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G/1"� � je Nt i , I tl I , � � 3N� �Z HS N1 d� . z. �t t II 1 X o - - f------- CITY OF ATLANTIC BEACH i MECHANICAL PERMIT i 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION __ LOCATION INFORMATION Permit Num_b_er: 19041 Address: 1440 BEACH AVENUE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: - Improv. Cost: __ OWNER INFORMATION— Date Date Issued: 10/27/1999 Name: LACY MAHON _ I Total Fees: 39.00 Address: 1440 BEACH AVENUE Amount Paid: 39.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 10/27/1999 Phone: (904)246-6112 Work Desc: REPLACE CONDENSER AND AIR HANDLER - - --- -CONTRACTORS' ._ _ __ --_– -- _APPLICATION FEES OCEAN STATE HEAT &AIR PERMIT 39.00 Inspections__Required i I - - 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" I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBjEC T TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i i i 333.00 14 ---- - -- — Date: 10/27/93 81 Receipt: 0006919 NT1C BE CH UILDING EPT. CHECKS 14565 -- -- — ------- — -00100003221.000- --- - _ tJUILUIIVu AINU /_UI4II4%v CITY OF ATLANTIC BEACH 117LAr1TIC seaACIt. rLOMMA eaala APPLICATION FOR MECHANICAL. PERMIT 'EA--dIIINUhwrn IMPORTANT — /applicant to complete all Rarns in sections I, II, III, and IV. LOCATIONStreet Addrast:�N 7�i /����/'— �i� of Intersecting Slreels: 1141W40n -. And WILDING Sub-di.islen II. IDENTIFICATION -- To be completed by all applicants, In cont derer;on of pn.m;r q;�en far doing ►he work es detcr;bed in fho above stalement we hereby ngrae to perform said woil in acrofrinncn .;IN rt's ertacwd plant and tpacif;cal;on, which are a peri kareof and In accordant* Wilk the City of Jetlsonville ordinancat and slandardt of gocd precr;ce I;tlad ikere7n, Nar..e al ►/1ehan'cal 0( j ��/` l� �� Gntraefe►s ��G ��� 3` Ca.kacler ('tint t;. �7�� Masl•f Nelle 04 � haparfy 0•0%•r Shualvra of O..net SIOnelure of w Ael6..iTed A�enl ;� A►elt I cl at Engineer III. MINFORMATIO , A� irpa of bealirig Ival: '---- J E>Ir IS OTHER CONSTRUCTION ICING OOJM ON Ejeciric \•�` THIS BUILDING OR SITE 1 1 ❑ Gas --❑ V Q NeNrel Q Central Ullllty If YES, Give NUMBER Or CONSTRUCTION ❑ Ott PERMIT 0 Off,*? —. spew-ily IV. WOCHMICAL 19UNMIHT TO SE INSTALLiD NATURE OF WOnK I►r*v4e cemplele lief of campewaatt ea`act of Iftle formI I7 flesidentlal or U Cominerelsl ❑ 14681 ❑ Spaee Q 16cene4 M Ceol"I O Fie" ❑ New ISulldlnp Q A:r Cer.eldiers'ri1: ❑ Room M Cartlral Be exlellnp Oulldinp ❑ D.rc► Sr•►sws: Ustgr;at lUtcinaao C) niplacement of exlellnp eyslarn 1.16e4mwn capacity a fM ❑ New Inslallallon(No system previously Installed) Q R.frig•rat:oa D Exlenslon or add-on to exlellnp system U Cooiinp lower- Capacity ❑ Other -- Bpeelly �.p.nl. ❑ Bre epr4nilo": Nerwba• d Aeade — Q E4a.ater ❑ ►Aanlilt Q bt.eleMr..,__ (number) C) eaaoJiwe prm;K (nvn+barl THIP SPACE ICOR OpyMf USE ONLr IR...+r.fl1 [] T6wit (number) Roft.arlt ❑ to oe+sleU►ar+ , (flumbetl ❑ Uol'wsd prwtwe rea•as ❑ 1143.n rennll Apf►rowd by Def. rJ otkor -- so.C1y r.r,T►il hao LIST ALL EQUIPMENT All CONDITIONING AND REFRIGERATION rQt11rMENT Number Unitn Ueocrfpttaa X"411?tumMrra��il w r S[artuTwotxwr T Are o 1 ��{c BEATING FURNACES, BOILERS, pIRULACI S - - - --- — ------ — - - � CITY- - OF ATLANTIC-BEACH-- j DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION' _ LOCATION INFORMATION Permit Number: 19019 Address: 1440 BEACH AVENUE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: _OWNER INFORMATION Date Issued: 10/21/1999 Name. LACY-MAHON - - Total Fees: 25.00 Address: 1440 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 10/21/1999 Phone: (904)246-6112 Work Desc: WIRE FOR HVAC _ - ----- . --- - —- CONTRAGTOR(S) �_u� .: APPLICATION FEES__ ;ALL SERVICE ELECTRIC CO PERMIT _ 25.00 —-- ---- = Ins�ection�_Reguiced I� 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. I i $25.0014 — Date: 18/21/99 91 Receipt: 8885661 AT TIC BEACH BILD! EpT, 001005 13043 99180983221898 Duc-03• :)7 "20:113 P.01 n:! CITY Of= ATLANTIC BEACH, FLORIDA ��� QCf{P�sCr1T4®tV MR PLHCYRICAL PIRMIT TO Yllt CI(iEl`EUCTRICAL INSIIECTOR: DATf::-.___. _ 19_^- Ir,S)•OIITANi NOTICE: IN CONSIDERATION Of PrItNUT CNEN 17011 DOING 11IF WORK AS DESCRIBED IN THE FOLLOWING, WE IfI 111:11Y A-11CL 10 P1:111'Dlllil SAID WORK 114 ACCORDANCE WITH THE ATTACIIED PIANS AND SPECIfICATIONS, V4111l;ll A11::A 1'ART ItIiRGOF,AND IN ACCOItDANCE 1141111 TIIE E•LECTi11CAL REGULATIONS,CODES AND CITY OF AYLANTIC IWACU ORRINANCI;s. r � Ft.r Y1ift_; t_t I1ttiJ Y)t�j" 1E FLEE jllj,CIAN 5tnNAUt HE JOURNEYMAN "4th RFD BOX --d- IIES.1+14' APT.t I COC'1.1.t 1 PUnLI(-1L.1" INDUS.( 1 NEW l 1 OLD I aY REW.1 1 A013)TtOr: ) TRAILER I ) T0.7?.( ) SIGN& I I SO.FT. fcIlvA:C: Nf_ty 11 t CIIF.A.^.E( ► REPAIR 11 FEE C91d1) CTCA SI : AMPS Al(M�(��_ &y�jgrtt_or unrAt(rit ----- r_t-s-- I'll IN_ IN -__VOLT 4�f+cLYtAY_ I !;t7E 200 rmm I'll W aY`l VO T "SC ACEWAv FCC111iflS NO. CIYE NO. SIZE NO. SIZ.E N(ti(TIN17 UYLfT:: CONCEALED OPEN TOTAL RIiCi PThC;_Ii5 _ CONI: �o0-ke- 3�etl171Y (,work_ 3 I, CITY OF ATLANTIC11BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATION'S I Owner(s) . _ --------________________________ Address; � - y ' ------- - 4h - Lot * 4 5,_ Block or Unit #______ Subdivision:__________ ______ Contractor: �k 4w'F__Loos fru�- 'i ou__ Lv__ ___ _________ ______ Describe work-to be done•n!u i}jgt4_o� ,nr_���_�i �l �w c,_�.L=____ ber.�r�o�►.�._LC�s,�,,ev�waw _�i���<,r,.�,�,,cleti}_ok d�_y,gw_�tastt.r 64 -- e�e..IOSC .G�I S�-tai. rC_✓.C_Cw �rc.� .�L�.L�_Sc�ct�t_._Ct1+��A_ 00 �=— —�--- Present use of building:_,Cf.1—; —SAt-4_______________________� Valuation2co,00u - ---------------------------------- ----- 4 � Proposed use: rCS i d-CIA L e Is this an addition?_ K If yes, what are the dimensions of I the added s ace:_ L ft. X _ -10 ft. Will the added area be heated and cooled? 5 New electrical (or increaseO ?yl,�- New plumbing fixtures?_pe5 New fireplace?�l/fl_New Hest/AC? LS SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, �URVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. / z l Signature OWNER. ��!� 1 ' "_ _-_____-- ' Date: 7� Signature CONTRACTOR ___________________________ Date:____--_____ I I, ®vF PPCN �FF\GE 1992 Address Heated Square Footage ��� @ $ 3 .©d per sq ft = $ 4 '/Sz Garage/Shed @ $ per sq ft = $ Carport Porch Lj �� @ $ r per sq ft = $ '7, --3 Deck ��l @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ / Ss � 3 i �- $ jS-_cn 73tal Valuation lst U& L) Lj -1 `fe( $ �- ` Remainder Valuation ;. per thousand or portion thereof ------- .-------------------------------------, Total Building Fee $ . v ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ Fireplaces @ 15.00 Mechanical �f BL'IT..DING'PEFQTIT FEES � Plumbing ✓ '�Ly Electric/New _ i------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ b,0 .()Z) Well WATER METER CHARGE $ O '— Scrurtning Pool SEWER IMPACT FEE $ y Sign WATER D\IPACT FEE $ J -/0,()-(1 Water Conmection MISCELLANEOU//Sll $ 3.333 Sewer Connection Q 3 fV $ r Water Meter _ Elevation Certificate (,'RAND 'TOTAL DUE $ �O ----------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES A p, C�. 0�a R o 8(,/C��GA��C COCl/ JUS 20 992 r i App F?OV BUILDING OTF�cDCH CITY OF ATLANTIC BEACH jFe Fixture Unit Worksheet for Water Impaect 2 1992 FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DE ND EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. LBATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) 6 WATER CLOSET O WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) -i—LAVATORY (1) r COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY + ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) L/ TOTAL FIXTURE UNITS @ $20.00 EACH $ 7 �� 0 JOB INFORMATION �- CITY OF 800 SEMINOLE ROAD --- ------ - - -- -- -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 July 16 , 1992 William Morris 1433 Beach Avenue Atlantic Beach, Florida 32233 re: Variance side setback Dear Mr. Morris, This letter shall serve to grant to you a Minor dimensional Variance in accord with Section 24-47(8) , permitting you to have a side setback (on the south side) of 4. 5 feet minimum from your house to the property line where a 5 foot setback is normally required. All other Zoning and Building Codes, and required setbacks shall be complied with. If any questions arise please feel free to contact me at City Hall or by phone at 247-5826 . Sincerely, George Worley, II Community Development Director cc: File OWNER BUILDER PERMIT AFFIDAVIT State of Florida > City of Atlantic Beach ) FORE ME, the undersigned authority, personally appeared lUl� a�, . aRtd. ____--_-____. who upon firat being duly sworn, deposes an//d' says: I, __ w%�/�4U.t �• Mar•r'i5 _ ____, and the legal owner of the following�propertys - Subdivision Block __ Loot is AKA _I� s.A�c - _._l�}v_t• I am applying for a building permit pursuant Lo %.he Owner Builder exemption not forth in Florida Statute, Section 483. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT ,State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of 925, 000. 00 or less. The building mutt be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. / Property Owner Sworn to and subs} ribed befog m this _/ 4 /fyf� DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE: AND AkE: SATISFACTORY: --- IL-------K zza--- ------------------- ------------------------- ----------------------- -------------- --------------------------------------------------- ------ --------------------------------------------------- ----- ---------------------------------------------- - --- -------------------------------------------- -- --- LY. ---------------------------------------------- -- - -LY, i Iva BUILDING INSPECTION DIVISION cc:FILE 7252 .0 3 DEPARTMENT Qf. 01WLpIN4, CITY OF ATLANTIC BEACH I S •. 0%,lMI' 'T NrdR .AT ION- ��:`;�....� . _ ��, � � LOCATION :INFORMATION j',',rmv u,Or, 7 2 ddre s * 1433 BEACH AVENUE 1 a "tvp : . UTILITIES ATLANTIC BEACH, FLORIDA. 32233 j Wk: INCREASE LEGAL DESCRIPTION anstr`s: Typ,e' N/A t: Mack: Section:` Prc ct ed USA: SINGLE FAMILY' Towns hip: RNC t 0 i * 1 co,de: ubdvi> n tirnated Vl�ct} . srt ff Imlti'r+a�r w Ccs t ; ;" $0,000i Total Fee $735.00 Amount, PA'' ry 3 :Cit? / w ._ C /3 f � , s /4" TO I WATER SERVICE a APPL I CATION FRES s EPiU}v' A.TER IMPACT FEE � I'LOR I UA 3 E PACT R ► # . O�AT ► � w :..�. SAS �-� Q ." RPARtm fER. TA`P .15 K dss HYDRAULT SHARE 0 .00 y;EC a IT IMPACT FSE x:r?w .awe«.a+aR'w wi« «> M ;,;,'•¢ h mss: i SD7S NOTES: NOTICE,—ALL,CONCRETE FORMS AND FOOTINGS MUST .F INSPECTED BEFORE POURING .'. PERMIT VOID SIX MONTHS AFTER GATE OF ISSUE BUILDtfVta MATERIAL,RUBBISH AND DEBRIS FROM THIS-WORK MUST„NOOT BE PLACED IN PUBLIC SPACE,AND MUST BE CI_EAR£t]UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNV.4 4�fI .URE TO CQMPLY':1AIITH THE �IIECHAtacs' LIEN LAW CAN.I�ESULT IN 7 ” REPERTY CWN4PA;YINC TWICE, t�,CRUILO1Nt IMPROVEMENTS." vMIL"llum URIC; t' StJEQ ACCORDING TO APPROVE? WHICH ARE PART00,11416 PERMIT AND,SUBJI J&WLO REVD xfi ;VIOLATION OF'-APOLICABLE PROV SION$OF LAW. fm 00 ATI,ANTrC B CH BUlL PART ENT tEt;EIP? � lU4c''43 77 ��00 k CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z / 719 Z 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. ELECTRICALFIRM: MASTER ELECTRICIAN SIGNATUR JOURNEYMAN NAME Irl°` 's ADDRESS: y 3 3 ei c 4 A -c RFD BOX BLDG.SIZE BETWEEN: RES.(,1' APT.( ► COMM.( 1 PUBLIC( ) INDUS.( 1 NEW ( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP.( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE (A' REPAIR ( ) FEE CONDUCTOR SIZE 2 — b AMPS COPPER ) ALUM. SNATCH OR BREAKER 3 a` AMPS PH W z Nc'VOLT P v L RACEWAY EXIST.SERV.SIZE / a AMPS / PH W ` VOLT `' RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.20 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT _ _^ FLUORESCENT Ile M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. � x TRANSMITTAL DOCUMENT FOR .7EA DATE: The following permits have passed "rough" inspection: Permit No. Address Enclosed ark our (blue) copies of the permits. Please update your records, accordingly. h�ouwa_,t '-r3UILDING CLERK CITY OF ATLANTIC BEACH /vcb 6 03 DEPARTMENTOF'Btlt witia CITY OF ATLANTIC BEACH ,++ ONINORM' TNFaRPA3QN L# CAT ATTCF `T*etlklt Rtx*bert 6063 Addrevot 143 BEACH AV XUE fei"Nit: Typet #011,9111 " ATLANTIC, REACH, FLORIDA 32203 C� n Worr�c t ALTERA TION .. � _ �'. ,, LEGAL <DESCRIPTION ,. CQntr, Type z WOOD FRAME Lpt ': . : I tank Section: Proposed Use,t SINGLE FAI$ILY 'Township I �Q Dre113>nrg> : 1 Codas s C ' Subciacn s Est imatod Value: ue t 00.00 Improv. Cast t *6*00 tal P4001: Amount Do;. .{.. /$0/92 worlk Dai i "SING IN ADDITION/I; E1`ODELINC --..,.`-..`-- tlATZC39 �� `� ,� �. APPLICATION FEES Add ENE WATER TPIPACT FEE *0-00 Cts, . FLORIDA x, 22 SE T1" F�� aFQ. � Ph A S - -- 0 RFORNATI R ------ RADON" ,GAS w 5% $0. 00 iAmez C N1TN3 IAC. WATER ` 'AF ?, t3Q NVD, .� 32 0 N C A tGTC 'SHARE $0. 00 Lice8, t Cr'CO1 "Types O REQ'INSPECT FEE $0-00 aEC. N1PACT FSE C3 NOTICE--AI.L CONCIi<ttE Foj*$AiE o Ooot Na$1l us BE 4NSoRC" oo 99f0tis pouniN4 PERMIT VOID Six MONTHS AFTER DATE OF 1SSi3E BUILDING MATEF1iAL,RUBBISH AND DEBRIS FROM THIS WORK MUS NO PACEQ tN PUBLIC SR/10E,AND MUST BE CLEA�ii=t3 UP AND FiAI�LEt�A�1fAY BY-E1TH1lR CONIRACTQR OR C3�VhiER t,*AiLUfl T4 IMPLY WITH'THE AI EC S' Irl ►I LAW CAN, RESULT INz PRtflPEI TY t WNER PAYING 'TWICE I dI . UI,La tG I1 ►1 �JYI .MENTS." t+Ai IDATi0N � T t totemM ISSUED ACCOFIDfNG TC APPROYEp PLANS WHICH ARE PART OF THIS PERM) UBJECT 7 OCATION FQR W Tit>N E?F APPI.ICA8t.4E PRf OV 5!'QN5 OF RAW. #.�. h t T 1�lLCtINC 3EPA CMLE CITY OF ATLANTIC; BEACH APPLICATION FOR PLUMBING PF'RMI T .SOB LOCATION : OWNER OF PROPERTY :_'�- � -- BUILDING CONTRACTOR:_- Ivflrt� PLUMBING CONTRACTOR AND ADDRESS: �, J TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: _._..___._-_-- �_�___ SINKS _...___ SHOWERS _- LAVATORY WATF:Ft HEATERS BATH TUBS ---DISHWASHERS URINALS I�ISPOSAI-.S L- -------`�_+- WASFIING MAINE CLOSETMACHINE FLOOR DRAINS PANS OTHER TOTAL FIXTURE COUNT: ------------------------------------------------ ----------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING GODS. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) :x994 i ' DEPARTMENT OF 0'ui LOING CITY OF ATLANTIC BEACH PERMIT INF"'ORMATION LOCATION INFOR?IATIgN - Per*it Number;. 5994 Addreae s 1433 BEACH AVENUE Permit Types MECHANICAL' ATLANTIC BEACH, FLORIDA 32 33 Clasen of Work: ALTERATION LEGA. DESCRIPTION _. constr. Type s WOOD FRAME Lots Blockt Sections Pro posed Use SXNGLE FAMILY TQwrtebipt RNat i Are1lin0;o;, 1 Codez Q Subdiviesionz NORTH ATLANTIC BEACH ='Estimated Value; $0.00 Improv. Coats; $0.00 Total, Fees:s *59*'00 Amon 9. 00 I) Cf,/0/92 d Work Ike TRAL ,HEAT AND AIR NATION N � APPLICATION FEES ----- PERMIT $59.00 Add rt' AVENUE WATER IMPACT FEE $0.00 T CHt FLORID �� 3 �' „ H IMPA FE 0. 0� POw RA LIN 0 - « R. 3. ».. T RFORMAT ON -- : .. RADON GAS, - 5% LINO & R CONK. WATER TAP . ` °- ,; w. :. . .,., . �.,.. . SER "L"A.P" ..�_ $Ll«t?(X ; ACN ILLE, ..FLORIDA 32205 HYDRAULIC SHARE *0. 00 L'ic e C CO Type s 3 RE-INSPECT FEE 0.t Q SEC. H IMPACT FEE Std.fJO NOTES: NOTICE'—ALL CONCRETE FORMS AND FOOTINGS MU BE lNSpECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER'DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED 7N PUBLIC SPACE,AND MUSTBE:CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILUR'E T Q CE�MPLY YI/#TW THE �1� HA � '�; „ �=#�-..� # PROPERTY f ► IER PAY1N�t`.w ' 11 ; ISSUED tACCO AJ;;!�* - 1 F� BUILDINO AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH /�/� ATLANTIC BEACH, FLORIDA 3^2299 15 7�f APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMUR 1 IMPORTANT— Applicant to complete all items in sections 1, II, III, and IV. 1 IQCATION Street Address: OF Intersecting stnehp Between 1 � And WILDING f sub-division II. IDENTIFICATION - To be completed by all applicants. le consideration of permit given for doing:the work;as described in 'the above statement we:hereby agree to,perform said work in accordance s with the attachpcl plans and specifications which aae apart hereof and in accordance with the City of Jacksonville ordinances and standards ` of good practice listed therein. Negev of "I'lenical Contractors Contraetor (hint) - G Master ks"of awn.► \� 1`Cl b t�. "S $ �slMre,af.awmur sigeature of iF rorised ant Aritect or Engineer ��. 1iR+AI IAIf�iMAT14N h' Typo of Meting W: B. r IS OTHER CONSTRUCTION BEING DONE,.ON " " THIS BUILDING OR SITLEt 0 "—C3 UP ❑ NetorW 0 Contret utility, 1 F.YES, "Ot i)ER 0R CON#TAUCTtt1N PERMIT i�: �'lNIN'•,.r— StLeify. MW,10 >'W NATURE WORK .tAls t+t�t�list of Wwowtroe beet ef"t$w IdoAtIol ar '0 Comjrn Clat N _10.'