The URL can be used to link to this page

Permit 1938 Beachside Ct Js;ry I' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000758 Date 6/02/08 Property Address . . . . . . 1938 BEACHSIDE CT Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL HP & AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BARKER ONE HOUR AIR 1938 BEACHSIDE COURT Q/A:EDDY, CRAIG FARREL ATLANTIC BEACH FL 32233 1015 ATLANTIC BLVD 249 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/29/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH O Q _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 V I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US PMECHANICAL PERMIT APPLICATION DUVAL COUNTY .az.9' ,tri.•i M' ",< � 9 &dffi ,k f42x. ./ a;e.,:d ., . ..,'" .. "t.',,,i. e ., .ueW. �� .,F l[.,a,�1 S 19et D Y S PERMIT M 6 O� '.;3 a ,°s,. .+u lot I Ye �'a ..�r� + �" :�' ,�n�aw�> h%.& ^& % .•*'�,. � fi � ..�', 4.NAME: S.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 17&s,'' �'"�4d «> '�k. '' �' of .lv FaMF 7. ME OF�COM Y• 8.ADDRESS.: cx� UV( wz_ fQCS2 f 12 8.STATE OF FLORIDA LIC�EIS lQ��yQ�: 10.CELL PH�OLN _ V 11.FAX ZY _ 12.EMAIL ADDRE 14.�. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at obork is commenced. CONTRACTORS SIGNATURE: ❑NEW INSTALLATION ❑NEW ESIDENTIAL 06 FLORIDA BUILDING CODE- I EPLACEMENT OF EXISTING SYSTEM ISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER s .'aeo ,. 19.HEAT: ❑SPACE ❑RECESSED ENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM 57CENTRAL 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 17 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. VALUE FOR OTHER ITEMS: � � NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 4 M ,f Lf/, 2 315 g; �' r.ak. x ' pwpw "4 res �'"„m w x".l"' r° '��,•s�° E <. 's<` ` t e? ¢,� ,, 'x x b.wavk�"' ;;t�.A OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY k ;s's:• ,,. ORv_1112%; sm#�ae NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAB FORM BLDG04:REVISED:1/10/2008 a`1r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ►:? v ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001280 Date 10/24/08 Property Address . . . . . . 1938 BEACHSIDE CT Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6FT STOCKADE FENCE REPLACING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BARKER OWNER 1938 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . REPLACE 6 FT FENCE Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/22/09 ---------------------------------------------------------------------------- Special Notes and Comments Note that fence is shown in a private easement and that owner of easement may have conditions or concerns . *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPTQCOAB.US Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 , 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -.-----.-.---.-----.-.-.-.- -.-------.-.-0---.-.-.-_--•----.-.-------.-.-.---------.---.-.-.-._..- , MAP SHOWNG BUMMARY, SURVEY OF )T ZZ r BLOCK AS SHOWN ON MAP OF .'OROEQ IN PLAT BOOK ¢Z. PAGES Z4:G'� OF THE PUBUC RECORDS OF DUVX COUNTY, FLORIDA QR, , ,AIC V Vj,4 rS4.A/ as,8G' Cao •43' 7-0 DC7. S' �t ,• l,.t N L.G• Y'"�$+4�L�t�' � �• M 41 t�4'!4•.e.•,. ^r y 'Y-_ � ?I.3 r rn t�oZ> v b � UCG 0 O1p, C1 N o v . qc) F,- I l,�•z, .3, M �vvo DEC,< pp �� Vis+:iri��y City of Atlantic Beach ,`r APPLICATION NUMBER �° (To be assigned,by the Building Department.) s Building Department � y 800 Seminole Roadr Atlantic BeachZE , Florida 32233- 4;5_ '»' Phone (904)247-5826 Fax(�9g}z47-584 d" 15 E-mail: building-dept@coab.us �, E'fI© / Date routed. - City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 0,10 A Property Address: -/ 9J6 ��gch�:a£ CT D ment review required Yes No 14' (tianning &ZopA Applicant: lic ryis Project:..,..., .. , Utiliti 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: KApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLI O S Reviewed Date: UBLI U ES Second Review: DApproved as revised. ❑Denied. Comments: PUBLI Y FIRE SERVICES Reviewed by: Date: Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Public Utilities—Distribution & Collection Date: f DI I31 db Initials. O_/ Project Name/Address: ��3 a �QgCI�ScAe C� —_ Application/Permit#: Cheek'Box gPi�cfi�on �rackig Comments To Add Coe�t Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must ❑ be installed in a vault as noted in JEA specifications. _ geei G S cx.c l I h `� �i')l0c /- de 6Cry . ❑ ❑ F TIanReviewComments-PU.doc CITY OF ATLANTIC BEACH 08 10a 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I I I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ........... �,�r. BUILDING PERMIT APPLICATION DUVAL COUNTY VALUATIONi0wORK.:�r :. , }. 3 SQ F7 UNDER /�[J � C!►.��Q£ Itlantic Beach, FL 32233 M 4i:;LECaAL"f DESCRIPTION,Y.:i€?, t t,?r.,.: §+c�'.,;..:},�^n4°?. ...'k!::.:.:.'. ,.s.. ;.*'',x. �,..*..i ,.xS"cr'�,. S,iCLASS�OFINORK:.?:~x.,..stv`ti&:�t r`.�:w t c r;:rc�..r ?t...,:x+11. M.USEIOF S3"RUCTURE fr M,::`: 13 NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7t;7s°'DESCRIPTI01i1'QF,WORK r, N„„;i {,i, .,f,ti. g',. ❑ALTERATION ❑ACCESSORY BLDG. B FIRE`sPRIN !EFtt� „REPAIR ❑POOL/SPA ❑YES NIA ❑MOVE ❑OTHER ❑NO WWII,'112 n 'PROP.ERTY OWNER nx.::5_ .,'t`. w:'. CONTRACTOR §?„i , .:,, ..: , ?. a.":ARCHIT,ECT/ENGINEER 9.�§V5Anr"Q 4- At'Ven`\ 15.COMPANY NAME: f)l 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10./ADDRESS: ” `- `L/7 17.STATE OF FLORIDA LICENSE NO.: 25.STATE CF FLORIDA LICENSE NO.: eAC 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE:r� 12.FAX NO.:I � p I� 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: dJq t r �5;L b 1� l l'1 13 LL PHONE:: _3goo 21.CELL PHONE: 29.CELL PHONE: 14. AIL ADDRESS. :�� 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: {ht .tiLFEF SF OTHER T`AN'O NO4DE� ar x r BO►�DING COMQANY r 1 `s MORTCaAG LENDER N s 5"s z 7 31.NAME: 33.NAME: 35.NAME: Pt yvk v ,pry. 5nfy\ 32,ADDRESS: 34.ADDRESS: 36.ADDRESS: IVIA \j Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEY BEFORE r r RECORDING ECORDING YOSyUR. o. NOTICE OTICiE O(NOF COTy)OMpI�M,tory-ENCt EM"53EL. ..N�.<T ANW&.AGENTr3g i 4fA92nFowerofptCmA ud`.. Signed:. LLIADaDate: A” Signed: Date: Before me this day of ,2007 in the county of Before me this day of ,2007 in the county of Duval, tate of Florida,has person peared Duval,State of Florida,has personally appeared �f r herin y himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State ofCountyof 1�r+ti� Notary Public at Large,State of ,County of ❑Per na Known ❑Personally Known ❑Prod ce �n tri H ❑Produced Identification- ,• Notary i Notary Signature: missi Ir 14,2010 Commis ion# j'F F�,.' 533 Bonded By National Notary Assn. COAB FORM BLDG01:REVISED:11/6/2007 CITY OF ATLANTIC BEACH 08 5, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOBADDRESS?, �,,....::: t':>F..S�n�S'''�n9.��.,1�:Yt'' ,..r ?:� �,...,.,�:,rx.?3 ?�"�"„•�'.t.�11e'�' 2,��!ALUAT.I,QN OE dAlO}tli3'?s .?'.. :... �.. ;3 5Q F7;':UNDER ROOF ' •r-f J 93 8 � C�fSrD£ 'Itlantic Beach, FL 32233 i ;4 LEGAO DEPTION,,,?y Ib ;f�f .,.3 � hs}t' .t7: u"� s s: S.:CLASS OF YyORK crf..h� ..?y`i" >',.,.:r; .. , tri.: 6:lJSEOF,STRUCTURI;'b! . �, ❑NEW BUILDING 11 DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL .,; ❑ALTERATION ❑ACCESSORY BLDG. s Re`�d11 01(' 1� ,nom �� p C� � ` ,,`�i MOVE ❑POOL/SPA ❑YES N/A � \� vV ❑MOVE ❑OTHER ❑NO i.t,t'al'?!>.°.' :° .^...t;:P. .�`^ ::ARCHITECT,/EN,GINEER1'; � ,R `:a,:" 9. Q-SAnVW 1 � ��t n 15.COMPANY NAME: ^ 23.COMPANY NAME: S CT Il 16.NAME: r 24.LICENSEE NAME: 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: �r 3 ��acL• td f C� 18.ADDRESS: 26.ADDRESS: 11,OFFICE PHONE: 12.FAX NO.:tV 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13 LL PHONE 21.CELL PHONE: 29.CELL PHONE: 14.tMAILADDDfRESSS: � �y` \ 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEf IESIMPLE TITtE NOC DERE,llE R BOINDING COMPANY, of y� } w 11AORTGAGE LENDER s 4 ,.'z kMx'*,`lkr5r-'`�rQTF76TFIAN OWNERI':. :,_: 31.NAME: PC rvk` 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- 1 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. ENTa OWNERflrAGk.: ° xs 3 x t h T1s CO TRACTOR Signed:. .. Date: 0 Signed: Date: Before me this day of 2007 in the county of Before me this day of 2007 in the county of Duval, tate of Florida,has personaff33ppeared Duval,State of Florida,has personally appeared hfr herin y himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of- [ County of Notary Public at Large,State of ,County of ❑Per na Known ❑Personally Known ❑Prodce ,�� El Produced Identification- Nota i ar P ry. Notary Signature: r; misslr 14,2010 Commis ion# 533 Bonded By National Notary Assn. COAB FORM BLDG01:REVISED:11/6/2007 City of Atlantic Beach APPLICATION NUMBER: Building Department (To be assigned by the Building Department.) s 800 Seminole Road Atlantic Beach, Florida 32233-5445 fjr Phone(904)247-5826 • Fax(904)247-5845 E-mail building-dept@coab.us Date routed: 14&A City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 3U 67— D ment review required Yes No Property Address: 9 nning &Zo Applicant: Q f'i(�/� �. lic Wor Utiliti Project: n Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: EJA�proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNIN�ZO G PUBLIC WORKS Reviewed by: J_401v� Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) s 800 Seminole Roadoil �r Atlantic Beach, Florida 32233-5445 tJ Phone(904)247-5826 • Fax(904)247-5845 J,31� E-mail: building-dept@coab.us Date routed: f� 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 73U ��Ch�;d �T DNo ment review required Ve Applicant: n6017It,� nning &Zo lic Wor 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: Approved. ❑Denied. (Circle one.) Comments: (]ELI PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: U-001-0 PUBLIC UTILITIES Second Review: FlApproved as revised. []Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: r CITY OF ATLANTIC BEACH R le% 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O"' n OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US 3lr BUILDING PERMIT APPLICATION DUVAL COUNTY 1 JOB ADDRE$Sx rY,?. r <s .,a 5nz r;y m�" '� 2.VALUATI,ON C71'O} Is" ,.. 