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Permit 1174 Beach Avenue CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000574 Date 4/29/08 Property Address . . . . . . 1174 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL SHOWER PAN ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HENNESSY NELSONS PLUMBING CO. INC. 1174 BEACH AVENUE Q/A: NELSON, SCOTT ATLANTIC BEACH FL 32233 11590 E DAVIS CREEK RD JACKSONVILLE FL 32256 (904) 262-4884 ------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/26/08 ------------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 10/02/02 12:00 dal 904 727 0341 • ARCH IfINDOiv,g 1011!013 Product Approval Submittal Form Exterior boor here Submittal Date For Bldg,Dept.Uw Only ContTQL?er= t.n 77utaWA PraduD_D_mt iPtlaw 4 0 Spsalle 1ar1a1r11at RegWranK�tta 1.1 kdsnufaaara':_ N�Y.N,+i /Pleas ia)ModCl Nana: IM W Modal Nvatlaa: t?udmaGm 4� of ql a bt®:bfaaa9y Wmd Framed Other 1 C)drat Sixa: S'4 x n)foaaiva;Type d1 Sirs): sag ketal)""an iarrun'an+en tS.^r'S ;eta i d)Patolt(H S(ze):_ to 3C"r fin" 1 a)py'd Peary caPaamn amid m Tab r.w) b)Faooux r arrg: see a exllai m ins a'Te iI)N ogativa(P.sf):, salt xs ...n. �..u....,.,.. 4w4iw=Forma l'=badmter: fj lmpua Rgislhilb,y d(No �.-.. �. � g}MeW Meana oCPtaapa �C Ys dl MaxYftwn Shutt SPaoing: - ...14 - �� 2.O MaaaeW t9+arraceiatla Sill :iDoar(TypeAThielaarr):_ pihasl•aa- I-774" a]Faemno{TWeRSirol: it LL +u n• avancaide a)5amb(Typcdt'Ibkknae): waved f.iN"-4.al16" b)SIl!(T}pe4FThieknraa) liumnglumiatlm b)Ftmerpn � 1,l0iaibtg elMintmumFaaatQFstla,daratt: •tsir,L�tuml-"4" r�«Tm•i";omnt•-nn a):1laxingMarcia::--- tartnowinaulasadni 'l7" d)?4.W&.;amShim I'Vaoin%s__ it4 I. .b)Giuing MeitOd: PLw;no L^ mal 1a" Hyd 1,3 Haidua(y � a)Frtaiola'S(T}pi dt Silo}: tea m,+num-a+pyRjUtx:,,,t r,n��,xaa n 1a).Aawiplib�tsauvn of locking do,ia: 74.112`8 40^�. -- iks - m d h)FIAMer Spaang: __ate_ig�uuten xtualon.+glyrcvat.ide ,1.4a' none 1.5 Tipe of Wattthcrmippirg; ar rattm el minimum feta wRM mt:�a ''a P,dd'oiatal{RO OanOsO _ M.leu wilt nti imtan:.1,4 tsntm'non fntn m awrer 1:7 t-aalian'da Type atRngvired Field ApplUd$almu: d)Mae mum Shun 3Pa v g: Ir4" �kxwvik as mow to Fn- on wrad'amhr � � 4.2 Bud, 3.0 Litotladoaa: Desch Ftwaanava u)TypalhLu:ul: Word Catyal7!'e' CArod� h;Size. 1 b asn -Yor ori 'a 4 4fApja 2 4 v 6'StRO R R0 UO an0.A..00 vxttlgyralitat: .!1 ;Rrnrtsa mnuaruv varlittan 4�IILo "lag _„tg0 0D 80 70 w64 00.77 On di by ttclwal Yr j( Na Sbtaa 2 6 e 6`S +40 00 0 -a4:. .71.00 .a.' r6}e ige6+R -Rrno_-rm•OD + 6.nD 7�w_ 4s 9 Yz „Np Sy'tpje 5'a xa'a. .�Ro,oe •8000r50 aa.60 DD I (See re,•ase sial:thu pagr) 40,00 +30.Otl•60 40 Cin ,dal Yn xy G'R _ «(D OD �iC 00 4S0 00-40 fN1 10 Mandatory Taw ase Datxipow as lmtian uM Dato Tw;Repan e C atirying£ngxtm sL oanre Ne. 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Unillmn&UIC hl4malC=MMdTcaxtgl.ab, Ntrvanbur3,p997 ;tt{a19R7 - turyPannoy Air Pt®aon nada Mari9a '1 ,1,995 2104ON P.K No,1 G158 ta31A l]U1.5 eraed Reay Noborw)Cat oRmg Lib._ r4ovqd*3.1997 2104997 He ry Pnnnoy Ct4anda.FMda 11. 996 110.1024 E,Nc.16166 If txawaraivc anaiyltia'raa umd plow mdiaola _Yw N No 6.0 Sul ppkaim(W Teta(ar(ain toes) Test m tion 7.-L.-.-ITn 7-da Date 'I'aa ROOM t !.atifyittgEnBtnaa etLim+aa No, .ti 189.91 Air lntthrattao Naijanal d TwIng Cali, Novy W).1997 110.1967 Many ianntry AoaiN IC 1 194! 110-1015 P, ,Ne.16"S ASTMMII-M 'ak ..r miaaal Ceti d a4m8 b. 3,19'97 '(0.014 SAM F Moy Petaratlno (elaeda FloridaIWO 1.1009 1 110.202x, I P.11.740.t OVA I [�7.D GelwTal Ivata It 7.17marepasuaronBtraquvadlabewbmia.ad 7.1 AWH=Jan forbuildingparrnk&hall'Lgdudc(R)criginala ofdtise,p*N shad and aukd by a Profaaimtl Fh&ea,wiswd;w4 apps d bytba deup protarsisnal et temrd. 7.3 labels and idntalOwazi.nbell be in aamrdauaa Who,the ragviraraaatl dSaaian 350f1. 7•4 All ad%ar pro iaiaaa of lna$oulh Fkrids Buildatg Gide btoward Uk%cx.sysl I apply, 7,S TaW tat irad i<1,I.Yu ahadcod __�-�i� 9.0 C.rtMaadon - 9.0 wladtoma+a by nealgrtt Prafwwl a i s(laeeord I R.1 Tetha haltof a y knawladgaand abilkytha Uwe savior door �f cmfc+utotbetgvbaammnftheSam Flvtidabuild'atgCad, Browsed Coatylidkiai. �. ,�'.�9 ,� / to oPPlo mYrsaiertal F.ngin.r x][agiwav!Aretfitm , f Murk C.Fal'rtmvt )Myer/2l,1999 I State ofF?olidr.Pro!bnsion.l>~ngir2ccrNo.4oilii iSireLoaa,ian ,.. Na appliaablcto ariacemaraalw Wan S5Jt00 and in tvmPU'oC a With i Tabla35-P1swSKda IG4 M(1302.2ftl). \ j DSC12I -- J won,+nn ra, wa..,n,vr. a.,.,r•+++� +one„Dorn ay.a ,n-nr .n�u rnn+rwv,r,T i0;a2-o. 12 01 I r04 727 9341 ARCH 11'INDOWS �ID12'013 FINAL ANGHORIK Q A W ann FR7t►IC l io rp X C•u SINGLE OUTSWING IJN(T W/WO SIDELITES PRODUCT ACCEPTANCE No.: DS0221 01 1 'a' Amir. „•rn, I :;t;ti •_ WHEN srDeJTE is A1rACh7;IJ ro k .R JA.A, a efey MAfW uit�Y AWO / 5CRE1Y PFR.,CAfW SC1lED�1�E i SEE Loc"INSMICTI "E" LrIf�H DER'dIL � kM&E WEN SIDEUTE IN ATTACHED TO 10 X b" MILLS A EAa LATCH JAW9 USE/D X T sf[" 'o x + T r+ILtrvs slhr PHILUPS FLAT MW SCREWS ]f PM 5 1 IN SR)KE W.ATES. AND )(�SCREW' 1 X�' PHIL S T H dNALACE OF`Q, FR811 SCR£W SCTiEDULE: 2' TVP � (+-2 TTP, . LINE �p 1 f SLY LCCX 1.•TYF. WUIIFAC7t1RER3 1-m I 0 wsmucnoru ;,p. I IIS JI •H �E" ,,,z- I I m Atuvauurrl L�f2hr2�m GtlEersirl� 7htrs�efd 11'NP. f ,`• i l ,c, j m A' m I ` Outringtir$ds�iwte L rr �A. �Q{� tbOml ,BdEE Product Acceptance No:DSO-221 Size,Up to 5'4 G'? Outsetng owd jamb) Cmtigurotion: X.OXO,XO.OX 2'U 2'4 2 F 21$ 3'0 Stng)c Qpaguc rgU 4v rgC -AO +80•8,1 +80 -SQ +80-SO wy$idelitcs +GO -60 1w0-6o UVeGlued *7S-8U +[A-77 +6G 1 +66 .67 »50 -60 . W/Si(kbws -50-66 +50 .60 (Done does not mta bG%w Impoct) Test p 210,1927.2 lfJ-ZQZ4 Mta.b.•�Nan Ya?tostits rP)ut�,r'o Livu4stq�.NJ 07019 iu u1/02 11:58 '01 90; 727 9341 ,10/C5i01 FRI 11:A8 ARCH WINDOWS FAY 800 390 1223 WS ARCHITECTUAL 0!i6/013 ala 4& Architectural Testing ANS1VAAMAIW DMA STRUCTURAL TEST REPORT SUMMARY Rendered to: WEATHER SHIELD MANUFACTURING, INC. SERIESIMODIEL: VISIONS 2000 DIRECT SET 11 (48X48) RATING: F-R80 48x48 Title of Test Results Overall Design Pressure 80.0 psf I Air Infiltration < 0.01 cfmlft, Water Resistance 12.0 psf Structural Test Pressure 120,0 psf i Forced Entry Resistance -- Grade 10 Reference should be made to Report No. 0G-30134.01 for complete test specimen description and date. For ARCHITECTURAL, TESTING,INC. Tim R. Quast Regional Manager 5906 Saxon Avenue Schofield.W1 54476 phone; 715.241,8624 fax: 715,241.8425 •1.1�nT 1U-uziuz 11:59 $1 964 727 9341 ARCH WINDOWS 10/05/01 FRI 11:46 FAX 800 390 1225 WS ARCHITECTUAL 007,013 Z014 . ry Architectural Testing ANSI/AAMA/WDMA STRUCTURAL TEST REPORT Rendered to: WEATHER SWELD MAN1.3F'ACTU7UNG, INC P.0, Box 309 Medford. Wisconsin $4451 ATI ReportNo: 06-30134,0) Test nate. 12/20!04 Report Date: 01/11/01 Expiration Date: 12/20104 Series/Model: Visions 2000 Direct Set 11 (48 x 48) Type: PVC Fixed Window Test Procedure: The test specimen, was evaluated in accordance with ANSUAA.1 tA,/WDMA 101/1.5. 2-97,"Voluntary Speeificationiv for Aluminum, Vinyl (PVC) iwnd y1'ood Windows and Glass .Doors," for conformance to the Class F-R80 48 a 48 performance requirements. Uniforrn load structural testing was also performed per North Carolina Building Code U 613.2-Mullions. Test Specimen Description: Overall Size: 3' 11-112"wide by 3' 11-1/2" Overall Area: 15.67 R2 Finish: All vinyl was white. Glazing: The window was glazed using nomatai 1" thick sealed insulating glass composed of two sheets of double strength clear annealed glass separated by a 3/4" desiccant-filled metal spacer. The glass was set from the interior against a closed cell foam glazing tape and continuous silicone backbed, and vinyl glazing beads were employed at the interior. Frame Construction: The frame members were mitered and employed welded corner construction. installation: The window was installed into a norninal 2" by S" wood buck. The interior side of the integral nailing flange was sealed to the wood buck and secured with #8 by 1" screws spaced approximately 4" on center, 590(1 Saxon Avenue Schofieid,W1 54476 j phone: 715241,8624 fax,715.24 1.8425 vw.w.testasi.com iviu[/u1 11:59 '21 901 727 9341 ARCH WINDOWS 1.0/05/01 FRI 11:48 FAX 800 390 1225 WS ARCHITECTUAL zoos/013 ®Q16 06-30134.01 Pagc 2 Of 3 `y Test Results: Paul Title of Tet Result--, ,gI � 2.1.2 Air Infiltration ASTM E 283-91 @ 1.57 psf <0.01 cfrn/fi2 ().30 cfmlll2 a, 6.24 psf <0.01 cfm/ft2 --- -----_ Thr teat recimen meets the performance levels specified in ANS1/AAjVA./W1)MA t OIII..S'2-97 fora 1�=R80 window. 2.1.3 Water Resistance ASTM E 54"-93 @ 2.86 psf No entry No entry @ 2.85 psf 2.1.4.2 Uniform Load Structural ASTM E 33096 @ 22.50 psf(positive) No damage No damage @ 22.50 psf(negative) No damage No damage 2.1.7 Welded Corner Test Meets as stated Meets as stated :+ 2.1.8 Forced Entry Resistance ASTM F 588-97 Grade 10 No entry No entry @ Grade 10 Optional Performance: Para&EQb Tit]Cf0 TAU Results; Allo.1 fd 4.3 Water Resistance ASTM E 547-93 @ 12.00 psf No entry No entry C 12.00 psf 4.4.1 Uniform Load Deflection at Design Pressure* ASTM E 330-96 (60 seconds) @ 80.00 psf(positive) No damage No damage @ 80.00 psf(negative) No damage No damage 4.4.2 Uniform Load Structural ASTM B 330-96 @ 120.40 psf(positive) No damage No damage @ 120.00 psf(negative) No damage No damage Not required for ANSI/AAMA/WDMA 101/1.5.2-97 Lv,ut/uz 11:59 '$1 904 727 9341 ARCH WINPOH'S Z oo9/013 10/0$/01 FRI 11:49 FAX 800 390 1229 PS ARCHITECTUAL Z ols flG.,q 134,01 Page,3 of:3 Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATT for a period of four years. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product which may only be granted by the certification program Admirdstrator. ARCHITECTURAL TESTING, INC. ARCHITECTURAL.TESTTivG, INC C�� W�� '�gl l 2v1;-e- ( Arl'k ♦7 Tim R. Quast Daniel P. Braun Regional Manager Vice President, Regional Operations a6-30134 4v,-it."UZ IL:U0 01 90:4 727 9341 ARCH WINDOWS 010/013 10/05/01 FRI 11:49 FA.T 800 390 1225 WS ARCHITECMAL 0017 DOCUMENT CONTROL ADDENDUM 06-30134 Y. Current issue.Date. 01/11/01 Report No. 06.30134.01 Requested by: Val Rogers Purpose. Structural Test Report; `fest Date 12/20/00 Comments- Visions 2000 Direct.Set 11 (.48 x 48) Issue Date: 01/11101 r rr �� JOB ADDRESS t J 9 Li f 3ta, Ch A 1VC. , TYPE WORK 6&L PPOPFJUT OWNER o-Lk ,y ONE L4-T2-- -7 q z CONTRACTOR 7M.FTHONE 3-1 2'2 ..y PE2zwT1vuAlHl1? D DATE INSPECIYONS. FOOTING he-) `7 e� A SLAB �_T 077- TIE 7i"TIE BEAM 2-LI V&Y)y. o3U2—t-i an NAZM-ZV G � FG FINAL BITILDING CERTIFICATE OF occz7pANcy =CIRICfAL PERMM �cfW. W14 '�- �c ( ` -Q C { ^ �2, RM INSPECTIONS ROUGU 1 O Z FINAL Z. ' 2,q 1a-3 �ool c�rou,.n c�cnc� Cp-3b .-��c� ��ooi �K.�.t : (,,c•ot7G�3 MHCSANICAL PEnRlrg ?� INSPECrloNsoaGa J FINAL 0-3 PLTAWRIrGPES 9606q INSPECTIONS ROUGE471 DER SL4B 10 0-21- TOPOtTT- a j=02- WA FINAL NOT s• k,k JOB ADDRESS PROPERTY OWNER PERMIT NUMBER /6 7- DATE INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILINGISHEATHING FRAMING/COYER UP y-3 p �' INSULATION_ Q2 FINAL BUILDING / a- / ( - '3 CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT# INSPECTIONS ROUGH FINAL MECHANICAL PERMIT# INSPECTIONS ROUGH `V- 3G -9 FINAL /-CZ'Y l PLUMBING PERMIT# / 6 9 4 '/ INSPECTIONS ROUGH/UNDER SLAB '114 IR Y TOPOUT �,- 1 q 77 WATERISEWER FINAL NOTES: (1� lural-u2 11:56 V1 904 72" 9.341 ARCH WINDOWS Z001/013 STORHO Twin City Testing Corporation PROJECT NUMBER: 180-6365 PAGE:1 OF 6 DATE: 3/11102 STORK®TWIN CITY TESTING 723 South 72"4 Ave.STE B Wausau,WI 54401 , }r�tx,lr,r' iud"R^fit t�r lr�u,llyp�+Ixr,p3V5,ae tvgthftrrrrYl yfaf+�r(1,r�l.i.�,�j�tltt lids a ,z+yr�r l("v+il Yt'I'rd'1N,r ,�v tri '.y,i fit,iS(t7"yar, �fl$�li jrtt�t?,i'�rW{kl��i� hit ty a• �R r ��`J,,I"f r t{,�r{ r!; F Pt t`[ � r r.h� Fc�; i � >a fr ��'� Ftfi"rtn�yyr9ty �l h dr 9'r ',ntu !tits I ul tlt' � I��r4r tr1 lir7rr ��y Ce M,q! t rrMaNlr^nn rttrJW'I0 1� 4 n 1 t4te4 4 t t r t pi �+ i r +�� r y lr E � f" r r n� rr ,aN t +� {. t gC�lyi 1 � ri du +lr ri fly+ r r d p'wl�177pp'''<1{r�1„(f�w t1µ1 ��e !n. h�rt t�� }'"^ Ms I t' tt r ✓ rr r(M1 td ''t i R P;,' it S aFt i �1✓'� r a ti lt� h u r e^ Idtt�u,t t}I t 1rt t w..ri o f uf, t� Itll x 1 A,101-! I �.�611 r sr t t }141rJ �Vil �4h�i t�1"y Ywtrl �.mt°} � rI t l �1v 'yI•"tnu>4 ��fiP� (.i��r��1d+ s�v �'. tar �r '�e, 'j l t UFA!, �+ URI1 `� ,C }r t'�}...I �pL�'r+G tip 7t .�'I t�aeL�ttrn s W,art✓i r�l��li(u t 1i Y tial 'i H , j ad� tj,tP+r"yht}�`}ifllk" } l t, rt r � JC+7�W � t �C,CDjsrrEz�I t B tt^+7h� q�i Ir}t��Y�twl �Y Irl .If I}, �rkr , n m �1'r��+ilut: ri+tr l-�A� w8l id4lx rl q,ti r0 tart+'"w nor hu�jYl �net� lir rP�!'7 } r Gtr.. t '1 S'!'r lr r n l" i�rt 4W rte[ �I hit`l}a.�yiri f'i,r ft fit Ql.��l�i�u+l�lp�r.•l.ri�lfp.�"i�tr�.iltr ra i,�r lr 4 li .Ill yr �,'!, twiJr� Z t 5Yd d'ti�ia�haYrin�iuhy��.Ii. l�y111 yrv.i;�r>f r�P r � 1y1J, i.} xr w[i r i t u '�ih n ptit t}tl i,ry:i Test Date: 2125/02—3/11/02 Expiration Date: 2/25/2006 Class: C-R 50 30 x 72 (3 snubbers) C-R 45 30 x 72(2 snubbers) Prepared By: Reviewed By: 141 jllo� —Z Gary Norenberg John Bordagaray Engineering Technician Office Manager Product Testing Department Product Testing Department Telephone: (715) 848-3935 Telephone: (?15) 848-3935 The test results contained in this report pertain only to the specimens tested and not necessarily to all similar products. Inroml6tbf',and%talonsnta in III$Wipon aro derives from maierieL information onoror apeetlrottlons lufWalled Uy the 60nl nno abclufte any eFpreseed ur mpliod warronllos as to the Idoses 01 111*motetlat tested or anaty'leo for any particular purpose or use,This report Is the Cpnfldentl3t pfo"ttq of our cloni ano shay nor 4e used for advertising purposes. 