$Pam 0 Rohe+" '6- eqw ! 0 Am �Q Now BIJ10 tp � "dss 0 tx'ietirlq f3ltlldlnp" l� Repfacen►got at"tatlrtg System+," i .... © 'IVbw fnetettation(Na aystem previously,Mo ri 1+A11soewn► �j ; faEtensiorr Ar,add-on CQ exisstin$systotrl Q Other—Specify 0,11 bo 04 sVill A Ilw+nbwl -04 i#.i/Al fE 1 Nt i rpli�et .. mp u; ! (Iwnsbe�I Renaliu 4,. , . >. ,�. Permit ApwovW bM', ► r Persiti!R.. ,.�,,.., �,. {RNT AND i t7wli�4[, l[od�i I�tutaWr 71GtaRtuislloWie!iir �3�7 s, PORTERARCHITECTS, NC HOLD LFEUTEQ OF UQQAZEDUML t: % 1922 FELCH AVENUE JACKSONVILLE, FL 32207 (904) 396-7221 DATE JOB NO. O ATTENTION RE: TO �! t� nv�'2 � WE ARE SENDING YOUAttached ❑ Under separate cover via the following items: > x ❑ Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION O �1 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval AFor your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 [1 PRINTS RETURNED AFTER LOAN TO US REMARKS R? /fi COPY TO 40 Pre-Consumer Content 10%Post-Consumer Content SIGNED: PRODUCT240 ees Inc.,Cmtw,Meat otan. If enclosures are not as noted, kindly notify us at once. 0�0 IWC Ab np OW Tj o � \ i l e kk R 9gg A t� 77 REN TROM and MADY , Inc . ' CONSULTING STRUCTURAL ENGINEERS .:•.:.�".:......:.,:..:.. :fie 5:`v. .,...::..,..»<• .. : 243 Arlington Road North, Suite 28, Jacksonville, Florida 32211, Phone 904-723-3114, Fax 904-723-5656 July 23, 1992 XPPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE Mr. Hugh Morris UL 2 3 A99 Porter Morris Leuthold Architects, Inc. 1922 Felch Avenue Jacksonville, Florida 32207 �--- " Re: William Morris Residence addition 2933 Beach Avenue Atlantic Beach, Florida Dear Hu h, po�t+n9'RBQ°est Pad g Scotch°7664"Postdt" I am writing in response to _ REQUEs� following is a list of my des. R�uTING residence. The wind speed r Protection Act, revised Janua. Please TO 'u All Design Per Standard Buildi U HAN9LE �' Live Loads: Roof ----------• APPROVE Floor -- ---- and- � Wind Velocity - 110 mph PORWARo Basic Wind Pressure ------ U� RETURN Soil Pressure (Design Max. ) --- KEEP oR DISCABO Concrete: Design per current edi All cast in place concrete a Vke'aw WITµ ME Reinforcement: Reinforcing Bars FSO'" Bolts: -------------------------- nate --.o.-r.M. A-307 Wood Framing: Southern Pine - Fb L"�i Fv = 95 psi E = 1600 ksi I hope that this answers all the questions you may have. Please call if you have any questions. Sincerely, Richard M. Renstrom, P.E. 7 23 - JENSEN & HOULD ATI'om m AT LAW 708 NORTH THIRD STREET POST OFFICE BOX 50457 JACKSONVILLE BEACH.FLORIDA 32240-0457 Alan C.Jensen Telephone(904)246-2500 Stephen A.Hould July 23 , 1992 Fax(904)246-9960 William R. Blackard, Jr. , Esq. VIA FAX & MAIL 1609 Barnett Bank Building Jacksonville, FL 32202 RE: 1595 Beach Avenue Dear Bill: I am in receipt of a copy of your letter of July 22 , 1992 , to Don Ford. I want to clarify the agreement and understanding reached between you and the City of Atlantic Beach because it is not accurately reflected in your letter. The stop work order as set forth in Mr. Ford' s letter to Richard Skinner dated July 21, 1992, is in effect. The understanding and agreement made between you and the City on July 21, 1992 , was that you could proceed to pour the concrete footers, which had already been dug, as inspected and approved by Mr. Ford and thereafter no further work would be done. There was absolutely no discussion regarding the new CCCL requirements of the DNR, especially since when our understanding and agreement was reached, the Cabinet had not yet even voted on any new requirements. I would appreciate you immediately confirming, in writing, this clarification of the agreement and understanding. The City will proceed to resolve the remaining aspects of your situation expeditiously. Very truly yours, AL4 C. JENSEN ACJ/sky cc: Don C. Ford, Building Official Kim D. Leinbach, City Manager CITY 4F 800 SEM MOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPUONE(904)247-58111) FAX (904)247-5805 July 24, 1992 Richard M. Renstrom, P. E. Renstrom and Mady, Inc. 243 Arlington Road North Suite 2B Jacksonville, FL 32211 Re: William Morris Residence Addition 1433 Beach Avenue Atlantic Beach, FL 32233 Dear Mr. Renstrom: Thank you for your letter of July 23, 1992. The information supplied on the above residence addition is approved. Sa,,ncerely, Don C. Ford Building Official DCF/pah cc: City Manager CITY OF lq&4 4.0 Bim-AMU*& Office of Building Official REQUEST FOR INSPECTION Date f Permit No. Time A.M. Received P.M. District No. lr C -t-- Job Address locality owner's �,�f/ ` Name__ ��+ Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole D Top out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION ��J A.M. Mon. S. I ed. Thurs. � ) Friday P.M. C.6.ea*� spection Made pector xte� "' " Final inspection D Certificate of Occupancy Date 6 ; 0EPAtTtY11T,p IL.CHNY CITY C?F TMT '8,t CN RlfATt t` �a --�_---- LQCATx€ N rtdRlnTdlr . >aait Ty�p,�: U1.t11G3, UACtjAVEN twr �r ct ► C t llt ,�!'� HT1 �EA��, '�.�i SDA 32;433 r. Y _pe ed ego a . NLANL Lot ml & itt 3a fi Tc��rnl�b� x rk ttiliated '�r� x>«+ x S bdivi�iga'i NORTH ATL.A C RACK, 4 43i.�00 ,>r�prcv. Oar s = 00 T to w 503. 5rd Accu r �U3.so Oe ?�" 349 NN Ike x DDITI'ON PER PLANS r 70 F .. � SI;IN �- r ARP" . CATCIN< P>IdES. IF PERMIT � " : sal. aft Add` �Ni l 1ATEN IMPACT �' � �t��i0,00 kl '�»ORTDA 3 AO #.0 Pkv 1 .r m d . 7 RA 09MAT I NAbON A ' .**Met N� � �NU�T2 Cts. �_ �', 17 Aru '!' q1 A Sly `" k ' .'OOAlp i a a.x...».,,.. ..._ JACK` xux PL; 32205 HYC>RAUL C 9RARE �C1. 00 Lac c� co Type: t7 �iN�TRS�I'+I *or 00 SEC if I lip Alc PC�A C � vc R.n..warmur w� u§f. e„mauem,roanaausq �� S I NOTICE ALL COMCRS tE 1 4RRAS,AND FOOTINGS MUST 8E to PECTIEQ BI�FCCIiRE POUfRINt3 - , PERMIT VOID SIX MONTHS AFTER DATE Of ISSUE- T. BltllptNG MATERIAL;RU8@ISH AN DEBRIS FROM THIS WORK MUST NOT BE PLACEt3'IN tI1flLtC SPACE AN CIEAFiECI UP ANN HAULED AWAY SY EITHER CONTRACTOR OR OWNER D MUST'BE ;=RE TO COMPLYWITH THE MECHA CS't?PE C Wt 1 PJ�IYiNG 7�NICE F!aR BUI .D N SCAN " ► 1 ."C LN U ACCORDING Tp APPRt VED PLANS WHICH ARE PART OF THIS PERMIT AND SUB;i A'PL CAPILE PROVIS ONS OF LAW.' TF r r ,.. AT'LANTIC SCACH�¢U'tLD{NG'DE�PA TMCNT & All ,, : : - T FLORIDA ENERGY EFFICIENCY CODE FORM 1000-C-91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS Section 10— Residential Prescriptive Compliance Method Climate Zone AND RENOVATIONS Department of Community Affairs NORTH 1 23 Compliance with Section 10 of the Florida Energy Efficiency Code maybe demonstrated by use of Form 1000C-91 for additions of 600 square feet or less, and renovations to single and multifamily residences.Alternative methods are provided for additions by use of Form 1000A-91 or 900A-91. PROJECT NAME: BUILDER: /�/ l p�/ AND ADDRESS: PERMITTINGCLIMATE n B l- OFFICE: _ ONE: 1 2 t__.J 3 OWNER: PERMIT JURISDICTION DILLY VWH NO.- "(� NO.: Z I 1 0 NEW CONSTRUCTIONF] CONDITIONED SQ NEW GLASS AREA AND TYPE If Multifamily,number of ADDITION N;; units covered by FLOOR AREA Sl FT. Clear Tint,Film,Solar Screen le2sll this submittal: PREDOMINANT pane SQ.Single- ��SQ. MULTIFAMILY ATTACHED F-1EAVE OVERHANG ane 9 FT. ane FT. LENGTH 2 FT. SINGLE-FAMILY DETACHED ® FM LPORCH NGT OVERHANG oub�FT pane 1e==FT]pane ne QDouble-=so FT] FOR ADDITIONS ONLY WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION _ WOOD FRAME I MASONRY INSULATION WOOD MASONRY UNDER ATTIC: RAISED: RAISED: m 'EXTERIOR:M11 ®,E I l f.❑ PERCENTAGE R. � � � R. = R= R= OF GLASS ® ADJACENT: / •❑ ADJACENT:R ❑.❑ SINGLE =m•❑ COMMON:❑ ❑COMMON:m TO FLOOR: 'S % ASSEMBLY: R- R= R= 11 CRMMON: [11.1CRMMON: ❑•❑ COMMON: SLAB-ON-GRADE: ❑•❑ R= R= DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM n Central Electric Strip Heat Electric []Solar SpaUnconditioned ❑ P R= cd�J Room Pump ❑Natural Gas ❑Heat Recovery `I II'�1� Natural Gas Other ❑PTAC ❑❑ Roam UniVPTHP Fuels ❑Other Fuels ❑Dedicated Heat Pump ❑m In Conditioned ❑No New System ❑None ❑No New System EF= S ce None ❑No New System SF/EF= Fs R. L_1 SEER/EER=®•® COP/HSPF/AFUE=©.® NUMBER OF BEDROOMS= IMrMyeertt/ytMitMplane and specification*covered bythe calculation are fncompliance with Review of plans ands ecitications c red�t, Iculation indicates ft FlorWa Energy Code. compliance with the Flor da Energy Co Before tion is completed,this building will be inspect for cc+mplia a In aceorit ction 553.908,F.S. PREPARED BY: DATE: 7' 'R't F BUILDING OFFICIAL I hereby oeANy that building h compliance with the FbNde Energy Code, --- OWNER AGEIR: DATE: DATE: r TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Windows 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). Exterior&Adjacent Doors 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. V Exterior Joints&Cracks 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. Sok&TOP Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls&raised wood floors. Interior Joints&Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. V Fireplaces 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. Exhaust Fans 903,2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. Combustion 903.2 Combustion space and water heating systems­must provided with outside combustion air, Hosting except for direct vent appliances. Water Heaters 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. Sw!mming 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases, piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC Duct 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditione Insulation&Installation space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. Renovations Only Glass 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. - 1 - GL i,!,AI L..0;.Lb i L J TABLE 10B. Prescriptive Requirements for Small Additions (600 Sq.Ft. and Less) and for Renovations to Existing Buildings. COMPONENT MINIMUM INSULATION EQUIPMENT MINIMUM INSTALLED INSULATION INSTALLED EFFICIENCY EFFICIENCY Concrete R•7 r� 1991 1992 Wood frame.2' x 4' R-1 t C'_1 L______. 9 -- - S Central A1C SEER= 9.0 10.0 SEER Wood frame.2' x 6' R•19 3 Common.Wood frame, R•11 ______ V Room unit or PTAC EER = 8.5 8.5 EER = Common.Masonry' R-3 Electric Resistance ANY z z Under attic R-30 lZ- o�_ F- 0 Heat Pump HSPF=6.4 6.8 HSPF =6-95 _.._ Single assembly R-19 -- ------- = Room unit or PTHP COP = 2.6 2.7 HSPF/ = 53 --- Common,Wood frame' R•tt _ v _HSPF=6.1 6.1 COP a a Gas,natural or propane AFUE=.70 .78 AFUE = Slab-on-grade No Minimum rn Raked wood R•19 _�-_f 2Fuel Oil AFUE=.76 .78 AFUE = Raised concrete R-7 _ X - Common,Wood frame* R-11 _v W Electric Resistance EF = .88 EF In unconditioned space 1991 1992 3 Gas,natural or propane EF = .54 EF R-4.2 R-6 In conditioned space No Minimum z0 Fuel Oil EF = .54 EF = *Common components are those which separate two conditioned living units in a multifamily building TABLE 10C. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY(Renovations see 3 below) Maximumlass ercenta a to floor area allowed is selected b Maximum Installed P g g y type,overhang length,and shading roelficient.See below. % =�_ % _ _ GLASS TYPE,OVERHANG,AND SHADING COEFFICIENT(TINTING)REQUIRED FOR GLASS PERCENTAGE ALLOWED _ UP TO 30% UP TO 40% UP TO 50% Double Single Double Single Double Single Double OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC 1'-1.0 0'-.901. 1' - 90 NOT 2' - 90 NOT 3' - 90 0'-.86 6 0' - .70 ALLOWED 1' .70 ALLOWED 2' .70 0' - .65 01 -50.50 1' - .50 0' - .40 Shading coefficients(SC)may be obtained from the manufacturer of the glass.Typical shading coefficients are:single-paned clear SC= 1.0,double-paned clear SC= 90,and single-paned tint SC = .86. Form 1000C may be used to comply the following types of construction: SMALL ADDITIONS TO EXISTING RESIDENCES.Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form.The prescriptive requirements in Tables 10A,10B and 10C applyonly to the components of the addition,not to the existing building.Space heating,cooling,and water heating equipment efficiency levels must be metoniy when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction.Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS.Residential buildings undergoing renovations costing more than 30%of the assessed value of the building must comply with the Energy Code using this form.The prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced. GENERAL DIRECTIONS: 1.On the left side of Table 1O in the column titled"INSULATION INSTALLED",indicate the R-value of the insulation being added to each component.On the right side of Table 10B indicate the efficiency levels of the equipment being installed in the column titled"EFFICIENCY INSTALLED".All R-values and efficiencies installed must meet or exceed the minimum values prescribed in the preceding column for that component.Components and equipment neither being added nor renovated may be left blank. 2.ADDITIONS ONLY.Determine the percentage of new glass to conditioned floor area in the addition as follows.Total the areas of all glass windows,sliding glass doors and glass panels in doors which are more than 1/3 of the area of the door.Double the area of all non-vertical roof glass and add it to the previous total.When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area.Divide the adjusted glass area total by the conditioned floor area of the addition.Multiply by 100 to get the percent.Find the largest glass percentage under which your calculated percentage falls on Table 1 OC.For example,29%glass would qualify for the"Up to 30%"column.Prescriptives are given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficient(SC).Any pair within the selected"Up To category is acceptable.For agiven glass type and overhang,the maximum shading coefficient allowed is specified.Indicate the category into which the percentage falls in the box at the top titled"Maximum%= ".In the next column titled"Installed",indicate the calculated percentage of glass in the addition.Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 10C.All new glass in the addition must meet the requirements for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from The face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY.Only glass areas which are being replaced as part of the renovations need to meet the following requirements.Any glass type and shading coefficient may be used for glass areas which are under at least a two toot overhang and whose lowest edge does not extend further than 8 feet from the overhang.Glass areas being renovated that do not meel this criteria must be either single-pane tinted,double-pane clear,or double-pane tinted 4.Complete the information requested on the top half of page 1. 5. Read"Minimum Requirements for Small Additions and Renovations',Table 1 OA on page 1,and check to indicate your intention to comply with all applicable items. 6.Read,sign and date the"Owner/Agent"certification statement on page 1. 2 FLA. 1047 LAWSRAMCO FORM 4ee FS 71!.17 it Nuxure Of C=Mettret"Itt 4"SPAR■IN DU►uCATsI to itlhDltl< it tAttt81'lt: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT, t Description of property...... o .... `.5........ Ac. ..,.... ..... ;�ttc.c�f�- .......................... .................................................................................................................................................................................................».......................................... ........................................................................................—................................................................................................»................................................ .....................................................................................................................................................................................»............»........................................... General description of improvements-A gt' .................I....... . .....s d'-. . t A,........ e. ...t...!� +�.4 t,?......c1-e c ....QA.,.!�..}� .1.......... Owner....... ^ .!.. .�I�.S 4!.............�4.�........d' kar..n.'.g...................................................................................................I...................I...... Address........1, .�,.a' . ........... 4414: .......& .......... ..:... .... Owners interest in site of the improvement..................