3 SdT ll DER ROOF "( antic Beach, FL 32233 dQ"' A" ,, . . CLASS O .d. � ek BTJSE'OF STRUCTURE'.^ 13 NEW BUILDING 11 DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7:DESCRIPTtWWR5C ., ALTERTION ❑ACCESSORY BLDG. 8;FIRE 6PRIN ' R X553 �s;i''' Rer►��1 O'� � d-r Q �rA Cay� W lid EPAIR ❑POOL I SPA ❑YES NIA \ ❑MOVE ❑OTHER ❑NO w xN,-r PROPERTY.OWNER '. '. p ,4, ! ON7RAGTOR x.., • ,� ,o-, (.. 4 .;€ARCHi ECT/ENGINEER :< 9. ME: p� 15.COMPANY NAME: 23.COMPANY NAME: \LAnrw A- ' O 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: �fzs � AC",.S i'A�C L'4 16.ADDRESS: 26.ADDRESS: 11.OFFICE P O n 12.FAX NO.:p 1 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28,FAX NO.: ILL 0"' IPHONE: �P` 9-O /Iv �1.CELL PHONE: 29.CELL PHONE: LK014.tMAIL ADDRESS: �1 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ke aFESFQh7�FA TTFiAT10W yRw ,' i LADING COMPANY � q� .` � e > f .,. : MORTGAGE LENDER xaf" f 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc: OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: �►-�r�k 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. n�'�,�� ' r � �t.•xa,.„Bt��a' R„�x�:,aftlM k"..�.- L x,..'°.{tjd^+ c °fib }�f5 �ueuN � §�� LONITRACT�. 9;.fi�y��Xr .3 b'^% Signed: Date: �� Signed: Date: Before me this day of 2007 in the county of Before me this day of 2007 in the county of Duval, tate of Florida,has person geared L Duval,State of Florida,has personally appeared G herin y himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. / true and accurate. Notary Public at Large,State ofCounty of �ivL Notary Public at Large,State of County of ❑Per na Known ❑Personally Known ❑Prod ci g(3 ❑Produced Identifi ation- "'YA, H Notary i talaq Notary Signature: . mssi Ir 14,2010IEWD tt�� Commis ion# ,» Cli CITY OF ATLA;rmrc BEACH Bonded By National Notary ._._..._.�,. • SEE PERMITS I REQUIREMENTS AND CONDITIONS. COAB FORM BLDG01:REVISED:11/6/2007 ILE C REVIEWED BY: /,Y7 �A TE: b D �•",wnW�r.t.lt.`a.,u+Y,r.+,�ca+u.� ca.n..rr� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) •>1 800 Seminole Road Atlantic Beach, Florida 32233-54451 k Phone(904)247-5826 Fax(90 247- "��t31�r E-mail: building-dept@coab.us4 Date routed. City web-site: http://www.coab.us----,�,.*- APPLICATION REVIEW AN RACKING FORM Property Address: / 93 QeparLment review required Yes No CRIanning &Zo Applicant: A)A e in" Tlic Wor Project: �/'� , ._ ., .... . tiiiti Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: AP PLICATION STATUS Reviewing Department First Review: ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: 40 G tJ _ PUBLIC UTILITIES Second Review: QApproved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Pubhc Works Plan review Comments �d Date: Alight, Initials: Project Name/Address: C% Application Permit#: C hedkMoz. H6 96 rae"keg comments �to:. l,dd .CoMInen# Provide impervious surface calculations. 101 Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan,including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting Elproper construction will be required A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. Roll off container company must be on City approved list and cannot be placed on City right-of-way. Ll `J CITY OF ATLANTIC BEACH _ ' y,s• 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O n OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US " Fvr BUILDING PERMIT APPLICATION DUVAL COUNTY .w y i d , ,_wr, •fiq, 2 VALUATION OF„yUORK,.,is...,h, ” 3:SQ FS,WNDER R00F,.x..h ._ 193 8 ?EA-cASWE 4'lt-t1anti.c Beach FL 32233 �� 00- (( 4 SEG 1'4L"DESCRIPTIONCLASS aF:11JO131C x;"r a ,..._a 6`USEOF'STRUCT:UR ❑NEW BUILDING ❑DEMOLITION ARESIDENTIAL LOTL BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 1ek7^DESCRIPTIOt+1 OFWORIC:s.,' " ?a •-iit: : ...•u`.. ❑ALTERATION ❑ACCESSORY BLDG. r 1e� V fi Old j IW „ „REPAIR ❑POOL I SPA ❑YES NIA r V ICi rub �-�� `�C�`6� �i ❑MOVE ❑OTHER ❑NO 1, PROPERTY-OWNER: * ' s:.., M si<'h C.DNTRAGTOR_ uu )y it 1 f a €` ;: _: 4RCHITE.CT 7 ENGINEER ,«;., ,:." k g, gMR q� i 15.COMPANY NAME: 23.COMPANY NAME: VJ CT fV 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27,OFFICE PHONE: 28.FAX NO.: t� CpSab ?v 13 LL PHONE: � 21.CELL PHONE: 29.CELL PHONE: Lt Co`3 '30 C. r 14 MAIL ADDRESS 22 EMAIL ADDRESS 30 EMAIL ADDRESS �� FEE$1MPLETILEHOLDER� 5c a �1 BONDING COMPANY,it xa * Ta llAORTGAGErLENDER rz _,�^t"a.k? i;—`''t. .�,.F,.(IF'OTHER THAN OWNERjs � .:..,. •5., .. ,v,*.,. +"�.rx;: a.g''f. ..... 31.NAME: 33.NAME: „ 35.NAME: 3Pt �C. !v 32.ADDRESS: 34.ADDRESS: 36,ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. CONTRA t k OWNER orAGENTF, r , , s,xv z „ �i^s.�.{hh.:s^ �i hw D kv;, r, ...v... ,.f}...,. +, .., ;ry -,,f ��✓� r° h�iti' �fi j°'�3�� 3t�' dale �=.�? i t��,. a�r 4a. k"+,'+ *t. Signed: Date: Before me this day of_ 2007 in the county of Before me this day of 2007 in the county of Duval, tate of Florida,has person geared Duval,State of Florida,has personally appeared herin y himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of _,County of JCK Notary Public at Large,State of County of ❑Perna Known 13Personally Known ❑Prod ce gni 11 Produced Identification- "aY P H Notary i Notary Signature: • missl Ir 14,2010 '9F F ,a,. Commis ion# 533 Bonded By National Notary Assn. COAG FORM BLDG01:REVISED:11/6/2007 f; CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Vj ; ;� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(lcoab.us Application Number . . . . . 07-00001143 Date 8/13/07 Property Address . . . . . . 1938 BEACHSIDE CT Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation. . . . . 7800 ------- --------------------------------------------------------------------- Application desc REROOF ------ ---------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BARKER R.L. HAINES CONSTRUCTION, INC. 1938 BEACHSIDE COURT 130 UNIVERSITY PARK DR. ATLANTIC BEACH FL 32233 SUITE 125 WINTER PARK FL 32792 (407) 384-1908 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 7800 Expiration Date . . 2/09/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 .00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 12� D�'3 -� 37q BUILDING PERMIT APPLICATION s, ' CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 Fax: (904)247-5845 Job Address: 1 y 3T f3- ZLjoJ-c couAi- Permit Number: Legal Description �I'Z-1 a T (,LJJ d 4 LV Z-1 Valuation of Work(Replacement Cost) $ 0 ■ Class of Work(Circle one): New Addition A eration Repair ■ Use of existing/proposed structure(s)(Circle one): ercial Reside ' ■ If an existing structure, is a fire sprinkler system installed?(Circle one): 0, N/A ■ Is approval of homeowner's association or other private entity required?(Circle one : Yes (o Describe in detail the type of work to be performed and Total Square Footage of construction: LSIr�t�-F-r4,�. /Lt /Zno� d 30 .fC4 .1.a�J C. Property Owner Information Name: GE�.ov �. f 1.4y?,1 -ut Address: City At I. C 13 z It . State N,Zip *3 2 433 Phone Contractor Information: Name of Company: A L. /�f.r rj Qualifying Agent: Address: 'Z 2,3 .b' 4�. e0y-1. ,04- City��f�Jt� State -6 Zip 3 ZIP& Office Phone o-1,� '3,P Y-19 0 f Job Site/Contact Number 2 - o 3. 7 State Certification/Registration# C C G os? 6 S Y Office Fax# C `/v-l) 7 P - ! 0 9 Architect Name&Phone# IM Engineer's Name&Phone# k1 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 o�ffa permit and that all work will be erformed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void work is not commenced within six(6) months, or i construction or work is suspended or abandoned for a period of six�((6) months at any time after work is commenced f I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENT? TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting oa permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local ,fa regulating construction or the performance of construction. Signature of Property Owner:' + Signature of Contrac Sworn to and subscV be,* Sworn to and subscnb d before this Day of } this Day of Notary Publi NotaryPublic: MY GQ1AM SSION#DD 581802 .....KATHLE.. NN— CA •'�y�y( EXPIRES:August 6,2010 •., y�nQ` Bonded Thru Notary Public Underwrters r = mm#D REVISED 07/26/07 ...