'Ink regal suit not to reproquceo exeopt in full,wrthoul waRen approval of this taCo!aiory,The teeosdlng of Islas,firlrtiaw or tratrdutent statements of entrise on this document may be punished ar a fpiony under Federal Staaaes Iroludin¢rodoral Law Title aft,Chapter 47 11:ST '01 904 727 9341 BIRCH WINDOWS (1002;'013 PROJECT NUMBER: 180-6365 PAGE:2 OF 6 DATE: 3/11/02 LABORATORY TESTING OF VISIONS 2000 CASEMENT WINDOW INTRODUCTION: This report presents the results of laboratory testing conducted on a Visions 2000 Casement Window manufactured by Weather Shield Manufacturing Inc. This work was requested and authorized by Mrs. Val Rogers of Weather Shield Manufacturing Inc. with testing conducted on February 25, March 4, and 11, 2002. The purpose of the testing was to determine the performance of the window for air infiltration, water resistance, and structural integrity and Forced Entry Resistance integrity when tested in accordauce with ,OSTM procedures included in ANSI/AAMA11A'DMA 101/1.5.2-97 "Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors"- TESD' RESUL'T'S SUMMARY: The window dcscribed herein meets or exceeds specifications for AAMAINWWDA 101 i.S.2-97 C-R 50 30 x 72(3 snubbers). C-R 45 30 x 72(2 snubbers). SAMPLE DESCRIPTION: Overall Size: 29-112"X 71-1/2" Sash Size: 27-5/8"X 69-5/8" Area: 14.64 Sgft Finish- White vinyl Glazing: The sash was glazed using 1"thick sealed insulating glass composed of two sheets of single strength clear annealed separated by a 13/16" desiccant-filled metal spacer. The glass was set from the interior against a closed cell foam glazing tape and continuous silicone backbed, and vinyl glazing beads were employed at the interior. Merrttalion aro xtetementa n this VoWt we derWed from maWrlal.Intormatton andror cpoomica4oro Uirr.iafted Oy tho cimit mea exetude env expro"ed of tmplled warranties ea to ih-tineas of too matorlef tooted of at Wyied for any pertiawar purptre or use.Thl9 report fa 1119 aonsda'nai pforwry of ot,f siiont and nay not be used tot sd�etttmq putposes. Me I9pat shell not be ryplodt/ead o caul 40 full,without wtinen appl"I of 1hic lata atery.7710 rec+tlrdinp tlf faL•c,ncthiour,o, fraUdWent tuetementa oremriee on this dat:umern 10,02"02 11:57 01 90u 727 9341 ARCH WINDOWS X1003/013 PROJECT NUMBER: 180-6365 PAGE:3 OF 6 DA'T'E: 3!11/02 SAMPLE DESCRIPTION (continued)_ Weatherstripping: Dcscjptioll 2Haa—tity Location 0,187' backed by 0.350" 1 rows Outer perimeter of sash high pile wlucnter fin 0.190" dia. Foam filled 1 row Interior perimeter of frame bulb France Construction. The frame members were mitered and welded at corners, Sash Construction: The sash members were mitered and welded at corners. Reinforcement: None Hardware: Description Quantit Location Solid case Truth operator w/ 1 Jamb foam gasket 10"metal 2-bar hinge 2 Both jambs at the head Truth 3-point lock wi plastic 1 Sill strikes 2 piece vinyl snubber 2(DP 45) Evenly spaced on jamb 2 piece vinyl snubber 3 (DP 50) Evenly spaced on jamb Drainage: Descriptio Quantit Location '/"dia. Hole 2 Bottom rail of sash through glazing Channel, 3-112" from end Installation: the window was installed into a nominal 2"by 8" wood ruck. The interior side of the integral nailing flange was sealed to the wood buck and secured with #8 by 1" screws spaced approximately 4"on center. Intufmarion arta Statement,in This fepon efe 66rivse lftM m itarial,lMormation aftor apecaicadona lurniGhOd by tho Giont and exclude any expra=%0 m Im01166 waranties 10 to Mo atnose Of Me material In,W of analYrod for any panicutea purtwee w usv,-hs report is Me confieential propor ry of our cliont and may^Ot Oe usW for 06vettieing purposv,-� This report shall not be f99'0fkioe4 dxcopt ii fyil,witn6Ut written approvol of Shit laboratory.Thu rxprdirpj of false fiainiov:t or frat4gient siatemams w until%%on ttys ftwMAnt lu/uZ/VZ 11:58 $`1 9414 727 9341 ARCH WINDOWS 1)4/013 PROJECT NUMBER: 180-6365 FAGE:4 OF 6 DATE: 3111/02 TEST RESULTS (continued) TEST RESULTS: :PERFORMANCE Para r,tEh ACTUAL RE�UIREI�ENTS 2.1.2 Air Infiltration Chamber Pressure,psf +1,57 +1.57 Unit Area, fz 14.64 Air Infiltration,cfm _75 cfin/ft2 0.05 0,30 maximum 2_,1.3 Static Water PERFORMANCE Penetration ACTUAL REQUIREMENTS Chamber Pressure,psf 9,00 8.25 Water Flow Rate, 5.00 5.00 Minimum gal/hr/ft2 Pressurized Duration, 5.0 5.0 min. Unpressurized Duration, 1.0 1.0 min. Cycles 4 4 Water Penctration NONE No water skull flow over the interior face. 2.4.1.2 Structural Load Test 3 snubbers u Chamber Pressure, psf +50.00 --- Duration, sec. 60.00 _ - Deflection, in. 0.002 --- Chamber Pressure, psf -50.00 --- Duration,sec. 60.00 --- Deflection, in. 0.177 --- Chamber Pressure,psf - 82.5 +75 Duration,sec. 10.00 10.00 Permanent Set, in. 0.003 <0.4%L= 0.279 Chamber Pressure,psf -75 -75 Duration,sec. 10.00 10.00 Permanent Set,in. 0.021 <0.4%1-=0.279 Information and-ioie,gents in trot upon are carived dam matorial,inferrriattoo ar ur speefw0 ma Iufnlshea by the client aria exclude arrt ax mesad om+mrAwd w4uamiet at to the titmu of the ma:611911actod or anatysad for any paniJutar purpose or dao.T his teKrt is viii eontldontial property of our chant and may not be used for adwrtl.ing purposes. TMs toport aw nA he reproduced a=opt in tuff.widtoul written approval of alit laboratory,The reootding 4 takv,fictitious ex hauoulant hutamons or iiMrles on this document mar be 0"%1`1eo-+s a tai"N urrtlm foo"51010ptaR IncilAnn FadmAl I rw T'nr-,a rhmntar 47 a[:u1 '01 904 727 9341 ARCH WINDOWS 2013''413 PROJECT['NUMBER: 1.80-6365 PAGE:5 OF 6 DATE: 3/11/02 TEST RESULTS (continued) 2 snubbers Ci+aniber Pressure, psf +50.00 --- D,,.lration, sec. 60,00 ... Deflection, in. 0.125 --- Chamber Pressure,psf -45.00 --- Duration, sec. 50.00 --- Deflection, in. 0.278 --- Q,amber Pressure,psf +•75,00 +67.5 Duration, sec. 10.00 10.00 Permanent Set, in, 0.001 <0.41foL==0.230 ChLraber Pressure,psf -67,5 -67.5 Duzation,sec., 10.00 10,00 Per,nanent Set,in. 0.021 <0.4%L==0.230 Forced E»tiry Resist:tuce(ASTM F588-97, performance grade 10) 2.1.8 Test Loud Lbs) Duration Performance min Lock --- 5 Satisfactory(PASS) Manip,ilation B 1 75 1 Satisfactory(PASS) B2 150, 75 1 Satisfactory(FASS) B3 150, 75 1 Satisfactory(PASS) Lock --- 5 Satisfactory (PASS) Manipulation 2.25.6.1 Vertical.Deflection ACTUAL PERFORMANCE REQUIREMENT Deflection @ 45 lbs 0.062" Not greater than .576" 2.2.5.6.2 Hardware load �+ 66;bs in both directions No failure No failure of screws, track or permanem deformation of support aims, 2.1,7 Corner Weld Test Break corners of test Pass Breakage not to extend along unit eri.tire wcld line rntormouon a,o itaietl7entk in alis report aro OorfveC tram fimemAl,information andlor speoltlostlons turniew bit 14O dont and wwwo any erpreaaeo or irno#a warramies as to 19 W"Or rho mWO&Il 1000 Of e16tYNd IDI"porllcular purpaae or use.Trus repo.t is tho confidonNar rroperY et out dura and may not bo uzod tot adwwlir,(rrp purpasnr.. Thi.^,rapor, .haJ not be raprodvted oxcopt in lei+,Without written approval of this laboratory.Tho raeording of falcc,fictitiouR or fraudt,4nl statoxner»s orentries orr(Itis doratmsnf 'AY Oa Dur tined iY s toiorry ander s:rxteral 5!atites indudlnn FMt11M Law TO*1 n.Ch;rnt.•r 47 10/02/02 1,.58 101 9r4 727 9341 ARCH WINDOWS 005/013 PROJECT NUMBER: 180-6365 PAGE:6 OF 6 DATE: 3111102 TEST PROCEx)URE: The tests wer-. conducted in accordance with ASTM and ANS)YAMMAIWDMA 10l/I.S.2-97 test procedures and the results were compared to the performance requirements. Air Infiltrau,,on ASTM,E283-91, Standard Test Methods ,for Rate of Air Leakage through Exterior Windows, Curtain Walls and Doors. Water Penetration .,k5TM:E54 -96, Standard Test Method for Water Penetration of Exterior Windows, Curtain Wats and Doors by Cyclic Static Air Pressure Difference. Physical Load Testing ASTM.-F330-96, Standard Test Methods for Structural Performance of Exterior Windows, Curtain Walls and Doors liy Uniform Static Air Pressure Differences. Forced Entry Resistance ASTM: F588-97,Standard Test Methods for Measuring the Forced Entry Resistance of Windc,w Assemblies, Excluding Glazing Impact. Hardware Load Test A.NSUAAMAj'"rWDA I01/I.S.2.97, Voluntary Specif cations forAlutninunt, Vinyl (PVC and Wood Windows and Glass Doors, Para. 2.2.4.5.1 _Corner Weld Test ANSIIAA.MA/NWWDA 101/I.S,2.97, VolunlarySpecifications for Alurninum, Vinyl "VC and Wood Windows and Glass Doors. Appendix A. REMARKS: TIN in City Testing will retain detailed drawings,representative samples and a copy of this rejort. The above results were obtained by using the designated test racthods and they indicate compliance with the performance requirements of the above referenced uidelines. Certification of this product may only be granted by a certification adn-iinistrator. ;Mormalion end stwomenta in this faport aro darioec troth material,inlormelion and/or speaiicatione furnieftad by the diw and exciudo any mpro:od Or Implied warranaex r to rhe$linea$of the motartai laved or analyzed far any partlouiar purpose or use.This repWl is Itis,corlfidontial property of our c40nr ane may X101 be used for advwtixing purposes, T'i,report shall not Oa yprOduCBd dxtopl in lull,without written approoai of Ihls I*oralOry,The reoar09Sq ol fah-n,fietoieUS or fraudulent statemanrs of enirbe on titic documont .�.�..tis n„hle1....1...,rrvnw......+I...C....n•nl S.n.,n..innw,w,nn c.,r+n.�l,.,,Tl.l...0 nw......,,.„♦ - o CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �* ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Lk:r�l..3 Application Number . . . . . 02-00024928 Date 10/25/02 Property Address . . . 1174 BEACH AVE Tenant nbr, name . . . . . . ADD. /REM. /FIRST FLOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . 160000 Owner Contractor ------------------------ ------------------------ HENNESSY, MARK D.L. DAVIS CONSTRUCTION CO. 1174 BEACH AVENUE 1908 FIRST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 472-3797 (904) 465-2222 ------- ----------- ---------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 640 . 00 Plan Check Fee 320 . 00 Issue Date . . . . Valuation . . . . 160000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 160 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 640 . 00 640 . 00 . 00 . 00 Plan Check Total 320 . 00 320 . 00 . 00 . 00 Other Fee Total 195 . 00 195 . 00 . 00 . 00 Grand Total 1155 . 00 1155. 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. ,Q , C - ilk, - BUILDING OFFICIAL J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD v ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026421 Date 7/01/03 Property Address . . . . . . 1174 BEACH AVE Tenant nbr, name . . . . . . SPRINKLER SYSTEM Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HENNESSY, MARK HULIHAN TERRITORY 1174 BEACH AVENUE P .O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 242-8575 (904) 285-8505 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------- ------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r 1 s� BUILDING OFFICIAL y CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Job Address: _ It 14 Owner of Property: ' 'Y1c�,LSI�'Y�.�.,,,�Q_� �, Telephone: Plumbing Contractor: r- Contractor's Address: Telephoner 5- 'a 5 o S Fax: 4a�1-6 State License Number: — "� How many of the following fixtures (re-piped or new): Sinks Showers Water Lavatory Water Heaters Hose Bib A Bathtubs Dishwashers Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re-Pipe (List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 = (Minimum Permit Fee: $35.00) Signature of Contractor: Q Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5826 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us oo.,: a ineini CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 a Application Number . . . . . 03-00025998 Date 6/09/03 Property Address . . . . . . 1174 BEACH AVE Tenant nbr, name . . . . . . WOOD PICKET FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1900 Owner Contractor ------------------------ ------------------------ HENNESSEY, MARK FENCE PRO 1174 BEACH AVENUE 2615 DAWIN RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 472-3797 ---------------------------------------------------------------------------- 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 CITY OF ATLANTIC BEACH 1JUN 0 5 2003 FENCE PERMIT APPLICATION Job Address: 11V 9&�G k V 1v 11U ei LgAj-- (., g1 3223 Owner's Name: WaLic Address: Phone: y '37y7 Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: Lz dcf, �D Address: D4 W h/ ��_ Phone: City: 0_U( 1'_e� State: Zip: Fax: f. T e pf fe ce and ma erials o be ed: E )�2,Q.� �j�t°,O✓l� Valuation of fence: 6a Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. ❑ Interior Lot ❑ Corner Lot Dumpster or storage tank enclosure Tree Protection: ❑NO. 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 information provided with this applica ' n is correct. Signature of Owner. Date: 4116 Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print): Name: V- �� e Mailing Address: q r- 322-3 Phone: Fax: ?,��/�, r! �d E-Mail: / 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 1 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/14/03 AN;;�Er_• AS PEF FIi:�CiURVE �� NOF'TH PRV`TRA`-TE[r FRCM PLAT. �I c ,r i 1.pT PON E' roves t/7 L� 3e1 ��, • 17,30 o0 ptiE D1 8 3617 V ~ 4 �1•''`'., go., OE.• i C u 48 � �,, }•, RE;iC 4 apROPANt 'A' ` Znd 5fC}Fr } A0 40 ,Toa iii' r i }l. �. �+'r- ^'rte � 4' •q i�, : j4 `' ora.kC�t pRrdt r tRO� I,, -a �-_^_� �� • c 9City of Atlantic Beach Inand Zing Darten}t; 0. ! f This approval verifies compliance with applicableITT rsb 'p zoning, subdivision and other local land development regulations, but does not constitute 1 ' -5 �T approval for the issuance of permits. Compliance L with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by si nature of the of Atlantic ! a � j Beach Building 0ffi 1 prior to t is uance of a - Building Permit. }: Approved By: +: IC ommunIV DeveIOPMOnt erector Date: THE ROPEPtY SHOWN HEREON APPWS TO uE Ifs OD Z NE 'X' (AREA OUTSIDE 500 •(EAR ' A5 WELL AS CM BE DTEERMiNED 15 .6+ T� AP Com- . ED } � RIL i7, 1 13 ;R Tt,E CU'r 01 ATtAW BEAC , OVvN. COUNT'. FLORIC%A • THIS SURVEY WAS, MADE FOR THE $ENE 11' MR. & MRS. MARK HENNESSEY AND W.: IN COMPLIANCE WITH THE MINNUM .,TEC t _ STANDARDS SET FORTH IN CHPPTtgP 6 t x , ' OF THC FLC'RICA ADMINlSTRA'�IVE CC}DE. '� . ` ' r � r it v •7 � - x' ) UN IT BEARS THE SIGNATURE AND TSI IGINAL RAISED SEAL OF A FLORIDA D" .W. ,00A �I ••. D.$VR.V.�YOF AND MAPPER, THIS FLA. I.C. Sa.IRV Np �R iy�(?Rt� TIQNAI PuRPpSES iLA. 1JRVEYtNG..AND MAPPiNG OU NE .' I i~ �• 70130ATWRIGHT LAND SURVEY I . INC. .DATA OCT06t 16, 1711 5th STRIXT 00H i — JIICKSONVUE .KA*js FLORIDA !4,�•• p -� Al ; CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !p �` 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 Applleation ## Applicant: Fe-BICE Address: ( e-- Project: C C(T C� 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 b Signed Date Contractor Notified Date E, JUN 0 5 2003 I d CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 F' Application Number 03-00026204 Date 6/02/03 Property Address . . . . . . 11.74 BEACH -AVE Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 240VOLT Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HENNESSEY, MARK WARFUEL ELECTRIC 1174 BEACH AVENUE 2909 CIRCLE RIDGE DR. ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 a 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 lay CITY OF ATLANTIC BEACH, FLORIDA Appramd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CRY OF ATLANTIC BEACH ORDINANCES. AA dled ELECTRICAL QQFIRM- M#QtM� �� r / R ELECTRICIAN SIGHNMRE JOURNEYMAN NAME MA1:1K �LICN C-5S E) ADDRESS: 11-7A: B EAP1,14 A3� RFD—BOX BLDG.SIZE —BETWEEN: RES.(g) APT.1 I COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW 1 1 OLD( 1 REW.( 1 ADDITION( ) TRAILER 1 1 TEM'.I ) SIGNS ( ) SQ.FT. SERVICE: NEW( ) INCREASE( ) REPAIR( )(5W)MM046 P00 L) FEE CONDUCTOR SIZE AMPS COPPER( ALUM. ) F SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 'r AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.aO AMrf. i ,t.too AMPS. SWITCHKS INCANDESCENT FLUORESCENT&M.V. FIXED Io.too wMro. oven APPLIANCES I I I BELL TRANSF. AIR M.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: K"EAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 LP. VOLTAGE PHS MISCELLANEOUS • r A TRANSFORMERS: -UNDER 600 V. OVER 600 V. NO. I KVA 11.1 NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED s ?OTAL FEES "" 4, HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Jun 02 2003 11:loam Last Transaction Date Time Twe Identification Duration Paees Result Jun 2 11:09am Fax Sent 96657372 0:34 1 OK CITY OF ATLANTIC BEACH r 800 SENUNOLE ROAD r ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026001 Date 5/12/03 Property Address . . . . . . 1174 BEACH AVE Tenant nbr, name . . . . . . NEW POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor ------------------------ ------------------------ HENNESSEY, MARK OWNER 1174 BEACH AVENUE ATLANTIC BEACH FL 32233 (904) 249-1923 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 20000 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 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 h Cf #%= � CITY OFATLANTIC BEACH 800 SEMINOLE ROAD " ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 ,} FAX: (904)247-5805 Ql"114r SUNCOM: 852-5800 x http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # D 3 - Zu c e t Applicant: Thr', 1Ctr. Address:— I/ r7q 10fark A v Q Project:_ ,,� Tic/ EYour 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 b Signed Date O3 Contractor Notified Date � r CITY OF ATLANTIC BEACH POOL PERMIT APPLICATION Date:' =5 Job Address: Owner of Property: Ile C! SS 4 y Telephone: 9- V,7 Z23 Pool Contractor: G✓ ,To 04 A4 c).