS TELEPHONE z. _ 4�T�T4 AVS .ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 'OMMDDA�?' Q<PWSLgLh) CC-- 9QtLb)u 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES No .NOT SURE 5. PROPERTY ZONING: RESIDENTIAL COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER MITIGATION OFFICE USE ONLY INT.. EXT. �►Ba+Kk �� 14" 'Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade To accurately determine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. �. a ** Sea attacbed dia;ram for determination of interior and Werior.zoam 7. SITE PLAWME SUR EY indicating; a) Location of topography features such as hills and low areas. b) Faisting and proposed suuctvres. c) Location of all trees with Diameter at Breast Height of six inches or urore. d) Tree species and sizes. e) Trees to be removed should be clearly marked with an"X". -f) Trees to be preserved on-site for mitigation must bei marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle h) Location of utilities and easeauents as applicable. n Location of trees to be preserved on-site with barricading noted. 8. ON-SITE REQUIREMENTS: , •a) All trees identified for.removal MUST be marked on-site by RED flagging, paint or tape. b) All trees to be preserved on-site for mitigation WST be marked with BLUE, flagging,paint or tape. c) The front property comers must be,marked by stakes or paint indicating the Lot 4. * II�COWLETE APPLICATIONS OR„1N1,&CCUEt.A27ELY MARKED SITES WLLL NOT BE PROCESSED. 1 HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE IL TREE PROTECTION, AND ALL.OTHER APPLICABLE CODES AND ORDINANCES.OF THE CODE OF ORDINANCES*OF ATLANTIC BEACH, 41 it 0 leantign Date � 1 's Signature Date CMT USE ONLY: Tree Conservation Board Chairperson Dat,: r- Eo A O o to ;56 'm RENO vE� 4 c,�3�JkG� Pf�tS rnp r� vw 1> BEACH AVE U r y r„ r P. ='�wm � �q (40.0' RIGHT OF AY �� ro��o vl v`j i�i t� DT MNr! �6 N 50.00' E } vrZ UOQ �h1��!m N 04V0 /l w gm> gvciAQ (f) 50.05/ ( VR D) Z c= .o �� A �r N 50.03' MEASURED) •V Crpl ° z(rp'�O�'0ZpC D O 50.0-(DEED) R &6` ISY S m n ffl Jc Pm N C� fvn� u w p r z Z iS° FRAM Y t.a � S�� (: � i ! o o k ART M NT ' Y+� m�c� � ERs�A AGE Y (7m m�1M,$r-!An'nom ¢co I LOT ♦ t..I i New �d ~ g g BLOCK 31 m f C[�NS C'- >m o C f w�.sru C400TW Ur+c TTUId Z ^ p-.Flo, S o Z ii 01'50 b .W 58,bS..... .---:�:•,. yy ♦-r .t,. Cwt p na z_ is y > X WEST 15' LOT 3 . t 'n r! '• r 2 A f i rl,S� 7 Zy m Q c -4 INGRESS t EOR[SS EASEMENT *..r I b fl 'p; r�,7 trail v 'O m x m ik a `r, _f + .► a ter, i.r' C7 0 N C > 4 I I, Z0 per ;G LOT 3 .,...,tl1 p <C.sil,rr, L4 LOT BLOCK 31 N N G � ���� `'' o X N � � :..,;:rti•',',`•:.t a to c n�Iy^r a' .'� -1D'O>D Fly, ^ m y Z i(� 5 t r. M D -! �t ch p -- LA zN r, > N C O N N in '�Y 1Q n v(I7 lid i S D D b q PLAY) xu PRIVATE ROAD( q �(r 2 , r N a lC R > �g� ARO r > w N�t y Vl j1 > f+1 m to t N N g w m z 1 " >T D In Z VI ro w G ° rl 0 m X stlµ p o to �' � '1 3; .••. rn ZONE '%' w II v Bg i m�m ZONE -AO-(DEPTH 2) r > n I^z v Q g p 41 bE\m O I m r �D� Z v O op s LOT t + LOT 2 SXI-40 r In 0 M n o r n� BLOCK 31 BLOCK 3t 1 >�OJ Y Z Z ) A J� r-> c ' ^a�7aA n )p. �� rc� � ^i � rn g D � zo a Ss o� t `•`- � • � s r ., �� �. , /-R� 4 %$ >a39 9 z 2 0 - \.{) 2� « , . t X02® o � § * EROSION CONTROL u (PLAT BOOK # PAGES a »A. ACsl ? % 2t k s 01'2'- E !2 . i a 2 50.02' (MEASURED) . 5000 (DEED) $ ' » ATLANTIC OCEAN ) \ 2 APPLICATION FOR VARIANCE NEXT MEETING DATE: 10-19-93 FILING DEADLINE:.......10-05-93 PLEASE TYPE OR PRINT APPLICATION FEE $75 .00 IN BLACK INK TO REQUEST A VARIANCE FROM THE REGULATIONS INDICATED HEREIN , BECAUSE THERE ARE PRACTICAL DIFFICULTIES OR UNNECESSARY HARDSHIPS IN CARRYING OUT THE STRICT LETTER OF THE CODE OR ORDINANCE THE UNDERSIGNED HEREBY APPLIES FOR A VARIANCE AS FOLLOWS : Thomas C. Goelz and Donnalea V. Goelz Name 631 Beach Avenue Work : 356-0745 Address Atlantic Beach, FL 32233 Home : 249-4445 City, State , Zip Location of building or structure: On the— e side of Beach Avenue n s e or w street Street address and legal description of property : Note : Attach copy of deed, and survey or indicating proposed construction . 631 Beach Avenue - Lot 2 North 1/2 Lots 3 & 4, Stockton Broome's Replat of Lots I and 2, Block 31, Atlantic Beach, FL P.B. 6, Page 43. Zoning classification : RS-2 Section of Code from which variance is sought : Describe variance requested' We propose on north side of garage/cottage to build exterior stairs to 2nd floor apartment above garage. Access at present is through-law U2J -door inside zara&Q. Stairs to be constructed of P.T. material similar to other existing stairs on garage/apartments along Beach Avenue. The reason variance is sought : Present access is through low door and is not considered a safe access. Access from east side is restricted by existintree. Exist' structure is 3.4' from --,o:,th propeiLf-,,, I--'-,ie !-^ built Irlyd be constructed within Ila StairS wou Supporting data which should be considered by the Board : Survey qttached Are construction plans submitted with this appli,catir.in ;' no What is the applicant ' s interest in this variancc- : owner Min, All St 'ERIK. �AP, n its; " �i „"PAIN 6 4,�� .• ,�� } I`' 1 �if� �sryi f r �, (TI ' V _ !� I i I fl+ E p1 � �`�p�1 HIS M, i t � , ) gill IK ki � Only, f { { }t{ ! p✓, II SSS 1\ IM ��1 < 10, ; �yy I i I� � Sion 1-1 1M y �� � J i I i �� R I�I�PARtMENT0F:BU LLi1,IHE3 #TY F; 1TLA�V'ti El " i PERMIT" INFORMATIO t ;� ... ..,. ..� ._ LOCATION INFORMATION. rr it fd # x t t Acid-048 t $31 BEACH AVENUE Permit Type t PLUM1,81NO ATLANTIC BRACH, FLO�EIOA 3 � Class, of Work: ADDITION - Constr. cOi} T t3N LEGAL. DESCRIPTION 7��.._. . � Constr. Type t WOQD '*A1% Lot t.. Blocks Recti on t Proposed Use: SINGLE POIXY Township t RN.G 0 T1v _iii t 1 Cc +d+ t OEu00,**i pion t ATLANTIC BEACH Evt wattod Values E -.,00 fimpr'crv. Cart _ 0 00 Total at , . $32:50 Avt *32. 30 „. a 4/142 Work Q IN., ADLtITION .. NATION .. �.... APPLICATION FEES ,., . G PERMIT X2. 50 d Ad AVENUE `WATER :IMPACT FEE<< Do r Gly, FLlAtIT3 S I P FEE Ed RADON 'GAS-H. R. S. so00 0{s ..,... -- d #FORMAT N - RADON CAE - 5% o: N > +t NITER TAP E0.{Ifs < . . �m�,. -T. �; ; EVER TAP �._m.. ._4... ,DO ,. JACK ILL pCr FL.l X2211 HYDRAULIC SHARE 0.100 IwQ Tpltr 0 RE IRSP'ECT FEE #O.00 Es,. < E,._ .•" < ASES H IMPACT . IlFEE , 311 mn NOTES:: , NOTICE—*Ate.CONCRETE F01�M$AND FOOTINGS IWU$f$E INSPECTED BEFORE POURING PEAMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRiS PROM THIS.WORK MUST NO7 BE PLACED IN PUBLIC SPACE AND MUST BE: CLEAWED UIQ AN, HAULED AWAY$Y Eli*E CONTRACTOR OR<OWNeA1 -AIl:U TQ COMPLY-WITR THE ME HA1 +1 5' LIEN LAVH CAN RE511L'T IN HE T"4�:.0'-I � ;�#�1�Ifi1GIMCE" 004 E3,UI<,fliNG IMPFi mj E[1'ACG0RDi'NGa TO APPIkOVED PLANS WHICH ARE,pAftrL''OF T1416"PERMIT AND SUBJECT T OCATIOW1 QN C}t APPICA$LE PROVIiONS OP LAW. 11RT imRt ,ANTIC$E t BQILDINQ DEPARTMENT �' , t � s a i ALIry s, t e e � a,« OM ,pw ecvvTvw, Y } . .. r .�..«..._., .a.:«,R:......�...w...; .w+m+«.....,.+w. n.,»,r_.�....e.�..�..c .....a,...,+..»....�..r;�. w-...ni..,..-.m.m+.+v,u,.. ..... y ^^��''��y� qM k 3� ,{ $ ^p {y ,pig 4M 3QAMOW a P t:�t;MI SO 7' �.3M S? �'dA.� 0 rt..Y�4��.d� � VA& � ..v�. «nawbaaP a 1M .9 lT'e.Mltl �. 71 '3s ' j A .a DA s `S TOM Ospa � '��„3G�.c i..}'?P� �>{ .. ,� ,.�'ir, "i.7..� 5���` i "�� '";�+ wo jar- Ampy varma $..vivo aha u:F.:.wr's a"I'�!wa--A ' < ;) % ,4n, vwo Y'r�w ai`t c' A� "M i ifr`n r=k1 � P .k YY. vr �'i j. ♦�'�,'L -LC- . a i i 1• l �'+; FI� 1 1 t •` ' ..(.• S;. '', ` 'ter�i�'Y''�`'�i�l;.• hs +iia :JOB y©Cn !!! C,SQCot , �\lit ��}`G '{/(\�^/^•��.. 1�; t„A \,,,( �y Br'lS �+ • i,a 1�S'�i r+ Co ii(;`Y� XyD1NG � u"� ,.. �, ���tt�2•..gY% _'? i til TV Q3U�-yi i` '`........ 1lEC�'�'�RS t i• + " ,•t' ................... V +• 44 r tS �^ ��� � �k t DIS }, i i���:if�+,\+��i• ` '. •1 '. i• , , . �'�„`7�, ,.`'.�t1E#tlt , Al.,... ,. y�,,V l�• 0 •' ~: i :..• ---;' I�1G qty ; S1 i�,'. ,' • , Mitt rZ•1Jt1 If SzT t i ,d 1A•J ti _• CyQ 1 4r'' j'• '}l i l•,Y , << V ;� NIS `iW ;� 'ti's z ^•+ .fit. .at '+t,(� � ;fir+:,a� ,ti w ' , '!'•. �+ Q�nNC '' �i;,;, 1As a; ,;.�;. '. SZ 7 COD =y1•! h� 4rfr~`��.t Q{a 0 1 IT CS*1' � •i� A \�.1-•l. ,, .1 a 1.J'' •� ',�j 'i• � . • l= _ ,1\•=` It t \ I to , tir ,.t i isOffl` tir —- 000203 09PAI TMENT'OF 8111,I,OJN 3 F CITY OF ATLANT1G: H r -� TT N ' A'CiN LOCATION INFORMATrOM ------ wit R t C9 ddre0mill, $31 BEACH AVE. P �s+ .t � L1rC"`iAL f 14�TL.ANTIC :REACH, FL.ClRIDA 32233 C1*010 of `Work t REPAIR LGAL DESCRZPTZt3M �, .. � 'ro a SINGLE rAMLY.. Flat BooWl Pages C Qir ,Lljn 1 0 C uksid#y0tart s ' Li t*,r! i� saQ3 �w"» 4MtNR IHFf3Rt'iA'1" t3iPf STOCK'TON !x.20. 0L3 �3i BEACH. AV'E< Ar ae46 ATLANTIC BEACH, FLORIDA 32253 a � ra*s lip 404)24 to under round s �,r" ars ;m, ► ' �tt «'& ' �aR.1 qe�'^ �PLI R� �,p x'3�+'�b ti ' j '0' TEtSh:,, ',+�^ 5 N tt EY1Wi";VR"TA1p Y00AULICIMARi 00 ,00 00.00 Ali Ti�i�iR �. 4 Tia t 40TES. i NQTtCE--ALCQNCRTEC? M'AMU FOA7INGS MUST13� INSPECTED BEFORE POURING pERMhT1l0ID SIX IVl© NTH, S AFTER p"AlE QF ISSUE IS, BUILDING MATERIAL,t?UBBiSH ASC} DEBRiS FROM THFS W©f3K MUS7','NVoT CLEAREb Y BE PLACEQ lx5h pl18LIC SPAC.E,A�VQ„Ivl,UST BE t UP ANO HAl)L fQ11NAB1' Hid i CflNTRAGT©i i t�R t Dx� ,�. ��.�, M -- -- - ��,r, i �,� - -- -u---- � �.,��� - - ---a �. CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: u.A,t1 a r o`14Q,:y 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 INACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL TH,OMPSON ELECTRIC CO., INC. P. 0. BOX 50398 PEACH, FL 32240.0398 ELECTRICAL FIRM: MASTER ELECT ICIAN SlgdMRE ,. NAMAd io�- ADDRESS:." ?'�--�� - RFD BOX BLDG.SIZE BETWEEN: RES. . APT.( I COMM.1 ) PUBLIC( 1 INDUS.( ) NEW( ) OLD I ) REW.I ADDITION( 1 TRAILER ( I TEMP.( I SIGNS ( I SM FT. SERVICE: NEW( ) INCREASE ( 1 REPAIFOkf_ FFE,,E^^ CONDUCTOR SIZE AMPS COPPER i ALUM. V`V 00 SWITCH OR BREAKER AMPS / PH W VOLT RACEWAY EXIST.SERV.SIZE 14 AMPS / PH 3W rgOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF, AIR H.P.RATING M.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT a1 OVIR MOTORS M.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS ISC LLANEOUS / Z k a010Va1N001Va3N3D-1N39V-a3NM0 SS3aa(3V HOd 3N00 ON138 MHOM ( 1 a3H10 ( 1 33)ION3d3)10 ( )Vat! ( 1'd000 AV10 ( 1 a3MOd V M911 'Vld ( )A113 /311111111 MAMMA d VA)! 'ON VAN 'ON 'A 009 H3AO A 009 a30Nn :Sa3WHOdSNVal SdWV 110A M')1 'ON a01Va3N39 dWV SHd 110A 'd'H 'ON HOlOW Dw- SHd SdWV 'ON SHd SdWV 'ON 3dA1 a3WaOdSNVa1 'lad 'lad :Sa3013M sn03NV1133SIW SNOIS a38Wf1N 103NNO03H SNOTS a39Wf1N 133NN03SIG SdWVI 1N30S3aOf11d H311MS Ml SdWV1 1N30S30NVON1 ACTION OF THE COMMUNITY DEVELOPMENT BOARD OF THE CITY OF ATLANTIC BEACH REQUEST FOR VARIANCE TO PROVISIONS OF CHAPTER 24 OF THE CODE OF ORDINANCES OF THE CITY OF ATLANTIC BEACH REQUESTED: Structural addition to an existing nonconforming building at 631 Beach Avenue to provide an outside stair to second floor level . Building has a 2 . 2 foot rear setback and a 3 . 