�kla........................................................................».................................. Fee Simple Title holder (if other than owner) Name.................................1.U..:...n..................,........................................................................................................................................................... Address...................................... ..............................................................,......................................................»»............».......................................... Contractor....................................... ...................................................................................................................»...........................................I........... Address........................................;.......... ...............................................................................................................»»......»»....,.»............»».............. Surety (if any)................................................ ................................................................................................»...»................................................. Address.....................................................................................................................................................Amaw of bond s............... , ............ Name of person within the Stat. of Florida designated by owner upon whom notices or other doarnents may be served: Name.......... ........e....N:.. ..................».....................................................................................................».»»............»................................. Address.............................................................................................................:..............................................................»................................................ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name.................................... .'.. . .................. ......................................................................................................... _,.......»................................... Address................................................................................................................_..r..........,... ,. . .......... ............ ............................................. THIS SNACI FOR RICORDIR'e URI ONLY I / ADDRESS BUILDING PERMIT NUMBER Y-111 INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB FRAMING . COVER-UP INSULATICPI FINAL BUILDING- CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # INSFECT_ONS ROUGH .. FINAL MECHANICAL PERMIT T PERMIT T FLUM�iNC, P . NOTES : �a � jjt1- - CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032817 Date 4/19/06 Property Address . . . . . . 1440 BEACH AVE Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5200 Owner Contractor ------------------------ ------------------------ CLAIR NELIGAN CONSTRUCTION 1440 BEACH AVENUE PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-3777 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT 1S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDIN CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Square Footage @ $ per sq ft= $ Garage/ Shed �@ $ W per sq ft= $ Carport/Porch fl�@ $ per sq ft= $ Deck @$ persq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 6ak O C $ �S Total Valuation 1 ` $ ! ®cam Remaining Value $ .per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + %z Filing Fee $ 0 FLOOD ZONE: _ ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ qO WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING{ ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ d O GRAND TOTAL DUE: $ �0, CITY OF ATLANTIC BEACH Cc: BUILDING /ZONING DEPARTMENT . Ford a r) 800 Seminole Road iggm v Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTrrS Permit Application # ao.' Ja-1 Property Address: / 7-Ef VL,) Applicant: Aklidan kX-6ha Project: efj'a)7" This permit application has been: Approved F-� Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Lj' Date: (off Date Contractor Notified: CITY OF ATLANTIC BEACH AP -:1 ROOFING PERMIT APPLICATION Date: 3 �6 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: 1 Li H 20 6 c--& �-A A �1= A-r L, 3 7 Owner of Property: ll 1 L L_ C L A i 4 66e7&_, Address: kl��S✓/��E /� Telephone: 4'-/ 9/_5 Z7," Contractor: rZ-/b7 47q/ �,Q Col 0 A/ State License Number: CCL/ 3Zs.M Contractor's Address: 'P 0 god y ,J Z-` j 3 Ax, R( )4 Ft- 3Z z_9 Telephone: Z-y 1 — 5 .7 7 --� Fax: 'Zy 7 L) 51 Scope of Work: X6'0 r Deck Slope: Greater than 2:1 y Z Less than 2:12 Valuation of work: Z V-0 . 0-0 Product Name(Example: Timberline): Z) VJ IV S � Af IVI ti &K-11W Manufacturer(Example: GAF): d GV� S ("04 N/N 67 ASTM Designation(s): D 3 V �Z Required Inspections: Sheathing and Final Signature of Owner: • /!/ Q Date: d r/ AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: JACOUELiNE P GtOr F fN +personally known NOTARY PUC-LIC CT'P:FF 07,[ !MT) ❑ Produced identificati n Vy ca r n "I�7)!. 1:, "'.0, :3 Type of identification produced Signature of Contractor: Date: 8 o-6 i AS TO CONTRACTOR: Sworn to and subscribed before me this�� day of State of FloCounty-of K. CUNNIWGHAM Notary's Signatur - NcMry pub.Sw d FW4§ r °r Commgeion Exon Fab 15,1010 •Ohl J Personally known bion A DD 523835 SmwNsbonM [�Iroduced identification r��,4;�t•' 11e�a' Type of identification produced Q4,95 QLP4 800 Seminole Road •Atlantic Beach,Florida 32233-5445 ey 1orJt *b8 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://Www.cLatlantk-beach.fl.us Page 1 Revised 2/21/03 '/IV -P)Okg a"� o-&'r ,tea-oS 0 8, 0 A 4 0-02 �U� aO �. •O,O W Li y CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O OFFICE:(904)247-5626 a FAX NO.:(904)247-5845 BUILDING-DEPT*COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 7 C/ &-Ae /7irF- Atlantic Beach FL 32233 /'100 Olt ❑NEW BUILDING ❑DEMOLITION ErRESIDENTLAL LOT—BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL OEBCRI O ALTERATION 13 ACCESSORY BLDG. N.. �^L�6 ,{ G ❑REPAIR ❑ L I SPA 13 YES ❑NiA e � C.C. ❑MOVE "-Flak 6 p OTHER O 9.NAME: Es i L L �: :?r/L 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 28.ADDRESS: g•7, t6--k-ev- 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CO` 19NE: 21.CELL PHONE: 29.CELL PHONE: TT ff - �vv�� I 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: _ ,. 31.NAME: 33.NAME: 35.NAME: _\YI 32.ADDRESS: 34,ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void If work is not commenced within six(6) months, or if construction or work is suspended or u abandoned for a period of sox(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done In compliance with all applicable laws regulating construction and zoning.i will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion Issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Signed; Date: G signed: Date: Before me this day of 2067 in the county of Before me this day of 2007 in the county of ewaif,State of has personally appeared Duval,State of Florida,has personally appeared hedn by himself I herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accurate. 7 true and accurate. Notary Public at Le,State County of Notary Public at Large,State of ,County of ❑ Ily Klro,.-rg ❑Personally Known oduced Idento - ❑Produced identification- Notary NotarySigna i KATHRYN L.MCCLURE REVIEWED FOR CODE COMPLIANCE •*' .", XWYPU&,J OF NEW JERSEY - - r&WMAJ COUNTY CITY OF ATLANTIC BEACH IRES MAY 31,2009 SEE PERMITS FOR ADDITIONAL FitBL( REQUIREMENTS AND CONDITIONS. L 01111 REVIEWED BY:Zh.. DATE: _ ;-" ' � � I � 7 � d r �P �/� �i9 tq �� •��� i � t � Ip _ MAP SHOWING SURVEY OF L(ai' "LOCK 60, i•ll!_,T:kLAY) t'iS Hl?CORDED IN Pi AT BOOK 10 , PAr3 , I.1 , 01" THF. tU;il%'1;`TT PUBLIC PFCORI); OF DTNAL COJAI-Y) FLORIDA. r Fob o /YI A xiiy� O. -A y,<w U i /1oT I I I� i.j 4` 01 4 1 9 l 13 In�,\` Z ooEN AEcew � � M .4l4�pC•veE h.� M 1,vo Sje.QY/•C,4jION Ki .oaRK:N;,y Ftun' `l r i 5 �, 1 � `' i ? 3' Bb• r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach,Florida 32233-5445 � . Phone(904)247-5826 • Fax(904)247-5845 r g E-mail: building-dept@wab.us Date routed: City web-site: httpJiwww.coab.us APPLICATION REVIEW AND TRACKING FORM �t�(!�/Q � y� t review required Yes No Property Address: Buil Applicant: ing &ZoW4=vvo2m nin Project. �. .. .,: . . . ... Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineer; Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: r CITY OF ATLANTIC BEACH 800 8HMNOLE ROAD.AnANTIC BEACH.FL 92293 i OFFICE(904W7-6928*FAX NO.x9"P47-.5945 .:s.. MA DI NG.DEKOCOAB.LIS BUILDING PERMIT APPLICATION DUVAL COUNTY T At Avi. Atlantic Heath FL 32233 /000 . 0-6 0 NEW WALDING ❑OELO.mON LOT BLOCK SUBDIVISION0 ADDITION D CONVERTING USE 0 ALTERATION 0 ACCESSORY BLDG O REPAIR O /SPA O YES 0 WA dOTHER 9.NAME �'i L }1� 15.COIP'ANY NA9E: 29 COMPANY NAME 18.NAGE 24.LICENSEE NAME 10.ADDRESS: 17.STATE OF FLORIDA LICA NO.: 25.STATE OF FLORIDA LICENSE NO.: IO.ADDRESS* 28.ADDRESS: 32233 11.OFFICE PHONE: 12.FAX NO- 19.01FFICE PHONE: T FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13. .CEL.PHONE. 2L M L PHOT 6: -(�0t/-Ivo c� ( 14.EMAIL ADDRESS: EMAL ADDRESS: 30.EMAIL ADDRESS: ,IL 31.NAME: rzm 7 32.ADDRESS: ADDRESS: AppNesum is hereby made to obtain a permit to do the work and it ons as indicated. I certify that no work or Instal ation has b CJ commenced prior to the Isstience of a pencil and that all work wile be performed to meet the standards of all laws r9gulatng cO nstluction In this Vjun"cdm.* This pernit becomes null and Vold if work Is net co nmenced within sbt(6)months.or if oor�trLK tion or work Is suspended or u abandoned for a period of sk(6)morphs at any(ane after work Is co nmenced. 1 urnderatarKt ihet separate permits must De sean9d for Electrical Work,Plumbing.signs,Welts,Poole.Furnaces,Boilers.Hsstem Tanks, Air Cornditioners,etc. OWNER'S AFFIDAVIT-I certify that ale the foregoing information Is acxxrate and that ani work wile be done In ooffg iwm with ON appficSbls laws regulating oonsfruc:tlon and erg-I will not oc•,ctw or use the referenced builatng or any part therof,ucdN all Inspections are finaled and prior to obtaining a cardro to of occu wlW or cornplation Wood by the buMV official.as rewired by law. *Ak WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. SW.9d: D 7 !>£5? slglled beta: Before me Elis day of 2007 i0 the toady 61 B81619 me this day of .2007 in Rha panty 6f gsral,State of Fliap ip,has pas w1y appeared _ / Duval.Stets of Florida.has persar>a�r appeared C•.,ipetm-fir, r e�✓��rSey !JV ��1�►+, C(�,Ir/ tminbyWaself1hersells,odalft the ae ataternerlts and declarZa are herin by himself 1 herself and eft, fIelatistalmnentsanddeclamdorware We and acxman. "and sicclaate Notary Pundit at Large.State County of C&L Notary Public at targe.State of .County 6f y Kn6wn 0 ProdLoW nave K ticduced ❑ wrma6eWon- Notary 8ign9ihre: Notary ire: KATHRYN L MCCLURE - NMY-,PUBI- LIC 4F Ng1N JERSEY CAPE MAY COUNTY W CUMMo iRES MAY 31,X09 COAG FORM SLOW:REVISED,I IM 607 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road ^ �� Atlantic Beach, Florida 32233-5445 (/ Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: .� City web-site: http://www.coab.us 11 APPLICATION REVIEW AND TRACKING FORM Property Address: /V-//O WileA A� Build'QopaftnWt review required Yes No ing &Zonin Applicant: 4au=vvorKS-'3 � . blic Utilities Protect: �1 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: S'-o fir PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER js Building Department (To be assigned by the Building Department.) a - 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 j E-mail: building-dept@coab.us City web-site: http:llwww.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM j(yQ A6, t review uired MYesNoProperty AddressBuil Applicant: (,v�j >�, ^jming &Zonin Project. :... . .. ..: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: A(Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: p MAP SHOWING SURVEY OF LO1 t, T?LOCK 60.. iG:::P,.=SLAY. AS RECORDED IN PLAT BOOK 10, PAG.", -1-1 - OF THIT G.U:MEIT PUBLIC RECO OF DTJ'IAL COUI,-'y, FLORIDA. �oRo MAX/Ne 0. - AYE'f v. I i I I 101 3 50.oz �.�\ �` �� 28.3• op tl*j,a�oEN AEs e w ' r �`` h � M A./RK/••��/yFsdw i to � o Duval County Property Appraiser - Parcel Summary Page 1 of 2 coi * A r�w ane index ■ canta,t war n OftWwv� a of eta y of Jackson ,FWida Properry .7 Appraiser Home> Departments> Property Appraiser> Duval County Database Search Parcel Information ? s : Owner's Name: CLAIR , WILLIAM J Real Estate Number: 171861 0000 Secondary Name: ANN M Property Address: 1440 BEACH AV Mailing Address: 1440 BEACH AV City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Zip: 32233-5734 Unit Number: 2006 Exempt Value: $0.00 PARCEL DESCRIPTION Propert Use: 0100 SINGLE FAMILY Transaction Date: 6/27/2002 Transaction price displayed is based on the actual amount of Legal Description: 10-11 16-2S-29E documentary stamps MANDALAY LOT 6 BLK 60 - Transaction Price: $600,000.00 paid at the time of recording.The current rate Is 70 cents per $100. Subdivision: 003126 MANDALAY Section/Township/Range: 16-2S-29E No. Buildings: 1 Official Record Book and Page: 10562-2428 Heated Area: 2423 Map Panel: 558 1 IlExterior wall: BOARD & BATTEN VALUES AND TAXES FROM 2005 CERTIFIED TAX ROLL Land Value: $303,000.00 Taxing Authority: USD3 Class Value: $0.00 County Tax: $3,437.27 Improvements: $237,511.00 School Tax: $4,326.25 Market Value: $540,511.00 District Tax: $1,620.13 http://apps2.coj.net/pao/RENO.asp?RENUM=171861+0000 5/8/2006 CITY OF ATLANTIC BEACH s iso 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 l J,35l Application Number . . . . . 09-00001773 Date 10/19/09 Property Address . . . . . . 1440 BEACH AVE Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 CU 2 AHU ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- CLAIR OCEAN STATE HEAT & AIR, INC. 1440 BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/17/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115 . 00 115 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 115 . 00 115 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. e � CITY OF ATLANTIC BEACH 1 r sy 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 _J ` OFFICE:(904)247-5826•FAX N0.:(904)247-5845 a BUILDING-DEPTQCOAB.U S = a vs MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THISWSUS PERMIT: 3.;DATE: YNO ❑YES PERMIT#: 0//q/0 7 PROPERTY.OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE. WI Mari Gto-� $Sfi- 33XF MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: S.ADDRESS.: d C.LU.A /4,,/- 1117io re I[u h`C 1v� /Y +ttrd�- l�c�el, 1�'Z 3 2 Zlo 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 2,119- 29yF 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 2-Y9- Ez.rI Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nulla ix(6) months,or if construction or work is suspended or abandoned for a period onths at ti er workmmenced. ARI# 04942.,5 z 1/0631 1. _ CONTRAC S SIGNATURE: 15.CLASS 0F'WORK: 16.BUf DING: < 17.' 78,CURRENT"CODE: .; ❑NEW INSTALLATION ❑NXIST ESI P RDEN L [3'07 FLORIDA BUILDING CODE- �1 REPLACEMENT OF EXISTING SYSTEM EG ❑COMMERCI MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TOBEI LLED: 19.HEAT: ❑SPACE D RECESSED CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ROOM IXCENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. IVALUE FOR OTHER ITEMS: - - - 31.COOLING EQUIPMENT. . AIR CONDITIONING.`REFRIGERATION EQUIPMENT.CONDENSORS.ETC: NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY Z J-1 S--2-,( es-✓tri' 2 Tb-t _ 6/(o gD z.J- r_0 ty"r T 1fS 3 b QCT 3 32.HEATING EQUIPMENT: FURNACES BOILERS'FIREPLACES AIR HANDLERS ETC. NUMBER A OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY Z ,Q, l �v �rr=0o v 1/aN os Covri 33.TANKS: TYPE LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech:REVISED:12/18/2008 PSR-3844 pEPAR`t`MENT OF awLII INS j C#TY OF ATLANTIP,BtACH i PER14IIT INFORMATION - � LOCATION INFORMATION '------- L t Tib x: Adair �e� 1440, BEACH AVENUE r: iit Type:PiLLMB,TNC , ATL NTI REAS . PLOR I DA 3:22 3 � x _ liss of Work:A.LTERATION _M ��a� LEOAL 'DESORIPTIC#� ��_ (Zonstr .', Type:WOOD FRAME �RL k. : to "s :. T1w Froed Use* Se rozjori0, Subd-0 Rnq; bwe11in 'm Subdivision,* i Est . Value: 0 .00 Improv. Cos Torah C Ix r, ICS APPLICATION FEt - Naas' ��� , � � PERMIT �2 � Op ' '� gr ORIDA FL ho I Nit C RA R ORMATICNC, a N mow,. ,FLAME I t�C - -, . ., r Addy t 110S 140 4T ,STREET 4A BEACH, FL 32250 Exp g"_ r9P;'m'".n+uR.