-t Contractor's Address: Telephone: SIO Y— 2 .2-Y=Y e LFax: State License Number: k P O Valuation of proposed construction: iekl)t7 Gallons: l 2 O®fl SITE PLAN front rear Signature of Owner: Signature of Contractor: 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (gait)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/14/03 The Florida Statutes Page 1 of 1 The 2000 Florida Statutes View Statutes Online Sunshine Print View Title XXXIII Chapter 515 View Entire REGULATION OF TRADE, COMMERCE, Residential Swimming Chapter INVESTMENTS, AND SOLICITATIONS Pool Safety Act 515.29 Residential swimming pool barrier requirements.-- (1) A residential swimming pool barrier must have all of the following characteristics: (a) The barrier must be at least 4 feet high on the outside. (b) The barrier may not have any gaps, openings, indentations, protrusions, or structural components that could allow a young child to crawl under, squeeze through, or climb over the barrier. (c) The barrier must be placed around the perimeter of the pool and must be separate from any fence, wall, or other enclosure surrounding the yard unless the fence, wall, or other enclosure or portion thereof is situated on the perimeter of the pool, is being used as part of the barrier, and meets the barrier requirements of this section. (d) The barrier must be placed sufficiently away from the water's edge to prevent a young child or medically frail elderly person who may have managed to penetrate the barrier from immediately falling into the water. (2) The structure of an aboveground swimming pool may be used as its barrier or the barrier for such a pool may be mounted on top of its structure; however, such structure or separately mounted barrier must meet all barrier requirements of this section. In addition, any ladder or steps that are the means of access to an aboveground pool must be capable of being secured, locked, or removed to prevent access or must be surrounded by a barrier that meets the requirements of this section. (3) Gates that provide access to swimming pools must open outward away from the pool and be self-closing and equipped with a self-latching locking device, the release mechanism of which must be located on the pool side of the gate and so placed that it cannot be reached by a young child over the top or through any opening or gap. (4) A wall of a dwelling may serve as part of the barrier if it does not contain any door or window that opens to provide access to the swimming pool. (5) A barrier may not be located in a way that allows any permanent structure, equipment, or similar object to be used for climbing the barrier. History.--s. 1, ch.2000-143. http://www.leg.state.fl.us/citizen/documents/statutes/StatuteBrowser2000/in.../SEC29.HT 09/29/2000 -The Florida Statutes Page 1 of 1 The 2000 Florida Statutes View Statutes Online Sunshine Print View Title XXXIII Chapter 515 View Entire REGULATION OF TRADE, COMMERCE, Residential Swimming Chapter INVESTMENTS, AND SOLICITATIONS Pool Safety Act 515.27 Residential swimming pool safety feature options; penalties.-- (1) In order to pass final inspection and receive a certificate of completion, a residential swimming pool must meet at least one of the following requirements relating to pool safety features: (a) The pool must be isolated from access to a home by an enclosure that meets the pool barrier requirements of s. 515.29; (b) The pool must be equipped with an approved safety pool cover; (c) All doors and windows providing direct access from the home to the pool must be equipped with an exit alarm that has a minimum sound pressure rating of 85 dB A at 10 feet; or (d) All doors providing direct access from the home to the pool must be equipped with a self-closing, self-latching device with a release mechanism placed no lower than 54 inches above the floor. (2) A person who fails to equip a new residential swimming pool with at least one pool safety feature as required in subsection (1) commits a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083, except that no penalty shall be imposed if the person, within 45 days after arrest or issuance of a summons or a notice to appear, has equipped the pool with at least one safety feature as required in subsection (1) and has attended a drowning prevention education program established by s. 515.31. However, the requirement of attending a drowning prevention education program is waived if such program is not offered within 45 days after issuance of the citation. History.--s. 1, ch. 2000-143. http://www.leg.state.fl.us/citizen/documents/statutes/StatuteBrowser2000/in.../SEC27.HT 09/29/2000 OWNER'S AUTHORIZATION FOR AGENT CA-1/7 is hereby authorized to act on behalf of hi+12- /`�e �-"'�s_�e y the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance Appeal ❑ Use-by-Exception Fence or Pool Permit ❑ Rezoning ❑ Sign Permit ❑ Plat or Replat ❑ Other BY: Signature of Owner Print Name h Signature of Owner Print Name Telephone Number State of Florida - County of Duval Signed and sworn before me on this 5itl Mtyday of,2002. By —rµ y THOMAS ECUS,JR. *� MY COMMISSION#CC 911074 n. :o=" EXPIRES:February 15 2004 F of Fy°� Bonded Thru Notary Public underwriters Identification verified: 9v.1�,, Oath sworn: Yes No�_----- Notary Signature My Commission expires: MAP SHOWING SURVEY OF LOT`° 1 1', BLOCK ' 43, ATLANTIC BEACH CORPORATION, A REPLAT OF MAYPORT TERMINAL CO MPANY'S MAP A5 RECORDED IN PLAT BOOK, 6, PAGE I OF THE CURRENT PUBLIC ,RECORDS OF"DUVAL COUNTf, FLORIDA. . mak•I 0101 t x'« i 41 K ELFT" PAJED ►R01+ I Tw 40' RIGHT Gf YJAY .----- �o 119 1672 u ` ,, `• 1r�... «H NOTES APPfi1� rEt CITY.Df '' OlsBUILDING t1uNDARY suRvEr a'gQIC Bat,, � I RESTRICTION LINES PEF PIAT. BU1lpMG C►fFiC� k «oma g �a « %�1NGLFS AS,PER FIELD 'SUI EY ANO P# RACTIEA`FROM PIAT;` , kr x-V P S ""#G'�t « r l S r r (� L A,, cl 6,2kll� 5 ��FIEL It"f"q:� ) « w k n « 1 T 1 a 1 ply p 1 V 3072 ..mow 4� ' ►f ? 9a�.i' � ^ a N .Ne Ir T ' t § ��..r }}��' 4 .`d y � .: x^ N i '�S''Itt { 9s. 'x`�t � "�.s 4 6q ..,:..,s .yb' •y ,TOR �� 5 �E�``� GAS PNS , STORY ♦, 5` d t# +,* a 1 x ,"i y 40 (� ' S � 2 RIy,NC► Q � .� � `°' a � -t�, �, My $T ' 15 W Q_ t « w CONCRETE DRIVE _�/~ w�, L' B# � ,« ��, , ,.�. • E 14.0 ��' WOOD iENC 1 r 1 « I gp �a, tiw � 3d � � +• a1^R� t s r `-,, �'. ,ray* e ^� r r,<'` � ,.m=' aft $ �.�r ,� �� •�' �� s � •.- pT "1U 1'�4s 1�II�� `r � .r I g� " S „.,441,ikvT. F'� �'4�+q ,�ryn 9 81 s9 �. r V,_ t ; ��5I � t� r 1« � �'�}t~�;�� 'll..� ql •�, z �klEr �ROP, R11�'$HOWN•HEREONAPPEARS TO UE r N' ZONE' )r ,(AREA'OUTSIDE'500 YEAR • '' AS�,WELLAS CAN;BE,DTEERMINED ' Q�INSURANC ;`RATE MAP'COCA-- w � � �?0 MPE At 7 "',0001 Q`e REVISED ti w r say 98fl`'F4 EG'fY!0F ATIAh(�IO r p� [� sUYX,a>�:s�^3�,'j w^ /.e (� `� c IS i:SUt1VG 1., 7>!�c.�+`✓ 4!!DE ,f`t�.l 4y'! ! 151 ' X'31, '� v A.a �. 1 MR;-&° t�RS� MASK` 1EIL,N A� "�� IAI f^r%kADI IAAI(`�.F.NNITN x"rN� u S r � C City of Atlantic Beach Planning and Zoning Department This approval verifies compliance with applicable zoning, subdivision and other local land development regulations, but does not constitute - approval Jot-the lssuanca_.of.parmits,_Qmltl!ejve Florida SWWing Code and all other applicable local, State and Federal permitting requirements must be verlfted lure of the City of Atlantic Beach Building prlor to the ante of a Building Permit. Approved orwelopment Oats. t-s e"- 1 1. GrUIJ I T E MIXTURE;USE 441t PARTS OF CLEAW WASHED SAIJI: n,or /,\ (f,n, 's. q.•` ', yrs. CMEIlT.TYPE I . MA)(. WATER 20/1 GAL./SACK. io ►MOTE'. MAtO DRAIN STEt:L to"o.c. MAIIJ nRAIIJ 2. ALL Co►.ILRETE SHALL I4AvE' 1,10T APPLICABLE W/IIYARU,l! EOR`i'OR LESS 'RELIEF VALVE A M10. COMPRESSIVE SMEIJC,TT4 AEPrA POOL POOL ELEVATIC)IJ �f SEGTiOi`1 0r- 3.000 P.S.I. 14 2B DAYS. h1.T.5 . IODOu .yam 3. ALL REWF: BARS 51-IALL f3E � 9a r eEs r- PC's J-4-7--c' II mRMEI]IATE GRADE MEW ISILLET en -i CoNFoWaJ6 To A.5tM.5PEL.A-15 -70 Il.e A FoR QuAU fY A►.Ib SPEC.30-5 FoR ---- bEFORMATIOIJ,5PALll0& AS IAIDICATEh (00 1/t A.P. 5Ag P. i 5U Ia ` IQ DETAILS AI.ID SECTIDt15. .io ,� v 4.r-OR 10STALLAnoiJ OF MEMAOICAL 0 AQb hECF? EOUIPMEtJ -SEE WOOF- V c " ACTURERS )AKTALLATIMIJ MAIJIJAL AAIb to TYPIi;AL PIPING LAYOUT DtyTAlL6. UO 10 TO ?,O h0 5O 60 10 80 0)0 100 W 100 NRP FIt_TlrR N.T.S . 53 EARS @ 12"o.c.EA./wAY 04 t i ooQ w u 0)0LEGEMN Pile Sc.y yv AQb T1aRoUr�1iOUT�tlEPooL.ADD►Tior�lAL -- = RETURIJ LIIJE I--r�� 3 VEIZnCAL MR >aoRlznrJTAL t3AtKC9) 7O 5KI►AMER L I►J!= I.T' l IV O.C.,STARTIA�G 2�'SELnW TOP OF k4AIM bRAIQ jej p Q -I—I-- = - ` (10 '' h0ldh &EAM baWtJ T�IRO0614 LVE An1D 361( lA { WASE LlnlE l�,�` c- 50 , IAP 2d'Mt►J.trJtD/FLaoR AREA 14I� Ao PUMP DE=QFORMAnCE CURVE (Fto►J Irl G.P.M.) EXCE55 OF c tlo bEPT". ' 'bo POMP SELF PRIMIIJG , SUGTIOIJ -X- .DISCHARGE 1'/z' MOTOR t N.P. . 14SO RPM.-'SIWGLE P14ASE (o.-f}!15 Pool 151IorrDE51GWED F,t�R 70 FILTERGt7 GAL.Pr--R MOO. 1965—FT. OF 14EAD 10 Pow- Ttlk4 vER RATE 36"?TkL. PER dOUR kezRc)STATIG OPLIPT'PRE55URES. j �.or�0 'CiAL. TOTAL pl: 7•P 00 to 20 bo ,4o So &c, 'to So 5o loo Cx�L AREA MUST�E FE�10EbA5 IaRO FILTER PReSmiBEb BY LAW BY OWUEQ. O.S. GA- PER M1►J. B.ALL LAWACAPIIJG Aa.1D RAOrKIC&OC WE4 L THIS SAFETY VACUUM RELIEF SYSTEM IS A APPROVED SWIMMING POOL E SPA NON-MECHANICAL VWT SYSTEM THAT WILL LIMIT THE 0 TRANSMISSION OF SUCTION AT THE OUTLET To A MAXIMUMOF 4.5 WCFIES OF MEIaMRr. j=. DUAL MAIN DRAIN ATMOSPHERIC VENT (SVRS) 2. THIS SYSTEM IS A A"VNT 7o PROVIDE SUCTION A NATIONAL COMPLIANT WITH SECTION 4242.6.6, FLORIDA BUILDING RELIEF SHOULD ENTRAPMENT OCCUR ALL PIPES AND SPA Bi'OOL TINSTALLED W ca�oataacE WITH ''"sr 1,50 POOL�*a� � CODE FOR RESIDENTIAL APPLICATIONS. 3. POOL AND SPA SUCTION ULETS SHALL BE PROVIDED WITH A COVER THAT COMPLIES WITH ""s"ASME A't219Z'" ENTRAPMENT AVOIDANCE 4. THE YELOCRT ON THE SUCTION SIDE of THE VENT PIPE ANALY515-MAXIMUM LENGTH CIRCI$.ATION SYSTEM SHALL NOT EXCEED SIX(6)PPS_ 5. THE VENT LINE LENGTH MUST Not EXCEED THE TOTAL LENGTH OF THE MAW ORAN LINE. PIPE SIXES AVARAGE VELOCITY VENT PIPE MAXIMUM 6. VENT OPENWG MUST SE COVERED WITH WIRE MEaH INCHES FLOW GPM FT. PER SEC. SIZE LENGTH FT. SCREEN To PREVENt INSECTS,PESRIS COLLECTION AND BACTERIA. 2" 60 5.14 11/211 32 1.LABEL VENT,POOL SAPETT DEVICE-DO NOT 2" 15 I'M 1 1/2" 4 HANDLE 21/2" 100 6.7 11/2" 54 2 1/2" 110 131 11/2" 60 (2)SO'BENDS 3" 135 5Bb 1 I/2" -13 OR A TEE 3" 145 629 1 1/2" 79 3" 115 159 11/2" 95 L 4" 325 8.19 1 1/2" Ill m _w a� I In'VENT LINE > This analy5le is based upon maintaining the length of pipe below the operating level of the pool, 1)W' BEND vertical and horizontal,to vacate within 3 seconds based on the size of the pump and the average n now rate.pus to the hydraulic gradient caused by the pump and piping,the vent line should be located as close to the tee at the dual main drain,as possible with a maximum dletance of 12". MAIN DRAIN This document Is the Intellectual property of HCE and cannot be reproduced in whole or part without the expressed written approval of HCE.This document to not valid without the seal of II* John M.Carroll Jr.PE. POOL 1 1/2.VENT LINE r IP1 DRAM COURTESY OF: TEAM HORNER I SAFETY VACUUM RELEASE SYSTEM (5VR5) HORNER CONSULTING ENOINEHRS.INC EBl0646 PHONE NO:(904)772-4960y JR.RL Kt,` 5750 POWERLINE ROAD. FT. LAUDERDALE FL. 33309 FAX NO;(954)77Z-6040 -4<M bv.Ils.eonfacce 6(x V r J CITY OFATLANTIC BEACH fr 800 SEMINOLE ROAD E , ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 J' FAX:(904)247-5805 SUNCOM:852-5800 :> http://ci.atlantic-beach.fl.us lot PLAN REVIEW COMMENTS Permit Application Applicant: to civ� r �o��n c uv► 7�0 0 l - Address: '744 1��cb /q yl Project: Your application is approved ❑ Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed bC Signed Date Contractor Notified Date - I CITY OF ATLANTIC BEACH W 0 5 2003 f; POOL PERMIT APPLICATION Date: — —0 3 Job Address: Owner of Property: Telephone: 3 Pool Contractor: 5C� Contractor's Address: 2, 3 F 9 �L Telephone: '1,52,Y— 2 .2-E=-9,g� P 7 Fax: State License Number: k Z) 0 0 -7 �15� Valuation of proposed construction: 2:ezda v Gallons: 2 O SITE PLAN front rear Signature of Owner: f Signature of Contractor: 800 Seminole Road . Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024928 Date 12/10/02 Property Address . . . . . . 1174 BEACH AVE Tenant nbr, name . . . . . . ADD. /REM. /FIRST FLOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 160000 Owner Contractor ------------------------ ------------------------ HENNESSY, MARK D.L. DAVIS CONSTRUCTION CO. 1174 BEACH AVENUE 1908 FIRST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 472-3797 (904) 465-2222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc REPLACE EXISTING 200AMP SVC Sub Contractor BEACHES ELECTRIC SERVICES INC. Permit Fee 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE EXISTING SERVICE WITH 200 AMPS, AND REWIRE 120 OUTLETS, SWITCHES, AND RECEPTACLES 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 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. C - q"k, BUILDING OFFICIAL LA CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR DATE: J 20 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRI ge4kclx OWNERS NAME: ADDRESS: 87Y vRFD BOX_ BLDG. SIZE BETWEEN: RES.( APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OL* REW.( ") ADDITION TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: W INCREASE REPAIR( CONDUCTOR SIZE O AMPS: db COPPER ALUM. FEES SWITCH OR BREAKER Ob AMPS PH W 2�J Z/ �i � VOLT RACE AY L k EXIST. SERV. SIZE (3 AMPS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS 30 CONCEALED OPEN TOTAL RECEPTACLES 5-1 CONCEALED OPEN TOTAL 0.3 AMPS 3 1.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES ► I I BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS I HEAT J 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCE LANEOUS ,!^,(, � L.ioa .ssv L, 4 0 UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN r.r'i�lJ27f .. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD _ fr; ` f ? ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024928 Date 12/12/02 Property Address . . . . . . 1174 BEACH AVE Tenant nbr, name . . . . . . ADD./REM./FIRST FLOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 160000 Owner Contractor ------------------------ ------------------------ HENNESSY, MARK D.L. DAVIS CONSTRUCTION CO. 1174 BEACH AVENUE 1908 FIRST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 472-3797 (904) 465-2222 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 135. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE EXISTING SERVICE WITH 200 AMPS, AND REWIRE 120 OUTLETS, SWITCHES, AND RECEPTACLES Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135. 00 135. 00 . 00 . 00 Plan Check Total .00 . 00 . 00 . 00 Grand Total 135. 00 135.00 . 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 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLA"C..CN.FLOAICA StaSS APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. 1. LOCATION Street Addhtr. (�� OF Intersecting SbOati: 110.008 -t�[',Y \ V C And ��• BUILDING Srbdhidon Il. IDENTIFICATION --To be completed by all applicants. In consideretioo of permit given for doing the work et described in the above statement.a hereby agree to perform said work in accordance with the attsc4d piens and specifications which an a part hereof and in eccordancs with the City of Jacksonville ordinances and standards of good.prectice listed therein. None of Mechanical Contractee Contractor(Print) �� 'f _ ^�' 1 Mach . t 3 Nome M Properly Owner _.,_. .? si9eeWn env mien of or Arth ed Agent Architect or Engineer III. L INFO A• Type of hes fvelt 8. IS OTHER CONSTRUCTION BEING DONE ON Eleetrie THIS BUILDING OR SITE? ❑ 6u_❑ LP ❑ Nahsrst Q Central Utility IF YES, GIVE NUMBER OF CON�SyTAU,C�ION ❑ Oft PERMIT ❑ Other—Specify IV. )ABG1MNi0Ai.IqUIPM11INT TO 111 INSTALUD NATURE OF WORK (Provide complete list of toreposenh on beck of this form) Residential or ❑ Commerclal Hut ❑ Span ❑ Recessed A�Control Q Flow ❑ New Building Nr ConddleaMlt Q Room ser.Control Existing Building rr lel ont gym= M,her6i TNk ❑ Replacement of existing system Muimvm capacity Uy 1 II,m, ❑ New Installation(No system previously Installed) ❑ Re(rigasettoo ❑ Extension or add-on to existing system Cl Cooling he a Capacity 94WA- ❑ Other—specify ❑ Fit* spri"Hom Nvmber of head• ❑ Save- 13 Maaliti ❑ Ew hies (nvmbor) THIS SACS POR OFF=USrE ONLY Q.Goselioe fwmps (rwnrbwl (Ras.led) (].