�».,.�...W.. =% "gBonded u(& ..a Fbnaa Nuttary ....................suuue...a.nuwu{ a NOTICE OF COMMENCEMENT State of �`U/t,(dc'.. Tax Folio No. County of 0(i Vc"�. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Y 2- /Y O 7 -2Afy ^2 7 E f 1C a-G I ck La+ 2 7 /341' Address of property being improved:-hl-94? C0114�dl a Gk , Pe, 32 Z'33 General description of improvements: /2t s Id,, -[ -4 Ae4-It,01 1?:" Owner: J. 3 C-,L Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Co(tractor: tone ( on.h Z(,44 60-* G *3 ?-,Po Address: 2 Z 3S f�Yt�2 6 �.. ,D/L. L a b� Telephone No.: �� 3 Y r-/,0° Fax No: Y62) l d y- 1 ?6 Surety(if any) �( Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: !�� Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): V THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: ` s Date: efore me day of in the County of Duval,State Doc#2007259494,OR BK 14132 Page 1280, f Flori h s per n appeared t e Number Pages:1 otary Public at Large,S t of rids,County of Duval. Filed&Recorded 08/1312007 at 09:02 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY ly commission exp' es: �,�., R14 NQ or RECORDING$10.00 �rsonally Kno roduced Identification: COMMISSION#D EXFI ES:August 6,`1010 �fff, 8'"d Thru Nutary Public Underwriters r �•S 4s��~ 7.s 00 h - Zo, At, �y APPROVED CITY OF ATLANTIC BEACH PLANNING & ZONING OFFICE APR 1 4 lQAQ UTILITY SERVICE AGREEMENT (Water and Sewer) THIS AGREEMENT entered into this 14th day of April 198 8 , between the City of Atlantic Beach a Municipal corporation, hereinafter called "City", and Seda Construction , a , corporation, its successors and assigns, hereinafter called "Developer". W I T N E S S E T 11 WHEREAS, Developer owns land in Duval , County, Florida, more particularly described as Lot 27 Unit I Beachside refer to acreage, plat engineering 1938 Beachside Court drawings, or legal description as Exhibit A and WHEREAS, Developer plans to develop said land by constructing ' 1 buildings,' 1 residences and/or other improvements thereon consisting of, Sin,g1,e Family and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary for City -to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants so that City can provide service to .the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and . valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City . this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be built by Developer and Agreement under this provision, City reserves the right to negotiate with Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4. All taxes or charges imposed upon the property described above by any governmental entity or agency shall be paid by Developer except such part thereof that has been deeded to the City in accordance with tho terms of tills agreement. 5. The rates charged by City for water and sewer service shall be in accordance with its rate schedule which shall be subject to change . from time to time. City shall have the right to determine reasonable meter size and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnish title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Casements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer . to City. Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and water i to said state road right-of-way. Developer shall further grant to the City, its successors and assigns, the exclusive, perpetual right, privilege and easement to construct, reconstruct, operate, maintain, repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and egress to eac(i of the building sites on Developer's property which are served' by City. All such easements shall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any particular pressure, and reserves the right to shut off the water in its main at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service. Neither Developer nor any of its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swimming pools, air conditioning condensation lines, cooling lines or other discharge from any type of equipment. City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not have access. The Developer hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventor valves on Developer's property. The Developer hereby agrees to hold harmless and indemnify City for all costs and damages resulting from flooding due to •back flow preventor valve failure. 8. The construction and design of all facilities to be Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, plans and specifications the applicable standards and specifications of the City. 9. A. If the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities than the water and sewer demands previously approved by the City, then the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. The Developer shall pay all additional contributions and fees as may be authorized by the City's service availability policy which is in effect on the date said new agreement is executed. D. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order is put into effect. C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing and specifications are to be in accordance with the City of Atlantic Beach requirements unless otherwise •specified by City or its engineer. D. The City also reserves the right to approve the utility contractors to which construction bids are sent by Developer as well as the contractor to which the award is made. C. A representative of City or its engineers will be the .inspector of the project along with the Developer's engineer, but City absolute and exclusive owner of the facilities of said water and sewer systems whether located on, ut.ider, above or outside of the property described and regardless of who may have installed or constructed same to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City. All water pipes oil the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. ' B. All sewer mains, manholes, pumping stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by the City. Except as provided in paragraph 9C, all sewer lines on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-family projects such as apartments, mobile home developments, condominiums and PUD's or for commercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. U. By these presents, Developer hereby transfers to the City, the title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such . conveyance to take effect without further action upon the completion and acceptance by City 11. Developer shall pay the City upon. execution of this Agreement the sum of 10¢ per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of • 10¢ per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review. fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. City agrees to . provide water and sewer service to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of $20.00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. B. A sewer plant capacity charge at the rate of onethousand thirty ,five dollars ($ 1,035.00 ) per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at. the rate of ti { D. A meter installation fee to cover meter cost and meter installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter C. If available, construction .water will be charged to building based on metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund. 1. Developer recognizes that water or sewer utility service to the Developer's property, is provided by the use of a mein extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer Developer's share of the cost of said main extension or other improvements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or other improvements to City. Said pro, rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ ' payable upon execution* of this Agreement. 2. With respect to utility facilities installed by Developer to which future developers connect directly, and .in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's 'successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of the cost of said facilities. Said refunds shall be calculated on the basis of the hydraulic capacity and demand of said future developer whenever .feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire, at a cost of $ 12, All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The advance deposit for engineering, administrative and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of ; and B. Water plant capacity charge upon the execution of this Agreement, a total of $690.00 ; and C. Sewer plant capacity charge upon the execution of this Agreement, a total of " '$1;035.00 ; and D. Meter installation fee according to the City's service availability policy at time of installation which currently is $85,00 per 3J411 meter upon application for hook-up of individual lots, apartments, multi-family lots or units; and E, Construction water based on meter readings in accordaiice with City's rate schedule; and F. Hydraulic share payment, in accordance with paragraph 1117-1 of this Agreement upon execution of this Agreement, in a total amount of '$ . . and G. Service availability charges and other additional aids in construction in accordance with paragraph 1lG of this Agreement in a total amount of . . . . . . . . . . . . . 