4 north side setback. i WHEREAS, Thomas and Donnalea Goelz, owners of above described property, have applied to the Community Development Board for a Variance to the zoning regulations to allow an addition to an existing nonconforming building, and WHEREAS, the Community Development Board has considered the application and rendered a decision, and WHEREAS, It is the finding of the Community Development Board that the granting of such Variance will not be contrary to the public interest and owing to special conditions , a literal enforcement of the provisions of the zoning code will result in unnecessary and undue hardship not of the applicants creation , NOW THEREFORE, BE IT ORDAINED BY THE COMMUNITY DEVELOPMENT BOARD OF THE CITY OF ATLANTIC BEACH THAT: 1 . The requested Variance is granted subject to provisions and conditions described below. 2 . The owner of the real property described below is hereby granted a zoning Variance from the provisions of Chapter 24 , Section 24-85( 1 ) of the Code of Ordinances of the City of Atlantic Beach, specifically to allow construction of an exterior open stair to the north side of the nonconforming garage apartment within the existing 3 . 4 foot setback. This Variance shall run with the title of the real property described below. 3 . Owner .and property description. The owners of the property to which this Variance is granted are Thomas and Donnalea Goelz . The property to which this Variance is granted is described as : Lot 2 with the north 1/2 of lots 3 and 4 , Stockton Broome ' s Replat of Lots 1 and 2 , Block 31 , Atlantic Beach Subdivision, P. B 6 , Page 43 . 4 . Effective Date . This order shall become effective upon execution. EXECUTED this , day of v#-"VA ✓ 1993 . Donald M. Wolfson, Chai an Community Development Board ATTEST: ' r Recording Secretary TRANSMITTAL DOCUMENT FOR JEA DATE: //�z-/ The following permits have passed "rough" inspection: Permit No. Address Enclosed are our (blue) copies of the permits. Please update your records accordingly. Th y , { / UI D C�RFS CITY OF ATLANTIC BEACH /vcb 6048 061PARTMENTGF WlLC llk6` CITYOIC ATLANTIC Bili. M_,.. ftMIXT INFORMATION. LOCATION I NFORHATI ON Permit Ii +er.t 6O4B Ad r..�st: 631 SUCH AVENUR, z . MEC,HA?iICAI~ ATL'ANT C H ACH; FLORIDA 37233 P' x mit: Type LEGAL I)ESCRIPTION Class of- Work z Constr. TYI a Mt O£? FNA,M Lott83ci k; Section Px��apc� d U + ¢ IINC�� 1 Tnah Rt3 i i ling a i Code Sub 5u#d Via" n.4 Estimated valuol, Iapray. Cast a T a .I Fer *63.C0 i Amount r Da` t _ Work h ►ting u»At, and tVb AIC units APPLICATION FEES �e � OF , '"�i'I I'I' a3: ©O t) N II I I TRN IMP'AGT FEE O. 00 Of i FLORIDA; 32? 3 FE BO.d W ' r NR*S- ... .: .. " . I 'O T C>N RADOlt `CSA .- 7 { .€I# I!FATRR TAP $0.00 Aceeiii 1I..AN`I'IG " R .r 1 t'AP. C.00-47 . N 1 B A N ' . , 3a233..�u P HYDRAULIC HARE. �.Ofl Li Tyra HINfC'!' FEE .F ►0.00 3 +C. H IH ACT FRE C C}C3 V 29 NOTES: f h ' .fialE#tiCE--A14L COiOC fBTE FORIfO ANO F0 TINGS FAUST 8E IUSPECTOM BEFORE POURING FFCFiMf3 VO#D SIX MONTH$AFTEt DATE CSF ISSUE k �3111k[11NG MATERIAL,RU881SH,AND`D 'BRIS FWDIiA.THIS WORK MU$T N6*BE PLACED IN PUBLIC STAGE,AND MUST BE ; CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR 0' 'OWNER -FA1 .L� E`TC� IC0 PLY.,WITN �tH.E MECHA 11C�►' 1.1t�1 t�A,1Al £;AN R� U.LT 1N THE.:poTIR:IP OWN# ► tNt ME �c � L . r+� �rpR�►rr�Mts.,, s S It ACCpRD(NG TO.APFR�j1 El PLANS WHICH ARE-FART OF IfHIS FERMI' AND SUBJECT TO REVOCATION FOR ' �LATLOhi Q >AFpLICA►3�.E PROittSIONB til"IAW. � ATL AIdTiC BE,ACti BIJILDI�V DEPARTMBPIT <;}' : r ., .._ _ .._ ,... . . _ _. ,., _ x . , .. ,, , , � : . r .. , ,_ s ��� { . ,. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 119ACH, FLORIDA Ssts]J APPLICATION FOR MECHANICAL- PERMIT - NUMsEA IMPORTANT/-- Applicant to complete all items in sections 1. II, 111, and IV. LOCATION Street Address: t� 1 [..A A OF . Intersecting SlreeH: setweee And BUILDING Sub•c(;v;s;on II. IDENTIFICATION — To be completed by all applicants In consideration ofpermit given (or doing the wait as described in the ebeve statement we hereby agree to pe•form said wo-e .ith the etractpd plans and specifications which ere a part hereof and in accordance with the City of Jocksonvil'o ord;naoces 0-2 s'a".e•as of good practice listed therein. Nance of Mechanical Contractors Contractor (print) Maderco (Q Nance of ) ►reprty owner _ Signature of Owns• Signature of r Authorised Agent Architect or Engineer 111. GEMERAL 1 A• U,f heating (vel. 6. IS OTHER CONSTRUCTION BEING OONL�N �/� F>fetfric THIS BUILDING OR SITE, 'V > ___ __ �/ ❑ Goo-0 V ❑ Netural ❑ Control Wilily if its, Gtvt NUMBER or coN.�RucJ10111 ❑ OxIFPERMIT ` ��lILL ❑ Other — Specify IV. MICHANICAL 69UIPMGNT TO M INSTALLED TURE OF WORK (Fmw;de completi tilt of compa waft oil backthis forml Residential or (� Commercial Haat O Space E7 Roaued Central O Floor C7 Now Building 10 Air CwWMoaieg: O Rao#* CeMrel �( Existing Building Otrd� 'to !--I: hlahtia Thtckaasa !/��_ ❑ Replacement of existing system Mash"m capacity�,z: z e f sR, New Inetallatlon(No system previously Installed) 13 Rairgerafieo ❑ Extension or add-on to existing system O Other— Specify._ 13Coeliag tower: Cawcih I-Pin. O Ross spoinklen: Number of hire Q Etewtw Q MeeliA O Escalator IRumber) THIS SPACE FOR OFFICE Utfl ONtY (3 6asoiae Pumps. Ilwmber) (R"Isi od) E] TaRk- (number) Remarks ❑ LPG eerrtaiaan (Ru mb") O Unfired pseuvre Pusses O I4iMra Permit AppmvW O Off, — specify Permit No LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT r-Angelty Aovftg lfms>ter Volt. Deacslpt:lost ![oE(el Numbs Hattutlte(;stralr 16 °i� TEST a MAINTENANCE REPORT 6.5 MC><FLCW PREVENT*N ASSEMBUES NAME OF PREMISE.E: AAr k U STR_c-�- ADDRESS. LOCATION OF DEVICE. Ne4 W e 9 b R 1- S s CX d 1• Manufaetwer. I f U Model: 5b SWIII No.: 9 70 3 Size: —L ❑ RP DC ❑ PVB Q AVB � AG PRESSURE DROP ACROSS FIRST CHECK VALVE PSI {� CHECK VALVE « 1 CHECK VALVE M2 DIFIFER I ENTIAL PRESSURE VACUUMPRESSURE RELIEF VALVE BREAKER INLET TIAL 1' LEAKED D 1. LEAKED O OPENED AT I AIOPENED AT PSI TEST 2. CLOSED TIGHT 2. CLOSED TIGHT DID NOT OPEN O DID NOT OPEN O CLEANED ❑ CLEANED O CLEANED O REPLACED: REPLACED: REPLACED- CHECKID VE: PSI, RUBBER PARTS KIT O RUBBER PARTS KIT O -_n I C.V ASSEMBLY ❑ C.V. ASSEMBLY O RUBBER PARTS KIT O OR OR R.V. ASSEMBLY 0. CLEANED O ' DISC O DISC p OR REPLACED: O-RINGS O O-RINGS D DISC O C V. ASSEMBLY C R SEAT O SEAT O DIAPHRAGM O DISC. AIR INLET O E SPRING D SPRING O SEAT' D DISC. C.V. D P A STEM/SUIDE D STEM/GUIDE O s SPRING O SPRING O R RETAILER O RETAINER Q GUIDE O RETAINER C S LOCK NUTS O LOCK NUTS O O-RINGS O GUIDE C OTHER O OTHER O OTHER O O-RING O I OTHER — 9 FINAL OPEN AT fi5. TEST CLOSED TIGHT O CLOSED TIGHT D REDUCED PRESSURE SATISFACTORY D NOTE:ALL REPAIRS/AEPLAC ENT SHALL E 0 PLETED WITHIN TEN(10) DAYS. REMARKS: !?W I HEREBY CERTIFY THAT THIS DATA IS ACCURATE AN OF THE UNIT. D REFLECTS THE PROPER OPERATION NO MAINTENANCE CERTIFIED TESTING COMPANY, C ' -K-/-�} � MO Oar pvA INITIAL TEST BY CERTIFIED TESTER NO. � 1 $ DATEL-7•7 �9 REPAIRED BY DATE wo FINAL TEST 8Y CERTIFIED TESTER NO.' ? — 1� DA T w l-,_, P i j '. :7033 ©tPAiRTMENT OF WILDING CITE C)F ATt�,AN: C BEACH' .. ,. PERMIT, INFORMATION LOCATION I NFORMAT I OB ;P m t mumb*t 7033 A diris$, 3i EACH AVENUE Fl x iit �T F .+tlE: UTILITIES ATWNTIC' 8�CHr FLORIDA 3221,33 class of Mork: INCR9A L10ALL 09SCRIPTIO --__�--__-- Caixstr,- ' WtJ00 FRAIL Lata 9I;Oc3r.: Section: Pr pBa�ese: SINGLE Township: RNO: 0 F Dcr rl lir � ": Code"» 0` 3ub4iv'isow $390.00 1 €►ta ``,: . „ 4300.:00 Gpf; i0l, rj i4 ura I APF'L I CATION FEES - ..yy... dd" , .: : AVIJN �, NA" IMPACT` foFL �' $HCl 00 a �. Ph' I NIS I� A F y44 t3A$wl . ,S '$`0F00 R FCI� `ION - R"ON CAS -- �� 1 0 .00 Name ti B 4RKt ' CSAR ATNR.�o' A __ mm "0 0 A.dx3r�s�": I � m .. - � :�5,ZOZN TO � x£3.00 IY3RA2 C BARz S"0 .00 ' eqdt- 0 CAP ITAL UIP R L> y Ofl NffiC«B FACT FLroE+E F, ' • .n �1'�d���"�*,. rwna,»« AA �;as;ro�s�w. a ,:. « ��a„kam . = NOTES: F 1 s i P a!C!'I'!GE ALL ONCIi Tiir I�CRRAA'i AMID>=pOtINtI$MUBT POURING P6AMIT vdi0 SIX MONTHS AF R GATE C3F ISSUE BIitLC#IN(3 MATEl JAL,r`VSSJSH,At�fi 'b ,diS FFtQM THIS C}RK MUST iC3 �3I~Pi AO. 0 i;N PU9LI 5P�lOi�,;AN£3 iv1tJS7 B.E, +CLEAREt3'UP ANU'HAULEO AWAY BY.'EITM t�"t+JtRACIOR't?ii CIWNI~f? TA LE TO oM- 1 PLY.I ITLl" THE.M p�1��+ F"',N iC. . �.I r�1�i+a.AW�yCQA�h�t AESULTQ' Int CtN! �rt1aii7' Vrr 1X� fT1 �'Yr� TV.'� ILJ © ACCORQiNE3.Tf APWROVD PU4lVS WHtCH AIE'PART OF THIS ,PERMIT AMt? SUe TO.REV�pA • * R' { VIOLATION Qt*;APPL 1CABL.E P' J/ IOt*'S Qf LAW. 1 JEIED x#.00 t' IPT.hitt O'94'4D5 ATLANTIC BEACH"SUILDI I3�PARTMENT." • f �. <: _n m. � �� 6. F _ , r 3 7 7 .`� I. x.. Y 8�49�44 . �. CPARTIlIENT QIP 8U1t1MG " r CITY©F ATLANTIC B15A�N" z, BtAiCK Avtsul, P artrri.t Tygit UT I LiI T YZA AT L�AHTI C BEACH : FLf Ft I`DA 32 23 CItts "ci '" iPDI`kz . Ar DESCIPTtJi �. ....� Cont r. Tlrg t�V�3�Jl �E L+ t. LCLz SA . i;r�n �3weings : Cod*s - Subd �r Sia>�: ItH4 MOLE, 0,10 �_ 0 ma Improv.' Capt; fl,t?Q Amour $560 ..00 ak' Is TKIN MHHR Cit 1 '" TIS Nit . FLS I ,A`�ION PREH R e� � '" . AAS LPACT PEE $0 '04 �I " i XD �� �H litpC' EH ,qty � � EA o ,GAS HL S. 0.00 : . ....,� RADON S ,.t}+p •SA . Noma H C T� pA NTAH TAS . .t}0 0'y t O�:00 'Lice, i A ,kL 1 ' E, 00 MC X: "ILS A E 0 NOT ESs � 9 Y fii �r I Nt3 'i�CE �. Qc sperQsrrMcs' u e �r �oa �+ou, �rr PI:IMIT1VQ0 SIX M{)1dTHS AFT f 7SSUF` SUIIDII`lG MA'CI >�IAL,Rt 061-5H AND•��BflIS SROM THIS VNO.FIC M�!$T NQT B�Ri.AC�D 1:�f'PUB�.IG S.f�At�E,`.AN6 MUST BS; rL Ai E�3 U.P`ANG� +AU4 't Atha tilt BSS LttH iGONTR,� TCJFi # 6WNi ; FA11a R TO CO 'p"' 1�I►/tT4t YHA M�CH�N�� ' �;ttlk l,�AW 'CA-N,fk T IN THE P�QP t 'Tl t NN Y NG Tib I Ft t 8 �. a MPRC3VEIV�`Et itS." ISSUE AGG4R[�tNG T4 A#�'F # D'PLANS'WHICH ARE �►AR7IO '1'HS f1~FiMIT ANq SUBJ Tt? R � ►T,1 1i OLATIC3N.( I"'AF+PIICASt�p ISJO of LAW. f�E�IPT NkIR: '� AT#.ANTIG SE H, UILD14G ESI ktTM " T r 41 By t C __ � . : � , ��a Ceecte c Compaily ! i. F � K? y 0 IN" � dol r �� 1 p�sa° P°p90"� l ! / Cip ^` '(OQ het oo, �) ' Qo`e O�e,eea FeeL *,r j\fr\tspaeclootiP Ne 0 Pap cl O�pee ,P C' l ION; S PeP�a"°p 006" Daae \09 eo ` 2 Af.: '.';(;PdV �Ll'A x..13:? x. ,. i a � a t_1 J:I_UITt(i III' I' ;cFION DIVISION t 44 74^77II DEPARTMENT OF BUILDING CITY OF,ATLANTIC BEACH }1 --------- .LOCATION INPORNATION- ------ Permit __.,--Per t N e> : . 7458 Address: 631 BEACH :AVENUE { Per€r► t 7'yve., BULI3INO ATLANTIC BEACH, FLORIDA 32233 Cl off: Nork; ADD I TI`QN DESCRIPTION Conic '. T Ire: �iOOFRAME� Lbt : 4 sio kr_ 31 Section: Proposed �se. QTH Tovoship s RNO. 0 a Owe.1 L� x i x 1 Code; � $ubdi vision: ATLANTIC BEACH s mated: VaIue: 5�3�.CO I_tprrov., cost,* $0,00 Tokal tes. $22.50 AMo. $22. 50 2? 0/28/93. i n TERIOR STAIRCASE CAN NORTH MS, OF GARAGE APARTMENT I TIpN ,. .,. .APPLICATION PIES PERMIT $22 .50 Add, NAT IMPACT" PEE $4.00 I 7 CH, OLOR D FEE o . Ph` �4 � ' A RAR. S. $0.0{ Rh e: 0 T ER CAPITAL IMPROVE r�? ..0Q SEER TAP fJ.Ot} 'HYDAMJLI�C SHARE 0.,00 CROSS CONNECTION O Ot} SEC.H IMPACT" FEE $0 1 1!I+G?TES; t t y I x i NOTICE_'AL1.CONCR00"FORMS ANDi FOOTINGS MUlIT 9B INSPECTED SEFORE POURING PERMIT VOID SIX MONTHS AFTER pATE OF ISSUE t� BUILDING MATERIAL,RUBBISH AN6 OE0I41S ROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE } CLEARE 'A PAND HAULED AWAY>BY EI NI=,R`Cl}N "RAiC�OR C)R OWt ER I, "FAILURE T4 GaWll�# Y #TH THE MECHANICS' �.IEN LAW CAN RESULT IN' FITY, OW *INN TWICE FOR BUILDING IMPROVEMENTS." IS8UE'Q AGCORPING TO APPROVED P't�ANS WHICH,ARE PART OF'iH1S PERMITAND SUBJECT TO REVOCATION FQR C)L141#ON O#,-APPLICABLE PROVISIONS OF LAW. ALANTICS 01U4t3rINECE' ARTMENF iertmaaw.' t , ... .u: .... u �. .., .,. ..w..,....,wn :,...,....