*G" a " NOTES: f 1 4 F l NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUSTSgINSPECTED$16FORE POURI" PERMIT VOID SIX MONTHS'AFTER DATE bF 1$SUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE C.LEARE01UP,AND`HAULED AWAY BY EITHER CONTRACTOR OR 01NNEfl' 4 E "FRILL AE TO COMPLY WITH THE MECHANI "S' LIEN , ►i�f CAN RESULT IN THE PROPERTY OWNER PAYING TWICE' OR 8th#LC�1NC IMPRC� IEMENTS►.'i_ ISSUED ACCORDING TO APPROVED FLANS WHICH ARE PART OF THI S PERMIT ANDSUBJECT 1 # VIOLATION OF APPLICABLE PROVISIONS"Of LAW. ATLANTIC BEACH BUILDING DEFARTMENT, t B •�, .� r, * �• CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: L&_o 0i -yc OWNER OF PROPERTY: h/ PLUMBING CONTRACTOR: tc, CONTRACTOR'S ADDRESS: 110.1-4,1zz STATE LICENSE NUMBER: �t C�J`7�7�OD TELEPHONE: HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER4-c/ TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. i E PSR-saa4 ... I DEPARTMENT QF SlAt GING CITY OF ATLANTIC BEACH FERN INFRMATION � �� � � � �"�� �� < LOCATION INFORKATIO -��M Permit Number, .23394 Addreas"„ 2440 BEACH AVENUE � Permit i Ty :LLECTR CAL A.TLANT'Ir. BEACH , FLORIDA 32233 "L otWork:,-ALTERATION LtAL .tIESCRIET` C Const rx Type:4 OOD F AMZ Bleck Lot rv� � U W w `I<i ou v ` alp Rn Dwellings : 1 tlubid, y sion. : j `"Improv ..' Cost *nt Amou 25 K D ff 00 Date �� i I ON Y - APPLIi'ATION FEES - -� 1PER$IT� 25.0 � � � � NSE " � � 3 FLORIDA a _ �� ^`' ho A tt B I &.. B 1C ... . . ..9 ..w. NOTES: t l NfSTiCE Al CONCRETE FOA AS AND FOOTING$MUB� BE"ifil$PECtED BEFORE POUR11+1G p iPERMIT VOID SIX MONTHS AFTER DATE 0' ISSUE . BUILDING AAEPIAL,RUBBISH AND°DESiIS FROM THIS tNC3RC MUSTN3T BE PLAEb.IN PUBLIC SPACE, AND MUSTS CLEARED UP AND HALJLE'D AWAYBy,E1FhCERi CONT14ACTOR'O► ',O .NE,O� s " I "FAlLURE:TQ COMP wives tke edkAh11 ►' L1�1 1� CA ILT 1l�l T'H'E PRt0R'1'Y1Ii1Li PaYI"N TWICE BLS°lLdN+G �NIIPIV�A�IEWTv:' " . ISSUED ACCORDING TO APPROVED PLANS WHICH,ARE PART OF fiH1S PERMIT AND`SUBJECT Tb !il` ATIbN FOR' VIOLATION OFAPPLICASLE.PROVISIONS OF LAW. ATLANTIC BEACH BUILgING DEPA MENT It, I - CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: S 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: may, MASTER ELECTRICCI'(A�NISS GNATU E NAME '��/` °� - ADDRESS: ( �` TURFD BOX BLDG.SIZE BETWEEN: RES. APT.( ) COMM.( 1 PUBLIC ( 1 INDUS.( 1 NEW( ) OLD REW. 1 � ( 1 ADDITION ( ) TRAILER ( 1 TEMP.( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE UU AMPS PH 3W 2 YgOLT S RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES >I� CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. APPLIANCES 67 —`,2'S /fr'l(Z BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT ' 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Asa• �� DEPARTMENT OF OUtLOI.NO x CITY©�ATL.ANTI BEACH N �'�{ ry' �, +}r 'LCCAT ICN INFORMATION - - . PEI � 1 vL 4FORMi AT 16 rrtNumber t 1 " " Addry 1,440 ''BEACH :AVENGE -- - . A- CLAPTI C 'BEACH FLCR I IA 3 2 3 :ROOMADDTIOrmi YP _ __ .-- -.LEGAL )ESCRIPTI class, of Work-ADDITION . o r r.ilroposed ;OOOD- FRAME e . Dwellings '. 1 Est . Value: 4 C� Impr6v . Cost: 11 000 .tip I Totil �e, Amcaunt tl " 131 . 54 4/1997 r3 , ITN ]?ER PLANS i .. . do ION � �� ..� A.PPLICA' IO14 FEES , IT B FLORIDA 17 .5th" Adcaf'T ' EN E ' Phh10 � TIQ*; ix r BL T C RtI IEN 'Ct �W 7A ICS I .; FLORIDA, 32214 LR I� d" 1 E Nt3�C10E ALL COAICFtETE FCFI""#MtS AND FQOT1N0$ AU$�T 8E INSPECTED ISEFORE PaU1i#NCI, PERMIT VOID SIX MONTHS AFTER[SATE of 158.11E " BUtL01�IG tulATERIAL,RUBBISH AND DEBRIS FR©M THIS WOR r MUST,NUT BE PLACED 3N PUBLIC SPACE;AND MUST ESE CLEARED UP AND HAULED AWAY BY EITHER CpNTRACTIOR 4R'C?WNER ttTQ C MPLYMIt CHW# yJAW CAP L11ENLFJ RE * Q fjoMftTYOW TWICg UBD Af t?Fit1,INC T4 APPFti EO PLANS WHICH ARE PART OF THI$ PERMIT AND SUBJEC:1 TCS I IS ATIC N Q APPLICABLE PRO SIUNS OF'L.AW. ATLANTIC ACH BUILDING PAR IVIENT1 �1 { By. , »a u FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION 4'FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: G 1.C7 BUILDER: O 6 _ AND ADDRESS: h V PERMITTING CLIMATE OFFICE: LA,11'A f tG G ZONE' - 1 ❑2 ❑3 OWNER:M M 5 .. I.AG`{ MANGN 1 PERMIT NO. JURISDICTION NO.: T1 SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form. Please Print CK 1. Renovation, Addition-or Manufactured Home 2. Single family detached or Multifamily attached 2. S. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area 4. sq. ft. 5. Predominant eave overhang (ft.) 5. 6. Porch overhang length (ft.) 6. . Q 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. © sq. ft. sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. _ KT 8. Percentage of glass to floor area 8. O % 9. Floor type and insulation: ^- a. Slab on grade (R-value) 9a. R= d 2� lin. ft. b. Wood, raised (R-value) 9b. R= sq. ft. c. Wood, common (R-value) 9c. R= sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: _ 1. Masonry (Insulation R-value) 10a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R= I �_ A. _sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 10b-T- R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 10c 11. Ceiling type and insulation: a. Under attic (Insulation R-value) 11a. R= sq. ft. b. Single assembly (Insulation R-value) 11b. R= _ sq. ft. 12. Cooling system* (Types:central, room unit, package terminal A.C., none) 12. Type: 6X 15fl t 0ilf"' SEER/EER: 13. Heating system*: 13. Type: I� -15--T(060 (Types:heat pump,elec.strip,natural gas, L.P.gas, room or PTAC,none) HSPF/COP/AFUE- 14. Air Distribution System*: a. Backflow damper or single package systems' Yes/No) 14a. _ b. Ducts on marriage walls adequately sealed` (Yes/No) 14b. 15. Hot water system: 15. Type: X (Types:elec.,natural gas, other, none) EF: *Pertains to manufactured homes with site installed components. I hereby certify th t ns an s t' bpovered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with(eF16 En odIrl, with the Florida Energy Code. Befor onstruction is completed,this building will be PREPARED BY: TE:�"f� �-F inspected for compliance in accord nc with Sect' 553 8, .S. I hereby certify th this building is in co pliance with the Florida Energy Code. BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: - L -1 - CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address G r4-c-0 V .:..- C C-10SE00620 f Date �`�� t � '�( �` W f.- 7- Heated Sauare Footage @ $ per sq ft = S t Garage/Shed @ $ per sq ft = S Carport/Porch F t'��► nf`� _ @ $ per sq :t = $ V'{ �F Dec, @ $ per sa ft = $ Patio VS �� @ $ per sa ft = S v c0 TOTAL VALUATION : 8-L/ 000 c� 60 © /3-00 $ /S•OO Total Valu�attion 1st $__IQ0D1D— �a X0.04 Remaining Value $�.-.00 per thousand of portion thereof TOTAL BUILDING FEE S_ C�S •o + 1/2 Filing Fee ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE S 9 �.1 0 WATER IMPACT FEE-/ SIAJK, $ 5/0 ,O'a SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAF S t ) RADON (HRS) . 0050 N _ SECTION H PAVING 1 ) $ HYDRAULIC SHARES S CROSS CONNECTION S ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE S /`3 _SO ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : RECEIVED APR 41997 City of Atlantic Beach Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : L C: 'y MA141241 Address:—i L/L/0 APhone: -�L 1:2 Lot # Block or Unit # Subdivision: Contractor: C) IU C,- +PL� 1-0(—o '�`-- State License # IS/v 0— L? da � Address: t373 c-i 0 P P-l� � Phone No: 0 3 /�f :2=3 A Describe work to be done: A a ! , Olt„) Present use of building: L: Valuation of Proposed Construction: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: &, ft. Xja 'aft. Will the added area be heated and cooled? A,oe; New electrical (or increase) ? PO New plumbing fixtures? New fireplace? New Heat/AC? SUBI41T 271 EE (COMIERCIA.L) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRA& OR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: Y ARCHI acT/9N0iN SRS CERTIFICATION COASTAL CONSTKUCTION COUK FOR ALL MAJORBSTRUCTURZO TO ACIN, FLORIDA BZ LOCATED MtInTRIN CITY OFKTl�� L__1APPLICANT'S NAME t QL L5, L U , L PRONE NO(JD 7 7_&.ZDATt; A�_ ��1? OWNER NAME; M ks• I,AG`� Hh Foo" •E• TAX NO. ; TYPE OF PROJECT: C1New Home [1M b e Home XResi,dential Addition ❑Gal-Age OPool ONew Commercial OCvuunerc ial Addition OOther �- 911 STREET ADDRESS t 0 We claim the structure to be exQmpt as follows : 0 Garage with no provision for occupancy - detK(:hed one and two f ailc►i ly only 0 Pier, Dock, etc. 0 Other (Specify) . . ._ -T=--- I also certify that no structure listed above may be remodelled aY- converted to a nonexempt use without being upgraded to fully comply with t'he ordinzcncP Signed: Dates ---r--.. ..... ----�----------...,..-------------------------------- ----------- ----- CERTIFICATION This certifies that the plans an(i specificati.ono submitted and sealed by the undersigned meet all criteria met forth by the City of Jacksonville Seach Coastal Construction Code . Roof covering is exempt from the 11.0 mph requirements of the Coastal Construction Code. )7oof covering is exempt from the 110 mph requirements of the Coastal Construction Code, but meet all. the other requirements of the City of Jacksoliv,i.11e Beach Building Cods, M The structure including foundation, frame, roof decking, exterior walls and floors has been designed for wind loads of 1.10 mph, with all cies i,grt complying with the 1908, Chapter 12 , Standard Building Code. - --------------------- Windows, --------_ ---.._----_Windows, doers and all other exterior devices comply with the 110 mpti wind load. ..rr - - The structure is located outside Xthe area affected by wave farces, OR 0 The structure is capable of withstanding wave forcow r osulting from ii wave crest height of feet above MSL including uplift farces .. rr.+rr....r...__-.___�.�.._..._..�.-_..-....._............._..,.�.._...wr�.rr..0 rrw_w_r_-..w.•.�__.__.... «..._.......__._....__......_ O The structure is located in FIA Zone A and the f.ound,at.i on das i gn has considered possible exposure to water and erosion, Oil the structure is located in FIA Zone X and the foundation will not. t.�} exposed to hydrodynamic, hydrostatic loads or water SCOUr, OR 0 Foundation design has been completed with floor elpvation above the specified stillwater elevation, and to resist wavo, hydrodynamic, hydrostatic and wind loads acting simultaneously with dead loads. Erosion computations for the foundation design have taken into account. the projected 30-year erosion 'losse►s, the eroulon lusses from a 100 yeai storm event and all vertical and lateral erosion including scour caused by .the struc:tural components . - No excavation of dunes isincluded in this project, OR 0 Dune excavation permit Is attached. Y -'_t�- '(N r-+day of19��. SEAL ^ ^ AP�II.. _....r_..ti..,-- ~ .. ____- -, Certifiedthis . �O. o2i Lc)T 6L &,r-2 MaNDA�a�f S/� PaZ H To(74 SQ. rr Nv, 14 40 ct� RECEIVED APR 4 1997 City of Atlantic Beach Building and Zon-ing. IS.O 13. 0. 5 MIN. �EJ PHONE# IU I' " " !_r 1AMC0 r01M we ILA. I967 LAWS -Ixrr of �x�xtlxt�ext �exxt�ext 1PREPA11[ IN OUPLICATt1 �p fuhm it 1MV r0mv= The undersigned hereby informs all concerned that impr9vements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the,following information M is stated in this NOTICE OF COMMENCEMENT. DIDescription of property........................y ........ ..G7;............................................................................................I......I.............. ..............�� L �..`...........................�!::��-�r:�ca '.................................................... ......... . �._ I� ............................................................................................................................................................................................................-... a .......................................................... ..... . ..............::...w t........................................................................................._............................................ General description of improvements.... ........ .. ........ I..:....... ..................................I............. ................................................................................................................................ ....................................................................................................................................................................................................................................... 591 � Bk: 36Q Owner. .. .......................................................................... DP.oc#...97(?7�a��l.�................................ Filed & Recorded Address........ ...`7 ..tz`'J.......... ....... ........-.......................................rWIV.9.1........ ......................._............. 09.25:39 A.M. DTZ HENRY W. COOK Owners interest in site of the improvement.................................................................CLERK...C•FRC41T...CQUR-T......................... DUVAL COUNTY, FL Fee Simple Title kidder (if other than owner) REC. $ 6.00 Name...........................................................................................--..........................................,........................................................................................ Address......................................................................�...-.�................................................................................................................................................. Conlractor..... ...ems :fir:.<<: G' '........:;%....! .... ........................................................................... Address..........................................................................................................sJ.. .:...........................................................................I........................ Surety (if any).............-...................................................................................................--.........................................................................................- Address......................................................................................................................................................Alncutw of bond $.............I.................. Name of person within the State of Florida designated by owner upon whom notices or other downents may be served. Name .......... .............................................................................................................................................................».............,.................................. Address............................................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name ........................................................................................................................................................................................».._........................^^.......... Address.............................................................................................................. -.................. .. ......_... . .......---.....................,r}..,l.............. pm3wNO, i EPAATMEW bo oft CITY OF ATLANTIC-8I I _:. ... _ LOCAT I CSN ; INFORMATIONw��w -' PERMIT INFORMATION 4 {? BEACH AVE!it�E Pyr N .2211 Addx! l9 azTr '''I` a,FENIIr ATLAI! L� TIC BEACH, I?`LOItITtA 32 . Clamd Wvrk.AL 'ERATION -».;�, �.� ,- I:�ICAL DESCRIPTION ~- -- - Cc�n . ' Type.WOOI} F'NAI�.IIE A Lot ,,Proposed' Usea, E r+ r C Sued.4 Rng: Dwo I inqs iaion Est . valme 0.00 Improv. ;Cast ; 750 .00, Total it 10 .00 Atrt�au t 10.00 r tuft r"cit TION - �- .,... AppLICATION PSE - ..,...,., 10.00 Plasm. iyh¢ 3 uOR I bA .... _ I F`OT I VT 9 same Ru low, Adft ACKSON BEACH YL 32250 , E�I�'I' Sc t i FICE--ALL C CR1 '1IEC I° 1 t1l E AND FOOTINGS MUS"ISE 046PECTE©I�E�E`POUIFI NG. PERMIT 1 Olb`SIX MONTHS Af7rEA CITE OF ISSUE . BUILCIINQ M/4TERIAL,Rt1I3BISH ANIS DEBRIS,FFOM THIS WORK BE MIDST NOT BE PLACEt IN PUBLIC SPACE,AND nnuS-r r CLEAAEO UP ANIS HAULED AWAY'BY EITHE�i CONTRACTOR OIC SER ` ILl E "" ' ' � 'I HE +CHANIV L LAW CAN I�E'.aUL Eft FAYINGM G Imp ME ACCORDING TO APPROVED PLANS WHICH'AAE E PART OF THIS PERMIT AppLlCABLE pRbVISIIy1l�15 OF lrAW. tdt8• F � APPLICATION FOR FENCE PERMIT Owners name_-4, ------ _�.p S1Phone_-----____-- Job Address---- ____� g----------------- Lot_-_____Block and/or UnitSubdivision_____________ Contractor if different from owner Valuation of fence 8 ,� _'__ Corner or, interior lot Type construction_____,L�J /) Q_� x-L,v1LL4T------- Show location and height of fence as well as location of street(s) . kz L APPROVED CITY OF ATLANTIC BEACH PLANNING & ZONING OFFICE JILL 0 21996f� �. BY Owner signature----------------- Date-------- Date-70� 4 Contractor signature J L- .e AS ! '" FOR OFFICE USE ONLY Date------------------------------------19 ------ Permit #........................Fee$........................ CITY OF ATLANTIC BEACH Valuation $....----•----•-----------•-----•------•--------------- FLORIDAHouse *--••-•-----•---------------•---------•--------••----------- ..-•--•-----------------------------•-..............------•-------------... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. / � Date.J7Lt-,-e-,4.-------.- .......................... 19-0•-.�. Owner.f� �{ rTY Q/`'� - Address--/G�-y.6--r��,�� ... ���'Telephone No............................. Architect......................-- -----------------------..............................._...-..........Address,....... .................. ••------------.-.Telephone Contractor Builder&aAl.F_ l�.t L,�E -.._dlc Jf� ess. fes_. ?.. 1��r/f_._Q ?/�I��__.Telephone No.:f� Lot No....pay.------------------------------------------Block No --ff.......................Sub Division. .,fc�,�. Zone................. ��. .-._Street//---------- -- --.._Side Between...�..�f.. ... . .. �' ............and-----/... � ....... .r StR• Valuation $...1a0.(,_,E.D4.For what purpose will building be used...)' � -�---...Type of construction---Czee. /7_----_----.- Dimensions of Building---t , - -----------......Dimensions of Lot_ -�`(�.r... -.. f C„fg -.:Size of Footings../.�-/��.� -- Size of Piers...................................Size of Sills------.---..------ ------------Greatest Sill Span in ft...........................Type Roof...............-----_--------------- How will Building be Heated?_ �- -Will Building be on Solid or Filled Ground?....;tt.L..l^/..1.............. Size of Ceiling Jois <-----.-... 401*51 l 1*6 on Centers...... ...... L --- _ _ ---., / P, Size of Floor Joists..�.�. ......... Distance on Centers. ..._/�-�..�F.....r-��_�,,.-..., Greatest Span..._._. ..a.�......................... .. Size of Rafters_14e0 eq------.-- . _._---------, Distance on Centers _. ..... .................. Greatest Span.... = tv APPROVED This rectangle is to represent the lot. CITY OF ATLANTIC BEACH Locate the building or buildings in the BUILDING OFFICE right position. Give distance in feet from all lot-lines and existing buildings. Two copies of plans and specifications shall N 10 i98' REAR LOT LINE be submitted with application. Inspections required. B 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour colum nd/or lintel. 3. When steel is in place and ready to pour beam. "a a 4. When framing is completed. S 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q A 7. Electrical inspection by City of Jacksorville. &02 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder. . . Gll --. --. Address..,_9� ----- q fGl -----ll t --- -...-•--- Signature of Owner.... ................ Address/.q.C.Y..../S.. �1 - '! ..................... O � �0 0 r�C,6� s '�.w{�,, 1..,. F • i t€.:i`:4.. S 4{+4 T rL C C i ur, :i5 Li F, Y CN T CG E �. c I�:'R TC UhTF. IK EA ) dry i �.rwizi..0 .uiS_� F°rC CCT18 r ...... .-•_. _-.---..,.. _.._.-..__ ._.tom-.�.._ _.. . _.�r_ .:_,.. ,__ 1 . , fZ� � LL £ ; FL 322,�1 DEPARTMENT OF BUILDING 1 "CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 5225 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date .111NF 10 19-22— Valuation 9-3ZValuation$ 1,000.00 Fee$ 7.50 This permit not valid until above fee has been paid to City Treasurer,and is j subject to revocation for violation of applicable provisions of law. This is to certify that MEB BUILDERS 1930 RIVER OAKS DRIVE, JACKSONVILLE, FLORIDA has permission to build INSTALL DECK ACCESSIBLE FROM SECOND STORY ONLY AS PER PLANS SUBMITTED. Classification SINGLE FAMILY Zone RA Owned by LACY MAHON Lot 6 Block 60 S/D MANDALAY House No. 1440 BEACH AVENUE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 0 Building material, rubbish and debris 4 from this work must not be placed in public space, and must be cleared up and hauled away by either con- t orflowner. r �y l 6 0�1 Bril in p W td FOR OFFICE PERMIT USE ONLY NUMBER DATE COt T TOR i A 6 f 1 0/8, ' PLUMBING t X*t V V ELECTRICAL SEWER WATER wt 3/4" IRRIGATION METER 1440 BEACH AVENUE LACY MAHON USE THIS FORM FOR ESTIMATES ONLY 246-6112 DESCRIPTION CITY. MATERIALS LABOR TOTAL , 4" X 1" T.S. CAST IRON 1 $12 80 1" CORP STOP 1 $22 36 1" CURB STOP 1 $22 36 1" X 3/4" MALE ADAPTER 1 $0 23 - PVC SCH 0 1" 90 L PVC SCH 40 1 $0.87 _ 1" PVC PIPE SCH 40 10T $2.40 1" MALE ADAPTER SCH 40 1 $0.77 _ PVC ' 3/4" X 5/8" METER 1 $85.00 CONCRETE METER BOX/LID 1 $12.00 SUB TOTAL 1-$158.79 _ 10% O.H. $15.88 TOTAL $174.67 2 MEN ($27.45/HR) FOR 5 HRS. $137.25 30% O.H. $41.18 TOTAL $178.43 —MAT(RIAtS —I ABOR TOTAL TOTAL $174167 $178.,43 $353 10 MISC. JOB EXPENSES AMOUNT 0111ER JOB EXPENSES ,,SO 00 1 .00 HR F R 5 HR . TOTAL COST , 50.00 TOTAL SELLING PRICE LESS TOTAL COST GROSS PROFIT %,•ssOovt"111*0 COST . I S",IN0 ♦RICE TOTAL j NET PROFIT $403 .10 OV ED Ap p `y pE A�I.AN'CIC BEACH . pUBL1C WORKS DEPA�Zti�ENt APPLICATION FOR WATER N4 STTAP APPLICANT NAME -12- ec �_d�=-J_____________________________ MAILING ADDRESS ( i------------------------------ PHONE NUMBER—_ O� _�'=�Pl/off----------- DATE_ cS,[/ I� _---- SERVICE REQUESTED_ � ����e:�_�` ------------------ ------------------------------ SERVICE ----------------------------------SERvzcE LOCATION ---------------_.--------------------------------- DATE SENT TO /G � DATE RETURNED PUBLIC W'ORIiS_-- TO BUILD. DPT. —___`�. ���____ DATE OWNER Q / NOTIFIED____ �� �1 - ��- b 3 000801 ' ': # PAR'f`AIlIN7 G�'';BUILt?I:t�1G1 ° CITY© 'ATLANTIC� 1IM rsiu, oi"i' 14, 410 , ACit it � At VJC8CftXPTXCW :, .l -PAO at - soot ion I OWL tpage s . ( ins op IW+ ulx �� � V'w�:�o ' •. ► �,�...�.,�.�». ,« �; ��I� ���U1�1'lEIITIQN .w �...�.�,. "CY Vt Pb Y246_� 793 # ! 793It I� � � SEs $3 10 .Oo 01 *04 00 Fre y � z 1A'it :IWI TAe Q.00 9A1t . RX � o O, OQaw $O NOTES: i i NOTICE—ALL CONCRETE FORMSAND fOQTINGS MUST ale, INSP ECTED BEFORE POURING PERMIT;VO`lD SIX MONTHS AFTER dATE.O;F ISSUE SUILDINGr MATERIAL,RUBBISH AND DEBRIS FROM TH1S.WORK MUST'NOJT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR.OR OWNER. `°FAILURE T©'CC?MPk; WITH THE MECHAN#CS' LIEN.LAW CAN RESULT IN SHE PRC)PER`TY t2WNEi I A�fIfiIC T1�"IC' FOR EILDING IMPROVEMENTS." i ISSUED ACCORDING TO APPROVED PLANS.WHICH ARE PART Ola TRIS PERMI I'ANP.SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS l7F LAW. ATLANTIC BEACH;B'UILDING DEP MENT By: 5, Ci A P P L I C A T I O H F O R B U I L D I N G P E R M I T CITY OF REQUIRED SUBMITTALS 716 OCEAN BOULEVARD Each application for building P.O.BOX 26 permit will be accompanied by ATLANTIC BEACH,FLORIDA 32233 two complete sets of plans, including TELEPHONE(904)249-2396 a detailed site plan indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey (on new construction) SCHEDULE OF INSPECTION Requests for inspections will be accepted from 8:00 AM until 4:30 PM. All inspections will be made the following working day. 1. Footing 2. Rough Plumbing/Sewer CALL IN WITH PERMIT 3. Slab NUMBER FOR EACH TRADE 4. Framing, Rough Electric, Mechanical, Top Out Plumbing 5. Insulation, 6. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. $10 fee is required for all re-inspections. CITY OF PROPERTY DESCRIPTION 716 OCEAN BOULEVARD Lot #--------Block #--------Section #____-------- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Subdivision:-_-___-_---_ --------------------- Street Name DESCRIPTION OF WORK or Address: ------------------------------- If in a FLOOD HAZARD AA '' Flood Zone: -_area complete page 3. Brief Description• /!/ Class of Work: (New/Remodel/Addition)_ ZONING INFORMATION i,4J a d� ` Type of Construction: 6^/ Zoning Proposed District: Use: Estimated Value 9 6c+ D Ov Exceptions or Materials:__(_,k)_a cam.............. Variances Granted:------------------------- Solid or ------------------------------------------- Filled Ground:-------------Roof:----------- OWNER INFORMATION (Method of Heating:.................. Property Owner: f ti G A /�or,) Phone• ---------- Mailing - _- -Mailing Address---1{-.5-�-- �t t �-a---I �'9� --�-- -� ---------------- A1_ T//Y�V-T-1 e=------c.t �1L4-- - L=------ Zip:---------------- CONTRACTOR INFORMATION ------ - Contractor:-- -----=-----E--�---��=---- Phone:_2 ---- 4S Mailing Address:_______ 6 22 � - St. � - --------------------�-- - ------------- ZIP:--------------- m -- Expiration License Number:_ __-----L����� Date I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE 2 � J 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 .,sr+ GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF A14Y FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS !e� CONTINGENT UPON THE ABOVE INFORMATION flEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING v� ''T f Glx DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature _ ___Date-- -� r — Date_ Contractor Signature_ FLOODPLAIN DEVELOPMENT INFORMATION Type of Developments------------------------- ------ Flood Zones_______________________ Required Lowest Floor Elevations_______________ If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that' the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on -file with the Building Department. COMMENTS% Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other lava or ordinances affecting the proposed development. Date--------------APPlicant'a Signature.......................... ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation -___ ' Survey Filed with Building Department -46-------- Building DepartmentRepresentative page 3 A10 E37 Address / c(q O f 4-c H /4✓r . LK E M o D ieated Square Footage Cf @ $ per sq ft = / � . :arage Shed �vfic�r�l ! `/0 @ $ sq ft = $ � � s'. ".azport/Porah @ $ per sq ft = $ deck @ $ per sq ft = $ ?atio @ $ per sq ft = $ TOTAL VALIDATION: $ �. p� f S "otal cation lst $ -*emainder Valuation ,,,E..00per thousand or portion thereof $ - ---- Total B�ild�g Fee ,DDTTIONAL PERMITS and/or FEESRE(�iTIlZID + Aj Filing Fee $ iechamical 0 Fireplaces @ 15.00 $ BUIId)ING!PEEINIIT FEE $ 'lambing lectric/New ' -------=------=----=----------------------------- slectric/Temp M 110-7Leptic Tank BUILDING PEL Tr $ 1 � °ell WATER MEIER CHARGE $ ta� Pool SES IMPACT FEE $ WATER IMPACT FEE $ Tater C r ection MISCEI T ANEOUS $ ewer Co mection $ ater Meter $ levatim Certificate GRAND TOTAL DUE $ l r' • --------------------------------------------------------------------------------------------- .AILULATIONS and/or NOTES City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. d BATHROOM GROUP CONSISTING OF _SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) __WATER CLOSET VALVE WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) _ __URINAL WALL LIP (4) _ __SHOWER GROUP PER HEAD (3) _ FLOOR DRAIN (1) ___SHOWER STALL DOMESTIC (2) /__LAUNDRY TRAY (2) __LAVATORY ( 1 ) -(S--COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) ___POT, SCULLERY SINK (4) __DISHWASHER (2) __WASH SINK EACH SET OF FAUCETS (2) __KITCHEN SINK (2) __DENTAL LAVATORY (1 ) _KITCHEN SINK WITH WASTE GRINDER (3) DENTAL UNIT OR CUSPIDOR (1) _ __BIDGET (3) _URINAL STALL, WASHOUT (4) _ ___FLUSHING RIM SINK (8) __COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) __URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) DRINKING FOUNTAIN ( 1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) _LAVATORY, SURGEONS (2) SURGEONS SINK (3) ICE MAKER ( 1/2) __d_WET BAR (2) TOTAL FIXTURE UNITS @ $20. 00 EACH $_____YO JOB INFORMATION_ l yY0___ E*Kh`_' k 12f la vr- L )___ *jam •,' OW20 IDEOA43TMENT OF BUILDING CITY OF ATLANTIC BEACH PZRI"I.IT 1" raft"AT10" _ -" LOCATION INrOft"ATIUM - - ral Nueenber 2037 Aet+area X31 l444D OnmoM AVl NUI: r0r `1t Type% I'LUnOXIit'! A 3'L.A IC BEACH, rL.a" I A :XIZ 33 !eaten tai' Wo rx I ADVITZt' " LEDAL. Ultr t'I"tC7- Ltt!!tr .Ir. Ty pe z WOOD !'"R A n Z Lt3t I 151001c. Sect Ion I rorpdMOl Use!: Z1!~DLE rAx"11LT Tcarrosh pt RHas U el! n9s I 1 code de x U stxle d sion I xiv tort Value* 2' rov. corm.L meq. C �Ct +ate1 I''+etwe I 0107.'*a A Cfttnt ree10 3 ? Cf veto Polar rk Done. % !#USI Y ��r��ll�I7t r ""R `PLANS VL clam aI �A �� � C3T. tio A l'L.A!#'1`�s �� x ` `L•CIIl;I lJI! az2 :J J 1M I l4 L tll� 1"'-um r h a% I } ,1 y y � Si« a a ..... «. Vr ci!`7#? I ye �y y,�y.}� k y� ■+►Wy�,p 1I1eY 7♦ + Vw sV 00. Gu t1Ri"tiv'N 00.-00 .X lli,l CeNAaGT! M" meM1I TAP „. *0.1t°30 � � .. Ce37i ra`I II 7tCr1�iJ��1X.L�.+:,S)I,1!ytjs 'I`ypw l I IRU.tJz<1 �sEL"t< i•#$ l� 1�.""" l $V.U, , io t ', titTfEI11:Ilk NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. ,z "FAILURE TO COMPLY WITH T E MECHANICS' LIEN LAW CAN RESULT fm THE PROPERTY OWNER PAYIN TWICE FOR BUILDING IMPROVEMENTS.." VALIDATION IAM;i8/1es ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB . REVOCATR VIOLATION OF APPLICABLE PROVISIONS OFLAW. 3 � IMPT Num: Item ATLANTICJWEACH BUILD t RTMENT syw I �," CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: w Cry -- -- -- - --- - PLUMBING CONTRAC e V '�o_ �. - ,- _ _A�_z----- �/ LICENSE NUMBERS: --------/�----Q----------------------------------------------- OWNER: 4 ® J ----------------- ---------------------- --- ----------------------------- BUILDING CONTRACTOR: 9-- _________________________ TYPE OF BUILDING: --------SINKS SHOWERS -----LAVATORY WATER HEATERS ----BATH TUBS __________DISHWASHERS URINALS ------,---DISPOSALS __________CLOSETS ��WASHING MACHINE ----------FLOOR DRAINS OTHER _____TOTAL FIXTURE COUNT ------------------------------= - ----- --------- --- ---------- INSTALLATION OF PLUMBING AND FIXTURES -MUST BE 'IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMNBING CODE.-;. APPLICATION FOR WATER ND/OR SIECRTAP APPLICANT 11A14E _-- Y2 ------------------------------------ MAILING ADDRESS_I 7(J--���----------------------------- PRONE NUMBER C `� �' �P ��02- DATE %Aa C zr[ AJ-_---- ------------------------- ------ SERVICE REQUESTED 3 ` _!y_�!I/fi C{ _!<-_______________ ---- - ZED /1-5/------------------------------ SERVICE LOCATIOTd_ Zq �- 4A, ------------------------ ---------------•---------------------------------- DATE SENT TO �/G DATE RETURNED PUBLIC WORKS_-_ ` TO BUILD. DPT. DATE OWNER NOTIFIED CITY OF ATLANTIC BEACH APZLICATION FOR SEWER CONNECTIONS PERMIT NO. DATE-2- LOT -2-LOT Ivo. BLOCK NO. �r ( � OWNER 049 TYPE OF BUILDING MASTER PLUMBER INSPECTED BY BILLED ACCOUNT NO. p CITY OF ATLANTIC BEACH, FLORIDA Alo Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM:� dMASTER ELECTRI A -rzIGNilrURE JOURNEYMAN NAME ��ct� ��C15� ADDRESS: RFD BOX BLDG.SIZE BETWEEN: RES.6) APT.( 1 COMM.( ) PUBLIC ( ) INDUS. 1 1 NEW( 1 OLD(X) REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ALUMJ 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY r EXIST.SERV.SIZE �So AMPS I PH " W a 3 VOLT 16,b RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-80 AMPS. 81.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. 000 867 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - .f*fl:I�tlat 'r 21#fK�M1tATIt7liM - -------- - - 1*e►�rrsalt number s Zoo? 14400 baACH Alfemul: rvrm: t Types f�t.�7rR��AaE. A't"t.AH't'I� BIEAC", rL.0ftXVA; X22.413 Class of Works XZ*PAXft - LJIMAL 081MXX!'"TX1C- - - +E onrzstr Types Lots s block s can a Yropoys,ard Uwe% ornoL )h"A71' 't."l To's/'ltawhips RNk s 0 tIwffit100tod Y'A1ue s +L^3Cf ' XaproV. Coat 9 1� l idCf a A�+ia'eaPagrf�� IP work,,,tt+ „ tV"�. l"mAt'trtt ITN 13W 213+K "x4v CABLL'" HAc'!IWhy st ;, ArrI6z`CA"!'X014 fr1L" - Avenue WA r�rX7 XWO ACT yorteS tm r `k kv `iri[31fC .; ".! tis tlxf"11kR» 4 .C} , HADOW V 15-110 V. 00.00 S ~"-• `t'� tt#f"+bftltA'X ClH - ftAD1*" t%A" CACI 11 N�Itte!#t� tttr IC 041tIrAMY WATf'ft TAP �ClfCMC► Acltctresasc:2 . .'7 "" + T xlrf Al L"t 1C11"ft ,_,TA- " *$f t JAC: � X , LZ 10LORZDA ::12207 MaPoftokuL tC 2111AIm *0.00 t.xta r gree s :� Types 2 RX-Iti�tf'fliK:T f� n, �C!i C►C] mil f N X1ff'A+CT f"I<Te 01*.00 ad a $,' U yr NOTES: NOTICE ALL CONCRETE FORMSAND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VO ,SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BEL PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. `FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN, THE PROPERTY`OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." WLIM1194 11A"i'Et 'A /m t M144 ISSUED ACCORDING TO APPROVED PLANS,WHICH ARE PART OF THUS PERMIT AND SUO REVOGAFOR VIOLATIMOF APPLICABLE PROVISIONS OF LAW. AtIoUpf b A 1 BEACH SUI ING ART ENT , 0002876 � DEPARTMENT OF BUJLDING r CITY OF ATLANTIC BEACH .»