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of all fees and charges in effect on date of application and compliance by Developer with all provisions of this Agreement. 14. The charges, costs and fees for any separate emergency fire protection water systems. for subject project will be subject to negotiations between City and Developer. if buildings of more than two stories are a part of the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. All plant capacity and service availability charges, fees and other charges as outlined above are based on normal domestic sewage defined herein as containing not more than three hundred (300) parts per million biochemical oxygen demand or three hundred (300) parts per million suspended solids. Whenever water which contains more than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically agree to the connection. An additional charge will be calculated in direct proportion to strength at seventy-five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (300) parts per million. All such connections shall provide for a suitable point for the waste to be sampled by the City or the regulatory agencies. An additional charge equal to the pro rata share of any additional sewage treatment plant costs above ninety percent (900) treatment, and of the cost of any additional required outfall pipes to may be required by City. subordinated to the terms of the Agreement and easements required herein prior to any acceptance of the faciliLICS by the City. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect the requested dwellings or structures on the said property at no additional connection fee (i.e. , in addition to those provided for above in this Agreement) , but subject to the continuing operating rules and regulations of the City including, without limitation, the periodic paymept of the water usage and sewer usage charges in effect on the date of such application or thereafter reflected in the City's rate schedule. 18. This Agreement shall be binding upon and shall inure to t!►e benefit of the developer, City and their successors and assigns. However, in the event the Developer has not paid and delivered to the City the plant capacity and service availability charges, fees and other charges provided to be paid to tl►e City by Developer under the terms of this Agreement, and all easement and conveyances required by this Agreement, then this Agreement shall not inure to the benefit of the successors or assigns of the Developer. 19. It shall be the responsibility of Developer to locate for builders any water and sewer taps or lines necessary in conjunction with residential or commnercial construction. 20. Unless the damage to any onsite improvements are the result of the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer .of such property upon which the damage occurs shall be responsible for the payment to the City of such damage to City's property including all necessary and reasonable repairs which must be made by the City or independent contractors P110naPrl 11V thn fi !•v to nF�e..4• ....,.1. «....--i--- - - prior hereto, for the payment of such necessary and reasonable costs and expenses for effecting such repairs and restoration to such onsite facilities located upon the owner's or Developer's property. Notice of such lien or claim on lien describing the real property and the amount owed may be filed within ninety (9U) days of the date from the last date upon which any such repairs or restoration were made by the City or its authorized representatives. I'ltiereafter, the City sl►all be entitled to bring an action for the foreclosed under the laws of Florida. 21. Prior to final acceptance of the utility and other public facilities improvements by the City the following requirements must be met at Developer's expense: A. If the property is platted, one copy of the recorded plat shall be furnished to the City. ' B. "As built" drawings of utility improvement shall be furnished one week prior to final inspection. "As built" drawings shall be certified by a registered engineer with the cost being borne by the Developer. Two mylar and three printed copies of said drawing shall be furnished to City. C. All lot corners shall be properly marked so that utility company or its engineer can, upon receipt of "as built" drawings, verify the marked water and/or sewer services as to location and depth. In addition, for purposes of locating and protecting installed service lines and valves Developer or his contractor shall mark each service line and all valves with an eight (8) foot pressure treated wooden post . in the manner as shown on the design drawings and specifications. Developer's contractor is required to install curb stop, meter box and valve box on each water service and valve as shown on design drawings. D. All water and sewer -nervi,--- irrevocable letter of credit, the terms of which will indemnify and save harmless the City from any loss, damages, costs, claims, suits, debts or demands by reason of defects in the workmanship or materials used in the facilities discovered within a period of one year from and after the date of acceptance by the City of the facilities. , F. A bill of Sale for facilities from the Developer to City. , G. Conveyance of easements as required under this Agreement. 11. A deed for .any and all land on which lift stations or water stations or othe.r improvements if required by City. 1. The title evidence, mortgage . releases and mortgage subordinations as required in this Agreement. . J. For onsite and offsite construction provide City an ' accounting of the actual costs (schedule of values) and releases of liens from utility contractors in such detail as the City requires. K. City shall have the right to refuse to accept title to Developer's construction until Developer's construction has passed certain tests, including, without limitation, closed circuit television inspection of the gravity sewer lines, witnessed by a City representative, to determine whether tale Developer's construction is constructed in accordance with the approved engineering plans and specifications. Said tests may be performed at -least three (3) times: the first test upon completion of the system; the second test upon completion of all building, roads, paving, drainage, and all construction within the right-of-way casement area of adjacent areas. A third test shall be required if the City deems it necessary within a one (1) year period after acceptance. L. Letters of acceptance from the appropriate regulatory agency for the water and/or sewer system arp 22. All notices that may or must be given under this Agreement shall be in writing and shall be valid if mailed by United States registered or certified mail, postage and charges prepaid from addressed as follows: To Developer: To City of Atlantic Beach City Manager 716 Ocean Boulevard Post Office Box•25 Atlantic Beach, Florida 32233 IN WITNESS WHEREOF, the parties hereto have executed this Utility Agreement the day and year first written above. Signed, sealed and delivered in the presence of: Developer Witness City of Atlantic Beach Witness w ' BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF A'T'LANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Seda Construction Building Permit Number: 9654 Address; 1938 Beachside Court Legal Description: Lot 27 Unit I Beachside Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Single Family Lowest Floor Elevation: - XXXXXX _-- ---------- ---------- required as built n/a Sales Tax Certificate: � --------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief ... _.--i------_ ----- �9- Public Works j Planning Director v- Building Inspector _-- wtrtt*fzratr of Orrupattry CITY OF Abm& &Ws-Rod& j9rpttr#m ut of 'Nixilbiq Awper#inn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. r � ? Use G wifiWion Bldg.Permit No, 1 i Group Type Construction _ Fire District # Owner of Building Address Building Address locality _w 1 By: Building Official Date: i POST IN A CONSPICUOUS PLACE ADDRESS CONTRACTOR _ ---- - ----------------------- OWNER__ - -6-- --- - --------------------------------- BUILDING__Q`QT_ MECHANICAL________ PLUMBING_�� ELECTRICAL-&c7-7 TEMP POLE_________ MISC-__-_____-_ ELECTRICIAN___________________________ DATE FAILED DATE PASSED TEMP POLE JEA__________ ----------- ----------- FOOTING ROUGH PLUMBING " SLAB ----------- FRAMING MECHANICAL/FIREPLACE TOP OUT PLUMBING ROUGH ELECTRIC _�� ---------- F�r e plot ce [� I TR FINAL ELECTRIC ___________ ___L.