•Tosis (8vmber) Remarie ❑ LPG coatale-- (nvmbwl ❑ Unfired presswe vaetat ❑ Lebon Permit Approved by Data.— C3 at•❑ OOW—'SpwJfy Permit Fe• L28T ALL EQUIPMENT ADt CONt)MONING AND REFRIGERATION EQUU%EKr Cappaaceitty Apa�vetps NtmtberUalta Desorlat sets 3[oGl Number xanutaatttrer (=L As�7' =5 F- CC)ncAG HEALING•FURNACES.BOILERS,FUXpO*`CES Ca Ayaa� Nltmbervdto DOWMption X41"NVmbor ][aautaatnter (I)S'iT)y ksea7� LA— A►'j..�', ` . LL— il.� TANKS Hover]taay Nmtnal CaPectty Type Ugn14 Nate of Serial App-wing and Dl>ea7oes Contattted Xodaogaes No. City of Atlantic Deash Building and Z09#rr$ City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/Ci.atIRntic-beach.fl-us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION,REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESS 1 1 1 L' J, Ark — APPLICANT /lI SS (/ ADDRESS Z1 , �S �Q� E? i��du�.._ IU 1 =5K� , PHONE: ��Z, -37f7 Lis L LEGAL DESCRIPTION: BLOCK NUMBER LOT �NUMBER ZONING DISTRICT CONTRACTOR CONTRACTOR �.(4 .�A�iS C�.� l �iu�� ;SSI.• qui %►-1� 5 STATE LICENSE NUMBER CD-C-656(fYb ADDRESS 16 ESI- S PHONE 1Z-7 ' -Z-1,Z-. CITY 11AK. STATE F71, ZIP j1LJQ_._ FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE 514t, pf�41Ld V �e1� ti ,.J I'St PRESENT USE OF LAND OR TILDING(S) 4 VALUATION OF PROPOSED CONSTRUCTION /'a e)08 -- Is this an addition? If yes, what are the dimensions of the added space: _feet by feet Will the added area be heated and cooled? 6 New electrical or increase in service? (IL5 New plumbing fixtures? New fireplace?IBJ New heating I air conditioning? z Is approval or Homeowner's Association or other private entity required? Nd if yes,please submit ith this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MA,, TRIAL" 4?,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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Ileal 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 6/18/02 STEP 3. Please submit 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 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area,calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. XSIGNATURE OF OWNER — DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE 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 DATE 3C �L ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS r In 1" I5 ! PHONE Z -2.�2�� FAX 1.3 E-MAIL (SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF 5 C�_ 2 �� STATE OF FLORIDA,COUNTY OF DUVAL ` NOTARY'S SIGNATURE +(AS TO OWNER: ❑ Personally known �Pioduced identification ��. .� LEO C.HARMON Type of identification produced $ Notary Public,State of Florida My comm.expires Jan.27,2006 No.DD86603 AS TOC ❑ Personally known Produced identification Type of identification produced LEO C.HARMON �*+r p`° Notary Public,State of Florida 6/18/02 $�� My comm.expires Jan.27,2006 No.DD86603 WATER IMPACTF^^EE WORK SHEET ADDRESS: &r(-f /%r DRAINAGE FIXTURE UNIT FIXTURE TYPEVALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting.of water closet, lavatory., f bidet, and,bathtub or shower 6 h Bathtub (With or without overhead shower or whirlpool ' attachments) 2 Z-- Bidet 2 Combination sink and-tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountain 1/2 Floor drains 2 Kitchen sink, domestic. 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public orprivate 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS = MULTIPLIED x 20 TOTAL$ 166 ayf exfq ED City of Ajjjaptic -e . . ._ g gb City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.1l.us l�ro✓�� .a.��caua �r ea Ca�c - �h S� tlz✓v`''�"�1, p BUILDING PERMIT APPLICATION C FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) 1U,2 JOB ADDRESS I �� r'`,Qpq'r DATE 9/10/07- APPLICANT Mork Nf-NAA G'sS(,i �` '/ ADDRESS Z 6 LAA UR de ROLL 4IO 1 ,7w,f6k.V PHONE: �7Z -3707-7 ZZs t? LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER l� ZONING DISTRICT CONTRACTOR .(.�Ru�s C�?,J3+rlx,t '►��► � ,. J�rJ UiS STATE LICENSE NUMBER Q6-Ct)56(PYb ADDRESS ISO$ fS�- PHONE ZZ-7 - 7 Z, CITY --Slax. Lh. STATE 1. ZIP FAX ?-Y 7-6S( 3 DESCRIBE PROPOSED USE AND WORK TO BE DONE S► l �f A C�� U'.J 1.11 ( PRESENT USE OF LAND OR ING(S) <j x r Le, h wo k L� �pjN^X- VALUATION OF PROPOSED CONSTRUCTION Q,tt)L) b Is this an addition? If yes, what are the dimensions of the added space: �_feet by—7-2 feet Will the added area be heated and cooled? New electrical or increase in service? IJL New plumbing fixtures? New fireplace? New heating/air conditioning?.: Is approval or Homeowner's Association or other private entity required? A)d If yes,please sub t lith this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? je�XO._,Applicant certifies that no change in site grade or fill material will be used"' this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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 6/t=2 sT+P5 a ° a e. V.>� 9 *o D COVERED _— 383 CONCOyCRo LOT 5 STOOP 20.0' C Z q 41 � C QORE° WAY q T ° qa eq 0.1' q FND 1/2" I.P.(NO ID)IVE 87.Wc'22~W 114.01' (� FND 1/2" I.P.. (P) (NO ID) 115.80 LOT 4 LOT 10 THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS BASED ON ASSUMED DATUM ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS ON THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE "X" AS SHOWN ON FLOOD INSURANCE RATE MAP 120075 0001 FOR THE CITY OF ATLANTIC BEACH. FLORIDA, F.I.R.M EFFECTIVE DATE APRIL 17. 1989, ALL AMERICAN SURVEYORS OF FLORIDA , INC. LAND SURWWRS - 6820 SOUrHP&A7 PARKWAY, SUI7E 4 - .41CX30hWLLE. FLORIDA .32216 - 904/279-0088 - LKEAISED 8aSWSS NO. 3857 FND. ■ FOUND egen ESU' • EASEMENT ACOS • ARMY CORPS DF ENGINEERS THE ABOVE LANDS WERE SURVEYED UNDER MY SPONSLf �3'iIPERVISION AND DIRECTION, CONIC CONCRETE i t - ,IURISDICTIONM. WETuwDS LINE THAT THERE ARE NO ENCROACHMENTS EXCfK A SHOWN 3,N0 'PAT THE SURVEY SHOWN -4 LID. N. = MONUMENT P.R.M. ■ PERMANENT REFERENCE HEREON MEETS THE MINIMUM TECHNICAL STAI`4bAPdS SET FORvH 1%Y THE FLORIDA BOARD - LR. IRON ROD P.T. PONT MONUMENTPE TANGENCY OF PROFESSIONAL SURVEYORS AND MAPPERS PUR>aIJ47 70 Ct�IAPTER 472.027 / CHAPTER Ton . TANGENT DISTANCE P.C.P. ■ PERMANENT CONTROL PANT 61617-6, FLORIDA, STATUTES. ALL n ■ DELTA ANGLE P.C. • PONT Of CURVE AMER/CAN CH - CHORD P.R.C. • PONT of REVERSE CURVESURVEYORS A - ARC LENGTH P.C.C. PONT OF COMPOUND CURVE SURVEY NOT VALID UNLESS EMBOSSED BY SEAL S MOORS R RADIUS B.R.I. BUILDING RESTRICTION 1441ES D. HARRISON. JR. ACT,) - ACTUAL tJIE INC. P) . PUT U.D.E UNOBSTRUCTED DRAINAGE R ■ RADIAL LINE EASEMENT SCALE 1".20' CENTER LINE L.S./ LAND SURVEYOR NUMBER R/W RIOHT-OF-WAY P.L ■ PONT OF INTERSECTION _ _-9 -Y- FENCE EOW ■ EDGE Of WATER DATE 8-19-02 ORIOA REGI57ERE SURVEYOR AND MAPL—.� (W) ■ WITNESS TOB ■ TOP of BANK 2647 -8 F.B. 993.21 DR. BY TAF DIR. Codsery\Dw9\2002\02-147 FILE 2-1473 ORDER MO. 02-1473 MAP SHOWING BOUNDARY SURVEY OF LOT 11 BLOCK 43 AS SHOWN ON MAP OF ATLANTIC BEACH CORPRA TION, A REPLA T OF MA YPORT TERMINAL COMPANY'S MAP AS RECORDED IN PLAT BOOK 6 PAGE 1 OF THE CURRENT PUBLIC RECORDS OF DUVAL CO.. FLA. CERTIFIED TO: D.L. DAVIS CONSTRUCTION 12TH STREET (40' R/W) --- .— FND 112" I.P. "3672" A t0 Cp 01 LOT 12 f LOT 6 117.05' (P) FND 112" I.P. N87010'01"E 116.24' (AC1) FND 1/<^" I.P. "3672" "3672" X19.2' NCRETFc16.3* 4 m u w w 6.7' _9.6' QQ Z W 12.1 PAD a ►n N � d u 2 STORY FRAME o o 8.0' o_ 46.6' z ii 12.2' RESIDENCE �� LOT 11 41 •• Book 10658 Page-a022 PHONE P'NO'TICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom.it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following Information is stated In this NOTICE OF COMMENCEMENT. 1 Legal description of property being improved: 1i _ A ( 19 t)CLk 9 � 1 64A41<. �,p idl G-, . ,Qbaltl) Address of property being improved: i IV1L{ ic, 41XJ1c tS 1 General description of improvements: Alw)l ft t)!A Owner 1C..., "( Address 1 a SbK.I�l 6 C F 7ZS-0 Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address contractor_ `b4 S :lr' GScsJIS �.[11dST�LIc•fl o'� lA9 __ Address x �c�k. f"(� lzzsb Phone No. Yds-z 3 7 F LZ-2.Z. Fax No. �7d� z � - f Surety(if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name _ Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon.whom notices or other documents may be served: Name Address Phone No. Fax No. (� In addition to himself, owner designates the following person to receive a copy of the Lienor's Noticeas provided in, Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). •. Name Address Phone No. Fax No. Expiralion date of.Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different dale is specified): THIS SPAr:F FnR RFCflI7nC17c•1ICC /lAll v I --- STEP 3. Please submit 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 �` 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER c DATE / 30 d"2 1 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 DATE 913616 Z ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME D—O ` �j a)�J , r J lS MAILING ADDRESS C toFf5b 7 3--L-)PHONE _Z2ZZ FAX Zy `lnS�,3 E-MAIL '(SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF 5CT>' C'Z STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE <AS TO OWNER: ❑ Personally known Z3-,ZToduced identification �. .� LEO C.HARMON Type of identification produced �� Notary Public,State of Florida My comm.expires Jan.27,2006 No.DD86603 AS TOC ❑ Personally known Produced identification Type of identification produced ,G�� LEO C.HARMON kv* Notary Public,State of Florida 6/18/02 My comm.expires Jan.27,2006 No.DD86603 Ct 2- 0 � City of Atlantic g 13044g 'J04 Z9, City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) JOB ADDRESS I L/ �U�. DATE 9 3oo APPLICANT J�✓I,�t I'C N�N�� ss 1,/ ADDRESS 7 it L34A Ede Rja,, 4 o 17�A&Vd\.,V PFIONE: �(7Z -37" LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER j� ZONING DISTRICT CONTRACTOR .�Ry13 ��s�3+rt�t t,;,► .'-t.. J � UiS STATE LICENSE NUMBER Q -Ct1S�C�Y�( ADDRESS fSF S PHONE _Zr � - Z� Z, CITY NAk. Q V\. STATE V-71. ZIP )7,Z,50 FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE Sl (Q �p N fb Sty LLL • '% VA h:T5 b&AQI PRESENT USE OF LAND OR ING(S) �j,_cV, h vw.,6 kp&�, VALUATION OF PROPOSED CONSTRUCTION I60, 0 bb— Is this an addition? 4&,.S. If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? 1 Qjb New electrical or increase in service? OL$ New plumbing fixtures? 44New fireplace? 1~D New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? A)l7 If yes, please suk mit ith this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATJRIAL? A:fMO._A-pplicant 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. Y PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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 6/18/02 Harris, Patricia From: Showman, Lisa Sent: Monday, October 21, 2002 8:22 AM To: Harris, Patricia Subject: 1174 Beach Ave. A. To answer your question regarding the permit application status on the above j referenced project.... ^ I sent a letter on October 10th requesting a proposed grading plan and impervious area calculations, and asked that this information be sent to Bob's attention. To date we have ` not received anything. Cj- Schlueter, Jennifer From: Kosoy, Robert Sent: Wednesday, October 23, 2002 4:23 PM To: Schlueter, Jennifer Cc: Showman, Lisa Subject: RE: 1174 Beach Jenny, No proposed grading plan will be required and we approve the project. Lisa will update our comments tomorrow. Bob -----Original Message----- From: Schlueter,Jennifer Sent: Wednesday,October 23,2002 1:01 PM To: Kosoy,Robert Subject: RE: Thanks Bob! I will call and let Dean know. Jenny -----Original Message----- From: Kosoy,Robert Sent: Wednesday,October 23,200212:22 PM To: Schlueter,Jennifer Cc: Deming,James Subject: RE: Jenny, I need to look at this property, but will not have a chance until late today or tomorrow morning. Bob -----Original Message----- From: Schlueter,Jennifer Sent: Wednesday,October 23,2002 12:18 PM To: Kosoy,Robert Cc: Showman,Lisa Subject: Bob, Dean Davis just called me regarding 1174 Beach Avenue. Are you still awaiting any information from him to approve his permit? Please let me know an update when you have a chance. Thanks, Jenny 1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date %4 /d a 2— Heated Heated Square Footage @ $ per sq ft= $ Garage/ Shed @$ per sq ft= $ Carport(Porch @$ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 166 006 Total Valuation ls` $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + % Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $15.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON 14P50050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ 5 OTHER $ GRAND TOTAL DUE: $ r SEER RATINGS BTUs 0 SEER SEER HSPF Cooling Heating 38YCC018/FA4ANF018 10 7 17000 17500 38YCC018/FA4ANF024 10.1 7.2 18000 18000 38YCC018/FC4BNF024 10.1 7.2 18000 18000 38YCCO24/FA4ANF024 10 7 22600 22800 38YCCO24/FA4ANF030 10 7 22800 22800 38YCCO24/FC4BNF024 10 7 22600 22800 38YCCO24/FC4BNF030 10 7 22800 22800 38YCCO24/FK4CNF001 11.1 7.2 23000 22000 38YCCO24/FK4CNF002 11.1 7 23200 21000 38YCC030/FA4ANF030 10 7.2 28200 29000 38YCC030/FA4ANF036 10 7.2 28400 29200 38YCC030/FC4BNF030 10 7.2 28200 29000 38YCC030/FC4BNF036 10 7.2 28400 29200 38YCC030/FK4CNF001 10.5 7.3 28200 28000 38YCC030/FK4CNF002 11 7.5 28400 28200 38YCC030/FK4CNF003 11 7.5 28800 28000 38YCC036/FA4ANF036 10 7.2 34200 35000 38YCC036/FA4ANF042 10.2 7.4 34800 35200 38YCC036/FC4BNF036 10 7.2 34200 35000 38YCC036/FC4BNF042 10.2 7.4 34800 35200 38YCC036/FK4CNF001 11 7.5 33800 34000 38YCC036/FK4CNF002 11 7.5 33800 34000 38YCC036/FK4CNF003 11.5 7.5 34200 34000 38YCC042/FA4ANF042 10 7.2 40500 42000 38YCC042/FA4ANF048 10 7.2 41000 42000 38YCC042/FC4BNF042 10 7.2 40500 42000 38YCC042/FC4BNF048 10 7.2 41000 42000 38YCC042/FK4CNF003 10.5 7.4 40000 41500 38YCC042/FK4CNF005 11 7.5 41000 41000 38YCC048/FA4ANF048 10 7.2 46000 47000 38YCC048/FA4ANF060 10.3 7.5 46500 47000 38YCC048/FC4BNF048 10 7.2 46000 47000 38YCC048/FC4BNF060 10.3 7.5 46500 47000 38YCC048/FK4CNF005 11 7.5 46000 46000 38YCC048/FK4CNB006 11.2 7.6 47000 46000 38YCC060/FA4ANF060 10.1 7.5 56000 58000 38YCC060/FC4BNF060 10.2 7.5 56000 58000 38YCC060/FK4CNB006 11 7.6 56000 53000 YC C 0 SEER 38YKC018/FA4ANF018 10.1 6.8 17000 17500 38YKC018/FA4ANF024 10.5 7 17500 18000 38YKC018/FC4BNF024 10.5 7 17500 18000 38YKCO24/FA4ANF024 10.4 7 23400 23400 38YKCO24/FA4ANF030 10.5 7 24000 23400 38YKCO24/FC4BNF024 10.4 7 23400 23400 38YKCO24/FC4BNF030 10.5 7 24000 23400 38YKCO24/FK4CNF001 11.5 7.2 24000 22600 38YKCO24/FK4CNF002 11.5 7.5 24000 22800 38YKC030/FA4ANF030 10.5 7.2 29400 29600 38YKC030/FA4ANF036 10.5 7.2 29800 30000 38YKC030/FC4BNF030 10.5 7.2 29400 29600 38YKC030/FC4BNF036 10.5 7.2 29800 30000 38YKC030/FK4CNF001 11.5 7.5 29400 28800 38YKC030/FK4CNF002 11.5 7.5 29600 29200 38YKC030/FK4CNF003 11.7 7.5 30000 28800 38YKC036/FA4ANF036 10 7.2 35400 36000 38YKC036/FA4ANF042 10.5 7.2 36000 36200 38YKC036/FC4BNF036 10 7.2 35400 36000 38YKC036/FC4BNF042 10.5 7.2 36000 36200 38YKC036/FK4CNF001 11 7.2 35200 34600 38YKC036/FK4CNF002 11 7.5 35400 35200 38YKC036/FK4CNF003 11.5 7.5 36000 34600 38YKC042/FA4ANF042 10 7.2 42000 43000 38YKC042/FA4ANF048 10.5 7.5 42000 43500 38YKC042/FC4BNF042 10 7.2 42000 43000 38YKC042/FC4BNF048 10.5 7.5 42000 43500 38YKC042/FK4CNF003 11 7.5 41500 41500 38YKC042/FK4CNF005 11.5 8 43000 42500 