�.> -77 101 M 5 r x , .. I F' 7 , .. Fli ;g ... i . , e t yy f } m o?..t' of b, ,d: 't'YYr'ol 071M)PO" asonr 4 dr Oil' su v w , M Vr c 7 xv y G UCP G � rEND C co o fa w p a�mAt OWNER BUILDER PERMIT AFFIDAVIT tel' Stute of Florida ) City of Atlantic Bench ) BEFORE ME, the undersigned authority, personally apVearvd _iQnt+ 2_ ------------ who upon fir.at beinv duly sworn, deposes and sayst I [� _L- G0 c-Z"Z • _ _.. ...._..__..___�_..__.._..___• and the legal owner of the Soilovin{� property Subdivision A-IlA^m<- gt-IN-CA _ Block L----------- Lotsw_ 4 AKA AP-3j-I LQ,_�.�... . I am applying for a building permit pursuant :o %ire Owner Builder exemption set forth in Florida Statute, Section 489. 100. Florida law requires that I have been providwd witlo thr tollowiny DISCLOSURE STATEMEUTi DISCLOSURE STATEMENT •State lav 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 at 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 term outbuilding, You may also build or Improve a commercial building at a cost of 023,000.00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or leaks, more than one building you have built yourself within one year atter the construction An complete, the law will presume that you built it for sale or lease, , which is a violation of this exeuption. Your construction must be done according to building codes and zoning regulations. tt is your responsibility to t s� � CT271993 wilding and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Dwn e r(s) :--- VJ Address : G fl- Phone 2-49 -44 Lot #._ g Block or Unit # L Subdivision: ftTL NT1(_ BEIrCU Contractor : ELF Address : Phone No: Describe work to be done:_ _SX R-1UG?_ O�Elll )tIR- ()Q )lr'Ff�Fj�_ Present use of building: ____�Li0PAfp_E �Ia l; :ia.tion of Proposed Cons truct.ion:_, 900.,0 Q Proposed osed use : N V Is this an addition? � If yes , what are the dimensions of the added space: _ ft . X t:t . 'Wall t 1,,n added area be heated and cooled? New electrical ( or increase)?--hiL New plumbing fixtures?__06 New fireplace?_ ?- New Heat/AC?.____�.�___.__ . a13UBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT , AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONT CTO Signature OWNER: 2� Date : 61 �_ Signature CONTRACTOR :—-— Date : _- APPRpVED CITY OF ATLANTIC BEACE PLANNING &ZONING 2 r�411e �sv Peer rcli`��2 CITY OF ATLANTIC SUACE, PZR)!,'IT CALCULATION SKEET Address— (0 4-c- (,t a Date Zo - Heated Square Footage i@ $ per Sq ft = $ Garage/Shed $_per sq ft = $ Carport/Porch @ $_per sq ft = $ Deck @ $ per sq ft = $ Patio —@ $ Der sq ft = $ TOTAL VALUATION: $ ,S-o 0, Total Valuation 1st $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ (0) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ RADON (HRS) .0045 $ RADON (CAB) .0005 SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing Electric/New Electric/Temp_;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey other CALCULATIONS and/or NOTES: FL.A.;I947 LAWS � RAMCO FORM SOe FS 71s.13 Nafirr of ��n�t�eYt�c�e�xrf (PREPARE IN DUPLICATED to hlh= it Mq =rtsrxt: 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 properly..............uo.f...�!... .....l ,L .....?�. ...:.fc? ... ? 'l�'T?.�.... ......................................... 6 5 P (n�{ .......... 3.. ........ .i ..... :4: ...»»....................................................................................»......•.........................................1......... ..........................................................».......................................................................................................................»............»...............I........................... General description of improvements..........����.U�4.,.....OP�1..�!i'�-......��1 C'G�1��T��`.�.................................... ..........�:.....1:�.�-.....4. ......`a.1h.c...LJ.F......42L..................... ..........I................. T.................................................................................................................................................................»............................................... Owner................ ....... ...................................................................................................................................I.............. Address.............. 3...........3 AC ..... :✓. .......................................................................».........»....»»....»........».»...............................I...... Owners interest in site of the improvement..................................................................................................»...........».................................. Fee Simple Title holder (if other than owner) Name..............................:5,A » .........................I......................................................................r.................................................................................... Address...............»................................................................................I............r..................»...............................»»......f.f...».......................................... Contractor.......0.W.l1 e ,....................................................................................................................................................... Address.............»......r..........................................................».............................r....................r....................................................»».»... ......»................ surety (if any).....&L..................................................................................................................................».......................»............................. Address......................................................................................................................................................Amount of bond $.................f............. Name of person within the State of Florida designated by owner upon whom notices or other documeNs may be served;- Name.......AIJ4.. ervedName........AIJ4.................................................».....................................................................................»...................».................»..».....................». 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) (F), Florida Statutes. (Fill in at Owner's option). Nam..A ...................................................»...........r..._..............r........................................................».............»....».................................. Ad&ess..............•...........................................»..........»....».....................•.r...... • ... .. _ /.(....y r .....f..w ..f• ..»f»...»»1...».....r......fN»»•.r... 'T"16 SPACs FOR RSCOROM-11 uae etiLV I - .' // I I I I 44!)'^�f Gtr y � E 1 c � J f-� i ✓i �3 s ern< _ ,'r CJGk.� `�'`\CSC __.._.gam----- _.o-:o-71 1 ' ' OrQ =3 CL LO OIQ � r - �. .a f / yltry V 41 YA' N co big i All aQ iaiii� t 6� � a c},. � lot i ' y r ti ,,;► t!r !1 E, J�Z OWNER BUILDER PERMIT AFFIDAVIT—;-' Stute of Florida ) ` City of Atlantic Beach > BEFORE ME, the undersigned authority, personally apwearad _G4-laaglozz---------- who upon fix-st being duly &0orn, deposes and' says% 1, -- -------------- and the legal owner of the Sollowino propertys Subdivision � Block AKA I sea applying for a building permit pursuant Lo time Owner Builder exemption not forth in Florida Statute, Section 485. 103. Florida law requires that I have been provided with ttmw Sollowing DISSCLOSURE STATEMENTS DISCLOSURE STATEMENT ..State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, an the owner of your property, to ,act as your awn 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 cmr 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 leasee. If you sell or lease more than one building you have built yourself within on& 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 licenset required by state low 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 fox- the issuance of an Owner-Builder permit. Further_ att4 ant Address (y L U LK-1—�oj) — Heated Square Footage _ @ $ er sq ft = $ Garage/Shed l @ $ er sq ft = $ Carport/Porch 0 / @ $__ er sq ft - $ Deck _ ' r @ $ er sq ft = $ Patio � @ $ per sq ft = $ ) $ TOTAL VALUATION: OF () Q .oda ,� 0 0 1000 -60 Total Val�ation 1st $ / i 6 / dc�� acv 3oo . o-e $ Remainder Valuation $ 3. per thousand or portion thereof a---' - ----- Total Building Fee $ ADDITIONAL PERM1ITS and/or FEES REQUIRED ; + 2 Filing Fee 36o Mechanical V" �- Fireplaces @ 15.00 $ / J 00 _ BUILDING P=T FEE $ Plumbing Electric/New !.✓ i_ - --------------------- --------------- Electric/Teimp �l Septic Tank BUILDING PERMIT $ WATER METER CHARGE $ Well Swimming Pool SEWER. Il TACT FEE $ -r Q SignWATER IMPACT FEE $ ,? 510. C,C) Water Come:ction MISCELIANEOUS $ Sewer Come,ction NO $ Water Mete` $ Elevation G6rti cate GRAND TOTAL DUE $ /,3 95 _ ------------------------------ ---------------------------------------------------------------- CALCULATIONS and/or NOTES r .'ROPE DESCRIPTION 4-21 ;z �tac& - loT lU 2--Block I 31 J U L 21c92 16 OCEAN BOULEVAltO -ot 0 ,,Section I- __ _w.s.•,r-., r_—_—w_ F.o.Box» /►`, Building and Zo'���z��>�9su» iubdieiisions--AIL W-TI& F{rrNwrrrrrr 1 :treat flay a �31 ��tG� A�V�NU� DESCRIPTION OF WORK sr Addresser I_- ,--w--..r-rrrr-..rrrCrrrwrrrr—rrw r If in a FLOOD KAZAND 'lood Zbnwv $ G -ares complatlo pipe 30 Brief ' ( I OowaripLions_R�SI�LI�tG� Clawo of Works 4M&v/Ressodel/Add1t1on1 AD MON TONING xNFORMATIOK Type of j Construct Aon I -__ -• :oninp (i �S Proposed fistrict I[ 2 s 1�,�SIC�C.t�1�1 Estiwrtod Vilua ._-- ------_use rrr.rrr--rrr.....wr :xcaptions or NatarIalss arianceo rent eds-yf-- Solid or --'�—"-------------rr—rrrrrrr— rr—w.•. 10rounds Filled ww—"--- „r.�,ej12____Root I-- OWNER INFORMATION SHtNGL�.S- Nethod of Keating Oroperty Owners—-Mpki MIS+ 'AOMASG-SSI Mailing 2 p GOUR-f ' dBrio`srrrrrrrrrr--rr—rrNY.Nr-rM-rrrrrNwrrr---r r-r ' ft41*.Y 4 bfPG H r-Loit I rrr-rrrr--rr-.IN-N- r--rr-r-wrrrNrwNr-r- rrr -w-ww I OKTRACTOR INFORMATION ' gontractor s„r..r.._wr....r rr-w I—rr-M-r—rrrNrr—r--------r Phones-------------- ails ddresas---------1 ( i ------- ---.% z1pi---------------- --------- Expiration 'leen a Kussbers_ _- Dates---- --_------ r—rrrrw rrrrrrrrwrrw—r.r.rrrrrrwwrw..w ! NtRlSY CtRTiFT THAT ! N vt in" AND LKANINlO TNss APPLICATION AND NNW TN[ Nn[ t0 s[ ', tev[ AND CORNKCT;. ALL PROVIR or TNL LAN! ANO ORDIMANCLS GOVERNINO THIS TTI! OF WORK WILL IC 1 COHPLICO NIT"• NNiTHLR sFISH, N!MlsN oil NOT. TNS GRANTING OF A P[11NIT DOCS NOT ptatsumc TO OIV! AUTHORITY TO VIOLA GR CANC L TUC POOVISIONS OF ANY FEOt11AL. STAT! OR LOCAL FULLS. • „', ' PCOULATIONS.I ONDINANCROs LANE so ANY HANNIM. 