�S_Q_Q FINAL BUILDING _ Lsx- __ ELEVATION SUBMITTED ----------- ----------- CERTIFICATE OF OCCUPANCY ----------- DATE ORDERED DATE ISSUED CITY OF >*&aic Vead - 57&uir a 716 OCEAN BOULEVARD �— P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: = ----------- �o :L - --� - - - -- � ---------- - _ ------------=-- ------ ------------------------------------------------- SI NCEREI..Y, BUILDIINSPECTION DIVISION cc:FILE DEPARTMENT OF BUILDING 965 ,` CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. VV PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 52 nr T Date April 14 19J8 35"4 1 R 4/P"AIA Valuation$ Fee$ 52.00 969th 00CAt' 2, Cr 4 1 A 407/1" This permit not valid until above fee has been paid to City Treasurer,and is 1 alt' subject to revocation for violation of applicable provisions of law. ii This is to certify that Claude Mnl jsi n'hs CFrO225,82 I has permission to install plumbing Classification Net Resident iSAa Zone RG-1 Owned by 8eda Construction Lot 27 Block Unit I S/D Beachside f House No. 1938 Beachside Court 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 ,t AFTER DATE OF ISSUE '1 --01 /-----► O Building material,rubbish and debris Zi from this work must not be placed in public space, and must be cleared t up and hauled away by either con- � traaor owner. -f Buiwng pfficial. I( l f FOR OFFICE PERMIT PATE " USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT / 4 �� DATE �c� �1 � � �� ACCs�— � 4 •� LOCATION PLUMBING FIRM eka Aa.. MASTER PLUMBER �-- . CITY/COUNTY OCCUPATIONAL, LICENSE NO. STATE CERTIFICATE NO. BUILDER OR CONTRACTORS-y TYPE OF BUILDING (- SINKS 'SHOWERS LAVATORY l WATER HEATERS BATH TUBS f DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS B� OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST. RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. �F. i I' DEPARTMENT OF BUILDING 9654 1 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. �} llf PERMIT TO BUILD 151 ;75 z THIS PERMIT MUST BE POSTED ON JOB 15 1 •75CVT �, 1415 t 4/19/8 Date Aoril 14 19 88 965!4 •"ncA Valuation$ 98.504.95 Fee$ 351.75 !4 j 5 1 A 4/19/0 k 1(?ia fThis permit not valid until above fa has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Seda Construction 00020880 2120 Corporate Square Blvd, Jacksonville 32216 has permission to build Single Family I Classification New Residetmial Zone RG-1 j Owned by Seda Construction Lot 27 Block_Unit I S/DBeachside House No "de chuyt According to approved plans which are part of this permit p NOTICE—ALL CO CRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. f PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE I 4--♦ 4-- 1-0 0 Building material, rubbish and debris ii from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor,gr owner. Buil g fficial. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER air PLANS REVIEW CHECK LIST /93� Address f� �.� �� ...; �4: Owner_ `��` ---------=-- ---- - --- -- --------------------------- - Legal Description .= � L __Contractor - ----- - ------ - ---ew------ ------p-p---------- ------ 1 -------------------License Number-L& �02 0- ---------- 'N License -------- License on File ES NO Section 24=101 1 Zoning Regulations Zoning District___�� 4�_�� Proposed ti r Required Lot Size �D�aCl4t �__"� Actual `Lot Size l06,k q,3fXG41u�//3. � Setbacks Required Provided Section 24_17 front _�d ad___" CORNER LOT INTERIOR LOT/ -- __ rear � j Flood Zone__�,��-�.----- side-1 --L --- --1��___ '' _ / t Required Elevation_,*V )� side-2 ---L'--- Max. Height Allowed__ ` Proposed Height__0-1)� Section 24_82 * Minimum Lot Coverage Required Heated Area /0000 Proposed Area...c � _ Section 24_161 * Offstreet Parking Number Spaces Required_____ Spaces Provided___ Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES 0 Utilities Water and sewer service is to be provided by: / Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL :�Plans Reviewed byx±'-�C.[e;�C�► s'd _� �r t Date_ , A/ 1AP Building Permit #_alp �____ 7 s5 URD DENIED t Address• o T ri4 Ctf <,1 17'E- Mated Square Foot-ege 0 ( @ $ _per.sq ft $ gQ Garage/Sited �{(Q @ $_ b' per sq Carport/Porch ,,per sq ft a $ -�OW:666 Deck @ $ per sq 'ft d $ Patio er• sq ft- a $ pJ8�.8a VITAL VALUATION a $ 9 0 d4. 9 'I' I VetluaUan 1st Rauainde Va vaLion a.COper Eliousand or portiontklereof -------------------------------- __----:_-_- Total Building Fee AVVI'IIONAL MMUTS and/or • ' -S RCQU:UW .}' Filing Fee kfedtatticai .� '"Fireplaces @ 15.00 Plutbizig / BUiLDING.I.PERMT I - , Electric/New / 1_ _ _______ _________..__.. _ -------- ---- ----- Electric/1'digt _ Septic Tatilc BUILDING•PERMJ:r Well, WATER. r UER Ck u1!, S�aLiniLig Pool SLWR IMPACT IT,, $ 16350— Sigh •: WAiL�t IMk'ACS TFL Water Cotutectio�t MISC U5 $ 7 . Sewer Cmutectiou Water Meter Elevatiott Certificate' GRAND TOTAL DUE -__---_---..•...-------.... ------. ----------------------------------..------------___--_-__--___-_-, CALCULMONS acid/at: NUIES 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. _ _BATHROOM GROUP CONSISTING OF _ V SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) 1 __WATER CLOSET VALVE __WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) __Q-BATHTUB/SHOWER (2) __URINAL WALL LIP (4) __SHOWER GROUP PER HEAD (3) _FLOOR DRAIN ( 1) __Q_SHOWER STALL DOMESTIC (2) _LAUNDRY TRAY (2) __,__LAVATORY ( 1 ) COMBINATION SINK AND TRAY (3) ____WASHING MACHINE (3) _ _POT, SCULLERY SINK (4) _ ---DISHWASHER (2) __WASH SINK EACH SET OF OFAUCETS (2) __KITCHEN SINK (2) II _ ___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) _ 0--URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) DRINKING FOUNTAIN ( 1/2) __O___LAVATORY, BARBER/BEAUTY SHOP (2) _ _LAVATORY, SURGEONS (2) _SURGEONS SINK (3) _ICE MAKER ( 1/2) --O--WET BAR (2) c D � TOTAL FIXTURE UNITSJ' _ @ $20. 00 EACH ----- ------------- JOB INFORMATION T U#j CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT 7----V- Owner �� __Address_ 220 hone Architect/-)YX J�IJILS Address--------------------zip ______phone____�_/__ )A / � �' zi � �� hone 7 7-770 Contractor = 1` ' 4'x' Address-------------------- p------p ------- ----- Contractor's License number_ L`Cf�7 Q � ___expiration__ � Lot-2L-Block or Section--I _-__-SubdivisionTic"" ,r10c>_____Zoning_ Street6 Lc"G ,_--between_ // /i side -L ---------and----------------- --=-------- Type Construction _,° " No. Units___j_____No. Fireplaces___ _______ Purpose of Building ��=%jZ/� _ _______Est. Valuation 8____�1 _'�___ Utility Method - Water__L Sewer_ Dimensions - Buildingf,� Lt .`��' maize Footings_ l �_Z _ ----- o - Sz. PiersSz. Sills--------_----Greatest Span Sills_______________ Sz. Ceiling Joists _ ___Distance on Centersr _ p --- Greatest Span__ __ Sz. Floor Joists _ on Centers _25/� Greatest S an_ --- Sz. Rafters __ZJy___Distance on Centers_2-Y'T____Greatest Span_J6!___ r Method of Heat in gZF,/� ."c.____Solid or Filled Ground_4-11,WRoof (�� Z_S / 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 clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner______ _ ----------- a e----------------- _ Signature Contractor �yf �,�?t,,2 Date--------------- page 2 APR 13 1988 Building and Z ;ink s FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: -'-----Sig-�-------------� - ---- Flood Zone: Required Lowest Floor Elevation:_______________ If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date__ 4_Applicant 's Signature__ ; __________ ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed Filed with Building Department ----------------------------------- Building Department Representative page 3 CITY OF ATLANTIC BEACH No, 0918 FLORIDA April 14 1988 NAME Seda Construction ADDRESS 2120 Corporate Square Blvd. CITY Jacksonville Floirda 32216 725.0n TL D 1416 IA 4/19/80 18 900CACG Water Impact Fee #40-343-3700 P- A I D 1416 1 A$66V.10480 Sewer Impact Fee #41-343-5200W]101 APR 19 1989 $1,035. $1,725.00 Lot 27 Unit I Beachside 1938 Beachside Court CITY OF ATLANTIC BEA1 I D ATLANTIC BEACH, FLORIDA 32233 TELEPHONE: 249,2398 APR 19 198€3 UTILITY BILL ! DATE ETERS WATER SEWER GARBAGE OTHER TOTAL DUE ones an Official Receipt pived Payment i TREASURER RETAIN THIS STUB PAYABLE IN ADVANCE SERVICE DISCONTINUED NO REFUNDS IF NOT PAID WITHIN 30 DAYS OF DATE SHOWN APPLICATION FOR WATER METER l (, DATE:- CONTRACT R ATE:-CONTRACTOR ------- - BILLING ADDRESS: o�/o�� dy wt _--*- ----------------- -1a ---------------- - --.1a�iq----------------------------------- SERVICE ADDRESS: Jb ------ ——————— ----- LOT: BLOCK:-------UNIT: SUBDIVISION•�`LC! SS ACCOUNT NUMBER: METER SIZE: 31y -------------- I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. CONTRACTOR CITY F ATLANTICTBE H DEPARTMENT OF BUILDING C C CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 6 5 ,-PERMIT TO BUILD ,. THIS PERMIT MUST BE POSTED ON JOB Date Agril 14 19 88 Valuation$ $ 44.00 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 GRIM HEATING 0110 4 4•LM 7t;39 Ir 610210 hasermission to bX install heat/air P 7 .� IIt ,r9!3Jq 1 000 Classification New Residential Zone RG-1 Owned by Soda ConctrLtCtirm Lot 27 Block unit I S/DBeachside House No. 1435 I3tPs>•chs 4 de rneirt 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 O Building material, rubbish and debris 31 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tragl� or owner.. 