38YKC048/FA4ANF048 10.5 7.8 46000 50000 38YKC048/FA4ANF060 10.5 8 47500 50500 38YKC048/FC4BNF048 10.5 7.8 46000 50000 38YKC048/FC4BNF060 10.5 8 47500 50000 38YKC048/FK4CNF005 11.5 8 47500 49500 38YKC048/FK4CNB006 11.7 8.5 48000 49500 38YKC060/FA4ANF060 10.6 7.6 56500 61000 38YKC060/FC4BNF060 10.6 7.6 56500 61000 38YKC060/FK4CNB006 11.5 8 57000 60000 v 12 SEER 38BYC018/FC4BNF024 12 7.5 18800 17800 38BYCOl8/FK4CNF001 13.2 8 18800 17200 38BYC018/FK4CNF002 13.5 8 19000 17300 38BYCO24/FC4BNF024 11.7 7.5 22600 23600 38BYCO24/FC4BNF030 12 7.5 23000 23600 38BYCO24/FK4CNF001 13 7.8 23200 23600 38BYCO24/FK4CNF002 13.2 8 23600 23600 38BYCO24/FK4CNF003 14 8 23800 23600 38BYC030/FC4BNF030 12.2 7.5 28000 29200 38BYC030/FK4CNF001 13.5 7.9 28600 29000 38BYC030/FK4CNF002 13.5 8 28600 29000 38BYC030/FK4CNF003 14 8.1 29200 28800 38BYC036/FC4BNF042 12.1 8 33800 35800 38BYC036/FK4CNF001 12.2 7.8 33200 35000 38BYC036/FK4CNF002 12.3 8 33400 35000 38BYC036/FK4CNF003 13 8 33600 35000 38BYC036/FK4CNF005 14 8 35000 33400 38BYC042/FC4BNF048 12 8 40000 43000 38BYC042/FK4CNF003 13 7.8 39500 41500 38BYC042/FK4CNF005 13.5 8 41500 42000 38BYC042/FK4CNB006 14 8.3 42000 42000 38BYC048/FC4BNF060 11.7 7.8 47500 48000 38BYC048/FK4CNF005 13 8 48000 48000 38BYC048/FK4CNB006 13.5 8.2 48000 48000 38BYC060/FC4BNF060 11.2 7.5 56500 60000 38BYC060/FK4CNB006 12 8 59000 60000 l3 YC PURON 13 SEER 38YZA018/FV4ANF002 13.5 7.2 17400 16800 38YZA018/FX4ANF018 12 7.3 17000 17200 38YZA024/FV4ANF002 13 7.6 24400 24000 38YZA024/FV4ANF003 13.5 7.6 24400 24000 38YZA024/FX4ANF030 12 7.4 24400 24600 38YZA030/FV4ANF002 13.5 8.2 28400 28000 38YZA030/FV4ANF003 13.8 8.1 28400 28000 38YZA030/FX4ANF030 12.3 7.8 28400 29000 38YZA036/FV4ANF003 13.5 8.2 34000 35200 38YZA036/FV4ANF005 14 8.5 35000 35000 38YZA036/FX4ANF036 12.5 8 34000 37000 38YZA042/FV4ANF003 13 7.7 40500 40500 38YZA042/FV4ANF005 13.5 8.1 41000 40000 38YZA042/FX4ANF042 12 7.6 40500 41500 38YZA048/FV4ANF005 13 8.2 45500 47500 38YZA048/FV4ANB006 13.5 8.3 46500 48000 38YZA048/FX4ANF048 12 8 45000 48000 38YZA048/FX4ANB060 12.2 8.1 45500 48000 38YZA060/FV4ANB006 12.5 8 57500 60000 38YZA060/FX4ANB060 12 7.8 57000 60000 PURON 15 SEER 38YDB024/FV4ANF002 14 7.8 24000 21000 38YDB024/FV4ANF003 14 7.8 24000 20600 38YDB036/FV4ANF002 14.5 8.3 34000 33400 38YDB036/FV4ANF003 15 8.5 34600 32600 38YDB036/FV4ANF005 15.5 8.6 36000 33000 38YDB036/FV4ANB006 16 8.8 36000 33600 38YDB048/FV4ANF005 14 8.7 45500 42500 38YDB048/FV4ANB006 14.5 9 46500 43000 38YDB060/FV4ANB006 14.5 8.1 60000 57000 \7-z/Y/)g FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Hennessey Residence Builder: Dean Davis Address: 1174 Beach Ave. Permitting Office: Atlantic Beach City, State: Atlantic Beach, FL Permit Number: Owner: Jurisdiction Number: Climate Zone: North 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:30.8 kBtu/hr _ 3. Number of units,if multi-family 1 _ SEER: 10.10 _ 4. Number of Bedrooms 4 _ b. Central Unit Cap:30.8 kBtu/hr 5. Is this a worst case? No _ SEER: 10.10 _ 6. Conditioned floor area(W) 2630 ft' c. N/A _ 7. Glass area&type a. Clear-single pane 0.0 ft' _ 13. Heating systems b. Clear-double pane 641.0 ft' _ a. Electric Heat Pump Cap:29.8 kBtu/hr _ c. Tint/other SHGC-single pane 0.0 fe _ HSPF:6.80 _ d. Tint/other SHGC-double pane 0.0 ft, b. Electric Heat Pump Cap:29.8 kBtu/hr 8. Floor types _ HSPF:6.80 _ a. Slab-On-Grade Edge Insulation R=0.01 149.0(p)ft _ c. N/A _ b.N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:50.0 gallons a. Frame,Wood,Exterior R=19.0, 1974.0 ft' _ EF:0.92 _ b. Frame,Wood,Adjacent R=19.0,99.0 W 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. Under Attic R=30.0, 1315.0 ft2 _ 15. HVAC credits MZ-C,MZ-H _ 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:Interior Sup.R=6.0,25.0 ft _ MZ-C-Multizone cooling, b. Sup:Unc. Ret:Unc. AH:Attic Sup.R=6.0,25.0 ft MZ-H-Multizone heating) Glass/Floor Area: 0.24 Total as-built points: 36379 PASS Total base points: 36706 I hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida specifications covered by this 4ok zxE sT = 921 Energy Code. calculation indicates compliance with the Florida Energy Code. PREPARED BY: Ocean State HVAC Before construction is completed R� DATE: %-/o- y -� this building will be inspected for I hereby certify that this buildf g as i ned, is in compliance with Section 553.908 ✓4,c Sys compliance with the Florid En g od Florida Statutes. on wa OWNER/A(?TET: BUILDING OFFICIAL: DATE: !� Z DATE: EnergyGaugeO(Version: FLRCPB v3.21) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1174 Beach Ave., Atlantic Beach, FL, 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 2630.0 20.04 9486.9 Double,Clear S 2.0 12.0 40.0 34.50 0.94 1298.4 Double,Clear S 1.5 16.0 28.0 34.50 0.99 957.9 Double, Clear W 4.0 9.5 96.0 36.99 0.78 2786.5 Double,Clear W 1.5 13.0 4.0 36.99 0.99 147.1 Double, Clear W 1.5 17.0 18.0 36.99 1.00 663.0 Double,Clear N 1.5 17.0 18.0 19.22 0.99 344.1 Double, Clear N 1.5 17.0 18.0 19.22 0.99 344.1 Double, Clear N 1.5 12.0 4.0 19.22 0.99 76.0 Double, Clear E 9.0 8.0 36.0 40.22 0.49 702.8 Double, Clear E 9.0 10.0 48.0 40.22 0.54 1048.0 Double, Clear S 1.5 14.0 28.0 34.50 0.99 956.2 Double, Clear N 9.0 8.0 18.0 19.22 0.69 238.9 Double,Clear E 1.5 9.7 40.0 40.22 0.98 1574.0 Double, Clear E 9.0 8.7 80.0 40.22 0.51 1642.2 Double, Clear S 9.0 6.0 55.0 34.50 0.47 897.8 Double, Clear S 1.5 6.0 18.0 34.50 0.86 531.7 Double, Clear S 1.5 6.0 28.0 34.50 0.86 827.0 Double,Clear W 1.5 8.7 17.0 36.99 0.97 609.0 Double,Clear W 1.5 6.0 9.0 36.99 0.91 304.0 Double, Clear W 9.0 6.0 28.0 36.99 0.45 464.7 Double,Clear N 9.0 4.0 4.0 19.22 0.61 47.1 Double, Clear N 9.0 5.0 6.0 19.22 0.63 72.8 As-Built Total: 641.0 16533.4 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 99.0 0.70 69.3 Frame,Wood, Exterior 19.0 1974.0 0.90 1776.6 Exterior 1974.0 1.70 3355.8 Frame,Wood,Adjacent 19.0 99.0 0.40 39.6 Base Total: 2073.0 3425.1 As-Built Total: 2073.0 1816.2 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total: 0.0 0.0 1As-Built Total: 0.0 0.0 EnergyGauge@ DCA Form 60OA-2001 EnergyGauge@/FlaRES'2001 FLRCPB v3.21 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1174 Beach Ave.,Atlantic Beach, FL, PERMIT#: BASE AS-BUILT CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1315.0 1.73 2274.9 Under Attic 30.0 1315.0 1.73 X 1.00 2274.9 Base Total: 1315.0 2274.9 As-Built Total: 1315.0 2274.9 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 149.0(p) -37.0 -5513.0 Slab-On-Grade Edge Insulation 0.0 149.0(p -41.20 -6138.8 Raised 0.0 0.00 0.0 Base Total: -5513.0 As-Built Total: 149.0 -6138.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 2630.0 10.21 26852.3 2630.0 10.21 26852.3 Summer Base Points: 36526.3 Summer As-Built Points: 41338.0 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) 41338.0 0.500 (1.090 x 1.147 x 0.91) 0.338 0.950 8378.6 41338.0 0.500 (1.090 x 1.147 x 1.11) 0.338 0.950 8378.6 36526.3 0.4266 15582.1 41338.0 1.00 1.263 0.338 0.950 16757.1 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1174 Beach Ave., Atlantic Beach, FL, PERMIT#: BASE AS-BUILT FGLASSPESditioned X BWPM = Points Overhang oor Area Type/SC Ornt Len Hgt Area X WPM X WOF= Points .18 2630.0 12.74 6031.1 Double, Clear S 2.0 12.0 40.0 4.03 1.03 165.3 Double, Clear S 1.5 16.0 28.0 4.03 1.00 112.3 Double,Clear W 4.0 9.5 96.0 10.77 1.06 1099.8 Double,Clear W 1.5 13.0 4.0 10.77 1.00 43.1 Double,Clear W 1.5 17.0 18.0 10.77 1.00 194.0 Double, Clear N 1.5 17.0 18.0 14.30 1.00 257.4 Double, Clear N 1.5 17.0 18.0 14.30 1.00 257.4 Double, Clear N 1.5 12.0 4.0 14.30 1.00 57.2 Double, Clear E 9.0 8.0 36.0 9.09 1.32 432.4 Double,Clear E 9.0 10.0 48.0 9.09 1.26 549.1 Double, Clear S 1.5 14.0 28.0 4.03 0.99 112.2 Double, Clear N 9.0 8.0 18.0 14.30 1.02 262.6 Double, Clear E 1.5 9.7 40.0 9.09 1.01 368.3 Double, Clear E 9.0 8.7 80.0 9.09 1.29 941.0 Double,Clear S 9.0 6.0 55.0 4.03 3.28 726.1 Double, Clear S 1.5 6.0 18.0 4.03 1.12 81.1 Double, Clear S 1.5 6.0 28.0 4.03 1.12 126.1 Double, Clear W 1.5 8.7 17.0 10.77 1.01 184.5 Double, Clear W 1.5 6.0 9.0 10.77 1.02 99.2 Double, Clear W 9.0 6.0 28.0 10.77 1.20 363.0 Double,Clear N 9.0 4.0 4.0 14.30 1.03 58.7 Double, Clear N 9.0 5.0 6.0 14.30 1.02 87.9 As-Built Total: 641.0 6578.8 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 99.0 3.60 356.4 Frame,Wood, Exterior 19.0 1974.0 2.20 4342.8 Exterior 1974.0 3.70 7303.8 Frame,Wood,Adjacent 19.0 99.0 2.20 217.8 Base Total: 2073.0 7660.2 As-Built Total: 2073.0 4560.6 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total: 0.0 0.0 1 As-Built Total: 0.0 0.0 EnergyGaugeO DCA Form 60OA-2001 EnergyGauge@/FlaRES'2001 FLRCPB v3.21 i FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1174 Beach Ave.,Atlantic Beach, FL, PERMIT#: BASE AS-BUILT CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1315.0 2.05 2695.8 Under Attic 30.0 1315.0 2.05 X 1.00 2695.8 Base Total: 1315.0 2695.8 As-Built Total: 1315.0 2695.8 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 149.0(p) 8.9 1326.1 Slab-On-Grade Edge Insulation 0.0 149.0(p 18.80 2801.2 Raised 0.0 0.00 0.0 Base Total: 1326.1 As-Built Total: 149.0 2801.2 INFILTRATION Area X BWPM = Points Area X WPM = Points 2630.0 -0.59 -1551.7 2630.0 -0.59 -1551.7 Winter Base Points: 16161.5 Winter As-Built Points: 15084.7 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) 15084.7 0.500 (1.069 x 1.169 x 0.93) 0.501 0.950 4557.6 15084.7 0.500 (1.069 x 1.169 x 1.10) 0.501 0.950 4557.6 16161.5 0.6274 10139.7 15084.7 1.00 1.268 0.501 0.950 9115.1 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 1174 Beach Ave.,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 4 2746.00 10984.0 50.0 0.92 4 1.00 2626.61 1.00 10506.4 As-Built Total: 10506.4 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 15582 10140 10984 36706 1 16757 9115 10506 36379 PASS �yp4,THE ST�r�G.n EnergyGaugeTM DCA Form 60OA-2001 EnergyGauge@/FIaRES'2001 FLRCPB v3.21 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 1174 Beach Ave.,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/s .ft.window area; .5 cfm/s .ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from,and is sealed to,the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker electric or cutoff as must be provided. External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a pump timer. Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min. R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.21 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 82.0 The higher the score,the more efficient the home. 1174 Beach Ave.,Atlantic Beach, FL, 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:30.8 kBtu/hr _ 3. Number of units,if multi-family 1 _ SEER: 10.10 _ 4. Number of Bedrooms 4 - b. Central Unit Cap:30.8 kBtu/hr _ 5. Is this a worst case? No _ SEER: 10.10 _ 6. Conditioned floor area(ft) 2630 W c. N/A 7. Glass area&type _ a. Clear-single pane 0.0 fe _ 13. Heating systems b. Clear-double pane 641.0 W _ a. Electric Heat Pump Cap:29.8 kBtu/hr _ c. Tint/other SHGC-single pane 0.0 ftz _ HSPF:6.80 _ d. Tint/other SHGC-double pane 0.0 ft? b. Electric Heat Pump Cap:29.8 kBtu/hr 8. Floor types _ HSPF:6.80 _ a. Slab-On-Grade Edge Insulation R=0.0, 149.0(p)ft _ c. N/A b.N/A _ c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:50.0 gallons _ a. Frame,Wood,Exterior R=19.0, 1974.0 W _ EF:0.92 _ b.Frame,Wood,Adjacent R=19.0,99.0 W _ 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. Under Attic R=30.0, 1315.0 W _ 15. HVAC credits MZ-C,MZ-H _ 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:Interior Sup.R=6.0,25.0 ft _ RB-Attic radiant barrier, b. Sup:Unc. Ret:Unc. AH:Attic Sup.R=6.0,25.0 ft MZ-C-Multizone cooling, 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) THE sT in this home before final inspection. Otherwise,a new EPL Display Card will be completed 4%, = 9r`�o.� based on installed Code compliant features. Builder Signature: Date: - o Address of New Home: City/FL Zip: 0D WF *NOTE: The home's estimated energy performance score is only available through the FLA/R_FAS computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStarTmdesignation), your home may qualify for energy efficiency 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 v3.21) 4 ESID�NC�' HE NN SE- R I HV A I i ,1 i Nc prep erred BY 1 1 Rick ick Ja 1 State H eating Air COndltionin9 ocean 1 1 476 Atlantic Boulevard Neptune Beach,FL 32266 (944)249-8251 1 g_�6.02 i t t RIAWAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Hennessey Residence Neptune Beach,FL 32266-1798 9-16-02 Page 2 Project Summary Project: Hennessey Residence Company: Ocean State Heating &Air Conditioning Client: Dean Davis Representative: Rick Janousek Address: 1901 1st Street N. Address: 1476 Atlantic Boulevard City: Jacksonville Beach, FL 32250 City: Neptune Beach, FL 32266 Phone: 237-2222 Phone: (904) 249-8251 Fax: 247-6513 Fax: (904) 249-8949 Comment: Design Data Project Name: Hennessey Residence Reference City: Jacksonville, Florida Daily Temperature Range: Medium Latitude: 30 Degrees Elevation: 26 Feet Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum. Dry Bulb Difference Winter: 27 N/A N/A 72 N/A Summer: 96 78 50% 75 51 Check Figures Total Building Supply CFM: 1,976 CFM per square foot: 0.751 Square feet of room area: 2,630 Square feet per ton: 559.536 Building Loads Total heating required with outside air: 54,101 Btuh 54.101 MBH Total sensible gain: 43,431 Btuh 86 % Total latent gain: 6,874 Btuh 14 % Total cooling required with outside air: 50,305 Btuh 4.192 Tons (based on sensible +latent) 4.700 Tons (based on 77% sensible capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Monday,September 16,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Hennessey Residence Neptune Beach,FL 32266-1798 9-16-02 Page 3 Total Building Summary Loads Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 320 10,443 0 10,002 10,002 80 Glass Door Double Clear Glass Metal Frame 168 5,481 0 7,339 7,339 91 French Door Double Clear Glass Metal Frame 153 5,191 0 8,137 8,137 12H Wall R-19 + 1/2"Gypsum Board(R-0.5) 1,974 5,332 0 2,917 2,917 13H Part R-19+ 1/2" GypsumBoard(R-0.5) 99 134 0 95 95 16G Ceiling R-30 Insulation 1,315 1,953 0 1,953 1,953 22A Slab on Grade No Edge Insulation 149 5,431 0 0 0 Subtotals for structure: 4,178 33,965 0 30,443 30,443 Active People: 6 0 1,380 1,800 3,180 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 3,600 3,600 Lighting: 0 0 0 0 0 Ductwork: 0 2,576 0 3,948 3,948 Infiltration: Winter CFM: 355.0, Summer CFM: 157.8 641 17,560 5,494 3,640 9,134 Ventilation:Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 43,431 Temperature Swing Multiplier: X1.00 Building Load Totals: 54,101 6,874 43,431 50,305 Check Figures Total Building Supply CFM: 1,976 CFM per square foot: 0.751 Square feet of room area: 2,630 Square feet per ton: 559.536 Building Loads Total heating required with outside air: 54,101 Btuh 54.101 MBH Total sensible gain: 43,431 Btuh 86 % Total latent gain: 6,874 Btuh 14 % Total cooling required with outside air: 50,305 Btuh 4.192 Tons (based on sensible + latent) 4.700 Tons (based on 77% sensible capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Monday,September 16,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Hennessey Residence Neptune Beach,FL 32266-1798 9-16-02 Page 4 System #1 Summary Loads Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 154 5,026 0 5,677 5,677 80 Glass Door Double Clear Glass Metal Frame 48 1,566 0 1,867 1,867 91 French Door Double Clear Glass Metal Frame 136 4,614 0 6,906 6,906 12H Wall R-19+ 1/2" Gypsum Board(R-0.5) 900 2,432 0 1,330 1,330 13H Part R-19 + 1/2" GypsumBoard(R-0.5) 99 134 0 95 95 22A Slab on Grade No Edge Insulation 149 5,431 0 0 0 Subtotals for structure: 1,486 19,203 0 15,875 15,875 