2"CLUOINO TN! 001,911"1"0 OF CONSTRUCTION OR TMC P[RFORHANCL OF CONSTRUCTION OF TNM PROJCCT. s UNDCONTANO THAT THC ISSUAMCC or THIS PERMIT Is �• ,y„t. CONTINOWNT UPON TUB ASOV! 20100"ATION a U! AND CORIItCT AND THAT THC PLANS AND SUPPORTIRG DATA HAY! et[H OR SNA" Hit PROVIDSO As M[ i EO. 1•l,1► j I � oat. sk - -22_17. ir� '; •�{ Owner dianaturo .. -- -__ _ - ------------ 4 � i V M" ��qT•• i! :..Y?SaG�X'4httidQ9J 't, .,.......,._....... . ,......._,..... ___. ,� '; �. _: ;�k .��-�,._ i w CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT 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. I JH � BATHROOM l,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) (9 FLOOR DRAIN (1) 0 '' SHOWER STALL DOMESTIC (2) _LAUNDRY TRAY (2) LAVATORY (1) € COMBINATION SINK AND TRAY (3) —41 } IIWASHING MACHINE (3) SPOT, SCULLERY SINK (4) I DISHWASHER (2) WASH SINK EACH SET OF t I 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) �— COMBINATION SINK AND TRAY WITH FLUSHING RIM SINK (8) FOOD DISPOS. (4) i (URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) !LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) jSHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) ' JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS / @ $20.00 EACH $ e ( y JOB I FORMATION • .. Via. 1. • 4 i SECTION B ' - (All+ other Applicants) , 1,. Property Zoning: ��♦Z 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography, existing and proposed grades b) Existing and proposed structures c) Location of all trees w/ •66H of six inches or more d) Tree species and sizes e) Trees to be removed should be clearly marked i f) Trees to be relocated should be clearly marked I g) Location of any proposed replacement trees ' h) Identify trees of special or unique characteristic i ) Identify tree within 10 feet of construction areas j) Show location and type of tree protective barriers k) Location of u ilities, accesses and easementit. 1 ) Location of vbhiclb travel corridors m) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areas for equipment and material storage 4 SECTION C I agree to comply with the rules and practices established in Chapter 239 Article II of the Code of Ordinances of Atlantic Beach I I (4.22.92 b�rAri; Date I i Applicant has complied with all provisions of Chapter 23 and requirements ' Of the Tree Conservation Board. V 1 - Date Board Designee Tree Conservation 9 p NOTE: "Tree Protection for suiiders and Developers" is available at City Hall or from the Division of Forestry, -1434 ) 8719 West Beaver Street, Jacksonville, FL. 32220. ( 781 FISHER & SIMMONS ARCHITECTS INC. 7800 Belfort Parkway•Suite 260•Jacksonville, Florida 32256•(904)281-1100 George Ryad Fisher, AIA • J.W. Terry Simmons, AIA July 13, 1992 Mr. Don Ford City of Atlantic Beach City Hall 850 Seminole Road Atlantic Beach, Florida 32233 Re: Goelz Residence Remodeling Dear Mr. Ford: This letter certifies that the plans and specifications dated 6/21/92 for the Goelz Residence Remodeling at 631 Beach Avenue, Atlantic Beach, submitted and sealed by our office meet all criteria set forth by the Coastal Construction Code as stated of January 1, 1987. Si��ce►eir, JW,'Terry Sirrnnons, AIA JWTS:mb pROC g aCH �►OF PZ G OfV:IC Y C�y����o`N 1992 SO- M744.let i 1 f, G 1992 Goelz Remodeling J U L 6 Beach Avenue Building and Zonin A ntic Beach, Florida ' g Fisher & Simmons Architecls,lnc. SPECIFICATIONS 01100 GENERAL A. The job site shall be cleaned at the end of each working day with accumulated trash removed weekly. 02200 SITEWORK A. Carefully remove and dispose of all objectionable material within building lines, including trees, stumps, roots, or other perishable matter. Relocate existing shrubs to be saved. B. Strip topsoil and unsuitable materials from site. C. Provide clean sand fill, free of organic matter or other deleterious materials. D. Compact soil to attain 98% of the Standard Proctor (ASTM D 698) maximum dry density. E. Slope finish grade to drain away from building. 02250 SOIL POISONING A. Provide soil poisoning for termite control and furnish two copies of written guarantee against infestation for a period of five (5) years. 03300 CAST-IN-PLACE CONCRETE A. All concrete shall develop a minimum of 3,000 psi at 28 days. All standards of the American Concrete Institute Building Code (ACI - 318) and Manual of Standard Practice (ACI - 315), latest revisions, shall apply. B. All reinforcing steel shall conform to ASTM A 615, grade 40. Unless otherwise shown, minimum concrete cover for reinforcing shall be as follows: footings - 3" clear; slabs on ground - 1 1/2" clear to ties; exposed sides of walls - 2" clear. C. Lap all bars marked "cont." 30 dia. and provide corner bars. Welded wire fabric shall conform to ASTM A 185, lap all edges 6" and wire together. D. Footings shall rest on compacted earth and are designed for a soil bearing value of 2500 psf. All excavations shall be free of standing water when concrete is placed. E. Grout: 2000psi min., 3/8" max. aggregate, 8"-11" slump. 04200 UNIT MASONRY A. Concr6te masonry units shall be hollow load-bearing, ASTM C 90, standard- weight units, 7-5/8" x 15-5/8", unless otherwise shown. B. Mortar: Portland cement, ASTM C 150, Type 1; hydrated lime, ASTM C 207, Type S; sand, ASTM C 144; water, clean. C. Brick: Brick to be standard size face brick at chimney extension. Standard size old, used brick at exposed brick at fireplace. Fire brick. 05500 MISCELLANEOUS METALS A. Furnish inserts, anchors, plates, connectors, bolts and other miscellaneous steel and iron shapes for framing, supporting and anchoring woodwork, hot- dipped galvanized. B. Spiral Stair: Prefabricated steel spiral stair,42"diameter,30 deg.steps, non-skid diamond plate or open grate treads and top platform, hot dipped galvanized, 154" high. Provide alternate price for all aluminum spiral stair. 06100 CARPENTRY A. Lumber Standard, light framing: standard grade, fir or hem-fir, no. 2 KD min., 19% max. moisture content. S. Yellow Prime also acceptable for joists and rafters. B. Plywood Floor Sheathing Standard: APA rated sheathing, exposure 1, 3/4" min., applied using APA approved construction adhesive at each support. C. Particle Board Underlayment Standard: National Particle Board Association "Floor Underlayment" grade 1-M-1. D. Plywood Sheathing Standard: C/D Ext-APA. E. Preservative Pressure-treated wood: AWPB LP-2, pressure treated. F. Exterior Trim: Clear cedar or pressure treated fir, S4S, to be painted. Provide brickmold trim at all window, door, and louver openings. Provide alternate price to substitute Andersen 3/4" x 5 1/2" Perma - Shield clad auxiliary casing for exterior window jamb and sill, and door jamb trim. G. Interior Trim: Clear fir or pine, for clear finish. H. Interior Paneling: D or better to match existing; T. &G., V-joint random width cypress and pine, T. & G. beaded pine, for clear finish. I. Cedar Shingles: No. 1 Blue Label premium grade shingles, 16" long with approximately 6" weather exposure; doubled at bottom course, spaced slightly (1/4" max.) with joints in any one course not less than 1 1/2" away from joints in adjacent courses. Miter inside and outside corners. J. Porch Ceilings: 3/8" exterior beaded plywood. K. All exterior stainless steel shingle siding and trim fasteners will be provided by owner and installed by contractor. L. Wood Columns: Tuscan columns, correctly proportioned with entasis (reduced diameter at upper portion),all heartwood redwood or preservative treated pine or fir for exterior use, waterproof glued, with fiberglass or cast aluminum plinth to provide venting; base and cap of same wood, marble, or fiberglass; equal to Hartmann-Sanders Co. of Atlanta with ten year warranty for exterior use. 06200 PREFABRICATED TRUSSES A. Floors: Parallel chord 4 x 2 wood trusses designed and engineered by manufacturer for required loads; comply with applicable requirements of TPI. B. Roof: Trussed rafters with 2 x 6 top chord designed and engineered by manufacturer for required loads including 40 psf live load for attic storage spaces; comply with applicable requirements of TPI. 06400 ARCHITECTURAL CASEWORK A. Architectural Casework and cabinets will be furnished and installed by Owner. 07160 VAPOR BARRIERS A. Polyethylene sheets laminated with a core of Kraft paper, glass fiber reinforcing and asphalt, .10 perm rating, or 6 mil polyethylene. Seal seams, penetrations, and perimeter of barrier. 07200 INSULATION A. Mineral fiber blanket insulation,kraft-paper backed side towards interior with integral nailing flanges; R-30 above second floor ceilings, living room ceiling, and garage ceiling; R-19 at all exterior walls of air-conditioned spaces. B. Provide alternate price for the addition of radiant reflective foil insulation barrier at the underside of all roof rafters and top chords of roof trusses equal to "Radiant Barrier". 07300 SHINGLE ROOFING A. Equal to Prestique II with StainGuard treatment by Elk Corporation, 235 Ib. fiberglass laminated shingles with 25 year warranty. 07600 FLASHING AND SHEET METAL A. Copper roof flashing and roof edge fascia to be provided by Owner and installed by Contractor. 07900 JOINT SEALERS A. Acid - Type Silicone Sealant: 1 part, FS TT-S-001543, Class A., recommended by manufacturer for exterior non-porous surfaces. B. Non - Acid - Type Silicone Sealant: 1 part FS TT-S-001543, Class A., recommended by manufacturer for exterior use where one or both surfaces are porous. C. Acrylic - Emulsion Caulking: Emulsion type polymer of acrylic/latex, permanently flexible, non-staining, non-bleeding, paintable. 08200 DOORS A. Exterior Solid Doors: Solid wood rail and stile 6 panel doors, NWMA 1.s-1, 1 3/4". B. Exterior Glazed Doors: Solid wood rail and stile "french" doors, NWMA 1.s-1, 1 3/4" insulated glazing. C. Interior Solid Doors: Solid wood rail and stile 6 panel doors to match existing. D. Interior Louver Doors: Solid wood rail and stile door with wood ventilating louvers, NWMA 1.s-1, 1 3/8". E. Overhead Garage Door: 1 3/4"thick wood rails and stiles with 1/4" hardwood panels equal to 151 Series by Overhead Door Co. with one row of panels glazed. Provide automatic opener with two push-button switches and two remote controls 08500 WOOD WINDOWS A. White Perma - Shield Narrowline PVC clad Double Hung, Fixed, and Awning windows by Andersen Corporation designed for 110 mph wind load, double glazing, clear glass, white finish, with fiberglass insect screens; installed in compliance with manufacturer's instructions. Provide alternate price for using High Performance Sun(H.P.Sun)insulating glass in the Andersen windows. 08700 HARDWARE A. Door Hardware including hinges will be provided by Owner and installed by Contractor. 09200 STUCCO A. Stucco on exposed foundation walls&chimney:Factory-prepared portland cement stucco finish, ASTM C150, Type I or III, with integral color selected by Owner, equal to Oriental Exterior Finish Stucco by U. S. Gypsum Co. 09250 GYPSUM DRYWALL A. Interior Gypsum Board: Max. length available to minimize joints, 1/2" thick except at ceilings where 5/8", standard tapered edges, type "x" fire-resistant; use U.S. Gypsum "Durock" or equal the backer board for back-up for ceramic tile. B. Accessories;Manufacturer's standard galvanized steel beaded edge trim and corner beads, perforated joint tape, and vinyl or non-casein type joint compound. 