1 Hu}6 in official. F FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER IAa srW., *, oBUILDING AND ZONING INSPECTION DIVISION A. CITY OF ATLANTIC BEACH g ATLANTIC BEACH, FLORIDA $2233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT - Applicant to complete all items in sections 1, ll, III, and IV. 1, LOCATION Street Address: OF Intersecting Streets; Between And BUILDING Sub-division II. IDENTIFICATION —To be completed by all applicants In Consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice li ci therein. Nasse of Mechanical Contractors Contractor (hint) Master Name of d Property Owner Signatun of Owner - Signature of er Authorized Agent ,� Architect or Engineer III. NERAL INFORMATION A' Typo of hosting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE t C) Gn—D LP E3 Natural E3 C mtret Utility IF YES, GIVE NUMBER OF C046TRUCTION Q Oil PERMIT Q Other— Specify IV. #A I MAN" EI,?UIPIsiiNT TO K INSTALLED NATURE OF WORK (Provide complete list of components on batik of this form) �qK Residential or ❑ Commercial ' Neat Q Space ❑ Recessed A Cwntrei O Fbnr ?6_ New Building Air Coodstioning: C] Room Gntnl 13 Existing Building_ OW, . MemTLI.LPAM ❑ Replacement of existing system Maximum eepeclCA.M. New Installation(No system previously instptted) ty ffflll ❑ Extension or add-on to existing system Q Rofr*rofion ❑ Other - Specify C) Cooling fewer: Capacity 9.Psn. (3 Fire sprinklers: Number of heeds_ El Ekiwt4w Q Menlift E3 Escalator (number) THIS SPACE POR OFFICE YiE ONLY E3'Gasoline pumps (number) (Reeeird} I3. TeAs (number) Remarks (Q: LPG containers (number) U Unfired prawre In Permit Apprevod d Other`— Specify Permit BT ALL EQUIPMENT *BONING AND REFRIGERATION EQUIPMENT Nwl�bti tNr Vtaifis _ ZteEaslptioa� Model Nwnber >a[assutaatnsrr C(1601111Y Ag"W CITY OF ATLANTIC BEACH, FLORIDA ApProwd bV APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19s 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. ME2S? BILL THOMPSON ELECTRIC CO., INC. (� P. 0. BOX 5039$ JACKSONVILLE BEACH, FL 32240.0398 ELECTRICAL FIRM: MASTER ELECTRICIA tzgz:t'� NATURE JOURNEYMAN NAME �/ . ADDRESS:_4 , . _RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES APT.( 1 comm.( ) PUBLIC( ► INDUS.1 1 NEW( ► OLD( 1 REW.i 1 ADDITION 1 1 TRAILER ( i TEMP.( 1 SIGNS ( 1 SO. FT. SERVICE: NEW INCREASE( ► REPAIR ( 1 FEE CONDUCTOR SIZE ® AMPS Z6 C5' COPPER f ALUM SWITCH OR BREAKER Zl.aO AMPS PH WOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS. I OVER APPLIANCES I 1 11 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 ISCELLANEOUS r de -.c 2(4P 2 8 W� 1t 1 V7 lw 44. 415 N N 1 .1 ..• ►�1 0� 31 � a o" Co a. o .a •OVTM LANG WI9 vKv%M &LAND pLAlMl1lA �"'~"�"*fit► s w�o�►a�ns CERTIFICATIOIR 1 NEREOY CERTIFY THAT THE ABOVE DOW"RIY SURVEY US MAN UI11011111 MY .RESPONSIBLE SUPERVISION AND MEETS THE MINIMUM TECHNICAL SFANDAIM SET 10018H BY THE FLORIDA BOARD OF LAND WIRYEYOU PWWMNT TO SMOM 4710 67 %A,,iEAVWP I HEREBY CERTIFY*NA. •Mi A.ovs PAIIcs1. WAS *u*vsVso w wt AND 40 At "4AT NANf". II ANY. AAS AS SHOWN. t 'tw" valva a :.+ ocvaowntrt . 40 asTPAnAttow FFiA Farms 2005 accurate reg,.>, ., carbon copies,form Fortin Approved VA Form 2t-MM may be separated along above fold. Staple OMB No.O--ROW Rev.21111 8 completed shat+topper is original order. ❑ Proposed Constru RIPTION OF MATERIALS No C3Undw Constr+lctlolgeachsid Inc,*AS�OClat1In (To be inverted by FHA a VA) Property ao row ,193$ Beachside Court City Atlantic Beach Stats Florida Mortgagor or Sponsor 2120 Corporate Sq. Blvd., Suite Contractor or Bulldsr (NamSERA Construction CoT>pany Jacksonville, 1FL 32216 (Ntunc) (Address) INsrmucrIONG 1, For additional information on how this form is to be submitted, number 3. Work not specifically described or shown will not be considered unless of copies, etc., see the instructions applicable to the FHA Application for required,then the minimum acceptable will be assumed.Work exceeding minimus Mortgage insurance or VA Request for Determination of Reasonable Value,as the requirements cannot be considered unless specifically described. castbe, 4. Include no alternates, 'ler equal"phrases,or contradictory items.(Con 2 Describe all materials and equipment to be used,whether or not shown on sideration of a request for acceptance of substitute materials or equipment is not (tie drawings, by marking an X in each appropriate check-box and enterin.*the thereby precluded.) information called for in each space.If space is inadequate,enter"See misc.' and 5. Include signatures required at the end of this form. describe under item 27 or on an attached sheet.THE USE OF PAINT CONTAIN- 6. The construction shall be completed in compliance with the related draw I NG MORE THAN FIVE TENTHS OF ONE PERCENT LEAD BY WEIGHT ings and specifications,as amended during processing.The specifications includ, IS PROHIBITED. this Description of Materials and applicable Minimum Property Standards. t. EXCAVATION: Bearing sou,type Sam' I�oam 2. FOUNDATIONS: N/A 3000 Reinfor�;nt Footings:tmecree mix ;strength psi 3–#4 bars cont. Foundation wall:material rnnrrcta hl n[* Reirtforcing Interior foundation wall:rrwerial Cnnr-rPt'P party foundation wall N/A Columns:maierial and size N/A Piers: material and reinforcing NIA Girders:material and sizes N1 A Sills: material N/A Baseman entrance aremV Bkmp Window areaways N/A marprooling N013iia Footing drains' NIA Termite pmoction $fil Roi con Basementless space:ground cover None :insulation f A ;burdstion veft N/A Special faudMions NOM -- Additional inbrnation: Nf A , 3. CHIMNEYS: Material Comli na amen 2xiI framing Prdabricned(awkt ad star) Martin # Ad7 nr C ,=rahl P Flue lining: maw ial Galt/. Metal Heater flue sine K/A Fireplace flue size vents(rrraerial and sirs): gas or oil homer NJA ; weer heater N/A Additional information: N/n 4. FIR9PLACES Type: olid fuel; ❑gas-burning; ❑circulator(maks and size) 44A Ash dump and clean-out Nc%^93� Fireplace: facing ;lining bw+-al :heats Brick or Stone ;narMel—_=Tonal Additional information: 13P=br J:=:Lad — Marti-A A-41 or cGrAporahle S. EXTERIOR WhLLS: #2 s Tyvek & OSB Board VAW frame:wood grade,and species r bracing. Building paper or felt NoneN A N/A NIA shesthnng ;thickness.A�_:width �-_; ❑solid:_:paced N7 exposure e.;C3 digor�a None � Siding ;grade ,type .sine exposure ":fastening Shingles N/A ;grade typetastge 'exposure ";fastening Stucco11lb Masonry veneer CN/A Sills oquina :thickness NTA_"; Lath Lintels N/A�_ Baa flashing N/� �— Maconry: ❑solid ❑faced {stuccoed;coal wall thickness 4-S ";facing thickness 'A/4 facing material COQ]?nes Backup material oSB – Board ;thickness 1/4 ";bonding Nailed Door sills Ori .r P Window sills W00a Lintels wbori _ Base flashing ist Interior surfaces: darripproofiag, coon of :Nffing Additional information: N/A Exterior painting: material N/A :number of coat Gable wall construction: 016ame as main walls; ❑other construction 6. FLOOR FRAMING: Joists:wood,grade,and species N/A ;other N/A :bridging N/A :anchors N/A r. frte 112h. ❑httien nt Floor_ Mlirst floor: ❑ around sunoorted: 0 self-sunoortirta:mix 3000 ;thickness 4 DESCRIPTION OF MATERIAL: 9. PARTITION FRAMING: studs:woos,grade,and species #2 Spruce sin swwiag 2x4 @1611 O.C. Odmer_ N/A Additional infortmation: _ N/A 10. CEILING FRAMING: Joists:wood,grade,and specie N/A Other— N/A Bing N/A Additional information: Pre-Fab Trusses it ROOF FRAMING: Rafters:wood,grade,and species N/A Roof trusses(see detail):grade and species N/A Additional information: Pre—Fab Trusses 12. ROOFING: Swathing:wood.grade,and specie - 15 CD;C PlYmW ;M(WW;❑spaced N/A "o.c Roofing Shingles —;grade #2"35 ;site 12 x "36 ;type mal dawn G„�lr y Fe 1 t ;weight a thickness ##1�; °-- Built-up romng_NIA :weightnumbey of N/Asurfacing sae�— taaenag — Fl Wd%:mamerW_s teed gap P� :Mrd atatsrial N/A Additional information: N or weight �6 Qts ;❑til sk";0 mow guard, 13. GUTTERS AND DOWNSPOUTS: Guam; material - N/A ;gage or weight__N/A ;site N/A :slope N/A Downspouts: material N/A :gage or weight_h1L,&_;;site N/A ;shape— _.;number Downspouts connected to: ❑Storm sewer; ❑sanitary sewer; ❑dry-well. ❑Splash blocks:mNerial and site: Additional information; N/A 14. LATH AND PLASTER Lath❑calls, ❑ceilings:mawid N/A ;weight or thickness- N/A Plaster:calls N/A Drywall 19wills, 2ceiliags: nalerW Sheetrock thickness 1/2" -- f � N/A ry Joint treatmentTaped & Beaded -:fes Painted 15. DECORATING:(Paint, wloaw, etc.) ROOMS WALL FINam MATERIAL AND APPLICATION CEIUNO FINISH MATUTAL AND APPLICATION K As@ Wallpaper or Latex Paint Textured Both Wal odwr Latex Paint Additional iakwisi tion: 16. INTERIOR DOORS AND TRIM: Doors:type 6 Panel col oni a 1 ;mawrW Mason i-A 1-318-- Dow trim:type Stock _;mderial Fir Baas; Ri-ry-k ;thickness_1-3/8 type ;rtalerial__Fir ;sisal—Ln Finish:door i R Seal & V rnh nr Paint Vanni }�cnr Ccmi n —pi t=tea Other trim(limn,ryOr am/focasiary N/A Additional information: 17. WINDOWS: Windows:type Single ;make Keller ;mtalwW Al umi num ;sash thiclmes "I Glow:grade Insulated ; ❑sash weiglNs; balances,tYPe_S rn i nq ;head flashing_TXI+-Qy=al Trim: type Qajsum .maserial rnrnar P-CAarj Fyrk TQX ;number cow 7 Ykatherstripping:type Integral :material Uinul Smorm sash.number—_ Streets: ❑full;®{halt,type N/A ;number 1 oafh ;screen cloth material— l 1-14-m.T1WA Bennett windows: type None :nnMerW N/A :scleaw number KjA :Smorm sash,number Spec W windows 11T f A Additional information: N/A 18. ENTRANCES AND EXTERIOWRETAIL: " Main entrance door:mater. ;width 36 ;thickness 1-3/4 " Frame:seder. Fir ;thickness S 14 Other aururoe door:mnmenal Fir ;width 218" :thicknew " .