��:-- �.�GIt#3�"T ��+tltPJlL"i"ZfC!?+1 ,.. �...�' �^ LC1NCAr�'C#1st 3:fif!'"�1!!'!'A"TI�C�►H - rwr:Lt I mber i 267'sAdt�re�s s x4410 fteAc" AVZ1'tuc i°'1provt. rypoi !"L.tIRaase Ar>h.Alx?` G balAcM„ !'"x aft10A o;r ;�1tYrk ALr tAIr'10" ---_--- -. _--.:..--- cant tr« , TYp�s L,crt m blocsk s avOt Ian t rropose 4, u*e4 ortwLe rAnxt y rownanxpn LtstIvatod Values 00.00 xopro*. coat 1 00 'fro t.s l tpooms �I►� bac► Amount'181rollo 4, rrece b 6 �V, .y. .w�'k N�f�.R,q it� ■w#a,�71'�V� —«,�,.— i'�F#f""�IMr�i V'A�`��r� T I�r..'TiA •P,,,.—..... A�"NQdno Cap I1f�p�1IN 3`"PA" ree *Ky!.00ww* 010 �� . Ll � '`L. 1f!lIZLAt 3 $1iXS1 ! !"A4 't `}rrr h �!►Ct}+00 P111pr dr° ri w �$ r t E fl!'�; •AGI R4"11 %vAs. t]tf Na�Rer '� Ak ! LsttMlliZtfil KArI:R .TAf� ArI QAC S �A 1 ' �A4► l "1 it # Winton TAP �tT. ,T!►C� 'i1"ZL.t.�r " )N"���� '�1Cf R�"Lt1�,�VIK,."A`C «I1�tA>II;!'t �Ci.C'fC m t?'1`TtflSlt y,� ��'r'v�� NOTES: NOTICE ALL CONCRETE FORMS,AND FOOTINGS MUST BE INSPECTED.BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MIDST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED IJP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS" LIEN LAIR/ CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR'SUILDII G IMPROVE ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AHD S TO REVOr +i FORy VIOLATION OF APPLICABLE PROVISIONS OF LAW. A TICB.EA H BUILDING DEPARTMENT x 71 a i ©EPARTMENT OF BUILQJNG CITY OF ATLANTIC BEACH Prf ` I'r I14FOR-kATICN I NF ORhAT I bN Permit, ftuobort 4001Address; 1,440 ,11EACH AVENUE Permit-. Types RE-ROOFAl TL4kT BEACH, FLORIDA " Class all Werk s NEW _- rrEtr, Type"t WOOD ,FRAME Lot r B"�:x ` Section Proposed ,U °� s NGLs FA TLY. 'Ii` rs1�+ lai ro s RNG s b r ; ovell inn*s Cddo s ; t Su' bdivisibn s; 9*t tnrtt d Values *bi 00 Iep>ra r Cost t 9�C3.'CIQ T a. 50, Arixrs *22. 50 D l " I a , I t It I s 4 ROOF .'WI TH NEW ; - RNA"�`ION, n E "APkICTION FEES a. . . N Me � r._ '�.rtr�` ..F ' x"11" ' A� $22. 50 Acct# A N JE WAFER INPACT fEE 0. 00 FLORIDA ;IMPAC FEE'P $0 NFV ADQN GASH. N. S. *0.00 -,.... . . . B Q +[ 3RB A ION *C?. A1C} ma►aez: � E C OFING � LATER TAP"_ *0. 00 TAP �*Q,OCA J-I CN IX LE,, FLORIDA 32205 HYDRAULIC SHARE $0.00 ' 14100040 9, RCOO Type tl C RE-INSPEC "' F'EE "'40. SEC. N� 1f ACT FTSE i BC.,OO f gj, s "Mo-, m o NOTES: V I i r NOTICE ALL CONCRETE 00MS,AND FOOTINGS MUST'SINSP,gPOURING f PEE MIT v01D SIX MONTHS AFTER.DATE OF IS, . i BUILDING MATERIAL,RUBE§I.SH AND DEBRIS FROM THIS WORK MUST"NOTC$E.PLACEO 1N PUBLIC SPACE,AND MUST BE CLEARED Up AN.D'.HAULED AWAY'BY EITHER CONTRACTOR OR OWNER ' `#AILURE TD COMPLY, Y IT ` TME IIAECHANI, .I.� �1 LAW, CAN IRESULT IN #NG TWICE Ft BU1 lNG 1VPCVEIAEVT$.PROP "' �I � Y { ISrw SUED ACCORDING T©�APPFIOV.ED PLANS WHICH ARE PART OF THIS PI~RM1fi AND SUSMT TO RESfCI to ViOLATIQN OF APPLICA®I.t`PRf�1VISIONS OF LAW. �< jo�w ;.,. ATLANTIC BEACH BUILDING DEPARTMENT Y*, Ct',artr # .a:�° 3 a"x� 'rs'` p.�x r'x }' •r5 2 °i� ', CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s):�� Address: /S�Uy � ,�c ✓� Phone: y(, .z- r Lot # Block or Unit # Subdivision Contractor: �,,,�� Address:_ �:3 S<1 .� , %-- Phone: State License No. 0 u�� �r Describe work to be done: �=,� ,� f Materials to be used: Signature OWNER: Date: Signature CONTRACTOR: � . : 1 � 4 pG go '!� o f t�,�s�' of \ 611 vo 105", f, Sbr PNON� RMT �P 1 ORK �Yf+ '�r+V'p PE SOF JSP CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 1440 DXAGH NLr AVOU ATLANTIC scAOH, IPL,ORSDA =2-3:9 PERMIT# { SUBDIVISION i OWNER NAME NANOf! t PHONE LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE PLUNerNvADDITYON CONTRACTOR DleltRT COlmTRUICTION l;Cl. INIC. CLASS OF WORK 'DTNElL 9C I"ARIL.r PROPOSED USE WORK DESCRIPTION BUILD L!'!'YL.IT'!` ROOI'1 tER tLANJ INSPECTION REQUIRED 4 COVLFR UP AH INSPECTOR DATE INSPECTED_ By °`-. APPROVED REJECTED Q COMMENTS a; '0002894 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH' Marren ttar�nzax^� "� !'"�}$ 1►dQ» 1R�Ss 1!! ! !lCA+Gzli hv»rttt>rs: 4 Permit <Type, "aCrthtt,tCAL. ek1� t CJrC Ktx!C AtfCl ST1Dlt L.1lhL t`fR irN 'Ittt Ccanart r. T YP03 Lot3 oloctlan s r�r pcz�a>ct to< t s sx�r.. h>�racl<.�r #esvrttth�p: KIM ea Lt�e11 "igRR codes a ubct2v�s�ta�Y►s Lotx astva values a►�.t -Toprov. Cont i SO.bo Do A1pultkt� ` :worst ' .t1 n ttth+rr ZlttIMM lklY hfl" 1TI11[ XT Nave � �s �� �t>hr�w+c� r�»>r� +��►.ern dares �'` . ��Na �.w�. 1!�'°rt..+F.�1�ltt3h '"�'��'� ; '�1t6'�I►!t#'t il'Jlt'"l��G'1` !'"1��5 � 1t � h Alk? Yom.► p nOtt,lllr um µ IW i''4 tY ±a ei^ rr� AR7i 4164 ------- loro '"r #,jroft TAP 6.4 h00 VA 2Nffi 1 �I►+t3.Cf llrAdreaeatx ,_ 17Pbt1l1J1. tAltll6 JACK Polo L1 �Nitl Chi "love,Il1 INS ` !►1M lot*.0 ` NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINt 5 MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND,DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPADE,AND MUST BE CLEARED UP AND HAULED AWAY BY.EITHER CONTRACTOR OR OWNER, "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAIN CAN RESULTIN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." IliTItiAI DATE• ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDSUBJECT TQ*t N FOR VIOLATION OP APPLICABLE PROVISIONS OF LAW. IAL AIf.AId iC ACH,BUILDING D PARTMENT IPi J,) IlkI" _.��" ..,".`'z,.'i..7 i..aA'",. e' BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 APPLICATION FOR MECHANICAL PERMIT "-' CALL.IN MBER IMPORTANT — Applicant to complete all items in sections I; 11, III, and IV. I. LOCATION Street Address:OF Intersecting Streets: Between dT/ And R BUILDING Sub-division IL IDENTIFICATION - To be completed by all applicants In consideration of permit given,for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attacl>„ed"plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Name of Mechanical Contractors Contractor (Print) " Master Name of f Property Owner C Ca 3 yam; Signature of Owner U Signature of Sit hod Agent Architect or Engineer 111. NERAL INFORMATION A' Type �hnq fuel: ! e. IS OTHER CONSTRUCTION BEING 0 O ENctricTHIS BUILDING OR SITE? — (3 hoe—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NURF!?N ON 13 Oil PERMIT J Q Otlw -- Specify 1V. AOX4 LAICAL EWIFMIINT TO � INSTALLED NATE OF WORK L ;(Prcomplete list of components on back of this I SCJ Residential or ❑ Commercial �Wrtlonmq: ❑ Space' ❑ Reeaaad Control O Floor lO' New Building Air ❑ -Room Central ' (�/1<xisting Building DYct System:m: Mata Thick acement of existing system p' New installation(No system previously insEAlied) Ma111mYm paClty e.f.m. - O Extension or add-on to existing system Q Refrigeration ther — Specify 66, –.. (] Cooling tower: Capacity q.p.m. Q Fire sprinklers: Number of hNdr Q Elevator ❑ Mealift ❑ Escalator (number) THIS SPACE hOR OFFICE USE ONLY Q Gasoline pumps (number) (boolved) Q Tonka (number) Remarks ❑ LPG contain aK (number) Q Unfired pressure vases Permit Approved by Data - C3 `Ioikm Q O"W Specify Permit XJ8T ALL EQUIPMENT AIB: CONDITIONING AND REFRIGERATION EQUIPMENT Number UnitsrlpCfad Yodel Number HanufaCbMr r wA (, U DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BF,,PQSTEI SON JOBeb. 76 Date :NV'tXXI')'X 19 11 Valuation$ 26" 000. 00 Fee $ 61. 00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Lacy Mahon ; M. E. Berry & Sons Construction Co. , Inc. 1930 River Oaks Road, Jalx. , EL. has permission to build hiPtAte jamity dwet,C..gq Classification ne-o.idenee lone Owned by Lacy Mahon Lot 6 Block _0s/7) Mandatay House No 1440 Beach Avenue According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOO'T'INGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE ► 0 Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hadled away by either contractor or owner. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER St"09 ❑ Proposed Construction DESCRIPTION OF MATERIALS No. In lx zascrtcil bs FIR„r Q Under Construction - Property address City _ __ _ _ _.�_ _ Stafne Mortgagor or i Nam") iA,1dressi Contractor or Builder tiara t tAddmi) INSTRUCTIONS I. For oddit onai information on how this form is to be submitted, number required, thAn the minimum acceptablewill be assumed. Work exceeding of copies, etc., see the instructions applicable to the FNA Application for minimum requiremenh cannot be considered unless specificolly desertbed. Mortgage InsuranceorYA Request for Determination of Reasonable Value, as A. Include no.alternotes, ''or equal" phrases, or contradictory items (Con the toss may be. sideration of a request for acceptance of substitute materials or equipment is 2. Describe all materials and equipment to be used, whether or not shown on not thereby precluded.) the drawings, by marking an X in each appropriate check-box and entering the $. Include signatures required at the end of this form, information called for in each space: If space is inadequate,enter "See mist. 6. The construction shall be completed in compliance yrith the related drawings and describe tinder item 27 or on an attached sheet. and specifications, os amended during processing. Pt*+%Oeciftto"ns inciude this 3. Work?lot specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements, s 1. EXCAVATION: Bearing Buil. type ' 2. FOUNDATIONS: Fcttitings: concrete unix Y. �_.�.:- __:._:___ sir,:,,( t, l,ei - �- - Reinforcing ll Foundation wall: materia} Inierior'fnandation Mall: material ----- Party tuundation wall "Columns: material'and sites Pic'-s' material and reinforcing Girdevs material and sizes ruaterial ._.____ Basement entrance areaway _—_-------..— ______..�._-__.__ ------ Wawrprobfing —_ _._ v___..___ _-_-_-___--_--_-__-.__ Footing drains -,Termite protection Baserne;ntlesg spacer ground co%er r- ._., ._ _____.-, imulatiun__ _-_ _____ _-: fonndation vents—__._ _ Special touadations Additional information; . CHIMNEYS: *AM 4pplUmbl>1t Material 1113dok Prefabric.At­d rrrt6r and s,'r Flue lining materia! � ... neater that time ___-__,_y -_ _.___ Fireplace dttts:size Vcnts'(rxralerinianilirzr). gas or oil heater �_�� _. —___ ---_.. ____.__- t,ater heater__. �— Additional inibirrnittort: 4. FIREPLACES: 'Mhen &"Itaable Type: IE solid fuel; ❑ gas-burning: ❑ circulator(make and ii,-r;_..___ _____.___ __ Ash clump and clean-ours . Fire dace: facing Iii)ing brick hearth _._.-__ .....__—__-_ mantel _..$i_-plain _ Additional infornt'tttior) _P3ans C' d f --j*b b nt--•-- S. EXTERIOR WALLS: "'ood flame: wood gradc and.titer ins__ ._— __._ __.___._.._---_- __ E] Corner hraciug. Building paper or felt --s Sheathing — _______._—. thickness �__,_-___; witit6 __._ ____: ❑ -;OWt a spaced. ____ a c.: ❑ diagonal'. §irlittg grade _ _____ type . _ _.; size______:.-.�., xlrnsure..�_-- ". £astenintl ._ Shingles grade tyIle_. .__---- sue _._ __ _W. c xpusurr �_„ fastening. Stucco thickness_._._ �_:_ Lath weight Masanky veneer SIl> Mahan solid, faced stuccoed; total wall thio kness__ _. f []. � �._.__ -. : fat Ing thickness facing maternal :_�. ""its,,_ . Backup material; _.___ _ thic'kns-ss Tom- __ b,z►adinti; Dote' 4iils110966k _ Windo-:sills _ Cassels _ Interior surfaces; dampproofing �_.__. chats of ___ _____ —_.__ furring — T 1 X2 atni" 'Adririro,yal Exterior painting: materia! : __ ____-:_T ____ —_ _._ : number of coats Gable wall,rxrnstrsrctiuis. ❑ same as main wa133:ftwltcr construction - - - 6.^ FLOOR FRAMING: DESCRIPTION OF MATERIALS PARTITION FRAMING: Studs, wood. tzrade. and sin-,ics _1Z Y'p� ._--_--___-_ sire and sparing2".Xik16t,_p�c,-__._ Other ?-~ ~ wAx- Additional inturn,ation. 10. CEILING FRAMING: Joists: wkowf, Krade. and �pc•cics of ier t A k � I'tl>�— Bringing Additional mfurrnation ___---- 11. ROOF FRAMING: Kaftcu: \boon. tirade. :Incl species --- .---------_ -.-- - - Roof trusses (see detail) grade and species - Addiuonal infiumxtiort' .._- __._Approved_trusa.___. 12. ROOFING: Sheathing- wood, vradr, and Roofing — 'Z st}+i�» l wf4..—.- ... i rxcie ---..._ stie ------; type ; & solid; ❑spayed_ o.c. t'ndc•rlay ------ ___j5 f-_fel _ tivcight or thickness-.5#—; size—_ ; fastening_TIATO Built-up nk)hng nurtrt,er of plies swfacing material Flashing: material —_�',Ij.A�.._�yg_ qa,r or Weight gravel stops; snow guards Additional infurn,ation: 13, GUTTERS AND DOWNSPOUTS: Gutters: rnau vial �'s�� : gage' or Wright .ZLL_. shape Downspouts. material _ _ qa=c or .vei ght 2-6.---: size_ _ shape Rett—; number- 3 Downspoows cnnnccted to: [j Stornr stover; [j sanitary sewer; ❑ dry-well 7LX Splash blocks. material and size-_�� X_ _ '\dditional inform,,tion:_.- __GuttAra.__QYer._M&!I .-*At.Z'Y; _.----- 14: LATH AND PLASTER Lath ❑walls. ❑ ceilings: nrucrIA ____-------- _ , doo-kncs,_- Plaster, coats____; finish Dr"N-vv:Ili - v,-ails, ' ccilin ws: matcrcil _ • KJ KJ $�l$9Z'DQ� - "---: i huknc s �f IZ fin is �oinitreatn,t•nt _--_--.-�,,�q - 15. DECORATING: (Paint, wallpaper, etc.) WIL11 FNI�n \I\:Irkl\I- .\NUAF'I'uc\rtl)N CF,ttm FINISH IMATF.RIAI.. .ANo APPLICATION Kitchen –.:_._._ _ .__2_f.".ffit.�.$lYl!ffi�1 ------ ---- – _ —_SM'ytd_ t@7Ct.ured Bath _ _ - � - --- --- ----- -- emred �eatur1t3sa� _ thhi•r_�__ --_ __ -Z �:C'IP� �."-- '�,E�,7��_LCiAt'�' –°1K ---.-.— uth_A- _w&11t1-_t& bum -vinyl_>L._S1arer'ing in isan Aram Additional information: INTERIOR DOORS AND TRIM. 16. Voors: tyEx__ >agh __,. - -- t�-- material._ L13�14_ thickness —1-3/8 Uucir trim: type T_ [gtpQ . __ _: matt rial_ r _Q,,.�Kj?r Base. site.2Z4" 4 Finish: doors R111ti FiRA �._ -; trim Other trim /)lcm, I}'je and laietuat l Additional inti7relation.----.--Rif*1(],.-_1Quy9%*&_doarK the fit_.othaim 17. WINDOWS: sash thickness Class: grade _ $� ,._ _ ; ❑ sash weights; [] balances, head flashing Trim: 'tvpc:_R*! .Aryl ,u- : mattrial-,-----sbaet -QCk-.:- Paint._ �.>� _ i$ number.coats- Weathrrstri ,in tv N -. NAtfDYYR�Qt __: material Storm sash, number Screens: ❑ full; X half: t%p -T-�-_ ,_--- number Alta. , screen cloth,materia (] screens, number-_;___; ❑ Storm sash, number Special windows -__--------•_. Addittoual information: TZIA jM__w,.n erre__in_fill '1y.room-. Q Q-11 21 M 18 Ilk ENTRANCES AND EXTERIOR DETAIL: Main entrance door: material_:__1"SZ.__�._..___.__; width ___ �. p thickness��lrame: material_E ♦�_��_._P#Cknessi a/ Other entrance doors: material �X-b- . f width�_�� _:-_ ; thic:knesa . Frame: material�_ 4sa_a thickness Bead flashing _ _ __,-.__ Weatherstripping: type saddles Screen hors: thickness:___-"; number _._.____.-_; screen cloth material Alta_ Storm doors: thickness "; number Combination storm and screen doors: thickness _ number^"-_: screen cloth material _ Shatters: [] hinged; ❑ fixed. Railings________ _._,__ --_-_ Louvers - Exterior millwork: grade and species Paint`- EXtAT4Or number coats 2__ Additional information: _..tio- ttl:�ll._},Y4�__���*�X„XZ��~ With 12 MI. 14ne3a j%qh 14. CABINETS AND INTERIOR DETAIL: r� M , Kitchen cabinets, wall units: material _._______Fir CM VV P______ � ”`" lineal feet of shelves_ _�_[ .; shelf width �5� Base units: material counter top EMMIM edging-- +- -, FLOW$ AND WAINSCQT: •i oearion MATERIAL,COLOR, BORDPR,;.�4.ILea, GAGE, ETc. wcvst;orb VfIAu Ayte Uretic>tstoaa MATtaRIAL MATWAL MATEatAL Kitchen tS Bath a7 1160 _.VST._:_ _ Wal- L)CATION MALI FRIAL, COLOR, Boat ER, CAP. StZEs. G.Ace, ETC. HuGHT HarwiT HCIGHT Iry S1#0WEAa,. BathnwZ• f$ $ZlOife -- a 0630]1a t1lo-A iaad t9b.,.Q Bathroom accessories: ❑ Recessed material number ; ❑Attached; material_ number Additional information: 21 PWMBM: FixTuRe Nuessea LUOAriON ''LAKE MFR's FtxTURE IUENTIOCATION No. Sue CaLga Sinn M Uvaktory 2 W010 closet - Batthiub Shower over'tubQ '$tall shower� . laundry trays 4 Curtain rod [) Door C] Shower pan: material Water supply: ❑-public; gl community system;�] individual (private) system,* Sewa sat: ❑.public; ❑ community system; ❑ individual �privaW system.* *.Show arsd,*stnbe individual system in complete detail in separate drawings and speer,ficattons according to requirements. House"drain (inside); Q"cast iron. ❑ Cite; ❑ other__ _ House sewer (outside):$,cast iron; ❑ tile; ❑other Witter piping:ft galvanized steel; ❑ copper tubing; Q other Sill cocks,.number 2 Domestic water heater: type` make and model heating capacity gph. 100° rise. Storage tank: material3anst 14 capa0w: 40 gallons: Gas service; 0'*i4y. Wy; ❑ hq. pet, gas;0 other_ Gab piping:Q rioting; ❑house hcadag, " Fot>[irtg lrairis ti taricctetl"to: ❑`storm sewer; 0 unitary sewer;❑dry well. Susr►p pomp; make Reid in n, - , capacity discharges into, ❑ Hot water, n Steam. ❑ Vapor. ❑ One-pipe'system. ❑ Two-pipe system. ❑ Radiators. ❑,Gonvecsors. ❑ Baseboard radiation. Make and model Radiant pan4c 0 floor; .