09300 TILE A. Ceramic Tile: Provide 2" x 2" ceramic mosaic floor tile on bath and shower floors, using dry-set or latex portland cement mortar with latex portland cement grout. B. Glazed Wall Tile: Provide full height glazed wall tile surround at tubs and showers using type 1 organic adhesive with latex portland cement grout. 09550 WOOD FLOOR A. T. & G. pine strip flooring to match existing. Align with existing wood floor where laid adjacent to existing, and tooth into existing to provide transition between new and old. Refinish existing wood floors and finish new with stain, sealer and two coats of polyurethane. 09650 VINYL SHEET FLOORING A. FS L-F-001641, Class I,Type 111, 72"wide minimum,with"no-wax"gloss retaining coating. 09680 CARPETING A. Allow$14.00/sq. yd. for furnishing carpet and pad. Installation labor to be in contractor's base bid. 09900 PAINTING A. Interior Gypsum Board: 2 coats Latex Ultra Hide Flat 5300 series. B. New Interior Wood, Trim, Doors: 1 coat Interior Stain 1604X and 2 coats Polyurethane: Y- 10 Urethane Varnish. C. Existing Painted Interior Wood Paneling & Trim: Clean and sand, 1 coat Alkyd Undercoater 310 and 1 coat Alkyd Semi-Gloss Enamel 4200. D. Existing Stained Interior Wood Paneling & Trim: Clean and sand, 1 coat Interior Stain 1604X and 2 coats Polyurethane Woodmaster 81. E. Exterior Trim, Doors, Soffits, and Exposed Rafters: 1 coat Alkyd Primer 1951 and 2 coats Alkyd House and Trim Paint 1901 series BACK PRIME ALL EXTERIOR TRIM) F. Exterior Shingle Siding:Morwood bleaching oil 083-00,weathered wood finish by Benjamin Moore Paints. 11200 DISAPPEARING ATTIC STAIRS A. Folding attic stair set between trusses (22"x 48" r.o.) which recedes into attic space flush with ceiling, equal to "Standard Model" by Century Wel-gilt Industries. 15000 GENERAL REQUIREMENTS FOR MECHANICAL AND ELECTRICAL TRADES A. It is the intent of the specifications and drawings to call for finished work,tested,and ready for operation. Any incidental appliance, materials, or services which may be necessary to make the work complete and perfect in all respects and ready for operation, shall be furnished and installed. Small details not usually shown or specified, but necessary for proper installation and operation shall be included in the work, the same as if herein specified. B. All materials furnished and work installed shall comply with the rules and recommendations of the National Board of Fire Underwriters and local utility companies. Give all necessary notices, obtain all permits,perform all tests,and pay all fees and other costs in connection with this work. C. All piping and conduit shown on the drawings are diagrammatic. Consult drawings and details for actual spaces available before installing piping,conduits,ducts, etc. Make such offsets and deviations from drawings as required to meet actual structural space conditions and to accommodate apparatus installed by other trades. 15400 PLUMBING A. Soil, waste and vent piping: NSF-DWV PVC pipe in accordance with local and state codes. Hot and cold water piping: Type L hard copper. Fittings: wrought copper solder joint, 95-5 solder. Paint all below-grade piping with thick coating of coal tar shellac. Valves: All brass, wedge type. Stops: Provide stops in waterline to each fixture. Exposed supplies and wastes: Chrome-plated brass. Cleanouts: As required. All new soil and waste piping from second floor to first floor shall be cast iron wrapped with fiberglass insulation to reduce noise. B. Fixtures & Fittings: To be supplied by Owner and installed by Contractor. C. Provide Water Softener Loop. No water softener nor installation is required. D. Reuse existing recently installed copper supply piping and waste lines as much as possible. 15600 HVAC A. Description of the Work: Furnish all labor, materials, tools, equipment, transportation and supervision required to install a complete and properly operating HVAC system. The work includes providing two separate HVAC systems, both air-to-air. 1. Air conditioning,heating and ventilating the building by means of two air-to-air heat pump systems. Include all equipment, registers, grilles, ducts, duct insulation, motors, controls, conduits, wiring, devices and other materials necessary for a complete first class installation. Heat pumps and air handling units to be supplied by Owner and installed by Contractor. Ducts to be low pressure fiberglass ductboard with foil taped joints. Limit the use of flexible ducts to a maximum length of 3' between main duct and diffuser. 2. Ducts, sleeves, and caps for bathroom and kitchen exhaust fans. B. Submittals: Submit the following for approval: 1. Design criteria and design calculations to determine size of units required. 2. Duct design and layout if different than indicated on plans. 3. Complete list of equipment and materials proposed for use. 4. Energy Sheets for Code Compliance. C. Guarantee and Service: In addition to the guarantee of equipment by the manufacturer of each piece of equipment specified herein, this Contractor shall also guarantee such equipment and shall be held responsible for a period of one year from final acceptance for necessary adjustments and/or replacements of all defective equipment, materials and workmanship without expense to the Owner. 16000/ELECTRICAL A. Existing electrical meters at existing garage apartment to remain. Provide new 200 amp (min.) panel for house. Existing service to house is underground. All wiring, devices, fixtures, etc. within house to be new. Provide$1,800 allowance for ceiling fans, exhaust fans, and light fixtures to be selected by Owner, installed by Contractor. Coordinate installation of alarm system to be provided and installed by others. Provide or coordinate installation of power, cable, and telephone feeder lines. ILA. 1997 LAws a RAMCO POOR".We ►f 713.13 ` dw 4W W , Of (9mr 4M9VA)t M ONKICAT[) 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.........!,,,5 ,.S7K.99.69......�T....... 1...»3 .»..»orc..:..A14....16 ..... .........................................................................................».»..................................................................»..................»...»...»........................».................... ........................................................ _..................................................................................».............».»............»...............»........»..».,..»..............I...... General description of improvements..... le.M.?D.F.1....19C=.....�`...».i4►�...�.»!�1��.. ........».»................ .... ........ .......................................................... . ..........................................................................................»..»................»......................»»»».»»...»»................. ...............................................................................»..............................................................................................................»...............»....3....................... Owner.....................`! . �.. ..»''� +��.�....» QMA`,s....... ............................................................................I...... Address.................. --�?......»C..1 .1 x i..K.kAM.» ............... Owners interest in site of the improvement............. ".WL%..................»......................»..............».».....»................... ........... Fee Simple Tele holder (if other than owner) Name..................................»� ......................t.............................................................. ...................................»....................................... ........... Address.....»».....................................................................»...............................................».».............»............._.».............»..............»..»...», ........ . Contractor.....»......_ .,. .....».»......»...................................................................................................»...................................».»».............»..�...»»...» i A1/1./1{�a`f 1 eN'»..»»»..».»...»»».»»»»»»».».».»»»»».»»».».»»».»...»»».»»..»»............»».»»».»»»»».»..»».»»»»».»»»»....»N.M1».»».M»Mw..».»»».wMw�.»»»»» surety VGnA..............»».................................................................................................................................... ......»._.»»»...»...».............» ».». . Address» _...»»..».»»....».............»»........... .»......... , ' ..... .......»».. ».........»....................w„..........................»....»...........Mttouttt of bard �. .. Name of person within the State of florids desired by owns upon whom notions or other may be served: i Nam........... ..... S....» '1MA ...... ....� .. »....»»...... ........... Address........... . o..t ...»!PPS! - .....40m.I'?,T...h........ ' 1T ...»Y�` 1 '►.... Z f�,�. .... I........3?P�. In addition to himself. owner designates the following person'to receive a copy of the Lienors Notice U provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Haft.. .».............»............................}....»........».................»...............I.................».................»»..........................»..».......».._.......»..».»............ ...... ....»»....»..»»....................... ...................................................... M _ .».»»..»................ .... ».!... ; THIS a►ACs FoR RXGORDGR'e Yet O"Lr I .» CITY OF ATLANTIC BEACH, FLORIDA a APPLICATION FOR RUCTRICAL PIRMIT 1117 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:' IMrMTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING Tmc". d K is.' ' C IB 0,. N THE FOLLOWING: E HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE-ATTACHEQ p��%ANO.SPEI;.fFICAT{4S. WHICH ARE A PART, HEREOF, AND IN•ACCORDANCE WITH THE ELECTRICAL REGULATION% CODES AND CITY OF ATLANTIC BEACH ORDINANCES. • r OOk"11 %:%&Q" INDUfi.l 1 NEW I ! OLD 1 1 REO:! 1 , ADpITWN 1 1 TRAILER 1 I TTEMM. l 1 "AVICEi NOW 4--r 0"9AU l i RE►AIR l 1 -FEE--..: R 2 PH !t R V. AMPS _ftL W YOLT RACEIMX FEEDERS NO. SIZE NO.' - SIZE NO. SIZE. _. LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•»O AMM. 21.100 AMM. r DWITCHILS NCANDE>3CENT ' • . FLUORESCENT a1 M.V.• " AI►PLIANICi� - BELL TRANSF. AIR N.P.RATING H.P-RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW44EAT iI OYER MOTORS - H.P. VOLTAGE - PHS- -NO. I N.►. VOLTAGE PHS- . .. ti MISCELLANEOUS TRANSFORMERS: UNDER 6WV. — -OVER GWV. NO. KVA Np. ,. . . KVA CITY OF ATLANTIC BEACH, FLORIDA ( ; �.