�� Frame:trtMeriah--Pi ;thickness 5/Q " Head flashing Wood Weatherstripping:type Vi nV l ;saddle A l umi num Screen doors:thickness N/A *;number. ;screen cloth mmterW None Smorm doors:thickness N/A ",number Nf A Combination storm and screen doors:thickness N/A "; number N/A :screen cloth m earial N/A Shuners: ❑hinged; ❑fund. awings-N/A .Anic louvers Exterior millwork:grade and species N/A paint N/A number coats_NZA _ Additional information. ___ _ 6' Wooden french ponrg — Tnsul ai-ao 19. CABINETS AND INTERIOR DETAI�bw Kitchen cabinets,will units: material • lineal feet of shelves N/A shelf width__ 12" _ Base units:maser.Wood ;couya mop Lam. Plastic ;bgw; 11= P!.astie Back and and splash Ceramic Tile Finish of cabinets Stai n nr Tacnit-r �—r-- ;ratrltbe►coats 7 21. SPECIAL FLOORS AND WhINSCOT: LOCATION MATERIAL.COLOR.BORDER.SIZES GAGE.ETC. THRESHOLD WALL BASE NDERFUM MATERIAL MATERIAL MATERIAL Kitchen Ceramic Tile Aum Coverage etll Coverage rim-r=mi r- Ti I P Alum Wood Wood LOCATION MATERIAL.COLOR.BORDER.CAP,SIz&L GAGE.ETC. HtiIONT OVER Tua FRow FLOOR HEIGHT HEIGHT IN SHOWERS Bath — Ceramic Tile Walls WallsTub - Ceramic Tile Batlrroanaccnsories: ®(Rafaead;rtusorWStee1 :number-N/A ❑Aebchad;material Steel ; /A Additional information:.- N/A 22. PLUMBING: FIXTURE NUMBER LOCATION MAKE MFR'S FIXTURE IDENTIFICATION Na SIZE COLOII Sink 1 Kitchen Elka St.-MF � L, y 4 American Standar 2103. x Waley close 3 American Standarl 3121.202 T e Bathtub 2 American Standar 1305.481 b0x30 'WRTUe— Shoaw over tub✓ SWI,tower✓ LAwwrY MP ✓Mtww n rod --❑Door ❑Shower pan:,,.aerial War supply: ❑Public;mKommunity ryatem; 0 individual(Privw)qu m. Smage Wil: ❑Public;IMcommunity system;❑individual(private)Welom. *Show and describe lrdlristeal s)waem in compkor draail he sepaAw drawinSs&ad spwQlcnrlow arcww rrf a n 9wineleer+. Haim drain(inside): ❑sat Stun;❑tile;❑other Pyr- Home.ewer(alalic): ❑cast it=;❑tile;❑other PVC Weer polls: ❑galvanised steel; ❑capper t IA%; ❑other-NJ A Sill cocks,number N/A Domestic wow heater:type F.1 crf-ri ;mate and model -- State CV' 42 ;beatiag pity H.-ReCOverV 2n go. 1W rise. Storage tank:materiel__rl arc; T.i nPA Ai-PP-1 capacity4_0 gallons Ors service: ❑wility company; ❑Cpl.Pat.gas;❑other MIA Gee Footing drains caaaacled to: ❑snrm sewer;❑unitary sewer;C3 dry well. Sum piping: 11 cooking; haus heating P Pump:males and model N/A ;capacity WA A ;discharges into N/A 23. HEATING: ❑Hot weer. ❑steam. ❑wPw. ❑One-Pipe arystetn. ❑Twu-pipe syaem. ❑Rads oon. ❑Caovecsors. ❑Baseboard radiation. Maio and model N/A Radi"panel: ❑floor; ❑LOW; ❑Collins. Panel coil:materiel N ❑Circulawr. ❑Return pump. Mate and model N/A Boiler:make and model N/A ;capacity N A tach Add tkwull information: N/A Output 9011h.;net ratios Btuh %%n n air: ❑Gravity. 19 F mlxl. Type of rymm_ Electric Heat Pump Air Conditioning Duct mwerial:supply Fiberglass;return Flex Fibergli"&io8 Flex Fibers 1 [j Q�alae ur inuir Furnace: ,vela and model Carrier 38QN036 46QB042 � 40,000 Ytuh;output 40,000 Btuh Additional information: N/A ❑Space healer; ❑ floor furnace;❑wall heater. Input N/A NO.;output N/A Btuh.;number units Maim.model Additional informed=: Controls:make and typos 22MM11 2 Stage Heat & Cool Additional inOwmatioa N/A Fuel:n Cal;❑oil;❑gas; ❑liq.pet.las;❑electric; ❑other N/A :average capacity Additional Wformation: N/A Firing equipment furnished separately: ❑Gas burner,conversion tagf e C3 Stoker:hopper feed 13;bin had C3Oil burner: ❑P"Mto atomizing; F-1vaporizing N/ti Make and model N/A Control N/A Additional information: N/A Electric heaant syslem:type N/A Imr„ watts;• vats;output Btuh Additional information: N/A Ventilating equipment: attic fan,nuke sad model N/A capacity N/A-_ cfm kitchen exhaust fan,make and model G.E. J.N. 334J : Other hosting,ventilating,or cooling equipment - Nutone 200 CFM (if re ruired) !6. INSULATION: DESCRIPTION OF MATERIALS WcATION THICKN68s MATERIAL,TYPE.AND METHOD OF INSTALLATION VAPOR BARRIER pwof Ceilwg WYII Kra Floot N/A HARDWARE• (manse,material,and HMO.) Kwikset - Brass Finis SPECIAL EQUIPMENT: (State material of make, model and quantity. Include only equipment and appliances which are acceptable by local law, custom and applicable FHA standards. Do not include items which,by established custom,are supplied by occupant and rw~when he vacates premisee or chattles prohibitedby law from becoming realty.). Kitchen Range - G.E: J.BC. 16 G.H. Dishwasher - G.E. GSD 600D DisRgsal - G.F.C. 300P Rance Hood - J.N. 334 J w/duct 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction Items not shown elsewhere;or use to provide additional Information where the apace provided►woes/nedequate. Ahm.w reference by item number to cor to numbering used on this form.) 1 ) C�e+- f-hrntlghnut except kitchen, baths, which are ceramic tile. 21_ Fnvlar & Hall Wood strips on floor, I) Tntarinr paint 1 r•nlnr d) =J nna l wa 1 l�=ar m_a l l gd in ki rh _n & 2 baths. PORCHES: N/A TERRACES: N/A GARAGES: See plans WALKS AND DRIVEMMYS: Driveway:width 16' ;base material Sand ;thickness AS re--q . ";Nuking material Concrete thick 4 From walk:width '3 :material Concrete ;thickness 4" ";Service walk:width N/A :material N A ;thickness Sep:mWrW N/A ;trads N/A risen N/A Check wwk N/A OTHER ONSITE IMPROVEMENTS: (Specify all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, trtaming nulls,)lune,railings,and oceessory mucrones.) N/A LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil N/A 'thick: ❑frontyard. ❑side yards.❑mar y.nd to feet behind main building. L.awns(seeded,sodded,or sprigged):30 front yard Sodded ;nide yup Sodded Wu yardSodded Pia wft: C3 as specified sad shown on drawiap;Uex follows: 20 plants and assorted shrubs. i DEPARTMENT OF BUILDING s7�J CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.– y PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 7 f 21 19$$__ Valuation$ 993.64 F,$ 7.54 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 law. 7,50 T j This is to certify that Sadsa Conati3ict pn i499 ift-7," i AD D A has permission to buildper 1499 1 1i 7/26/8; l ans Classification Residential Zone Owned by SCAU Lot 7:1 Block. 4 S/D House No. 1918 Reachsidn C:oli t 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---0 r0 O Building material,rubbish and debris -zi from this work must not be placed in public space, and must be cleared j up and hauled away by either con- iqr� owner. ..�° Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Address Heated Square footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ er sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION, $ cT 3 G o Total Valuation 1st $ Remainder Valuation per thousand or portion thereof -------------------------------------------- Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED o + 2 Filing Fee $ Mechanical ; Fireplaces @ 15.00 $ BUILDING'PERMIT FEE $ Plumbing Electric/New UNDER-ROOF " FLOOR SPACE @1¢/1000sq.ft ._______ _ _____________ Electric/Temp Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ S<sinming Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Cormection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES F _ PLANS REVIEW CHECK LIST Address---/9%g g_ X�CQ __Owner-- ` ------------------------------- Legal Description_/a_C:p ____Contractor ---------- ---------------------------- -------- --------- -'----__l _____-_-License Number ------------------------ License on File YES 9i) Section 24_101 * Zoning Regulations Zoning District__--Kq 2____ Proposed Use______________ Required Lot Size__60 0 Actual Lot Size Setbacks Required Provided Section 24_17 front -)0 _ CORNER LOT INTERIOR LOT rears a� -------- -------- side-1 � Flood Zone -----:,' -------- -------- c� _ Required E:leva on side-2 Max. Height AllowedProposed Height__,/ _ Section 24_82 * Minimum Lot Coverage j Required Heated Area ___Z_ Proposed Area Section 24_161 * Offstreet Parking Number Spaces Required— /-- Spaces Provided_ Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities Private Source TIC TANK 71 --- Plans Reviewed by:... ______Date_j Building Permit *__________ ISSUED DENIED CITY OF ATLANTIC BEACH APPLICATION TO MM, "ADDITIONS OR At,7ERATIONS Owner Address l C Lf"r- tn'� Phone 7 Architect Address Phone�2Y-S Contractor ►?>`� fS A+V7s' Address Phone Contractors License/Certification Nunbers C CS yeo ('Yod Expiration Date � � , � a Property Address _zMang Lot # Bleck or Unit # f Subdivision S:iJ Valuatim of Construction $ �' .