❑wall;-❑ ceiling. . Panel'coil: materia! _ ❑ Giartttator. ❑Return.pump. Make and model Fapacity- gpm,} $oiler: make and mpdei Output — Btuh.; net rating BWh: Additional information: Waren air: ❑ Gravity. I Forced. Type of`system else a" dx&WAASS Duct material: supply return _ Insutaf*on__r,,,�., thicimess ( Outside air inmite. Furnace: make attic model Input Btuh.; output Bich. Additional in�in'nta�tiast: f34pw,beaters:C floor furnace; j) wall heater. Input Btuh.; output Btuh.; number units" Additional informatitm: Clotatt't{i make acid Efpcs Tkset:�Dofth'fl'od; QJ ps;❑ hq ,pet. gax; [] electric;❑other— � Ws_, ft+orige capacity " Aiddrd'bri+d itioawti: r r Firila et}tttpmctst fumis)ed sepas�elq: Q Gas burner, conversion type. ❑ Stokrrk feet hopper ( ;llKts tl' j . �tl batt't1cr:� presswreatmnastng; {� vapbrtatng , I&Ake attd tnl7iW Control: r`' .� j." sat"ittfotst►atioai uric Imilang itytttem,-;x t Iecpt�i watts; @ -- -=-visits:votput t"} �' "L.�"n •'rF' l�w;i ,� 'A v k"�'^ %. �`tl'. '� }.'��t t :#`a a�� ,,��, z.t<n �'�i,mss . •�' �;� ^�: ► r. a. ! �. c '' #� V., k., '°#'� a� cfY. kg' s t ty n` ,xe:4 _ t ,• .'� / zn �k MM 3 Y J �yli '1 l,s,,,: �,�.� 1 2" 7•FaRt�l.777 Tym ANP MEnwD c�F I14.lwRT,�@llt� F ;lei x. :1 s;'_ ---! - -/.- E'drt�ber Aumatic washer Clothes drlar _ w Ali Other �Itry iltip�er dwtl +t►SI �tarit7�s ectuipmeeat, or condctrtrctrbr�+ler»s not S own t st>►wti �r ter :#qua spQ�cf psrcvicit�d wort incrdQy Atwa ., tawr lqt '� Y �fa�ere ce bji etat r numbv!0 c spvritt i2° in b� ; • , k 4 WPM: Ir i Ij • . y • n` Z - .y.. "�.. '� Y 'T �` •M±Ski or'Mx Sr'yw 1. may,.• N i s�� ! •�a�4 �,•-.,.,�:..__._.._..T, thirk~ne�=- � ",�tsrfaein�,�at+�ri� ��M� ,.,��� <` < thteluuss Serasce,tiY3 ' .�vtdth _,, w/ x "3„ rtBCIS .��sWCi4V11uS, x, J i-41 .9 f� c lesmt � � u / mr>ssunruaq4hrt dr6{ Elrlutsart rstae ee w7dt� t 14 3i hh}r,.; 9C$o-fa.-.;i ,,. ".. r Ya.• }t,„.`.: � �,•Ay � �,�'+13 ..'� �A4u •k :h (yam,p.�, � � � � �}} �•� �IIVR�� 1 n' 4 g ,_ ,i ., , .,. _�/}�y�,, „, .� „�. ,> .. _, be�sfad mau► bttfk �� s�„r' s_ � . . �tltsgr� �wft1? et ,atA'_ ” .� . ....---i'_ -: s '_._ :- ._ .. 'y v .r.. "- ^•, •*� A-'t, APPLICATION! FOR MATER CUT-IN i I � TO THE CITY OF ATLANTIC BEACH : r( Application is hereby made for Y water cut-in at the following address for 'anits . i Cut-In charge of Street N o. Lot B1�'�'k C) - SSD 1 IJ I Or4ered by aC Ower i Address I I I i I Date I Account No. Meter No. Date nstalled 1 I i i I i I t C � I 'Ri �bEPARTMENT OF BUILDING3045 e' CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 1' PERMIT TO BUILD t THIS PERMIT MUST BE POSTED ON JOB Date $gr i 1 7 19_ 7A I Valuation$ P l u mb i n Fee$ 15-00 I This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. Thisistocertifythat Stan1A3 gnhwartm I i has permission to build install 2 Ainks 3 lavatories 1 bath tt b j 3 closets 2 shower 1 water heater 1 dishwasher 1 dispo- sal 1 washing machine connection Classification --ne Residence Owned by Lacy Mahon I Lot 6 Block 60 S/D Mandalay i House No, 1440 Beach Avenue According to approved plans which are part of this permit j i NOTICE—ALL CONCRETE FORMS j AND FOOTINGS MUST BE IN- SPECTED BEFORE POURINGt. 1 I PERMIT VOID SIX MONTHS I ,1 AFTER DATE OF ISSUE x 4 00 ► O Building material, rubbish and debris from this work must not be placed in public space, and must be cleared up 4 and hauled away by either contractor or owner. i i R. C. Vogel Building Official. I FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING I I ELECTRICAL f` ✓ s ?. ; r SEWER WATER i CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. Date : LOCATION Street LOT NO. BLOCK NO. S/D OWNER MASTER PLUMBER , Bldg. BUILDER OR CONTRACTOR ermit_Ao,. TYPE OF BUILDING �SII%KS-2LAVATORY�/BATH TUBS URINALS 3 PLOSETS FLOOR DRAINS_j,-SHOWERS_ WATER HEATERS /° DISHWASHERS DISPOSALS OTHER Z- azaa".2g64: . Agw- el TOTAL FIXTURES /. M1 , 00 NO WORK, MUST BE DONE UNTIL A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size-.and looation of all the sail and vent pipes, and the numbor and location of all fixtures, (in acpordanae with Ordinanae no. 188 of the City of Atlantic Beath, Florida) must be shown an bask of appli- cation and be approved by the Plumbing Inspeotor. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED REVARKS FINAL INSPECTION: CERTIFICATE ISSUED: FOR OFFICE USE ONLY Date--------`/110i..19 ...... Permit *------------------.....Fee$.-14_/ ------- CITY OF ATLANTIC BEACH Valuation $..gZ61-10.•--••--•----•............. FLORIDA Housetmk------6.&!-ate. -- FOR BUILDING PERMIT ....0L_ ------------------....... ----------------------- .......... Application is hereby made for the-approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date.......... ....f...........................1 19_77-2 .fid.............. .... Owner----.- ------------------Address................. -Tele No............................. ---------------------------------- Thone Architect.....-------_------_- -----------Address-•--..................---------------------------------------Telephone No............................. Contractor Builder-------- -----Address_----------------------------_------------------------..-Telephone No._.....-------- -------- Lot No--------------a--_---------------_--------Block No-----_46--4----------_Sub Division___.I-??�. Zone................ Street_.44.;�_4144ide Between...___----------_--­...........................4Z........------------ ----_----_------_--- Valuation ....-.For what purpose will building be used-----/;r.14�1* �_Type of construction----- Dimensions of Building ...1;0.0!'V-..Dimensions of Lot_ ft- - .../Jap---Size of Footings-.--_._.1 !P an Size of Piers-._.v 27_..ddv ize of ---Greatest Sill S an in t..-----//------------Type Roof...-. .v How oof----- How will Building be Heated?------1S-1&44'6Z..................._--Will Buildicg be on Solid or Filled Ground?..... Size of Ceiling Distance on Centers..�G,w_ ...... Greatest Span--...... ...... it Size of Floor Joists--------IN . --.4.._-.-_-, Distance on Centers....... ...... Greatest Span_-----o_�-Omw_V- I — 160, '1404-1--------- Size of Rafters.--._.. :;M_�_ � ------...... Distance on Centers.. ..... ... ........................... Greatest Span.........--.....-.------------------------------.......... This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. % Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. .... .. ...... .... Signature of Builder.._,eZ2Z4' 0—d ....... Address... ...............A1_ _ Signatureof Owner.........;;.Z --------- --- Address................................................................................................. PS ` DEPARTMENT OF BUILDING <` CITY OF ATLANTIC BEACH `ERM I T I NFOMAT ON Permit Number: 938-2 ...,...: �.. . LOCATION INFORMATION -------- P r .t Types ELECTRICAL 144d' BEACH AVENUE` ar l ash Of Work.- AD ITIONATLANTIC, BEACH➢ FLORIDA 3223:3 C n, tT , Typo;.! WIC FRAME LEGAL DESCRIPTION ------ Pr 6poU SI tCL�F . F'AMIL"I131ock: Section: n 1 Cac p ' Township: RNLI: � • =, meted Value; zb+ 1v n f I prov. cast. + . final F i r '_ ..• ,yy�.^y■fir �My N ,^ L 'irr, tii',Y.'.. �. T"' �A,FPLTCATICIN FEES Addlr «� ICN PERMIT 2310 C fENUE 41WAT PACT EEgip ;$0. 00 hay F`L 7RI A 3 ', �' �� EE, ol4j }yy ,M _ RADON GAS-H.R. S« $0 ,00 C RAD014 CAS 5% ' $0 .00 I'I tt>tt ; . STY LECTP.I CALFACT Z N CAPITAL-IMPROV A "NorE. . 00 SEWER JACKS LE Fit 224 7 TAP $0.00 ,• Iia cin CROSS CONNECTION $0 .00 2 Type: 2EEC CONST IMPAC' ,FRE SURCHARO CJD DOOR NE3TE5: .r. , f NOTICE—ALL CONCRETE FORMS AND`.FOOTINGS MUST BE INSPECTgD.BEFORE POURING i PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE L1EA''ING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY 8Y EITHtR CONTRACTOR OR OWNER FAILURE TO`ICOMPLY WITH THE MECHANICS''L# LAS CAN R SHE PROPERTY OWNER PAYING TWICE FOR BUILDING O EIMPR i/ ESULT IN MENTS." ACCORDING TC3 AOvED,PLANS.WHICH ARE PART _ OF THIS PERMIT AN;? SU3dECT TO Rl;y/1CATION FOR a 'L� LE PROVISIONS Cif LAW'. _ .:: CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 11122-19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. f ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME L� �Y ADDRESS: 141-La G U-� RFD BOX BLDG.SIZE �� ✓ BETWEEN: /S� /9�r'r' - 11--;A�� RES.(L4 APT.( 1 comm.( 1 PUBLIC( 1 INDUS. ( 1 NEW( ! OLD( 1 REW. ADDITION (dl TRAILER ( 1 TEMP.( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS / PH W q VOLT RACEWAY EXIST.SERV.SIZE � 1 0V AMPS I PH 3 W e VOLT C pLrRACEWAY FEEDERS NO. SIZE NO. NO. SIZE NO. SIZE LIGHTING OUTLETS o7/ CONCEALED OPEN TOTAL RECEPTACLES —7 CONCEALED OPEN TOTAL 0.80 AMPS. 81.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 'r0A&l&Cn0tuene. i intnca ann V AVER Ann V_ S 91 pEPARTMENTOF BUIILt31NQ CITY OF ATLANTIC H1=A4 W . + '`I HPO MAT I ON. ;. . . LOCATION ATION INFORMATION N beC dd r eSS; 1440 BEACH AVENUE 3 Type; BUIL' }T8O --------- i . _� s SII .. ? REEI+AEI;, ATLANTIC BEACH, FLORIDA 32233, � r. e WOOD .., ,. LZ OAL DZSCRI PTION- - .._ . a ed; Use:,a 5IN #fit : 9 c'k Section. $� FAMILY Township RN+�; (? Val,ue: 0313C�t� JcV. Co A240. 00 A fwi- : , r . APPLICATION FEES 1.40 . 0 'EE o 00 FOR I BA fi r EE ^AQ t W {y�� RADON GAS-�H.R.R B. $0.00 V RMA I _-- __,. RADON +SAB 5 t ^ e; B R7t`"" TION I N CAS I,TAL IM.P, C?V SQ .Q b . JACKS LE, FLORI SEW" TAI' $0.00 CCB CCNECT I Cly .B9 a h'y'pe: � BEC H IMPACT ,PRE � ONST. SURCHARG 4 .Qty 7 ' ' 2 ;fw ' =i NOTICE *-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN$0ECTE0 SEF ORE POURING 3 PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE .j SUILD4NG MATERIAL,RUBBISH AND DESRIS-FR6M THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL IRE' D UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ' Rk1LURE TO COMPLY WITH THE MECM�IAI�CS' LIEN L.AW CAN RESULT IN PR�►PERTY OWNER PAYI"MG TWICE OR'SUITHE J IMPROVEMENTS." ACC©RDING TO APPROVED PLANS'WHICH ARE PART OF THIS PERMIT AND? SUBJECT TO REVOCAII£)N F0 © APPLICA6LE PROVISIONS'OF LAW. 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I was yes asesessn+ase Dant+ gala A, Dow iwwo is am sd)a~idese ass Nokm I film m, 8 M rre CITY iOF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date _ a— Pz 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 : $ ATG �l Total Valuation 1st $ c/ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE S + 1/2 Filing Fee $ ( ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE S!, WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING { ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $� GRAND TOTAL DUE $ 7—U ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: R Y a.3t� Yl/ E✓ 11994 CITY OF ATLANTIC BEACH 13a � lt3s PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): �► J+�,�S �' .4�0�✓ Address : ,Ly y' e4 C-A/ Phone: Lot # /' Block or Unit #6 Subdivision: Contractor: T.Cve Co Address: Phone No:7- 2 Describe work to be done: ,.Ee'IV 0 Present use of building: Valuation of Proposed Construction: _ --'a A--yry r Proposed use: `�r.✓g r�i7 1� Is this an addition?- -44L5— 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? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER ONTRACTOR. Signature OWN Date: Signature CON AC OR: Date: �. . Ai i" i2C7V ; i? .� 1440->� e �--z /� �-, �'Ga ..rt►'� ,.c _,r� 1_� Pty v�►-/.�,n �I__d-���. 9'/ted► R9- = 45xLIA _ 1 3�j 3I 55e 3Zz,c95 KuBP5 r �4 3, 2 � 8� .8 /,v'' 2 Ao -s x !!1.2,5x z- GZ 3 .3ell SAO , 2 i 1 l �4 i j I 1 ♦/ y z 3.S PW _—'fid` < < � 14 3a - ��J ARCHITECT/ENGINEERS CRRxIFICATIOH COASTAL CONSTRUCTION CODE FOR i'IY.L I-MJOR STRUCTURES TO BE LOCATED WITHIN CITY OF ATLANTIC BEACH, FLORIDA APPLICANT' S NAME PAUL S• Ll-,e -6 9 9' Zg�� i OWNER NAME:, TMg5, LAC`( M81 R.E. TAX NO. : TYPE OF PROJECT: ( )New Home ( esidential Addition arage ( )Pool ( )New Commercial ( )Commercial Addition ( Other 911 STREET ADRESS: U G H AQ L toLor-K 6;0 ( ) Ne claim the structure -to be exempt as folio s: MAwC)&LA`! */0 ( ) Garage with no provision for occupancy - detached one and two family only ( ) Pier, Dock, etc. ( ) Other (Specify) I also certify that no structure listed above may be remodeled converted to a non-exempt use without being upgraded to full }- comply With the ordinance. Signed: Det'*: -----------------------------------r------r--------..------------ CERTIFICATION This certifies that the plans and specifications submitted aitJ sealed by the undersigned meet all criteria set forth by the Citi of Atlantic Beach Coastal Construction Code. Roof covering is exempt from the 110 mph requirements of the Coastal Constructs .; code, but meet all the other requirements of the City of Atlantic Beach Building Code. ( th"The structure including foundation, frame, roof decking , exterior walls and floors has been designed for wind loads o'. 110 mph, with all design complying with the 1941, Chapter 1 2 . Building Code. �� NC-WL-y �QcL sw W e&.s c ou—y. ------.....•r- ... .----..-���- - .-------------------------------------- (v� Windows, doors and all other exterior devices comply with tt.� 120 mph wind load. Fcf, N6W 000K5 ANO W INOD,WS OWL'y- -------r r r---r •--r- ••----- •- ----------------------------------- - - (L400"The structure is located outside the area affected by wavy forces, OR t ) The structure is capable of withstanding wave forces resulti- from a wave crest height of feet above MSL include!-.: uplift forces. ------------------------------ --------------------------------- ( ) The structure is located in FIA Zone A and the foundati<::: design has considered passible exposure to water and erosi..;:, . OR (kY"" The structure is located in FIA Zone X and the foundation wi 1 . not be exposed to hydrodynamic, hydrostatic loads or water scour, OR ' ( ) Foundation design has been completed with floor elevatic:.: above the specified stillwater elevation, and to resist wavy: hydrodynamic, hydrostatic and wind loads acting simultaneous with dead loads. Erosion computations for the foundatio., design have taken into account th- ��--2--- -- ' InMANCM%.PPINTINGC'�tV DoOttof Commencement (►RRrARR IN OUrUGTR) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property _1— Q_BeQ-Qh._AY-P-nue-----------------------------------__---------------, __Atlantic_Beachs_F1Qid&....................r_ -----------------------------------------------------------------------------------------------------------• General description of improvements _1 emadeLinq----------------------------------------------------- -----------------------------------------------------•------------------------------------------------------ Owner ---Mr:—anS�1`1rS�_J�aC_ _slahon*-- ---------------------------------------------------- Address A-4-Q-- .a-ch_Av-en ue-------------Atlau i�-->3e ,-- 1� a------------------- Owner's interest in site of the improvement -----------Owners Fee Simple Title holder (if other than owner) _____________________________________________ Name ---------------------------------------------------- ------------------------------------------------- Address --------------------------------------------------------•-------------- --------------------------- Contractor __$ex��r_L',ox�st pct i� -�o �a ;- 31�-------------------------------------------- Address -----------------------------------------Address ---E---Ll.-- --� �-4----------d��kso-ai 1�e,-F�artda--3 �-�7=-5fr� --------- Surety (if any) ------------------------------------------------------------------------------ Address -----------------------------------------------------------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. Name ---------------------------------------------------- ------------------------------------------------- Address -----------------------------------------------•---------•----------------------------------------- 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 ------------------------------------------------------------------------------------• �\ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option). Name ---------------------------------------------------------------------------------------------------- ADDENDUM This plan approved subject to the following provisions being included in the building- In hollow masonry unit construction, each unit cell shall be reinforced with at least one No. 5 bar at all corners; poured and tamped with concrete; such reinforcing shall be properly tied into the footing and spandrel beam. All wood truss rafters --roof construction shall be securely fastened to the exterior walls with approved hurricane anchors or clips. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one-story building and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one-third of the footings, properly placed and fastened on metal saddles with wire. Footings shall be 20' wide and 8" thick minimum. The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details to the plans and specifications and agrees to comply with the intent of this addendum. 1440 Beach Avenue Atlantic Beach, FL BY° �� ��'� -� Contractor/Owner r. �. ,. .. „ .. ,� ,. .; .,. - .. ... ... :-.. •'1 .. ..fit,.. :,.. "ki r , K&E 10918s•'J-79 MC8664 f Y Lo PaC 00 r 4 41 0 10' 2" 23 101 211 71 1 011 81 u!-,� 71 1 0t1 U fAf ` I , 2- 4 X 4 WD. COL- < m I - 4'X 8 P.T. BM. (CREOSOTFI TREATED) IMBEDDE IN CONC. m � WD. RAIL, -_---- cc i IU FlF UP - PORCH DECK TO BE I - a � I af1I ( 2 X G P.T• SPACE 1 /411 _W a Wi m = r 1 I �. ' 2 -2X10 PT BM. - +- ui _ _ _ ____ - QQ - pEU, I I I o! I ROW I X 3 P.T. .w I Lu n I - - �.. f BRIDGING EA.WAY o ( U C4 N; 0 > cc w o W r� 1 -- doW � Q ; --5J 0 17 2 �-2XIO PT. B- Q LL J ro I x. _. ._. I o Z cn 3: O J I a 1.4 c°'v U CCv U O ars _ X ! O [10 cU I f N �) � ij cr) 1 ----�.•- 2 - 2X IO PT 13M. op-----�- - 8X IG PIERS W1 2- RODS III O" I I' 0'l III oil Ill 0'' IN EA. CELL FROM FTG. FILL EA. CELL W/ CONC, 4 41 � PIES ON 8� 16RX 241 CONC. _ _- _ . __. .-.- FTG. W1 2 *4 ODS EA,WAY. 1440 D4 a c-k Pff - 0 PILING LAYO UT & f= L_O o R FRAMING PLAN N W z ?.- LLJm w bdrye: w: APPIRO VE D y CITY of ATLANTIC BEACL-! r � BUILDINC OFFICE � Date...._..__. 1.�`,1 O �I AdkE 109156 5-73 MC 0660 (� PGS �. x N, o < Z z a � 4 4' 0 " o , 10 2" 23 1 8 10 2" �- 3 G 3 6 cc o ro W D. RAILING W _ � - - -_-._._ . __.. . _ ... _ -.. _ _ .. .___ __ _ • ___ - . s` o co N. ► D I _ LU ( 10 i _W • �ieO R�" - 4C 4 U AW - 2 - 9 4 0 AW I SS ' T 0 04 A6 > M Cf Lu W iq -j Ei Lis 65 0 o LIVING ' RMS 1 `� � I - ' ¢�-� o a 14 8 " +� �� 10 t 44 .9 0" `n 1 3' 0�� o U) z a PAN 7. -¢ , 1 31 ', I I n V �, Lf'' I _o RIDGE 13M. - -_.'_ 2 _ 22 �� _� 2 FALSE E�M . @ G 0" .C . �, ,l / �� � I i �' •-� 0 i c�1 0 ct' �� -2�- _i�-( � t A 41 C I � '!SHOW � �� a� `� ro 4---- � a tv ,t` _ O �ACCES� L11,11 U I o m ._= .- �1 C_-_. �v 1� IC j,. LIN- � _ I z / o; LIN _, �. E F �- cn 0 �. �-------- o � �„ ' � � � _ ISP_ � ._.'` ', �� 1 . ���� L 10 C} _ z - �� i --3 4 i Ln ¢ KIT o - 0, N DINING AREA I a , � _ BED RM . cn i SINK D� _ `�1\...H.. i crQ ¢ 1 I ILU ------------- r 4040 A '01. 3030AW 3030A.W. 2 4040 A.W. I 5' G " 6' 3 " OBS3l 0" 8 ' 0 , 4C}� 0 ' FLOOR PLAN z A/C 1 320 SQ. F T. � 0 cc DECK 142 Ga. F T: m DRESSING RM. 88 SQ. FT STORAGE 1 7G SQ. FT. CONC. PAD 330 SQ. FT. m a i K&E 10 9155 5-93 MC 668• Now I L U. LI 6 &O.Ch f • W r Q 0 41 a" -01X �of it U v a� m U P `1 I pi _ -= CQ I r. 4' Of _ :� _ ....__... - - - --- U.1 Q9 Wi T I c,� M'r THICKEN - a W n N - PARKING AREA DRESSING RM.-Al". I N 1 ccc W oN F'f0, LL WD/H D— , i SLOPE FL �� o � LO Ls-P.- _ -S,-P -'� ; /CONC . PAD -� LO w _ - - 1 4CONC. SLAB W/ W °; D o ! { GXCWM. ON CFS . -a n STORAGE RM . THICKEN uj i 3030 SI-1_ { 1j i oil I i 0" f t 44i0 PLAN FOR GRD , LEVEL_ PARKING & STORAGE W 0 crm w 0 3 K O II K&E 10 8135 5-73 MC 8660 l LL 0 LU Lo 111 fun) 1 12 PL r, olmT7 7' LLL T1 -r=te- -- -- C< 24 or ! j ► N ( I ! I Q/H + 0 FF W I I CO 7 tu `s' a - cr) U) I i 1 ► i I I I ! � I i I I I I ► ° O j i I I i i I i I RIGHT W> CI) R 0 + -- �..� __. .� ._ _� �.�. �. .-..� it_f,;+� 9 "i►III I�!►�+ I`-j k�'�!!li,r,!,Illl�ll�lli !'�=�T Y (C:q) `L w C.) 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' MCDIUIM` GRAIN SUF AC P �U,) V �— { M Q; il'SQ MAXIMUM E t GJr_-1 �i �1 >. } Y •-.I d ,'Es r EM '.'r—�.Y.� j p I � I �I���1.+�� �� ..� �S TIMBER CONNECTIONS. �� 9 7 n SIMQ$0!~1'C0. STRONG^TIE r C RS r IV l~ Tq C+�R •EQ(!AL ".USE• '� DL �- �• �" �- I �\1 �-. � ,•� MA ( AACTU tR S ` I?ED II N zE ur1 RECOMMENLS. 4, FOOTING.. IIEPTHS.SHOWN Rt~>?RI SF'N' ,THC ,M IyNT MUM DEPTH; TO, 4111 I CIf FOOT I NG$ S1IXLL 131~: CARRIEDi FgOTIt�GS ,SFiALL` BE`t;OW I�EQ 'AS RC4t�IRT~ 11 TO OBTAIN SUITABLE �,�[ I��TI C`•If� �-�� BE ALL ;:UNSUITPi131aE FOUNDATIOCI`:M�►TERIAI, SHAGt� 13E P1aMdOVCD WITIII j j f FOOTINGS ._RESTING, ON• UN01STGRDEIi4_66 ;4 WITH -A MTNI�4UM :BEARING CAPAC47 OF J 2 too F 5':Fz 'UNLESS OTH RWISE SHQWt1:. OR INDICATED,- �. NO MUNDATION WORK SHALL B>a! INSTALLED UNTIE. ALL 'F", ItIQ WORK FBAs T•~EPI HSP P�� ----rte - •=1 -C '- r� r -� COQRDINATED `WITH UI DERCtR0UNI7 U.TILITIE_S: FOOTINGS `SHALL fat~ COWERED WHEPE REOU'IRED Tc� 'AVDID UTILITIES,' X l fTl 1 .1 C, ' , .6- TO .MINIMIZE 'WEATHERING.; THii•'LAST_ 6 xNCHIrS OF FXCAVATI(7N• F'OR ALL FOOTINGS 11 P SHALL BE MADE ' IMMED'IATELY. PRIOR-'TO ;PLACEMENT .OF FOOTINGS. ' 7' ALL .REINFORCEMENT SHALL BE, DETAILED.. fA'BRI'CATED, AND PLACED IN. ACCORDANCE, WITH AGI 3I S,77 UNLESS OTHERWI SC :'SHOWN., I� Ir` X G) 7 O, L , 8• THE CONTRACTOR SHALL* „VERIFY ALL DIMENSIONS, :ELEVATI,ONSl. ET'C. NECESSARY I FpFt: TFIE .PROPER �CONSTRtJ.CT 101 J AMC?, F1L I G1*lh1EhlT �OF THE .I'IEW 'rPORT I.ph15. OR "THE C, STRUGTIJRE TQ THE Ek'I ST STRU,C UkF `' I I I �� �` L•1w •' I <.,...- G• •TFI� :CAhlTRA4TGR' SHALL. VER I FY, ALL Ahlla ERECT 1,OhIt gP: ALL RI 'ATI G11 -. MCASUREMENTS NECESSARY •FOR;: PRQPER FAIL STRUCTURAL MEh1SER5. : 9.r' BEFORE PROCEEC?1 NO WITH ANY WORF4 14l TH I hI E►R AD,1ACEh11'' TCS THE E}C t ST I NG -A2_ � �Y� )(x•�� I i _' $T.RIlCIURt=,� THE GONTRArT0R `S1=1ALI.::ciEcb.e Fr�MILIAR' WITH. E IST ING'. ID CCrt• IT'IONS.. DURINR T'HE.�I'ROCESS OF 001'`I,�,7[�UC1 IC�IJ; IT :.HALL BE THE t CONTRACTOR'S RES)F'ONS.IBILI'i'Y TO MA`IPITAIN: THC ItATGGf2iTY �(= TIHE F;�IST'lNr3 b� r STRUCT'I LRE Wki.ERE THE EXISTING STRUCTLfNE I S TO . ESE '1-tQD I F I E'b T i{' I_ _L!�!_�_� �__ �-� I`�, [ C P , �' r�CC.UI 11 luC7F:T E _ NEW Cl7N5TRlICT ION AND T`O PROTEC.T FR911. DAI•i6r.;E THOSE. FORT I'ONIS OF. THE EX I ST I h10 'sTrtUCTURE t* I CI I A'RE.To KE' l iA 1 I<I I Ga`I � r IQ1�. At:L EXTf~RI'OR : DOORS A'ND WINDOWS SFALI 13E CERTIFIED TO MEET ' j1 E :WI.ND LOAD RE(�UIREMENTS nE T.H.f COASTAL BUILDING CODE, I I ti. . o 4 �_______ --.� �: , ► "1"I IY I r', SOI I (--(W _D CSI y,b • I Ii �'f P��UI �1 (�jp.4.(�1� • �- 2.. x �-' P�--1�T� t 1 1z_ [,Yvj ocv D, C . . 0vi(1 f2, -f\�v 2- x `1- (_ I(o t Q. C r P,-i•f � � r`�r�ll.1 yJA,�rL_) i t.� J 1 l-._- O `�1 C_ , �Ltr�1 Se_ a�:'.r�:"� ( 1 I II Y, I ,� V\)A.5 H efZl i c r-1 U I)I E - I I I I -fFi KU X 1'_,TI NJ 6 c LA e) T SNC. ►_Io ��r�� � Fcr� -rl G z ' x L + µ C,T i CSI \J G i0l _ �T ► ���_� ' I Is X Q "N.Gti�> 9.119: CYPRESS ;GREEN DRI Y9'0 V01TE to CIGSQN.V1•Ll;Es F4,: "32266 7'37 6976 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Architect e 4i '� Address zip hone -C- --'v '-°-`G -------------------- p------p ....... Contract orl+/�itisj�' �' Address_ Z ---------- ---- ------- Contractor's License number.................expiration............ Lo _ ___Block or Section-Z / Subdivision Se-C7-'©.✓ /f-__ZoningE�__f_ ----- ------------ 61eci VV Street - __--A,-_between / � and-- x_- - ----side _ Type Construction_ n7erZ.��____ No. Unite ` -----No. Fireplaces Purpose of Building.7r.vGt f _�_�^=�`eerlp-e-t,.,Est. Valuation S_ -!5'-5 ` �� Utility Method - Water_ _ Sewer Dimensions - Buildingj X5 Z Lot Q A Size Footings_Aq Z�_ Sz. Piers Sz. Sills------------- Greatest Span Sills_______________ --- ------ - Sz. Ceiling-Joists-::-X W5 S Distance on Centers z4�" Greatest Span_}-3 '_O'" --------- ------- Sz. Floor Joists _________Distance on Centers.........Greatest Span_______ Sz. Rafters _________Distance on Centers--------- Greatest Span_______ Method of Heating( �' r 4rex* _Solid or Filled Ground -�5;C mat Roof__________ Flood Zone___If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to cl r, clean, grade, and drain said right-of-way to q4ty specifications. Signature Owner _` _ Date___( p Q Signature Contractor __ '_ Datel:�_ .2.•2 0 DZ7 page 2 J BUiiding and Zoning f DEPARTMENT OF BUILDING 7629 J CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. i27950 TL PERMIT TO BUILD 27.50CXTC THIS PERMIT MUST BE POSTED ON JOB 534 1A 4/08/86 I 7629 n,OCAM Date April 8 19 86 a3i. 1 t! 4/08/86 i Valuation$ Fee$ 27.50 1 1 i jThis permit not valid until above fee has been paid to City Treasurer,and is 1 subject to revocation for violation of applicable provisions of law. v This is to certify that Styles Smith Plumbing CFCO2lS47 48 S. Penman Road, Jax Beach, FL 32250 has permission to n-& Install plumbing Classification Residential Zone R.S2 Owned by Al Hitchinsm Lot 3 Block 220 S/D 5e¢t. H House No. 1324 Begonia Street According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4----► 4---. O Building material,rubbish and debris Zl from this work must not be placed in public space, and must be cleared up and hauled away by either con- tracor or owner.. 4� 41 n t# J n. NJC,,i � { Building Official, I FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING i ELECTRICAL I SEWER WATER RECEIVED CITY OF ATLANTIC BEACH FEB 19 1991 PERMIT APPLICATION REMODEL, ADDITI0NXiiq1bfA0$*2�& 7�S DEMOLITIONS Building and 7-01, 119 Owner(s) : LC>.\A Address:-\-4.,rl-tA -� t- S �- Phone: �- e{ Uq Lot # Block or Unit # WL Subdivision- Contractor: 0 �3 State License # ✓�y� Address: rr (n� Phone No: �1 Describe work to be done: r�4S Present use of building: Valuation of Proposed Construction: a �-�(�U O O, (3(� Proposed use: Is this an addition? If yes, what are the dimensions of the added space:S fid-"Sft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? V1U New fireplace?0,-6 New Heat/AC? SUBMZT THREE (COM[ERCIAL)�TWO (RESIDENTIAL), COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COKaNCEl,Z NT, AND ONNE'R/CONTRACTOR AFFZDAV=T, IF OWNER IS CONTRACTOR. Signature OWNER: 1�, �`�`4N" Dater I q� 7 Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: ►t_A. 1067 LAWS it eAMCo FOR04 roe ►s 713.1! fit Norse at' V.1X1mmPn sex rnt MIIt►A119 MI DU►LICATK1 `dIu fnhtzm i# ' uuncerY� _ " a0 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. a Descriptionof property........ -::0................................ j.��:.1 ...... ..a. ...................................................' »..:..lM.................... ...................................................................................................................................................................... _ .........»-_»»....._.:_�»...�.._............ General description of improvements............ ......°�..................... C'-.» L.�?�^_. ............ ... G.--a........... .C�� '� ..... ..\w .......... C?z.`✓. ?�?.`-.......C:4.01 \Ci`». ...__................. ..........................................................................................................................................................................................._............... ............ Owner.......... ... ` .........1. s.... `' ........................................................... .....,.......».»...................................... Address........���.. ��..1.;:. 1 A........ ........... `....`» «. .............. Owner's interest in site of the improvement.............................................................................................. ..... »_ . ....._........................ Fee Simple Title holder (if other than ower) Name. �' t c.� `^ �..� . "� - - Address......................................................... .I..................... ` .... ................................................................... .....»..»..... _...... ......»............ Contractor...` :+ ..'�...:�:i :tE..: /..........: .Icy .........` :: ......I.: :.. ...;....�.......`................. ..... .»...» ............. »..._.. ...»....._ Addreu..............` » ....` . '`�� . '.` %........... ........................I...................I...'.`... :c .�a ......3 ` � J Surety (if any).....ti.J...r.:F:............................................................................................................................... ._.....» _ .. . ... .»... t Address........................................................................................................................................................d rM of boa t..................._.......... Name of person within the State of Arida &Wgmted by owns upon whom notim a other doomwtis nay be served: Name .......... ^..:'...,� .....................................»...............................................................................»........... » _ .... ...w Address........................................................................................................................................................................... .»........................_...... _..._ In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in ection 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name............ ��..........................................................»..................................................................................»............._.. .».. ...»............... Address................................................................................................................._...................._............._ .. �aa 89'37'23" 90'22'37" N WT,Iz 101. 4 4' W X 0.5' �,.4• m a 0.4' WOOD PORCH 39.2' 0 39.3' vi 26.0' 7.2' 5.2' 1-STORY BRICK L 0 T 3 b o No. 1324 0 s o n p a U 18.1' 39.6' o WOOD 'O DECK vvV ¢ ' WOOD STEPS 24.7' 12.2' ... - .4' X X �X 0 D: 13.4' 120 N 1 p N � W O v b < LOT 4 Y o o o �3 U „� a O 12.9• 0 O O L0m ~ V V N N u OU FRAME PUMP HOUSE 2" WELL 30.5' O O O +r 29.6' O O tO 6,2 L L 0 T 5 W 0 0 ui 0i N N SET 1/2" I.P. 89'37'23" 6 90'22'37" _ 180' \ ')101. 44' SET 1/2- 1.P. 10 0 9 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 20 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB-93 or 600A-93. PROJECT NAME: r,.•�. -ti 0-- BUILDER: W'_� �e v AND ADDRESS: 1 -e :o�.i�c-S PERMITTING CLIMATE OFFICE: ZONE: 1 ❑2 D OWNER: ` \ t p PERMIT N0. TT JURISDICTION NO.: Q 01 SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form. Please Print CK 1. Renovation, Addition or Manufactured Home 1. t v� 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. �g(o 5. Predominant eave overhang (ft.) 5. `a- 6. Porch overhang length (ft.) 6. 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. 13 I sq. ft. sq.ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8. �y 9. Floor type and insulation: a. Slab on grade (R-value) 9a. R= sq. ft. b. Wood, raised (R-value) 9b. R=�_ Esq. ft. c. Wood, common (R-value) 9c. R= sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 10a-1 R= _ y sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R= 1 c�- ? sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 10b-1 R= _ C7 sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 10c 11. Ceiling type and insulation: a. Under attic (Insulation R-value) 11a. R= sq. ft. b. Single assembly (Insulation R-value) 11 b. R= -30 _ _sq. ft. 12. Cooling system* _ (Types:central, room unit, package terminal A.C., none) 12. e Svc ER/ `ic�I� cvFrL 2c S 13. Heating system*: 13. Type: (Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTAC,none) HSPF/COP/AFUE: 14. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 14a. b. Ducts on marriage walls adequately sealed* (Yes/No) 14b. 15. Hot water system: 15. Type: (Types:elec.,natural gas, other,none) EF: Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with theFlorida Enerp[y C with the Florida Energy Code. fore construction Is completed,this building will be PREPARED BY: c. ,rTu ` Sy_ DATE: W Cf7 inspected for compliance in co ance witr7tion 53. 8,F.S. I I hereby certify that thatthis building liance with the Florida Energy e. a BUILDING OFFICIAL OWNERAGENT: 1vI� �_ DATE: � io• r 7 DATE: J r I T -1 - SENDEAV • Complete items 1 and/or 2 for additional services. I also wish to receive the • Compl¢te'items 3,and 4a&b. following services (for an extra • Print your name and address on the reverse of this form so that we can fee): return thiw card to you. • A ach this form to the front of the mailpiece,or on the back if space 1. re5s8e'S Address donot permit. •'Waite"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person delivers to and the date of delivery. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number 73 1-71 4b. Service Type E3 Registered El Insured ified ❑ COD ❑ Express Mail ❑ Return Receipt for Merchandise 7ZDpCe of DpNOery 5. Signature (Addressee) B. Addressee's Address(Only if requested and fee is paid) 6. Signature (Agent) PS Form 3811, November 1990 *U.S.GPO:1991-2a7.osa DOMESTIC RETURN RECEIPT