«.r•.w APPLICATION FOR UgCTRICAL PKRIAIT TO THE CMIEF ELECTRICAL ImSPECTOR: OATIE." H IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE4dRK AS-QESC I$ 0.. THE F%6iLNG:ez I HEREBY AGREE TO PERFORM, SATO WORK IN ACCORDANCE WltH THE ATTACHE SAND$PE�IFICATIO $: WHICH AREA PART,L HEREOF, AND IN•ACCORQMCE WITH THE ELECTRICAL REGUL IONS; CODES AND CITY OF ATLANTIC BEACH ORDINANCES. � 1 lkwalrdh M: MASTED ELEgIal lbbl" HE � I RFQ:;..,..�,r90X-- BE00.>WZE - 'YETWEF.N: Ilii•l' At'/T.t 1 4011" 1 wi1LIC t 1 INOUi.t 1 NEW! 1 OLD ADWTION IN' TR Lui 1 1 Tuv.t 1 SIGNS ! SERVICE: MEW INCRgffE F49FAIR 1 1 -FEES` fiftem26 sal RV. 2 - PH f SEEDERS NO. SIZE NO: - SIZE NO. SIZE _ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLESCONCEALED OPEN TOTAL 0.80 Aid". i1.100 AMN. iWITGMss ENT FLUORESCENT i M.H;�oAmos-. ' �UIiD OVER APP&JANCt* ' - BELL TRANSF. AIR N.P.RATING HIP.AATINO CONDITIONING COMP.MOTOR OTHER MOTORS"' AMPS Col.HEAT: KWHEAT ♦1VIA MOTORS - H.P. VOLTAGE - PHS- -NO. VOLTAGE PHS r. MISCELLANEOUS • TRANSFORMERS: UNDER&*V. - -OVER GW V. • NO. KVA ;a 5645 DEPARTMENT OF BUILDING CRY OF ATLANTIC BEACH -_ PERMIT INFOANATION ------- LO ATION INFORNATION - Pormit Mu*bear t 5445 Addrem e t 631 BEACH AVENUE Permit Typot 4UILD,1NO ATLANTIC BEACH. ;'FLORIDA x=,33 Class of Forks RENOORL ---------- LEGAL DESCRIPTION Concur. Type t WOOD FRAME Lott r 2, Block i 31 Section: Proposed Uset SINOM FAMILY tovnishipt RIM Q OvolIingst 1 Coded O SubdivisiontATLANTIC BEACH Estimated 'Value t' *200000.00, Ioprov. C6*tt SQ.'CIG Total Fees t *1395-00 Amu„ *��95:tICI DA 7!14192 Work NSTRUCTION ,ADDITION PER PLANS, �«. ..,. NATION . ...._ APPLICATION FEES spy �yyy}�}�yy.y�r({�¢/ r��r{�pT�. .00 C. IT Add ` UTt'I` WATER IMPACT FEE *240*00 y -ssknm. FL q I*PA. Fre : *0.a RADON GAS-Ne R.E. ., $0.00 ----- RADON' GAS, - = -� � 40. 00 Newel Ro y NER MATER TAF $0. 00 � T + ffi•a �� SEVER 'TAP, EU,LIQ, k HYDRAULIC .SHARE *0. 04 Typpa R21,114 ECT FEE 3. 00 ., SEC. H ;INPACT FEE $0,11p EMOTES: NOTICE-ALL.CONCRETE FOAMS AND FOOTINGS MUST BE INSPE+C*EID BEFORE POURING;; PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE, BUILDING MATERIAL,RU88tSH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBL=IC SPACE,AND MUST BE . 'CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW SAN RESULT IN THE PROPERTY 01 NER PAYING TWICE FOR E�UtL[ MGJM ± MENTS ” WIDEIII1N DATE: 07/15199 ISSUE AGC013DING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANO SUBJE EVOCA r .• .vi&ATION OF APPLICABLE PROVISIONS OF LAW. + *. ATLANTIC BEACH BUILDING DEPARTMENT 777777777, 7, dr'AA. . x HOW s$'N A_ zA 16 YltO r , 4 i w, 4 4 ^ r i a } F » v.z::.r .....r «,_.. ..,. 4.........�..,,.�mu�.m/��+�,sa.,.._ a.,.......�,.«..:........ ....,w..,� ...wr a... ....t. %19 A C ..g.1:4.71 ,.a TOO s:=a{`'�p iy• }(�:'z.,�.'U�,;t.�.��' �,S��7F ��u�}}Rf�i r., a i�l,}*jh}q'S�,g t",�. _y �&t �! % a Hn YO q yyy 4 S: AAP � ; AW-41.1 X1!0,344003001 °, P " w ' �x<0r ,w,c ; w nm � Ay& )WIG � `. r S R13 " s ` � iyX T ifv,t°1 "t j�IPT 1 i r"4 '4'A i.� Ki ` `.t:�+t l 'wi CSS; % 5*$ ,p•ii;.. .a�.�{` t' i ,..n<.:..�.....,,,..,..,.....».ems.:..........._...,. _.,,..W,.. . . .........�..., ....,. ... _ 71 m. ij —ere " I DATE: _--- =-�- ---- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE: AND ARE SATISFACTORY: i --- - ----------------.-------------- ---------------- ------------------------------------------------- I 1 ------ ------------------------------------------------- ------------------------------------------------I SI 7ELY, BUILDING INSPECTION DIVISION cc:FILE .. � � nfy>.yL�fJr1y�.. N� `4, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030486 Date 6/03/05 Property Address . . . . . . 633 BEACH AVE Tenant nbr, name . . . . . . NEW METER Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GOELZ, TOM FERRANTI ' S ELECTRIC 1697 IVEY ROAD GREEN COVE SPRINGS FL 32043 (904) 529-7422 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0... r, U BUILDING OFFICIAL fi' } S V , CITY OF ATLANTIC BEACH =t ELECTRICAL PERMIT APPLICATION will Date: - - Property Address• 3 > =�C /�✓ �>✓ Owner: - To /-1 z----L 2. Telephone#• Contractor: LLZ TA I �' Telephone#: S'-6S 6 Z Contractor Address: /E y '� ��-� Fax#: t"r- 6 y 2-.q Contractor Signature: In consideration of permit givenjFor doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached p#ns and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of goo&I practice listed therein. Building: Builld'ng Type: ❑ Trailer Service: If other construction is 0---New id' Residence ❑ Temp. ❑ New being done on this building ❑ Old ❑ Commercial Ll Signs Increase Or site,list the building Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS )--C) C) PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT e WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches 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. PHS UNDER600Y OVER600V Transformers NO.—"- KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous �{ r 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. htta://www.ei.attantic-beach.fl.u_s Revised 1/04 r a Ii1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t'' c ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025870 Date 5/10/04 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . RENOVATE/EXPAND GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 43200 Owner Contractor ------------------------ ---- -------------------- GOELZ, DONNA AND TOM CLADDAGH CONSTRUCTORS, INC. 631 BEACH AVENUE 3997 AMERICA AVE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-4445 (904) 241-1012 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . CHANGE OF CONTRACTOR ONLY Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 43200 Fee summary Charged Paid Credited Due ------------ ----- -------- -- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 aa. 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 T 0-3 - _ "t-1 s CITY OF ATLANTIC BEACH f BUILDING PERMIT APPLICATION (FOR NEW CONSTRUCTION RESIDENTIAL AND COMMERCIAL) Date: 4t/?- Job Address: 1,�3 AoelyvE - Owner's Name: JR001 -S &,,J TAO V/VA. God G Tz Address: 631 dMcA Avt:-rvvt;�7 Phone: 2-qt-Y-Ofi.5 Legal Description: Block Number: 'lv-.3/ Lot Number: Z Zoning District: 4Ta,,jr L_ Qc,4c.L, Contractor: d-L-Am,46,q &X--PRS Zvc-. State License Number: dgC-v.5-93 9 7 Address: -31-i,7 Phone: cat f13--17ZF .City: .:LA4cState: F-t Zip: 72_ 'z> Fax: Z 1Z-Q13y_9 Describe proposed use and work to be done: R e*SU;1-D 6t6:llvG 71-vO 52ng.. Tr-vaE Ovt'Q 6AA4667 8Lz L eye_ i,yW,cA g466'g^��c�Si� L 63/ 8,�, A-E. AV # G�i1 S Q A"-rw -0 A2ay c�l� 7�,�s ��s,'Ld7N t Ho.,_4-�-errg i T AIA 6cz—_N ^--Gale1 a 5, Present use of land or building(s): SSG Valuation of proposed construction: , 7 OO Is approval of Homeowner's Association or other private entity required? ovo 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? �(NO. 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. 9 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 expediie 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, Owner/Contractor Affidavit if owner is contractor,and 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 Phone: (904)247-5800 - Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/04 hi 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. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building Dept.,Planning Dept.,Public Works and Public Utilities. I hereby certify that all inf ion pro > ed 'rt�this application is correct. Signature of Owner: �-t/ Dater (m .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 property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor,� �.. 7�.^-^'"`- Date: 5 1 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Phone: Fax: E-Mail: AS TO OWNER: 1 �1 ►� y ` ( . Sworn to and subscribed before me this day of 20 IF State of Florida,County of Duval JENNIFER SCHLUETER Notary's Signature. + P MY COMMISSION#DD 121301 �•, EXPIRES:May 27,2006 (�Yersonally known Bonded ThruNotary PuWicUnderwriters [] Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 1' ��''� ,20 c" State of Florida,County of Duv��?���San 7- c* s` 43 post 1 2�O9 Notary's Signature: * r* ❑ Personally known 2 #DD104705 [!cam roduced identification %,p`••'�'FArn.i Hca&•'.«�,' Type of identification produced-A 1�� 019eminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/04 s FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Goelz Studio-Whole House Calculation Builder: Address: 631 Beach Avenue Permitting Office: Atlantic Beach City, State: Atlantic Beach, FI Permit Number: Owner: Jurisdiction Number: 261100 Climate Zone: North I. New construction or existing Addition _ 12. Cooling systems 2. Single family or multi-family. Single family _ a. Central Unit Cap: 18.0 kBtu/hr 3. Number of units,if multi-family 1 _ SEER: 12.00 _ 4. Number of Bedrooms 1 _ b. N/A _ 5. Is this a worst case? No 6. Conditioned floor area(ftZ) 698 ft' 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 ftZ _ a. Electric Heat Pump Cap: 18.0 kBtu/hr c. Labeled U or SHGC 0.0 ft2 143.0 ftZ HSPF:8.10 _ 8. Floor types _ b. N/A _ a. Raised Wood,Adjacent -. l� �p a. ft2 _ b. N/A _ c. N/A c. N/A 9. Wall types _ 14. Hot water systems a. Frame,Wood,Exterior R=13.0,691.0 ft2 _ a. Electric Resistance Cap:20.0 gallons b. N/A _ EF:0.91 _ c. N/A _ b. N/A _ d. N/A e. N/A c. Conservation credits _ 10. Ceiling types _ (HR-Heat recovery,Solar a. Single Assembly R=30.0,768.0 ft2 _ DHP-Dedicated heat pump) b. N/A _ 15. HVAC credits PT,CF, _ c. N/A I (CF-Ceiling fan,CV-Cross ventilation, 11. Ducts _ HF-Whole house fan, a. Sup:Unc. Ret:Unc. AH(Sealed):Garage Sup.R=6.0,75.0 ft _ PT-Programmable Thermostat, b. N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) Glass/Floor Area: 0.20 Total as-built points: 10732 PASS Total base points: 10745 I hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida ispecifications covered by this o�cafi sr�rF Energy Code. calculation indicates compliance �w4�,,;'% ..0'�.,, PREPARED BY: with the Florida Energy Code. Before construction is completed DATE: 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. ion WE `D OWNER/AGENT: G` BUILDING OFFICIAL: DATE: _7���� DATE: EnergyGauge®(Version: FLRCPB v3.30) r FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 698.0 20.04 2517.8 Double,U=0.60,SHGC=0.5 S 2.0 6.0 30.0 26.79 0.78 623.7 Double,U=0.60,SHGC=0.5 S 2.0 8.0 16.0 26.79 0.86 367.0 Double,U=0.60,SHGC=0.5 E 2.0 6.0 30.0 31.46 0.85 800.4 Double,U=0.60,SHGC=0.5 N 2.0 4.5 7.0 14.24 0.85 85.0 Double,U=0.60,SHGC=0.5 W 2.0 7.0 60.0 28.80 0.89 1532.3 As-Built Total: 143.0 3408.4 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood,Exterior 13.0 691.0 1.50 1036.5 Exterior 691.0 1.70 1174.7 Base Total: 691.0 1174.7 As-Built Total: 691.0 1036.5 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 37.6 6.10 229.4 Exterior 37.6 6.10 229.4 Base Total: 37.6 229.4 As-Built Total: 37.6 229.4 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 698.0 1.73 1207.5 Single Assembly 30.0 768.0 4.40 X 1.00 3379.2 Base Total: 698.0 1207.5 As-Built Total: 768.0 3379.2 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood,Adjacent 19.0 698.0 0.40 279.2 Raised 698.0 -3.99 -2785.0 Base Total: -2785.0 As-Built Total: 698.0 279.2 INFILTRATION Area X BSPM = Points Area X SPM = Points 698.0 10.21 7126.6 698.0 10.21 7126.6 EnergyGauge®DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.30 S FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue,Atlantic Beach, FI, PERMIT#: BASE AS-BUILT Summer Base Points: 9471.0 Summer As-Built Points: 15459.3 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) 15459.3 1.000 (1.090 x 1.147 x 0.95) 0.284 0.902 4713.1 9471.0 0.4266 4040.3 1 15459.3 1.00 1.188 0.284 0.902 4713.1 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPS v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF= Point .18 698.0 12.74 1600.7 Double,U=0.60,SHGC=0.5 S 2.0 6.0 30.0 9.64 1.26 364.2 Double,U=0.60,SHGC=0.5 S 2.0 8.0 16.0 9.64 1.12 172.5 Double,U=0.60,SHGC=0.5 E 2.0 6.0 30.0 13.86 1.06 441.0 Double,U=0.60,SHGC=0.5 N 2.0 4.5 7.0 18.19 1.01 128.3 Double,U=0.60,SHGC=0.5 W 2.0 7.0 60.0 15.27 1.03 944.9 As-Built Total: 143.0 2050.8 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 13.0 691.0 3.40 2349.4 Exterior 691.0 3.70 2556.7 Base Total: 691.0 2556.7 As-Built Total: 691.0 2349.