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 1,200 1,200 Lighting: 0 0 0 0 0 Ductwork: 0 1,399 0 2,010 2,010 Infiltration: Winter CFM: 177.5, Summer CFM: 78.9 338 8,780 2,747 1,819 4,566 Ventilation: Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 22,104 Temperature Swing Multiplier: X1.00 System Load Totals: 29,382 3,667 22,104 25,771 Check Figures Supply CFM: 1,006 CFM per square foot: 0.765 Square feet of room area: 1,315 Square feet per ton: 549.701 System Loads Total heating required with outside air: 29,382 Btuh 29.382 MBH Total sensible gain: 22,104 Btuh 86 % Total latent gain: 3,667 Btuh 14 % Total cooling required with outside air: 25,771 Stuh 2.148 Tons (based on sensible + latent) 2.392 Tons (based an 77% sensible capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Monday,September 16,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Hennessey Residence Neptune Beach,FL 32266-1798 9-16-02 Page 5 System #2 Summary Loads Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 166 5,417 0 4,325 4,325 80 Glass Door Double Clear Glass Metal Frame 120 3,915 0 5,472 5,472 91 French Door Double Clear Glass Metal Frame 17 577 0 1,231 1,231 12H Wall R-19 + 1/2"Gypsum Board(R-0.5) 1,074 2,900 0 1,587 1,587 16G Ceiling R-30 Insulation 1,315 1,953 0 1,953 1,953 Subtotals for structure: 2,692 14,762 0 14,568 14,568 Active People: 2 0 460 600 1,060 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 2,400 2,400 Lighting: 0 0 0 0 0 Ductwork: 0 1,177 0 1,938 1,938 Infiltration: Winter CFM: 177.5, Summer CFM: 78.9 303 8,780 2,747 1,821 4,568 Ventilation: Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 21,327 Temperature Swing Multiplier: X1.00 System Load Totals: 24,719 3,207 21,327 24,534 Check Figures Supply CFM: 970 CFM per square foot: 0.738 Square feet of room area: 1,315 Square feet per ton: 569.729 System Loads Total heating required with outside air: 24,719 Btuh 24.719 MBH Total sensible gain: 21,327 Btuh 87 % Total latent gain: 3,207 Btuh 13 % Total cooling required with outside air: 24,534 Btuh 2.045 Tons (based on sensible + latent) 2.308 Tons (based on 77% sensible capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Monday,September 16,2002 RIHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Hennessey Residence Neptune Beach,FL 32266-1798 9-16-02 Page 6 Room Load Summary Reports System #1 Room Load Summary Htg Htg Run Run Clg Clg Clg Zone Clg Air Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM ---Zone 1--- 1 Foyer 128 3,168 41 0-0 0 1,476 325 67 1.35 91 67 2 Family 192 9,132 119 0-0 0 8,579 1,008 390 1.25 488 390 3 Guest 209 4,122 54 0-0 0 3,100 555 141 1.25 176 141 4 Bedroom 187 1,950 25 0-0 0 1,076 376 49 1.00 49 49 3 5 Bedroom 361 4,710 61 0-0 0 2,243 555 102 1.00 102 102 4 6 Office 198 6,300 82 0-0 0 4,310 848 196 1.05 206 196 7 Laundry 40 0 0 0-0 0 1,320 0 60 1.00 60 60 System 1 1315 29,382 382 22,104 3,667 1,006 1,172 1,006 Totals Main Trunk Size: 18x10 in. System#1 Cooling System Summary Cooling Sensible/Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Net Required: 2.148 86%/14% 22,104 3,667 25,771 Recommended: 2.392 77%/23% 22,104 6,602 28,706 System#1 Equipment Data Heating System Cooling System Monday,September 16,2002 *RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Hennessey Residence Neptune Beach,FL 32266-1798 9-16-02 Page 7 Room Load Summary Reports System#2 Room Load Summary Htg Htg Run Run Clg Clg Clg Zone Clg Air Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM ---Zone 1--- 8 Living/Di 576 14,569 189 0-0 0 10,795 1,750 491 1.05 516 491 ning 9 Sitting/P 169 1,683 22 0-0 0 1,004 163 46 1.25 57 46 owder 10 Master 420 7,479 97 0-0 0 6,239 1,240 284 1.25 355 284 Bed/Bath /WIC 11 Kitchen 150 988 13 0-0 0 3,289 54 150 1.00 150 150 System 2 1315 24,719 321 21,327 3,207 970 1,077 970 Totals Main Trunk Size: 18x10 in. System#2 Cooling System Summary Cooling Sensible/Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Net Required: 2.045 87%/13% 21,327 3,207 24,534 Recommended: 2.308 77%/23% 21,327 6,370 27,697 Monday,September 16,2002 STEP 3. Please submit 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 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. I. 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER 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 DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME �.:^�' �a`01 , )� MAILING ADDRESSn KJ �f5 `�� PHONE Z:� 7 -2;Z"--ZZ FAX Z, E-MAIL -,(SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF 5 c3�>�7—. � vZ STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE —i <AS TO OWNER: ❑ Personally known � oduced identification =State ON Type of identification produced f Florida.27,2006AS TOC 3 ❑ Personally known 4S:�_produced identification Type of identification produced �� P� LEO C.HARMON Notary Public,State of Florida 6/18/02 My comm.expires Jan.27,2006 No.DD86603 CITY OF ATLANTIC BEACH BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 904-247-5826 Application Number . . . . . 02-00024802 Date 9/16/02 Property Address . . . . . . 1174 BEACH AVE Application description . . VINE STRUCTURE PERMIT Property Zoning . p" TED Application valuat ' 0 Owner -4tol rac r HENNESSEY O . RS------ 23292329 COS - EONT �REET JAX BEA 32250 .GRED _;C SPRING FL 32043 (904) {904� ,t24 I ----------- ---------- -- ----,,- «, - ------------- Perm' VIN Addi. ional NG 3 OR• 4 FEET Pe fFee 00 Plan; Check .00 Iss a �� Valuation 0 s5 ' f Fe s imma Paid Credited e 77 -- --- � F,77 -- P t F TG�k Q 10(k. .0 0 00 - ---- A4�� x �� Pl n �� . 00 t Gr 'n , T � �4 }� .00 ... V - . � 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 bep us 02 11 :20a L,iRUE HOUSE MOVERS * SONS 9042848644 p. 3 City if Atlantic Reach 2500 Seminole Ruud -Atlantic Beach, Florida 37233-5405 rhotic: (904►2.47-5900 F,kX (904'1247-5605 BC; LDING PERMIT APPLICATION FOR 1;M;LE-FAMILY OR TWO-F&MILY (DUPLEX)CONSTRUCT)ON (IT-LUDING NEW CONSTRUCTION,UNIODEL, ADDITIONS AND ALTERA71ONS, MOVTNG OR DEMOLITION) DATE /yV2 J0%ADDRF'),`, A1'j11,jCANT A�')I)RFSS 50..A-\r\ P14ONE: Tz)t�— LEGAI LOT KFIZ ZONINACIDBTRICT CON-7RACIO)2 STAII L)CFNh-EN'U'1\i3ER !WtizFs', PHONE Cj,-y STATEDY YAX D0,"AIREPROPOSED USE AjND WORK 1-0 BE DONE pk,SENT USE OF L,'&ND OR laVILDLNG(S) !,.LLAT101N OF PROPOSED CONSTRUCTION his,:n idditionl )L4n If yea, what art the dimensions of thcaddcd spaze. 7'y New plLinbiral;rixium.0 New fif Lplarc^ NNW hearing i air approval of?iu=o*rcy,s Association or ot'ricr pnvatc entity required'' IF yk,s pfcaac sut*mt wab tnts apvlicanon. WILL THIS PROJECT INVOLVF. CHANCES IN ELEVATION, SITE GRADE OR kNY USE OF FILL YRIAL? (16eF j,,NQ._,Applicant certifies that no chungo in site grade or rill motorial will be w-cd on th;.'Prciect. ,'] Y ES. sce,13rep 2 bAnw. Approval of the public Wur"Ek-paitment is requirtd prior to tsruazcc of a Buoding Ycrrml PROCEDURE: (fia order to expeditt issuance of permits, please follow U11 steps and aa!;de n."I infimfeationnsappropriale.) CTE.,I. VC-rify-'Onmi;dcs gn.,lwn=d proper setbacks for the propused Cori wucti-or., if ycu wr Livi%ir of'.hi; com;,c: b,: planning and Lonme Depinmem at 90e.-247-5417. In orcicy iv co-recoy verity zoning dci,,gTi�,oun, plca,;: h;'vc PTvperiy Alpra;scT S Rezi E!smc,4umbvr jvAslabie S1 sl` Cgnj.rt the f-ity 017 ACamlik; L4(:Icb Dcr,r mcmcf ruhlc Works To determine tf AT)ft-OniT.rLCIW!) iNr post ron,tru:tion iGPo^,rah =! survey or gradin-. plan is tcqvim4 fif not mn,2.;trcd,WrItTICA yvniicwion must he provdcdw4, iji,s 17cpwmmi Fuhlw Works is 10c:AC d AL 1200 5 3—AptPer I-Lia,AAw1ttc Bcach.FL 3 2 23) Tc)ephoric'(:1{x41 24',.51534 Ll 8 3, Sep 09 02 11 : 21a LARNE HOUSE MOVERS * SONS 9042848644 p. 4 P.2 STEP 3. 'k+se submit Energy Code Foxtns,>+oda of CO nmcncematt.Owner/Contractor AEidsvit if owns is contractor,aad four(4)complete sets of construction plan,to the Building Depwt:nevt,which is located at the Atlantic Iimch City Hall„800 Seminole ROW-AtIMIC Scach,FL 32:33 Telephone:(9904;247.5826 In :.dditi-.n to co weruction and cngirnecrtng detail, plans must contain the following information as appropriate for the type of work being perform.-4. Soule of drawings shoold be su}Ticicm to depict all;c4uimd inforrrwtion in a clear and legible manner. I. (.,meat survey showing the property boundary with bcwmgi and d stainces and the legal description. Z. .ocwion of all structures,temporary wd pannancnt,including setbacks,building height,number of I'tones and s quare footage. Identify any existing structures and uses. 3 Existing and/or proposed driveways- 4. If required by the Department of Public Works,s pre-cormtYumon topographical sL•Tvey- �. Any sibniicArd ctivirontna+tal features,including any junsdicnotml wctl:nds.CCCL natural water bodies. 6. Impervious Sorfree area calculations. (Swinemiug pools may be excdtded from total Imptr�ioas SvrfaeL) 7. Otbcr information as:n:ty be appropriate for itdividuW applications. 1 IIER"V CERTIFY TliAT ALL INF471- TION P OVIDED WITH THIS APPLICATION IS CORRECT. SiCNA•I'URE OF OWNER ._! DATE I HEREBY CyltTIF'Y THAT I IIAVF READ AND E?XkMINED TRI AP KATION ANO IC14OW THE SAME TO BE TRUE AND CORk.EC.T. ALL PROVISIONS OF THE LAWS AND ORDINANCLS VERNING 711I5 TYPE OF WORK WILL Bi COINrLIED WITH,WHF.TIiLK SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO Civic AUTHORITY 1'0 VIOLATE 01t CANCEL THE PROVISIONS OF ANY FLIDERAL,STATEOR LOCAL RVI.F.S, RIEGCI.AT10NS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PLRFORMANCI:OF CONSTRUCTION OF THE PROPERTY. I L;NDE12STAN0 THAT THE ISSUANCE OF THIS PERMIT IS CONMGENT UPON THE ABOVE INFORMATION BEING TRL9 AND CORRECT ANI) 'THAT THE pLA.NS AND SUPPORTING DATA HAVE BEEN OR SHALL ITE PROVIDED AS REQUIRED. SIGNATURE Of COIN*ncACTOR _ AATE ADDRESS AND CONTACT INFORMATION OF PERSON To RECEIVE ALL CORRESPONDENCE Rb;GARDING TII1S APPLICATION (rLEASE PI JNT) NAME L4� G� Y • �..aJ�y.R` ," _ � ° e`4 t^�.hfZIl1I`�� " �• —,aa`-3=-= MAA•FNGrAyD�DRESS pliONE� —e1�y^��1'1 _FAX O�' '414_E-mAIL v.tr SWORN AIYD SUBSCRIBED BEFORE ME THIS 1149 DAY OF_StP STATE OF FLORIDA,COUNTY OF DUVAL THOMAS ELLIS,JR. NOTARY'S SIGNATURE 2;4Y Y COMMISSION#CC 911074 ❑ PCTSOWIly known AS TU EXPIRES:February 15,2004 rr�duced identification t'1 • pF h Bonded Thru Notary Public Underwriters Type of identifican*3 prOduccd L.J AS TO CONTRACTOR: 0--r rsuoally known / ❑ Produced Identificationy , Type of identification PrOB�sd'C� t e C_c ,fir:►y Patrkia Amonetta MY COMMISSION# CC947012 EXPIRES &02 _�• ', August 27,2004 BONDED TNRU TROY FAIN INSURANCE,INC Sep 09 OZ 11 :20a LRRUE HOUSE MOVERS * SONS 9042848644 0. 2 5 MIN. RETURN P 5 PHO N'E#_10�i— (Qct NOTICE OF COMM,NCEM.ENT Book 10658 Page 2023 Tal Folio No. .�- State or Co.mty of Ta whom,it may cormcm. The undersigned hereby Informs you that Improvemants will bo made to curtain teai ptoperty,and to accordance with Section 713 of the Ftorfds S:ntutos,the Ic-VOw'!ng Information is ateloe In tilts P40T#CE Or' COMMENCEMENT. Legal description of property bOiny imyroved: r1) 0t'-;kt-!ra Addreas ortNovanybeing improvM. p e,r�irs►► '�= _ a—►��:� Genera:deseripSon o`irttprovomonts:_. �_~lC� SC� F . Owner.& — .warosaT �A' �.✓ u- �Ui� �O � f�-�'�S 4L�1�� ('y� �� ,�Z.Z.J Owners interest in site of the inpr,Woment Fee Simptt SiUeim dor(ii o%vf than wmot) Nara Aodross Qttana No,� t`-aZ'14-a-6X--i Fax No. Aodreao Q � Amount of bend S Pt trema 3N addre.s of arty porson making o bei (tit the comtrvcGon of the Imprownwnts. Name Address Phone 1`10. _Fax Na i' "10 OI poison within tiro$tate of Ronda,Other Qton himsar/,design%Itd by ay4aor upon whwq no ices ex other !locuthents any Ue served: Name Adjms Plx m N0. Fax Na__ ha additiprs to him self,owner deaignafo9 the Wowing poison to roroive a copy o(tho Limor's f+iatico a]orov#dad 1, Somon 113.06(2)tb),Merida Statutes.(rit!in a;Ownw's option)- NI-0 Addres>• . Phono No. Fac No. . Ezpi 60n 0110 OLN90:0 M COM10ficamont(the 00atf0n date Is one(1)yoor(ram etc data of recording untosa a dMereni dare is spetafiod). Ilii&SPACE FOR RECOPCIFR'S i15E OftLY OWNER 8atort,me the day d 2 _i4ti K THOMAS ELLIS,JR. O(Inty of Duval,State of F1C'rt a naily appeared *: += MY COMMISSION#CC 811074 EXPIRES:February 15,2004 Bonded 7tvu Notary Public Underwriters Notary Public al Large.State,or Florida,Cony of Du ! My commission expires: _ Porsonaty Known ppeocc#� Produced Identill"tion uk: i 00�65855958 Pa e: 2023 Fildt A Recorded #�9/11l2''OOP 11:07:20 AM JIM FULLER CLERK CIRCUIT COURT WA COUNTY TRUST FUND $ 1.00 RECORDING S 5.00 __ _ CITY OF C9+? t s I �Z- L7v'i� v� �Ile�ss 'c Qetztlt-a�� D Office of Building Official REQUEST FOR INSPECTIO Date `Q Pe ' No. i Time A.M. Received P.M. Job Address Locality Owner's Name CDntraclor BUILDING CONCRETE �EL CTRICA PLUMBING MECHANICAL Framing ❑ Footing ❑ ugh i g ❑ ugh ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole 191 Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. on. Tues. Wed. Th Friday P.M. A.M. Inspection Made r P.M. Inspector Cicam.- Final Inspection ❑ Certificate of Occupancy❑ Date CITY OF ATLANTIC BEACH BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 904-247-5826 Application Number . . . . . 02-00024804 Date 9/13/02 Property Address . . . . . . 1174 BEACH AVE Application description LECTRIC ONLY Property Zoning T.0 TED Application valuat ' D Owneron rac r HENNESSEY kfCSERVICES INC. 1174 BEANUE .W�� RY' C`1 ATLANTI BA 2233 GRED SPRI FL GREEN CO SPT FL 32043 (904} 629 3 --------- -- - - - -8 --- - ------------ Pe t- ERMIT .. Add jlofinal HEAT? TEMPC}RARY POLE Per it` Plan Check F .00 Is at �_ valuation 0 Fe �Pa�d Credited e .00 Pi , . 00 Gr .00 �3d„ A 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, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 9 LI;Z_ 2009 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO l IK�PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICI A`PURE 777 OWNERS NAME: G�X ADDRESS: / D BOX BLDG. SIZE BETWEEN: RES-h,-r'APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP SIGNS( ) SQ.FT. SERVICE: NEW(�� INCREASE REPAIR( CONDUCTOR SIZE AMPS: o COPPER( ALUM. FEES SWITCH OR BREAKER b AMPS PH 3 W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS I 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ?� e UNDER 600V OVER 600V TRANSFORMERS: NO. I KVA NO. IKVA NO.NEON TRANSF. NO VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5!20/2002 n o mss, � � ;us COVERED < LOT 5 51 OP CONCRETE cot CRETE 20.0 _ o'erv ; v Z Ln 16 4 DEC �q coC m Q . a . 44. 4 a C4 4.• 4 n a° CONCRETE DRIVEWAY . . a 4 ° .4 '44 4 a .2 FND 1/2" I.P. FND 1/2" LP. S87-06'22.W 114.01' PCV) (No ID) (NO ID) 115.80 � � f LOT 4 LOT 10 THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS BASED ON ASSUMED DATUM ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS ON THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE "X" AS SHOWN ON FLOOD INSURANCE RATE MAP 120075 0001 FOR THE CITY OF ATLANTIC BEACH, FLORIDA. F.I.R.M EFFECTIVE DATE APRIL 17, 1989. ALL AMERICAN SURVEYORS OF FLORIDA , INC. LAND SURVEYORS - 6820 SOUT14POINT PARKWAY. SUITE 4 - ,MCKSONWILLE. FLORIDA 32216 - 904/279-OOBB - LICENSED BUSINESS N0. 