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 37.6 12.30 462.5 Exterior 37.6 12.30 462.5 Base Total: 37.6 462.5 As-Built Total: 37.6 462.5 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 698.0 2.05 1430.9 Single Assembly 30.0 768.0 1.43 X 1.00 1098.2 Base Total: 698.0 1430.9 As-Built Total: 768.0 1098.2 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood,Adjacent 19.0 698.0 2.20 1535.6 Raised 698.0 0.96 670.1 Base Total: 670.1 As-Built Total: 698.0 1535.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 698.0 -0.59 -411.8 698.0 -0.59 -411.8 EnergyGaugeO DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT Winter Base Points: 6309.0 Winter As-Built Points: 7084.7 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) 7084.7 1.000 (1.069 x 1.169 x 0.95) 0.421 0.950 3363.8 6309.0 0.6274 3958.3 7084.7 1.00 1.187 0.421 0.950 3363.8 EnergyGaugeT"A DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, FI, 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 1 2746.00 2746.0 20.0 0.91 1 1.00 2655.47 1.00 2655.5 As-Built Total: 2655.5 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water - Total Points Points Points Points Points Points Points Points 4040 3958 2746 10745 4713 3364 2655 10732 PASS yy01 cap sTg��p� we EnergyGaugeTm DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.30 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, Fl, 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/sq.ft.window area; 5 cfm/sq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seat 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 seated 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 606AABC 1.3 Exhaust fans vented to outdoors,dampers; combustion space heaters comply with NFPA,_ have 1 combustion air. . _­_____­­­­­_ ­­_ -11.1 ­_­__________ -- I - _1- _- 6A-22 -6A-22 OTHER PRESCRIPTIVE MEASURES-(Must be met or exceeded by_All residences.) COMPONENTS REQUIREMENTS SECTION CHECK Water Heaters 1612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker(electric)or cutoff(gas)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%. Showerheads 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 6071 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 EnergyGauge@/FlaRES'2001 FLRCPB v3.30 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =82.9 The higher the score,the more efficient the home. 631 Beach Avenue, Atlantic Beach, FI, 1. New construction or existing Addition , 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap: 18.0 kBtu/hr 3. Number of units,if multi-family l _ SEER: 12.00 4. Number of Bedrooms I _ b. N/A _ 5. is this a worst case? No 6. Conditioned floor area(ft') 698 ft2 c. N/A _ 7. Glass area&type Single Pane Double Pane _ a. Clear-single pane 0.0 ft2 OA ft2 _ 13. Heating systems b. Clear-double pane 0.0 fe 0.0 ft2 _ a. Electric Heat Pump Cap: 18.0 kBtu/hr ^ c. Tint/other SHGC-single pane 0.0 ft2 143.0 ft2 HSPF:8.10 d. Tint/other SHGC-double pane b. N/A _ 8. Floor types a. Raised Wood,Adjacent R=19.0,698.Oft2 _ c. N/A b.N/A _ c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:20.0 gallons a. Frame,Wood,Exterior R=13.0,691.0 ft2 _ EF:0.91 _ b. N/A _ b. N/A _ c. N/A d. N/A c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Single Assembly R=30.0,768.0 112 _ 15. HVAC credits PT,CF, _ 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):Garage Sup.R=6.0,75.0 ft _ MZ-C-Multizone cooling, b. N/A 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) �TkiE ST4�, in this home before final inspection.Otherwise,a new EPL Display Card will be completed ,, �O,c based on installed Code compliant features. Builder Signature: Date: 44 Address of New Home: 63t d� zf-fF City/FL Zip: 3 L.z,3.3 *NOTE: The homes estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. Ifyour score is 80 or greater(or 86.for a US EPA/DOE EnerDyStar'ydesignation), your home may qualify for energy eff ciency mortgage(EEM) incentives if you 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.ucf edu 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) RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems Job; 514104 1omoahvalekcl,Jacl<sonvtlip,FI 32259 Phone x)A4:87-5°i� Fa,,,, 904-287-12158 ErnaiCe�iaigydcsignC�.orncasi.nei For: Goelz 631 Beach Avenue, Atlantic Beach, FI Notes: Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Summer Design Conditions Outside db 39 °F Outside db 92 OF Inside db 72 ''F Inside db 72 °F Design TD 33 OF Design TD 20 °F Daily range L Relative humidity 50 % Moisture difference 65 grflb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 10647 Btuh Structure 14283 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 "F Design heat load 10647 Btuh Use mfg. data n Rate/swing multiplier 0.97 Infiltration Total seas, equip. load 13855 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 460 Btuh Ventilation 0 Btuh Heating Coolin Infiltration 2046 Btuh Area(ft2) 698 698 Total latent equip. load 2506 Btuh Volume(ft') 5584 5584 Air changes/hour 1.20 0.50 Total equipment load 16360 Btuh Equiv. AVF (cfm) 112 47 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47°F Latent cooling 0 Btuh Heating temp rise 0 OF Total cooling 0 Btuh Actual heating fan 764 cfm Actual cooling fan 764 cfm Heating air flow factor 0.072 cfmlBtuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 85 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. \!1 rl"" Feslclential`"" 0 66 RP2,?8a 2C,0A lvlar04 09.14 2-1 Za Faye1 9 FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Goelz Studio-Whole House Calculation Builder: Address: 631 Beach Avenue Permitting Office: Atlantic Beach City, State: Atlantic Beach, FI Permit Number: Owner: Jurisdiction Number: 261100 Climate Zone: North 1. New construction or existing Addition - 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap: 18.0 kBtu/hr 3. Number of units,if multi-family l _ SEER: 12.00 _ 4. Number of Bedrooms 1 _ b. N/A _ 5. Is this a worst case? No 6. Conditioned floor area(ft2) 698 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 _ j a. Electric Heat Pump Cap: 18.0 kBtu/hr c. Labeled U or SHGC 0.0 ft2 143.0 112 HSPF:8.10 _ 8. Floor types _ b. N/A a. Raised Wood,Adjacent CJ ft2 b. N/A _ c. N/A _ c. N/A _ 9. Wall types 14. Hot water systems a. Frame,Wood,Exterior R=13.0,691.0 ft2 - a. Electric Resistance Cap:20.0 gallons b. N/A _ j EF:0.91 _ c. N/A b.N/A _ d. N/A _ e. N/A c. Conservation credits _ 10. Ceiling types (HR-Heat recovery,Solar a. Single Assembly R=30.0,768.0 ft2 DHP-Dedicated heat pump) b.N/A _ 15. HVAC credits PT,CF, c. N/A (CF-Ceiling fan,CV-Cross ventilation, 11. Ducts _ HF-Whole house fan, a. Sup:Unc. Ret:Unc. AH(Sealed):Garage Sup.R=6.0,75.0 ft _ PT-Programmable Thermostat, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) Total as-built points: 10732 PASS Area: 0.20 Total base I- p points: 10745 I- I hereby certify that the plans and specifications covered Review of the plans and �KE ST 4Z,this calculation are in compliance with the Florida specifications covered by this o� = aT�o Energy Code. j calculation indicates compliance PREPARED BY: with the Florida Energy Code. Before construction is completed a v DATE: this building will be inspected for `� a I hereby certify that this building, as designed, is in compliance with Section 553.908 fl, yc V compliance with the Florida Energy C de. Florida Statutes. ooD wa `� OWNER/AG T: ' BUILDING OFFICIAL: DATE: 3 DATE: - EnergyGauge®(Version: FLRCPB 0.30) r 4 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 698.0 20.04 2517.8 Double,U=0.60,SHGC=0.5 S 2.0 6.0 30.0 26.79 0.78 623.7 Double,U=0.60,SHGC=0.5 S 2.0 8.0 16.0 26.79 0.86 367.0 Double,U=0.60,SHGC=0.5 E 2.0 6.0 30.0 31.46 0.85 800.4 Double,U=0.60,SHGC=0.5 N 2.0 4.5 7.0 14.24 0.85 85.0 Double,U=0.60,SHGC=0.5 W 2.0 7.0 60.0 28.80 0.89 1532.3 As-Built Total: 143.0 3408.4 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 13.0 691.0 1.50 1036.5 Exterior 691.0 1.70 1174.7 Base Total: 691.0 1174.7 As-Built Total: 691.0 1036.5 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 37.6 6.10 229.4 Exterior 37.6 6.10 229.4 Base Total: 37.6 229.4 As-Built Total: 37.6 229.4 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 698.0 1.73 1207.5 Single Assembly 30.0 768.0 4.40 X 1.00 3379.2 Base Total: 698.0 1207.5 1 As-Built Total: 768.0 3379.2 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood,Adjacent 19.0 698.0 0.40 279.2 Raised 698.0 -3.99 -2785.0 Base Total: -2785.0 As-Built Total: 698.0 279.2 INFILTRATION Area X BSPM = Points Area X SPM = Points 698.0 10.21 7126.6 698.0 10.21 7126.6 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 i m FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue,Atlantic Beach, FI, PERMIT#: BASE AS-BUILT Summer Base Points: 9471.0 Summer As-Built Points: 15459.3 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) 15459.3 1.000 (1.090 x 1.147 x 0.95) 0.284 0.902 4713.1 9471.0 0.4266 4040.3 15459.3 1.00 1.188 0.284 0.902 4713.1 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/RaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Paints Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF= Point .18 698.0 12.74 1600.7 Double,U=0.60,SHGC=0.5 S 2.0 6.0 30.0 9.64 1.26 364.2 Double,U=0.60,SHGC=0.5 S 2.0 8.0 16.0 9.64 1.12 172.5 Double,U=0.60,SHGC=0.5 E 2.0 6.0 30.0 13.86 1.06 441.0 Double,U=0.60,SHGC=0.5 N 2.0 4.5 7.0 18.19 1.01 128.3 Double,U=0.60,SHGC=0.5 W 2.0 7.0 60.0 15.27 1.03 944.9 As-Built Total: 143.0 2050.8 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 13.0 691.0 3.40 2349.4 Exterior 691.0 3.70 2556.7 Base Total: 691.0 2556.7 As-Built Total: 691.0 2349.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 37.6 12.30 462.5 Exterior 37.6 12.30 462.5 Base Total: 37.6 462.5 As-Built Total: 37.6 462.5 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 698.0 2.05 1430.9 Single Assembly 30.0 768.0 1.43 X 1.00 1098.2 Base Total: 698.0 1430.9 1 As-Built Total: 768.0 1098.2 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood,Adjacent 19.0 698.0 2.20 1535.6 Raised 698.0 0.96 670.1 Base Total: 670.1 As-Built Total: 698.0 1535.6 INFILTRATION Area X BWPM = Paints Area X WPM = Points 698.0 -0.59 -411.8 698.0 -0.59 -411.8 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®IFIaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue,Atlantic Beach, FI, PERMIT#: BASE AS-BUILT Winter Base Points: 6309.0 Winter As-Built Points: 7084.7 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) 7084.7 1.000 (1.069 x 1.169 x 0.95) 0.421 0.950 3363.8 6309.0 0.6274 3958.3 7084.7 1.00 1.187 0.421 0.950 3363.8 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/AaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, Fl, 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 1 2746.00 2746.0 20.0 0.91 1 1.00 2655.47 1.00 2655.5 As-Built Total: 2655.6 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 4040 3958 2746 10745 1 4713 3364 2655 10732 PASS yp 1p1E ST���p� I�i�- • d I 0 W-E EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge@/FIaRES'2001 FLRCPB v3.30 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 631 Beach Avenue, Atlantic Beach, Fl, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior.Windows&Doors 606.1ABC-.1.1 MaXimurn:.3 cfm/sq.ft.window area; .5 cfm/sq.ft.door_area._______ Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or sea[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 I 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 Air barrier on perimeter of floor cavity between floors. 6016.1.AB.-C.1,2.5 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 1 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker(electric)or cutoff(gas)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 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 1 Separate readily accessible manual or automaticthermostatfor 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 EnergyGauge(D/FlaRES'2001 FLRCPB v3.30 y ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 82.9 The higher the score,the more efficient the home. 631 Beach Avenue, Atlantic Beach, Fl, 1. New construction or existing Addition , 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap: 18.0 kBtu/hr _ 3. Number of units,if multi-family I _ SEER: 12.00 _ 4. Number of Bedrooms I - b.N/A 5. is this a worst case? No 6. Conditioned floor area(ft2) 698 W c. N/A _ 7. Glass area&type Single Pane Double Pane - - a. Clear-single pane 0.0 ft2 0.0 112 _ 13. Heating systems b. Clear-double pane 0.0 ft2 0.0 ft- _ a. Electric Heat Pump Cap: 18.0 kBtu/hr _ c. Tint/other SHGC-single pane 0.0 ft2 143.0 112 _ HSPF:8.10 _ d. Tint/other SHGC-double pane b.N/A _ 8. Floor types _ _ a. Raised Wood,Adjacent R=19.0,698.0112 - c. N/A _ b.N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:20.0 gallons _ a. Frame,Wood,Exterior R=13:0,691.0 ft2 _ EF:0.91 _ b. N/A _ b.N/A c. N/A _ A_ d. N/A c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Single Assembly R=30.0,768.0 ft2 _ 15. HVAC credits PT,CF, _ b. N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thennostat, a. Sup:Unc. Ret:Unc. AH(Sealed):Garage Sup.R=6.0,75.0 ft - MZ-C-Multizone cooling, b.N/A 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) jTHES74 in this home before final inspection. Otherwise, a new EPL Display Card will he completed �Y0N f, 010 based on installed Code compliant features. Builder Si nature: ;►`^"' � Date: g - - Address of New Home: City/FL Zip: Ril.or. *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 EPALDOE EnergyStar'"designation), your home may qualify for energy eff ciency mortgage(EEM) incentives if you 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. EnergyGaugeg(Version: FLRCPB v3.30) AL RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems .fob: 514f04 1065oai<vale>id,.Jacksnrmille,Fl M59Phone.904-287 S'3ia Fax 904-2:7-1258 Emaii arergycleslgn(t)crnncast.net For: Goetz 631 Beach Avenue, Atlantic Beach, FI Notes: Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Summer Design Conditions Outside db 39 cF Outside db 92 OF Inside db 72 °F Inside db 72 °F Design TD 33 °F Design TD 20 °F Daily range L Relative humidity 50 % Moisture difference 65 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 10647 Btuh Structure 14283 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 "F Design heat load 10647 Btuh Use mfg. data n Rate/swing multiplier 0.97 Infiltration Total seas, equip. load 13855 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 460 Btuh Ventilation 0 Btuh Heating Coaling Infiltration 2046 Btuh Area (ft') 698 698 Total latent equip. load 2506 Btuh Volume(ft3) 5584 5584 Air changes/hour 1.20 0.50 Total equipment load 16360 Btuh Equiv. AVF(cfm) 112 47 Heating Equipment Summary Cooling (Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Heating Input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47'F Latent cooling 0 Btuh Heating temp rise 0 °F Total cooling 0 Btuh Actual heating fan 764 cfm Actual cooling fan 764 cfm Heating air flow factor 0.072 cfrn1Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 85 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. !/1/f A��{ Al C Right-Salta f;esldantlal'""F u 6 RSA29?g4 200-4-May-04 09 14 24 ",.(",;�,, C'Documents and E;eturgs?customer\lvly DocumertSM'1Ightsnft1Go217 Sfudio rsr Paye 1 GyDAG�Y r0nsfruc�ors, �rRAY 2005 May 23, 2005 Don Ford City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233 Re: 631 Beach Avenue Permit no. 03-25870 Dear Don: The temporary pole for the rebuild of the garage is located in the driveway. The temporary service is also the one which serves the house. The reason for this is that the meter cans for the house and the garage were (and the new ones are) located on the garage prior to its demolition. The switch from temporary to permanent power needs to be done in one day so the owners will maintain power in their house. In order to remove the temporary pole so I can complete the driveway; I need to move the meter for the house from the temporary pole to the permanent meter location. Therefore, I need to receive an electrical final on the job. Subsequently, I can complete the driveway and other items in order to receive the building final. Please feel free to contact me at any time on my cell phone (904-813-1728) if have any questions or comments. Sincerely, //► Matthew F. Fennell President MFF tx, 3997 America Avenue Jacksonville Beach,F1 32250 9(4.241.1012 904.242.9344 a J� is CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD J A J ATLANTIC BEACH,FL 32233 s.: INSPECTION PHONE LINE 247-5826 �F Application Number . . . . . 03-00025870 Date 2/11/05 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . RENOVATE/EXPAND GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 43200 Owner Contractor ------------------------ ------------ - ----------- GOELZ, DONNA AND TOM CLADDAGH CONSTRUCTORS, INC . 631 BEACH AVENUE 3997 AMERICA AVE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-4445 (904) 241-1012 ----- ----- ----- ------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc 200AMP, 1PH, 3W, 240V Sub Contractor FERRANTI ' S ELECTRIC Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------------- - -------- -- ----- --- -- -- -------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. p BUILDING OFFICIAL Al( •O+ y CITY OF ATLANTIC BEACH xM ELECTRICAL PERMIT APPLICATION / D 'l+ Date: Property Address: C� �— 9Ey+C f14-UCZ`4'-1t Owner: —FD D 6,oL-L-Z Telephone #: Contractor: Telephone#: Contractor Address: .7z1L/ (,CSF. (tL64�a Fax#: 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: Bujtding Type: ❑ Trailer Service: If other construction is New 4d Residence ❑ Temp. ❑ New being done on this building L3Old L3Commercial El Signs site,list the building Signs ❑ crease p t number: C3 Re-wire ❑ Addition Sq.Ft. �e�Repair p 3— --E;�7(� Conductor Size: AMPS: COPPER ALS Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS LU-4D PH W 3 VOLT WANWC Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED d OPEN 0 30 AMPS 31 100 AMPOI Switches 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 ,Z HEAT S� Motors 0-1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atiantic-beach.fl.us t e V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025870 Date 11/02/04 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . RENOVATE/EXPAND GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 43200 Owner Contractor ----------- ----------- --- ------ ------------------ GOELZ, DONNA AND TOM CLADDAGH CONSTRUCTORS, INC. 631 BEACH AVENUE 3997 AMERICA AVE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-4445 . (904) 241-1012 --------------------------------------- --------- -------------- -------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . TROPIC HEATING & AIR Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/02/04 Fee summary Charged Paid Credited Due ---------- ------ - ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WTTH ALL CTTY OF ATIAANTIC BEACH ORDINANCES AND THE FLORIDA BUR DINODES dk,-* C BUILDING OFFICIAL 3 r CITY OF ATLANTIC BEACH r = MECHANICAL PERMIT APPLICATION Date: 1 i — Z —c: Property Address: 40 I Ave— Owner: O 0 , Z Telephone#: Contractor: 4C Telephone#: -2 9? Contractor Address: d' �� �-rsf. Fax#: 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: Ci' Electric ❑ Gas: LP _Natural Central Utility LlOil os - 2s 71� ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK 1/Heat _Space _Recessed yC�ntral _Floor Sr- Residential E/�7 Air Conditioning: _Room _✓Central q,/Duct System: Material Thickness /Z(0 ❑ Commercial Maximum capacity 600 cfm / Ll Refrigeration C�' New Building ❑ Cooling Tower: Capacity g ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) Ll 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 ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency & e �U O! i�� I- S V L HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency 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 9 Fax: (904)247-5845• htti)://www.ci.atlantic-beach.fl.us Revised 1/04 ti A CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 rr�l tp INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028605 Date 7/08/04 Property Address . . . . . . 631 BEACH AVE Tenant nbr, name . . . . . . INSTALL 4 NEW FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GOELZ, DONNA STEEG PLUMBING CO. , INC. 631 BEACH AVENUE 1601 MAIN ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 --------------------- ------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ------ ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL ,. r CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION / Date: Property Address: ��' / � � 1/�6 Owner: �'em t/;'0C-41kL' Telephone #: Contractor: Telephone #: s wl_ Contractor Address: / PA. � . Fax 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, XNew list the building permit number: C3 Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks i Disposals Urinals i Floor Drains Washing Machine Lavatory Water Sewer /� Water Heaters Other Fees i Permit Issuing Fee: $35.00 1 Total Fixtures: X $7.00 + $35.00 = Phone: 800 Seminole Road-Atlantic Beach, F/olida 32233, (904800 247„5800. Fax: ('04)247-5845. httP;/Avww cl.atiantic-be *�� ach.fl.us