3857 FND. - FOUND THE ABOVE LANDS WERE SURVEYED UNDER MX RESPONSIiSIE SUPERVISION AND DIRECTION, end' —f:7- - CONC - CONCRETE in - JURISDIC11010L WETLANDS I" THAT THERE ARE NO ENCROACHMENTS EXCEPT-AS 'SHOWN.AND .q';+AT THE SURVEY SHOWN -4 ESM* EASEMENT EASEMENT ALOE ARMY CORPS OF ENGWEERS MON. - MONUMENT P.R.M.. PERMANENT REFERENCE HEREON MEETS THE MINIMUM TECHNICAL_:tTMDAP.DS SET.F9Fft f 19- THE FLORIDA BOARD I.P. ■ WwON ROD P.T, - MONUMEOFMtANGENCY OF PROFESSIONAL SURVEYORS AND MAPPERS'PORS414N7 70 CkAME4_472.027 / CHAPTER Ton - TANGENT DISTANCE P.C.P, . PERMANENT CONTROL POINT 61617-6, FLORIDA, STATUTES. ALL A - DELTA ANGLE P.C. • POM or CURVE AMERICAN CH • CHORD P.R.C. POM OF REVERSE CURVE SURVEY.NOT VALID UNLESS EMBOSSED BY SEAL SURVEYORS A - ARC LENGTH P.c.c. - POINT or COMPOUND CURVE Of FLORIDA, iRpiT RADIUS S.R.L. • euaaNG RESTRICTION 0MES D. HARRISON. JR.) PLAACTT UD.E -AL LINE IUNOOWRUCTED DRAINAGE INC. i - RADIAL LINE EASEMENT SCALE 1"-20' F - CENTER LINE L.S./ - LAND SURVEYOR NUMKR R/W - RICHT-OF-WAY P.I. POM OF MERSECTION _ —9 -x— - FENCE EOW EDGE OF WATER DATE -19-02 O!0AEGISTERE SURVEYOR AND MAP (w) - WITNESS 708 TOP Of sw -8 F.B. 993:21 DR. BY TAF DIR. Codsery\Dwg\2002\O2-147 FILE 2-1473 ORDER NO. 02-1473 MAP SHOWING BOUNDARY SURVEY OF LOT 11 BLOCK 43 AS SHOWN ON MAP OF ATLANTIC BEACH CORPRA TION, A REPLA T OF MA YPORT TERMINAL COMPANY'S MAP AS RECORDED IN PLAT BOOK 6 PAGE 1 OF THE CURRENT PUBLIC RECORDS OF DUVAL CO.. FLA. CERTIFIED TO: D.L. DAVIS CONSTRUCTION 12TH STREET (40' R/W) _ — .—.'-- _ FND 1/2" I.P. "3672" p 10 G1 rn LOT 12 LOT 6 117.05' (p) N8T10'Ol"E 116.24' (ACT)FND 112" I.P. FND 112" I.P. "3672" 1" "3672" •19.4' CkNCRE--Co RETF� u x 16.3' u w 6.7' -9. O 12.1 PAD ' Z N I m ^ N " I S �! x STORY FRAME 6.0' o 4a 6' �1 z p 2 N 12.2' RESIDENCE �o i LOT 11 .i► n wnoo A 117 .P CITY OF Office of Building Official ✓ REQUEST FOR INSPECTI NL- Per `21 Date l (� / No"' / �/ Time M Received M Job Addres Locality Owner's Nam '�� Contractor gUil, CONCRETE PLU BING MECHANICCA Framin ❑ Footing Re Rooting Slab ❑ Temp Pole r Top Out C Heating r Insulation ❑ Lintel Final ❑ Sewer E Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made + 2 ` P.M. Final Inspection Inspector �— er i icate of Occupancy '= Date HP OfficeJet Fax Log Report Personal Printer/Fax/'Copier Dec-17-98 10:47 AM Identification Result Pages Tyne Date Time Duration Diagnostic 918004660993 OK 02 Sent Dec-17 10:46A 00:00:37 002486030022 7./.0 Of Na,�ees �O qa T�. ash ar 0,9/ 9' hsotar°�n9 O 110 41 C OON per MS.O �Sa°Otih9C9�cTF b tns tel AeCl1 !ra 1�sAeOj°r°�Maae T`eS � 90�F�R�,� ctOr (O � 9F puna A ole r/h9q� arty Q,OY,c GYe4, o9�NSAF �� STpoo�M6/Ny, y CII/ eke,°t S oy O MFC T 'Qir C qN/ M pre F ba°e ��aif Frlaay a O n Certf °SAec � Oate °ate Of O°cUAancy!/ qM CATY OF ATLANTIC BEAC.1 1, FLORIDA APPLICATION FOR ELECTRICAL PERMIT i itT 111F: Cl1fF:E' f i l t:1111c:A1 INSI1Fj:ifill! IIAll': itAvoitim-ii Nmwi, IN (:t)NtiltTl.l2'tumi or f,mm1l t,,IVI:N fill? iOING T111: Wt}If1t AS I�f.`it:il111riT IN 11!l' JoiIUY'J 1C, VY1. I if,fif:(lY /gill (' Ili Ili IVOITM Stili) WOUK IN Al:t;ORDANCT W1111 11i1: Al i AUII):,D 11 Aft', Atli) Y'l t:If Wd J li NS, VYWC11 Atli. A PAIII 111.i40r, ANO 11-1 ACC?}iIDANCr WAIF IIIc 171.1, 1RIClt1 IIrGt;{.Ail(}115, i;t1!Tf.Ss A. t;tiY tt!- All ANTI(; 111'Al:lit}RNIIAN(AG. r , C_ � •F I s• ..___ � - - .& /C r-- �L�CTIiICJ\Ll�tfiM,;,— ____ MA3:>iffi EL C►,�1C111�J.SiUN11]t1flE---__.__._..____.. -� -._.. ._ _�tS2t.�iiiF�.Yh4l�fi NnrJ1E eCz:e � 44/ PLUG. SIZE. __._ ,..... _..._--. __.._..._..._.._ ._.,__.._._ 11E1WEEIid:_.-.- - - AES. Af'1. I i comm. I I PUBLIC 11 INDUS. i ( NEW t ; AUDITION ( I 111AILE1t 4 I TEMP ( ) 510r4s f } _ . SO. F I _ SERVICE: NEW( �)% INCREASE ! I IIEPAIII CUNUUCIUr1.SIZE AMPS 'Z10 C) �t:c.Tl'rrll t nlpjm {l-5t §Wi11:11 UN ufiEAKE11 Z•Qt.> .11M1'S / r'1! -S W vQ"v ��1c- L•WAY _. _ ....__ ZU . t.1exrsr_sfIIv SIZE v AMIs 3w Z- v Ilnwrvtn r FtEEllEr1S NU. SIZE INo. SIzr: rJt). SE7> LiGIIIINU UU.1LEIS CONCEALED E) N lt)IAi i IiECEPT'ACLES CONCEALED UVEN 10fAt. _. . _._. - .I V ..__. ..._1.- - -- \U K1.11'�. 11 tU<t KIi I'6 5w;ICiir5 f-- iNCAUUESCENr FI 11MIE:SUENr & M. V, - --rlXFL; nrri In110Ea 1lPLI. 111ANSr. i All1 11.15. itAIINtl 11.11.RATiNU i CUN0111UNING (10mi', ME11011 Uf IIEII MtJTUfiS AMI`; {_r Il.I1i.AV KW HEA1 U•i 114E11 MUIUIiS 11,1', VULTACiE P115 rtU. 1 il.f". Vi)L,IAQE; I'll" i l MISCELLANEOUS 444-e- a`lvx ^04 1BANSFUIWEIM UNVEIL GUO V, i UVEH tiUV V. I - KVA NC).NEON T1iANSf- tJU. VA. — Mit. K1U1011 SIZE SWl1r,1! f1 A!4lIV!s EACH SPUN . ..__ . .. ..- - I—' CITY OF rctit �eac( - ��vzida 800 SEMINOLE ROAD ATLANTIC BEACH.FLORIDA.3223:3-5445 TELEPHONE(904)247-5800 FAX(904)347-5805 SUNCOM 852-5800 Oate,.- December 17, 1998 # 2 Lois/Nations Bank 9�✓Ja 1-800-466-0993 Pat Harris 1174 Beach Avenue (Remodel) Building Permit #16779 ✓�1��s��Pi. Attached is a copy of the final inspection for the above address. v G�� r' CITY OF yQ&j c BweA-TOR"& Office of Building Official REQUEST FOR INSPECTION U Date � Permit No. � o Time ^ Received / 1 Job A dr s cality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUM G ECHANICAL Framing ❑ Footing ❑ Rough Wiring F1 Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. Ins or Final Inspection Certificate of Occupancy ❑ Date _ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT ___PERMIT INFORMATION __ _ - + LOCATION INFORMATION m Permit Nuber: 20 _630 I Address: 1174 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION I Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):11 Block: 43 Section:0 Square Feet: ; Subdivision: ATLANTIC BEACH Est.Value. Parcel Number: Improv. Cost: OWNER INFORMATION _ Date Issued: 9/15/2000 - Name: MARK W. HENNESSEY Total Fees: 25.00 Address: 1174 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 9/15/2000Phone• (904)249-9839 Work Desc:REPLACE WATER SERVICE _ - CONTRACTORS_j --___- . - -_—__ — APPLICATION FEES - _-_ - LARRY TEAGUE AND SONS rt PERMIT 25.00 j I' I ------ ------ InV@;tions Required FINAL j - - -- j NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. `—� .�,J(' to AT TIC BEACH ILDING DEPT. Date= 1115/1161 Receifts I M 61 I�rm��y I it 8 CITY 0.1 ATlAYTz� APPL,ZCATZaY FOR PLMQ,,Gl TG B LCCAT_0.1 O'K Er. OF 9ROPER'T`f rr.� ---TELEPHCiiE PJO�� C� --f9� ?LU,jZ ItJC CON.RACTOT �,G►W1�G f�iW �_,- :'_Tc LICE\S^c. \7r-'_RER 6677 i 3 TELEE'PHONE HOW MA14-Y Or THE FOLLOWING FIXTURES INSTP.IjLED S 2T,VIE SHOWERS I.AVTsTORY WATER HATERS 6ATH _URS DiS~.rP. :-iEH:S URINALS D=SPOSA =S CLOSETS GOR DRAINSS OWED. Pt`S SEWER WATER �R.E?T_PE Fri TOTAI FIXTURES: — x 53. 5C 1 515.0_ : FEE _ S25. 00 SIGNATURE 0: OWNER: _ SIGNATURE O: ZCNT T INSTALLATION OF PLL�L ING ARID FIXTURES MUST BE _N ACCORDANCE WITH THE MOST RECENT EDITION OF T'HE SOUTHERN STF— N'DA.cD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIO"I5 — (904) 247-582c SEWER C-LNTNECTIONSbr.;ST BE CA!,LF.D INTO PUBLIC WORKS FOR INSPFCTIOr< PRICR TO COVERING UP — (904) 241-5834 �' N CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J - ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025004 Date 10/14/02 Property Address . . . . . . 1174 BEACH AVE Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------ ------------------ HENNESSEY NELSON PLUMBING CO. , INC. 1174 BEACH AVENUE 10895-1 OLD DIXIE HWY. ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32095 (904) 262-4884 ---- --------------------------------------------------- --------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . INSTALL 6 NEW FIXTURES Permit Fee . . . . 77 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 77 . 00 77 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 ERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED D AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS T OF THIS P,WET SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. LIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: I I �- tel• �1ti�� OWNER OF PROPERTY: TEL. PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS)) SI`15 0I �`�3 x; W�� 5 �. A• o, s* �_ . rL ��5S STATE LICENSE NUMBER: �- r.L Q�a o3 5 TEL. HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED ORS SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE(LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X$3.50+$15.00= MINIMUM PERMIT FEE: $25.00 SIGNATURE OF OWNED: SIGNATURE OF CONTRACTOR: AAX� lhflf --n v INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS—(904)247-5826. A • City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) JOB ADMSS I I '1 4DATE ADDRESS a�2GI C��1 V l-+i" oLA_ y N 10 PHONE: �I Z�` -� _ LEGAL DESCRIPTION: A—6BLOCK .�NUMBER`l� LOT NUMBER � ( ZONING DISTRICT CONTRACTORn P� L ' V S �C-STATE LICENSE NUMBER c A0S(-0 I© ADDRESS(' _I�/Z'J F9`✓S�" ��JC '` PHONE CITY �`J(/l 'C ( STATE ' ZIP _��2-''��J FAX r �� DESCRIBE PROPOSED USE AND WORK TO BE DONEc°�V PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑NO.�rpplicant 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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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 6/18/02 a STEP 3. Please submit 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 01 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE 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 DATE 2' /7 ADDRESS AND CONTACT INFo,4TION O ERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 FLOODPLAIN DEVELOPMENT INFORMATION Location:: Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date Applicant's Signature Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verif3jng Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including, buildinLy renovations or additions, new driveway, decks or porches involves any increase in Impervious Surface area. tax CITY OF ATLANTIC BEACH a 800 SEMINOLE ROAD R ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 J31 • Application Number . . . . . 02-00024932 Date 10/02/02 Property Address . . . . . . 1174 BEACH AVE Application description . . . FOUNDATION ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HENNESSY, MARK D.L. DAVIS CONSTRUCTION CO. 1174 BEACH AVENUE 1908 FIRST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 465-2222 ---------------------------------------------------------------------------- Permit . . . . . . FOUNDATION ONLY Additional desc . . FOUNDATION ONLY 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 PART OF THIS PERMIT S JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. dh.. C BUILDING OFFICIAL 4&4#%4-c /�&11�� ///SCITY OF fY4#%4%C e44CA-�� Office of Building Official REQUEST FOR INSPECTION 44 '7 -32- Date x w. 'C' E Permit No. Time A.M. Received -'M. Job Aoress sName, L Contr r BUILDING CONCRETE `ETfCTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab C❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION `""` A.M. Mon. Tues. Wed. Thurs. Friday 2—. A.M. Inspection Made v P.M. Inspector C Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF /� �/�� rQ&. iav /.�ecc�i- /f �`� 17 Office of Building Official REQUEST FOR INSPECTI NL I �/ Date 'l Per No` Time M Received M. ��/ 7 a�C2 Job Addres Locality Owner's Nam Contractor BUi CONCRETE PLU BING MECHANICAL AL C7 Footing F-1 F1, Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place C READY FOR INSPECTION Pre Fab_ Mon. Tues. Wed. Thurs. Friday ' A.M. ' 2 / A.M. Inspection Made I - PM. --- —� Inspector _ r Final Inspection er i irate of Occupancy Ci �� Date CITY OF ATLANTIC BEACH BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 904-247-5826 Application Number . . . . . 02-00024803 Date 9/13/02 Property Address . . . . . . 1174 BEACH AVE Application description DEMOLITION Property Zoning . . 0 TED Application valuat ' 0 . Owner M on rac r ,, ,- HENNESSEY K . 2329 COS E �� V . �� :# ST S EET JAX BEAk 2250 JAXa--BEA FL 32250 (904) 4. � �p,� 4) 23- ---------- - ----- - -- - ------------- Perm* MOL AMIT Addi Tonal FLR WALLS/SLAB Pe " Fee .00 :'Plan Check, . 00 Isse Dvaluatn p Fe Emma �� dreclited e P ' t Fti � � X 0 0 . 00 .00Gr n Tt g � ` EfQ �� ., t � � .00 o a, w 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. ,Q , ( - BUILDING OFFICIAL a+ k+ i r' v c City of Atlantic Beach 800 Seminole Road •Atlantic Beach,rlpr 04,21+ Phone: (904)247-5800 FAX (904)247-5805 • http://www/ei.iilaiitic o ach.A►us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX ) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, RE ONS AND ALTERATIONS, MOVING O DEMOLITION) DATE � �LLD Z JOB ADDRESS h -H 9061 �� I�,��1� Qui,. APPLICANT `gyp ADDRESS 3 PHONE: qb V-d 7 / 117-3 Z-fa-p'Vol 11 e- &� ) 3-z-ZSO LEGAL DESCRIPTION: BLOCK NUMBER Y3 LOT NUMBER I ZONING DISTRICT CONTRACTOR � � {��+5 C��.DStru�ft�a , L ",M�)40l5 STATE LICENSE NUMBER C-9-W,5 06qb ADDRESS I JOY s•� PHONE Z�7-Z ZU— CITY r k �� STATE t, ZIP 3Z-Z•S'& FAX ?4� _(pS 13 DESCRIBE PROPOSED USE AND WORK TO BE DONE/ r /_ej / PRESENT USE OF LAND OR BUILDINGS) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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 6/18/02 STEP 3. Please submit 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 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant einvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. X SIGNATURE OF OWNER DATE �� o Z I HEREBY CERTIFY THAT I HAVE READ AND EXA IN 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. L DATE SIGNATURE OF CONTRACTOR ADDRESS AND CONTACT INF ATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF aVn`%61L1/ Zop2- STATE OF FLORIDA,COUNTY OF DUVAL ti THOMAS ELLIS,JR. TARY'S SIGNATURE 1 ;i MY COMMISSION#CC 911074 EXPIRES:February 15,2004 Personally known AS TO OWNER: '•'.'cjp4•` Bonded Thru Ndury Public Underwriters y Produced identification Type of identification produced J�- AS TO CONTRACTOR: ❑ Personally known Produced identification +�PG THOMAS ELLIS JR Type of identification produced FL"e> n ' = MY COMMISSION#CC 911074 EXPIRES:February 15,2004 P"..- Bonded Thru Notary Public Underwriters 6/18/02 17171 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH �. PERMIT INFORMATION -- -- LOCATION INFORMATION � 11ertnit lumber: 11111 Address: 1174 �BLACHAVENUE Permit Type:ELECTRICAL ATLANTIC ;BEACH, FLORIDA 32233 41ats of Work REPAIR -------- LEOAL DESCRIPTION ---------- Constr. Type:t400D FRAME Block: 43 Lot :11 Twp: 0 Proposed Use.SIN(;LiFAMILY Section 0 Srubd: Rng., Q >3relln40 SubdivisionATLANTIC BEACH Eat. Value LI .CIC mprov.. Cost n .,00 Total Fees> Amount Pa' .00 Date paX98 drk T3eao _ � �,w. .� �� ..; l �� ,�� . - '�.� APPLICATION FEES :. .w_ - arae:�M a E25.00 +d4k:; AT ORIDA 32233. 1 hot C4 ATTON - �,. . . ` I fame: A. E II<L I CONTROF�S f `dd6� .f�, Sc �LTT . 3ACKSONVIL FL 32210 Lie: E1 F3 0- Exp. kP4 NOTES: P , NOTICE INSPECTION$ MUST 8E REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLAYED IN PUBLIC SPACE; AND MUST BE CLEARED IJP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 'FAILURE TO COMPLY ,WITH THE MECHANICS LIEN LAW CAN RESULT IN THE PRC)PERTY t3WN9A PAYING TWICE FOR WLIDING IMPRC1VEME 1TS. !$SUED ACCORDING TO-APPAOVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION POR V110 ATIMOF APPLICABLE,PROVISIONS OF LAW. was Sal i9a at k6ceipti ATLANTIC.BEACH BUILDING DEPARTMENT By:By: ( ,11'Y 01' AtLA (IC BF-ACL1, FLORIDA .......It,Y I ARPLICA1I0N Will KLECiRICA1. PERMIT 1 11) 111t: 1,HII I ( i f (,IIM"AI_ Ir1Sl'i:CIUIt: ()Ail:: 19 It"Ill( It1All1 M)II(.l : Irl (;UN;II)t lrA► Iltrl Ur I'i Irhitl (;IVI PI I UR DOING i11r WORK AS tit s(:trltii l) 111 lilt I (It t (Wiltlli, W 1111?1fly A(MlI IO PIItlOIih1 SAID WOIII( It) ACCUItHAII(A WIIII fill AtIACllr.1) 1'1MIS ANUSPI CIfWAIMN WHICH Alli. A PAltl 111 Id Ui, AMU III ACCURUANCr WiII{ illi: 1_11 (:1111(:At IIFGUTAIIUNS, (A)UrS AND CtiY (' A I t_AiJ I Ic: IIEACI i MMItIANCU S. ELECiitICAL FARM: MASTEH EL[t MIGIAN_IGNAIMIE NAME . . ��1�._c:� _ �._ . _ AODRESS:_ . 1 d3e� 1� A � -lira . __t3ox -- {{ PLUG. SIZE _._ - - HE1VVEUN:_.___f. FIE S. (A AI'l. I 1 CUh1M. I } PUBLIC ( I INDUS. ( } NEW ( ) UE.I) IIEW. I 1 AUU11ION ( 1 I IlA1t 1-11 1 E 1EMP. i } SIGN5 ( 1 _ SU. 1 i. SEIMCF: NI:W I I ItJ MEASE { 1 IMPAlit l 1 EE- CUNUUCIoil 511[_ AMPS COrl'un 4 ) ALUM. smicii on on-AKLlt AMPSI'll W V01 1. HAUTAMY EXISE.SEIiV. SIZE V AMT'S ' I'll 3 W *10vOt.I IIAC1_WAY FEEUEiIS tit). SR-E NO. MIF ` NO. 511E LIGII1ING UtJ t LE 1 S CUNCEALFU UI'uri 1 U I At 11ECEf11 ACLt_S oZ J CUNCFALEU C) UDEN 10 1 At. i� 9U JS fJPfl 11 IDU Alt t`6 C'MICIM9 _ - I INCANDESCENi ELUUIiESCENIO& M. V. --- - FfXEU v.tuv nazi's vFn { I i nrr►_►nticr_a 1 _ I BELT 11tANSP. ;1 Alit III' IIAiINti 11T. IIA iiN(i CONDI 11UNING CUi.11'. MO 1011 UIIIEii MOI(AU; AMPS CIF11. IIEAI: KW ill--AE 3 ION ---------- 0-1 mill h101011S 1 11.1'. VOL IAGE iits NU. 111.1'. VULiAGE 1'115 �n //CITY OF //�� _ �®� rile /3�-&;&%d- 4 Office of Building Official QUEST FOR INSPECTION Date Permit No. Time A.M. Received P. 1 !? Job Address LIty _ Owner's Name tnr BUILDING CONCRETE E TRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Ci Air Cond. & ❑ Re Roofing Cl Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Cl Final ❑ Sewer 17 Fire Place C Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made ' P. Inspec F al Inspecti C rtificate of Occupa cy C to DATE: /c -9 a _ PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 33 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONtS ) HAVE; BEEN MALE AND ARE: SATISFACTORY : / --- ------ -------- --------------------- ------ -------------------------------------------------- ------ ------------------------------------------------- ------ -------------------------------------------------- Enclosed are the blue copies of the permits. S LY, BUILDING INSPECTION DIVISION cc: FILE CITY OF 4&4#z4-c leach- Office of Building Official REQUEST FOR INSPECTION Date _ Permit No. Time A.M. Received r 7 -- - /47 r _,mac IT Job Address L cality f Owner's �f .f, / ✓ � Name I' / fir... ._ _. « ntractor / BUILDINGELECTRICAL PLUMBING MECHANICAL Framing "� Fnntin� Rough Wiring I ! Rough Air Cond. & Re Roofing Slab Temp Pole Top Out CI Heating Insulation ❑ Lintel rl Final Sewer I Fire Place Pre Fab READY FOR INSPECTION A � Mon. Tues. Wed. Thurs. Friday Inspection Made P.M. Inspector nal Inspection C1 Certificate of Occupancy I_: Date I PO 334416964 DEPARTMENT OF SUILDINQ CITY OF ATLANTIC BEACH j PERMIT IL!�FORMATION -�_ .»,_ _ ..�- � � LOCATION INFORMATION -------- i erm� t Number: 16964 Aidress « 1174 BRACH AVENUE Permit Type-PLUMBING,C ATLANTIC BEACH FLORIDA 32233 f� of work:'FtMOOEL - LZOAI, DESCRIPTION - - Qonstrt ,. Typ4l :WOOD FRAME Block. 43 Lot :11 �Twla: T^0 rop4a ed Use.SINGLE FAMILY ` section': 0 Subd t Rigg. 0 ro 1 in'gs: 0 :subdivision:ATLANTIC. BEACH I V a l ate; CI .4 L I�r►Iaro�r A. C+�st� 4 :B�! Total 'Pees 60. 50 � Atltouiat P I)Bte P �'., 1998 ork 'Desc I TlOilt -------- �4-- APPLICATION FESS --------- 60. 50 ' IDA 32233 ne �ay 4 � `. 13 +° '" a * L 4 ,�"�' �� a,a�- '+ tls'# a�:t vi5 " '?,O'°yy,' .' a » a q a " CON j1�T' INs RMA T I Ott ` ------ �ltme� EAGEL N ` �MBING' CO. i Lt?`�'3.-X MC ... r,. AC>� ONUI L� FL 32205 tr CFt?3 624 Exp t 1 N�?TIrS: 1 NOTICE-INSPECTIONS. MUST BE REQUESTED AT LEAST 24 HOURS PRIOR,TO INSPECTION l BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOTSE PLACED IN PUBLIC SPACE,ANIS MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE T0 COMPLY WITH THE MECHANICS" LIEN LAW CAN1. RESULT IN THEPROPERTY OWNER RAYING TWICE FOR BUILDING IMPROVEME IS, UeD ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC O F *OL.ATION OF APPLICABLE PROVISIONS LAW. �� 1 € L747 t G 0 ,. ATLANTIC BEACH BUILDING DEP RTMENT Ill# r1t '' L By. 4L CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBINu i'Llai I T' JOB LOCATION: 1/ 7N __� ///�u e. OWNER OF PROPERTY : ------ _-_- - / 2NA! e y BUILDING CONTRACTOR : /4 771 PLUMBING CONTRACTOR e.c T�,v P/.c,„l� i'� G. • ,�,,, �. AND ADDRESS: - _ 3 st% TELEPHONE NUMBER; `/- 3 �_�- 07&/ STATE LICENSE NO: TYPE OF BUILDING: ---__ ------SINKS -- -_ _/- - - SHOWERS ------:L----LAVATORY Wn'1'l:k HE:AT't,RS -----BATH TUBS URINALS 1,I SPOSAI..:� -----3 -----CLOSETS -_ -- - - ..WASfllNCi MAC:IIINE ____________FLOOR DRAINS SHOWEk PANE. 07'HEk TOTAL FIXTURE COUNT:_____13 $:1- -'!'0 INSTALLATION OF PLUMBING AND FIXTUHES MUST LiE 1N ACCORDANCE WiT'H THE MOST RECENT EDITION OF THE SOUTHERN STANDARD P1.UMB1NG LCID :. CALL A DAY AHEAD TO SCHEDULE 1NSPEGT1UNS - c5C►41 ��`1�- .�fi�'E CITY OF OF l� /� 0;"'LO�h'a � � i�tLL4#d4'c - Office of Building Official REQUEST FOR INSPECTION Date �� Permit No. Time A.M. Received �,C P.M. District No. & r If vim" JobAddress Locality Owner's Name Contractor BUILDING CONCRETEECTRi PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing Cl Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel 0F Fire Place ❑Pre Fab READY FOR INSPECTION A.M. on. Tues. Wed. Thurs. Friday P.M. A. Inspection Made M. Inspector Final Inspection❑ Certificate of Occupancy Date � ` ` ~ DAT£- .2�_��__��_ PBE-�3E8YZC2 DIVISION JACKSONVILLE ELECTRIC AUTHORITY VVE!�.�T DUVAL ST8E -T JACKSONVILLE, FLORIDA 32202 � T8IE' POLL.ONINO FINAL IWSpECTION(lmo'�) HAVE 86£0 M&DL AND ARE D'ATl3PACTOft Y : . . ' � � '~ | > / � | .SlNC£RELY, BUILDING INSPECTION DIVI13IO0 co; F,ILE ,CITY OF ATLANTIC BEACH, FLORIDA 6q6o APW-. dby APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /`yam-� 19� VAPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MWER ELECTRICKNi N UR ADDRESS:-_�� 7�` ..G�-�_.� ��r�-tel RFD BOX BLDG.SIZE BETWEEN: RES.(X APT.( ! COMM.( ! PUBLIC 1 ! INDUS. ( ! NEW 1 ! OLD( ) REW. ( ) ADDITION 1 i TRAILER( 1 TEMP.( ! SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE REPAIR ( ! .n.c.�r,/� .�- uf/"� FEE CONDUCTOR SIZE AMPS L � COPPER I ALUM. SWIT �{d CH OR BREAKER PH -3W /"/VOLT RACEWAY EXIST.SERV.SIZE rV AVMS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LNUMNO OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•ifl AMM. x1.100 AMM. SWITCHES MICANOESCENT 0EPAVITMENT OF BUILDING t 'Fd it Y OF ATLANTIC BEACH;;, PERMIT I'If FCIRMATIC}N - CA'I'gC?N �NFQIwIIATIt"IN Pa x` 1rCtt b 3� " A+dd1"eas t 1174 119ACH AVENUE Permit fit , Tye t Itt 'ROOV ATLANTIC BEACH, FLORIDA 2, 22:j3 C]azz of Works .NEW" ---------- LWAL. DESCRIPTIC1N " �,.� �.... Clanat r. TYPp'z WOOD FRAMFRAMELot s B3 ocIc t Pr rn:�ed U + a STINGLE AI9I1. To hips RNC a' a ? rr I Cade;, O Rubd.ivipl. E�I�9��t Valu, x SE?.1�Q mprov. C + s $td.Oo !9 ROOF WITH NEW 'FIBERGLASSP"llNEE TSTA T .f ..�... TIO « AFL,ICATTCIN F:E APER PERMIT` . A,td t 'SAT NPACT FEE 1 � �. r' CII, FLORI we a ISM �i1A L�I � FIX RADON GAS-Ho R. S. ORMAT��1N - RADON taAE+ - *0. 00 AamMATER TAP BO.C3 SEWERTAP SO.00I JACK LL. REAPHO PL 3225 HYDRAULIC MARE *0., 00 ri . SSEC H IMP'AC'T" FES: XN NOTES: 1 i 5Y � q� 1 �qq 'F NOTICE-=ALL CONCRETE F+ R'NIS AND FOOTINGS MUST RE INSPECTED BEFORE POURING PERMIT VOIp SIX MONTHS AFTER VATE,W ISSUE OUILDIkG,,MATERIAL,`RUSBISH AND D,I* HS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP`AND HAULe AWAY BY I*I"THER CONTRACTOR OR OWNER. _ E "0 C .Y E MEC,HANIC'W MIN IM E C,�NV ER pAYiNG TWICE FOR E 1LD11� I SUE + ACCOI�DINCi TO APRRdVEt PLANS WHICH ARE PART OF THIS. PERMIT AN S TO 16Y , i t~OF"r O.A"1"iON OF APRL'tCA@LE PRO�10", LAW. 11TLANtIC BEACH BUILDING DEPARTMENT a CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s): DCZ K CL q Y✓�. a, L,--) L R- �// Address:f C-/" Phone: C;2 Tl Lot # Block or Unit # Subdivision Contractor: (�t,-v74 C-0 J�,C Address: 37 0 `fes Aue- Phone: o? State License No. Describe work to be done: C)CD 4:7- a Materials to be used: ci '0.5 S �y N S U 5 K-E r 1 � r Signature OWNER: ' Date: Signature CONTRAC R: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner (s) : WaA co d")M Address: tv14T�� _� 0 03CC hone: Lot #-_ Block or Unit #- Subdivision: Contractor: c==X C* 7+�•;�ruc��`yr. T r �x� - �, t ' r �„�(Fe State License Address: A}�nL7 ��{-�- vQ # Phone No: City. 1�� c�v.Fe` �7� . 1,� State �� , \,cA Z-4o Code �ZZ3 Describe work to be done:-PQ Present use of building: Valuation of Proposed Construction:Of Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) New plumbing fixtures? New fireplace? New Heat/AC? y 91- MIT THREE (COMMMCIAL) "TWO (RESIDENTIAL) COMP 'ATE SETS OF PLANS, INCLUDING lel-11-MIT PLAN, SURVEY, ✓NOTICE OF COMbMNCEMENT, AND ONTRACTORfY OWNER IS CONTRACTOR. Signature OWNER' �•�' ate: (S--�� Ust��o Signature CONTRACTOR Date: Sworn 2-G-- Sworn to and subscribed before me this , day of NOTARY PUBLIC STATE OF FLORIDA AT LARGE _..,S;�►ii ,L U_S. aWM'WWV �4t Rl;, Bonded 8,1698 7157284 NOTICE OF COMMENCEMENT HENNESS 7157284 Tax Folio No. 170282-0000 PermitNo. FL B ok 8990 Pg 1306 State ofCounty of Duval To whom it may concern: V- 10��Q ' $k: 8990 P : 1306 The undersigned hereby gives note that improvements will be made to certain real property, ;D 98155553 and in accordance with Chapter 713,Florida Statutes,the following information is provided in Fi ed & Recorded this notice of commencement. 06/29/98 Description of real property to be improved(legal description and address if available) 10:46:38 A.hl. Property Address: H NRY W. COOKCERK CIRCUIT COURT 1174 BEACH AVENUE,ATLANTIC BEACH,FL 32233 D VAL COUNTY, FL Legal Description: R C. $ 6.00 LOT 11,BLOCK 43,ATLANTIC BEACH,ACCORDING TO THE MAP OR PLAT THEREOF AS RECORDED IN PLAT BOOK 6,PAGE 1,OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. General description of Improvements Owner information Name MARK W.HENNESSEY Address 13700 SUTTON PARK DRIVE#1436,JACKSONVILLE,FL 32224 Owner's Interest in the site of the Improvements(if other than fee simple title holder): Name of fee simple title holder(if other than owner): Contractor Barnette Construction, Inc. Phone number. (9Q4) . 249-9839 Address 447 Atlantic Blvd., Suite 3, Atlantic Beach, FL 32233 Fax number: N/A Contractor Address Contractor Address Contractor Address Contractor Address Surety on any payment bond: Name Phone number: Address Amount of bond $ Name of any Lender making a loan for the construction of the Improvements: Barnett Bank,N.A. Address 9000 Southside Blvd Bldg 700/3,Jacksonville,FL 32256 Phone number (904)987-6597 Fax number (904)987- Persons 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 Phone number 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)(b),Florida Statutes: Name Alexis Tunsil As Barnett Bank,N.A. Address Phone number 9000 Southside Blvd, Bldg, 700 Jacksonville, FL 32256 This Notice of Commencement Name: Barnett Bank,N.A. shall expire 6/22/98 Street Address: 9000 Southside Blvd Bldg 700/3 Prepared by: Mario Belshaw City,State,Zip: Jacksonville,FL 32256 (Type or print legibly) Borrower MARK W. ENNESSEYMY NNESSEY Borrower P3R 3644' 79 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION _ LO CA,'T I ON .INFORMATION Permit Number: Address :, 1174 BEACH AVENUE Permit Type:RZKODELING ATLANTIC BEACH FLORIDA+ 32233 bass of Werk;RFMODEL w LEC L DESCRIPTIOI Cgnstr. Type:WOOD FRAME Black : 43 Lot : 11 Twp: , 0 Proposed Use :SIN'GLE FAMILY' Section: Q SUM; :4 bwellin1s : d Subdivision.ATLANTIC BEACH Est > Value. 0 . 00 Imprtsv. Cast 93, 124.57 Total Fees . 654 .00 + t P e �.� � '54.00 , ; x OWN, it � , $0,44 I*I -�+�� APPLICATIOAI FEES � I ERk4 T 6 4 00 MOM4 y � y��p OR I DA ��+it; f y�yq�y ,yy ' S ':C31"l e ""41j ✓ p +R Yr M is CONI �tS6 N 0", A ION �. e: BARNE' TE "COTRUCTIO'N INC : � ddb t 4'47 3 ATLA T; C BOULE�tAR11 ATLANTIC BE a FL 32233 3 L* HCt3'S727I E*P. NOTES: r NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TOIN8PEa 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 TQ COMPLY WITH THE MECHANICS' LIEN ,'LAW CAN RESULT IN' THE PROPERTY OWNER'PAYING TWICE FOR BUILDING IMPROVEMENTS.", ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION:FOR 1iIt ,LATION OF APPLICABLE PROVISIONS OF LAW. 14 Dall'e X383 OICKS ATLANTI EACH BUILDING DEPAR ENT �I '', _. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 7q V f.=-07 L Date Heated Square Footage &P @ $ per sq ft = $ Garage/Shed K,@ $ per sq ft = $ Carport/Porch + @ $ per sq ft = $ Deck V� @ $ per sq ft = $ Patio $ per sq ft _ O @ $ TOTAL VALUATION : S -3 f ,--- 9 3 , 12 &0 . $ Tota Valuation 1st $ U-tom_ Lf�� $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee $ -3, 1 �2. ( ) Fireplaces @ $15 .00 $ -- BUILDING PERMIT FEE $ WATER IMPACT FEE S d SEWER IMPACT FEE $ _ ' WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) S HYDRAULIC SHARES $ CROSS CONNECTION S ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ C S� ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: /CITY OF /� _ , 4�dW /3�-#;&UCa'G4 Office of Building Official R QUEST FOR INSPECT N Date Permit No. Time A.M. Received P.M. Job Adqre§g ocality Owner's Name .� _JC� / �� Contractor _ ...� BUILDING CONCRETE PLUM G MECHANICAL Framing ❑ Footing ❑ ough Wiring El it Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Insulation ❑ Lintel ❑; Final Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday �y A.M. Inspection Made L ( P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date h. t p DEPARTMENT OF WILDING CITY OF ATLANTIC BEACH i PERMIT. 4NFORMATIOI - ------ LOCATION INFORMATION - _�� .� . ermit Number: 26995' Ai fdressBEACH AVENUE Permit Type,MECHAN I CAI; ATLANTIC BEACH. FLORIDA 32233 1 lass of Work:ALTERATION ---_---- LEGAL DESCRIPTION Constr. Type:'WOOL) FRAME ElO6k: 43 Lot . 2I 2wp: d Proposed Use:S<INGLE FAMILY Section* :5ubd: Rnq: a Dwellings a Subd i v i s i on t ATLANT I C BEACH Est . Value: 0 .00 J .. mProv+ Costa 0 r,00 x. 4t=aAT Feet : 47 .",00' At1i0uSt P a0 ea�a � nark Des 1 � a � ,SUMP AND AIR HANDLER I,ON - _ APPLICATION FEES _ tl ATr h LORIDA 32233 ` CONS tT4: I a RMAT ION -MO P Vd HE ', 'X440 AND .A/C k 1 .5. t� ROAD. PIEI? UNE HAS, FLORIDA 32266 L JC: :CA06'5243ee 2 a, 1t i NOTICE-INSPECTIONS;MUST BE REQUESTED At,LEAST 24 HOURS PRIG TO INSPECTION 46101I G MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,ANPIMUST BE C�."EARED,UP,AND HAULED'AWAY-BY EITHER.CONTRACTOR OR OWNER °,,FAILURE TO *IMPLY WITH THE MECHANICS.' LIEN LAW CAN 'RES04T IN � i " 'THS PROPERTY OWN E, PAYING TWICE FOR BUltl?iNG IMPRO�VEME TS " :IS0 UIw0 ACCORD,ING TO APPROVED iPI.ANS WHICH ARE PART OF THtS•PERMIT AND SUBJECT TO REVOCATION FOR 1tiOLATiON 4F APPLtCA8L PROVISIONS OF LAW. 4IN 14 "Sri of a At"NT EACH BUII ING' PA MENT 1 1IIM83�r?1i f BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH n7LANTIC nEAC)I, FLOnIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL IN NUMBER IMPORTANT hems in sections I, 11, 111, and IV. LOCATION Street nddren'. OF InferlecHng StreelsRcl-renI BUILDING $vb-di�ition II. IDENTIFICATION --- To be COfnpleled by all applicants In consideration of permit gi—, for doinq Ilre wort as described in the abrin -e hereby agree to perform said work in accordancn with Ike attached plans and sperifirations wLich are a parf hereof and in accnrdanrn wills Ilse Gfy of .farkSOnville ordinances and standards of good praclice listed Iherein Name of Mechanical Contractors Confractor (Prinf) Name of Property 0mnor Signa}care of Owner Signature of or Authorized Agent Archifecf or Engineer M. GENERAL INFORMATION A, Type of heeling fuel; 6• 15 OTHF_R CONSTRUCTION BEING GONE ON (�iclric THIS BUILDING OR SITE 1 '%('E i. ❑ Gar —❑ LP ❑ Natural ❑ Central Utility it VES, GIVE �ULL©_E Q{ CONStnUCT10N ❑ Oil PERMIT 6-1^jf VI ❑ Offer — Specify IV. MECHANICAL EQUIPMR41' TO IE 111STALLE0 NATURE OF WORK (Provide complele fill of components on back o�f1),;tform) flesidenlial of f_I Corntnetcial[E?'( float ❑ Spec• ❑ Recessed P/control (J Floor Now duliding Air Condd;oninq: ❑ Room U Central Existing Fllllidlnq �vct System: Meler;a 6 lhiclnet X fleplacenlenl of exlsling system 2a� t l New Inslallatlon(No system pfeylousiy Installed) Mesimum capacity c.f.m. (_) Exlenslon or add on to existing system ❑ Refrigeration Cl Cooling tower: Capacity 9•P•ns• ❑ Fire tprinifors: Number of head, ❑ Elevator ❑ Msnlifl ❑ Escalator (number) THIS S?ACE FOR OFFICE USE ONLY ❑ Gasoline pumps (nvmbar) (Recel.ed) ❑ Tants (number) Remarks ❑ LPG conleinert -(number) ❑ Unfired pressure vessel Permit Approved by De1� ❑ 1ollert [] Other — Specify permit Fee LIST ALL EQUIPMENT _ AIR COND1110NING AND RIi1XRIGERA110N F.(jUtl't,tENt capacity Apqproving Number Unita De-scriptlon Model Number )ianufacturer (Tons) Agency