-- Type of Construction 6ey- < Describe Work to be Perforn3 oz Materials to be Used _ t/ S��k't' ? yrw� L zx� �X fc) Present Use of Buildingf ,4Jc i Proposed Use of Building, Flood Zocie Dinansions of New Area: A P P P o V E D CITY Gr ATLAN*i 1n i3FAC:1 BUILDING OF77r"7: MATED GARAGE OR S'I.URAGC DECK /'z 1/ Z PATIO t YES NO NUMBER Will there be an increase in nunber ,of units? Will there be a decrease in number of units? Any additional p1mbing fixtures? Any, new fireplaces? � SUBMT Zell CUMPLEM SET'S OF PLANS INCLUDING SITE PLAN Signature OWl`IER Date � Signature WHIRACIOR Date 7 / ,�` 4 b J 7.5 4. !;•�� sir off /O ff to&W vG C. y Fc.h APPROVED CITY U ATU2JN-,; 'rAC:; BUILDING SUN 2 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-E3-86 SECTION 9 —RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES REVISED: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 PROJECT NAME BUILDER: PERMITTING CLIMATE AND ADDRESS: OFFICE: ZONE: 1 [:] 2 ❑ 3 OWNER: NO JURISDICTION NO.: NO.: / ci NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONEDSQ. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA oZ U FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: EOVERHANG EU-a FT PANE FT PANE SINGLE- SO. SINGLE- � FT MULTIFAMILY ATTACHED F-1CHECKIF THIS SUBMITTAL LENGTH SINGLE FAMILY DETACHED® REPRESENTS A WOR®ASE LEENGTHOVERHANG �].� DOUBLE I I SQ. DOUBLE = so. CONDITION: � �Sl FT PANE / FT PANE NET WALL AREA AND INSULATION MASONRY R = FRAME RR STEEL STUD R = LOG R = � lm.❑ 1 !� Fa LSI �FTT [1:1 �FO. FQT CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = SGL ASSEMBLY R = SLAB PERIMETER R = RAISED:WD C CON r R = 01 FQ / jj� FQ FT 76 �FQ ❑ DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN LhJ CENTRAL ❑ ELECTRIC STRIP HEAT ❑ CEILING FANS ELECTRIC ❑ SOLAR UNCONDITIONED PUMP SPACE R = ❑ ROOM ❑ NATURAL GAS ❑ CROSS VENTILATION ❑ NATURAL GAS ❑ HEAT RECOVERY �1 ❑ PACKAGE TERMINAL ❑ ROOM UNIT OR ❑ OTHER ❑ WHOLE HOUSE FAN ❑ OTHER FUELS ❑ DEDICATED HEAT PUMP ' AIR CONDITIONER PACKAGE TERMINAL FUELS INSONDITIO NED ❑ NONE HEAT PUMP ❑ NONE ❑ gARIRIERDIANT NONE SF/EFCE NUMBER OF SEER/EER = COP/AFUE _ ❑ MULTIZONE EF = BEDROOMS = INFILTRATION I I `7 I O / (� O PRACTICE USED I I �I 15 I I �I X 100 ❑ #1 Y1 #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS_ CAL ULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications covered by this calculation are in compliance with the compliance with the Florida Energy Code.Before construction is completed,this Florida Energy Code. building will be inspected for compliance in accordance with Section 553.908 F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-A-86 SECTION 9 — RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES REVISED: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detacned or multifamily attached dwellings under Section 9.An alternative to this method for single-family detached dwellings.and multifamily attached dwellings of three stores or less.is provided in Section 10.Multifamily attached dwellings greater I han three stores must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained from your local budding department or the Department of Community Affairs,Energy Code Program.2571 Executive Center Circle East,Tallahassee,Florida 32399. PROJECT NAME BUILDER: AND ADDRESS: �' PERMITTING CLIMATE 1 [:] 2 ❑ 3 OFFICE: ZONE: OWNER: PERMIT JURISDICTION NO.: NO.: NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED L= SO. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA L FT. I CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: SAVE OVERHANG ❑'® SINGLE �T—T SO. SINGLE- ��so. MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH FT.- PANE I FT. PANE FT n REPRESENTS A WORST CASE LPORCH NGTHwERHANG a.2 � 0 PANEE � PANEESINGLE FAMILY DETACHED Lly CONDITION: NET WALL AREA AND INSULATION MASONRY R = FRAME R= STEEL STUD R = LOG R = I I I I ITI IFT ME] FT. FT EDFT ❑ CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER J ATTIC R = SGL ASSEMBLY R = SLAB PERIMETER R = RAISED:WD C CON C R Sol I I I Q . UsT [jg I—L_1ti1�Fa M19 FT 1:0FT. 0:1 DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN CENTRAL ElNONE [IELECTRIC STRIP HEAT PUMP 'L;,z7w' ELECTRIC ❑ SOLAR UNCONDITIONED SPACE R�--� ❑ ROOM ❑ NATURAL GAS ❑ OTHER FUELS El NATURAL GAS El HEAT RECOVERY 0t l�l�U El PACKAGE TERMINAL ❑ ROOM UNIT OR ❑ NONE ❑ OTHER FUELS ❑ DEDICATED HEAT PUMP IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL HEAT PUMP SPACE R = EF = SF/EF = ❑.❑ ❑.® SEER/EER = �.® COPIAFUE _ ®.� NUMBER OF BEDROOMS = INFILTRATION PRACTIE USED (—T-7-7 X 100 ❑ #1 #2 1:1 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. In accordance with Section 553.907 F.S.,I hereby oertity that the plans Review of ft plans and specifications covered by this calculation indicates and specifications covered by this calculation are in compliance with the compliance with the Flonda Energy Code.Before construction is completed,this Flonda Energy Code. building wrq be aspected for compliance in accordance with Section 553.908 F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: A I PRESCRIPT E MEAS RES(Must be met or exce9d94 by all residen COMPONENTSE TI N REgUIREMENTS CHECK WINDOWS1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SO. FT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS, SOLID CORE, ADJACENT PANEL,INSULATED,OR IC� �DOORS NLY_ EXT.JOINTS& 904.1 TO BE CAULKED,GASKETED, WEATHERSTRIPPED OR OTHERWISE SEALED. CRACKS MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND! WATER HEATERS 9042 STANDBY LOSS REQUIREMENTS, SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUT-OFF SWIMMING POOLS '—"T--E904 3 SPAS&L �T BEP VIDEDDAN EXTERNAL QR 9UILT.IN.HEAT TRAP MV PVIDED HEATED POOLS MUST HAVE COVERS iEXCEPT SOLAR HEATED). NON-COMMERC!AL POOLS MUST S SPAS I HAVE A PUMP TIMER GAS SPA& POOL HEATERS.ti1UST HAVE MINIMUM THERMAL EFFICIENCY OF 7500 HOT WATER j 9041 j — SH_QWER HEACS ;._90x 5`'AATER FL W 41U8T 9E RE!TRICTE M NO UCRE HAN 3 GALLQNS PER MiNUTE_AT 20 TC 80-PSIG_.—_ HVAC DUCT 903 2 CONSTRUCTED IN ACCCRDANCE OVITH INDUSTRY STANCARCS & LOCAL MECHANICAL CCCES DUCTS IN CCNSTRUC?'QN_ ?0 -?U!vCQ�O!T! NED,SPACE_`.1UT9E._iNSULATE^ 0 '.11N; 4l 1.1 a. .1 g, CINT`�%V1 5T 9E SF_4L;.D. HVAC CCtiTRClS -)0-:'�E?aRA1_'t_aEADILY ACIESSIBL-- MA%UAL'"P AL;7-%1A SR'.1CST.AT -OR EACH S'/ST_k,1 — INSULATION 9049 _. .. - EPI= 99. 95% FLORIDA ENERGY CODE SECTION 9 NORTH ZONE 1 .2.3 900-A-86 SEDA CONSTRUCTION SUMMER CALCULATIONS LOT 27 BEACHSIDE AS BLT SMR. GLASS BASE SUMMER GLS DBL SOF GLASS ORNT. AREA SPM BASE PTS ORIENT. AREA CLR ' (9B) SMR PTS N 39 38. 3 1494 N 39 38. 3 0. 91 1359 NE 57. 7 0 NE 57. 7 0 E 92 79. 7 7332 E 8 79. 7 0. 80 510 SE 79. 1 0 SE 79. 1 0 S 58 66. 2 3840 S 20 66. 2 1 . 00 1324 SW 79. 1 0 SW 79. 1 0 W 122 79. 7 9723 W 122 79. 7 0. 86 8362 NW 57. 7 0 NW 57. 7 0 H 66. 2 O H 0 267. 0 1 . 00 0 E 42 79. 7 0.92 3080 E 42 79. 7 0. 63 2109 S 38 66. 2 0. 77 1937 0 0 O 0 0 0 0 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE SP SUBTOTAL . 15 2201 311 1 . 06 22389 23768 18681 AS BLT COMP. SUM PT BASE COMP. MULT. SUMMER DESC. AREA MULT. SMR. PTS. DESC. AREA (9C-96) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 1636 0. 90 1472 0 ADJ. 341 0. 70 239 EXT2X4 R11 1636 1 . 7 2781 ADJ2X4 R11 341 0. 7 239 0 DOORS DOORS EXT. 22 7. 70 169 EXT WD 22 7. 7 169 ADJ. 19 2. 90 55 ADJ WD 19 2. 9 55 0 CEILINGS CEILINGS UN. ATC. 1617 0. 60 970 UNDRATC R19 1072 1 . 1 1179 SGL. AS 0. 60 0 SGLASMB R19 596 1 . 8 1073 KNEE R19 184 1 . 1 202 FLOOR FLOOR SLAB 190 -37. 00 -7030 PERIM. R-0 190 -41 . 2 -7828 RAISED 147 -3. 99 -587 RSD WD R11 147 -1 . 9 -279 O INFIL. 2201 8. 00 17608 # 2 2201 8. 0 17608 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL COMPONENT BASE SUMMER POINTS TOTAL AS BUILT SUMMER POINTS TOTAL 36664 TOTAL 33881 COOLING TOTAL BASE AS BLT DM CSM CCM AS BLT SYSTEM BSC CSM BG PTS CLG PT SMR PTS ' (9H) (9K) (9L) CLG PTS . 46 36664 16865 33881 1 . 06 0. 40 1 . 00 14365 HOT WTR NBR BASE BASE AS BLT NBR HWM HWCM AS BLT SYSTEM BDRMS HWM HW PTS HW DES BDRMS (9M) (9N) HW PTS 4 3803 15212 ELECT. . 89 4 3761 1 . 00 15044 SUMMER POINT MULTIPLIERS (SPM) 9B. SUMMER OVERHANG FACTORS(SOF)For single and double pane glass. CLIMATE ZONES 12 3 ► Ott RATIO 0- 11 12-- 17 186,26 27-.35 .36-.46 .47-.57 .58-.70 .71- .1 1,19-1.72 1.73-273 2.74-+ t _N -10 .94 91 j .87 .83 .79 .76 .72 .69 .63 .56 50 i NE NW 10 .94-- 91 .75 .71 .63 .55 .48 .42 C3 E;W -i 0 95 92 .86 .73 .68 .63 .57 .47 .39 .31 SE:Stv - 10 93 .8 .74 66 .60 .54 .47 .39 .32 .27 I S-- t 91 _86, .68 .60 .54 .51 .45 .3 .35 31 10,OH LENGTH• Ott 1 1 R. 3 . 314 fl. 4'h f. ft. 4 I + *To select by Overhang Length,no pan of glass shall be mate than 8 ft.below the overhang. OVERHANG RATIO= OH LENGTH Hfi -f If-L H L IT H H 9C WALL SUMMER POINT MULTIPLIERS(SPM) FRAME CONCRETE BLOCK FACE BRICK_ LOG INTERIOR INSULATION EXT,INSULATION R•VALUE WOOD FR WOOD NORMAL WT. LT. WT. NOR. WT. LT.WT. 2.4 6 INCH R VALUE _EXT I-__ACJ__ RIVAL E EXT AO EXT XT EX 7-1 .6 R-VALUEEXT__ 0__69_ _ x2.2. 0. 2 2.2 1.1 1.7 2.2 1.7 11 - t .9 .4 0.2_9 __1,5 7. 109 21 8 _ 3- 4 1.3 1. .8 .7 19-25.9 .2 3-6.910 . 11 -_12-9__ 1 7 -_5 1.0 .7 .8 .5 .4 26 8 A 7 B.U�__ __.8 .: 13 1091 56_- 7• 10.9 .7 .6 .3 .2 R•VALUE BLOCK 81NCH 19 .259 94 _ 11 189 .4 .4 .4 .0 .1 0-2.9 1.0 R-VALUE EXT 26 8_UP. _ _ 6 _�-2_ -1 -25.9 .2 .6 0-2,9---- 1.0 TEEL 26&Vp A 1 .1 7-9.9 .4 3-6.9 R VAE(!E EXL_ _ AD,E- 1 .2 7 0. 6-9 76 . 28- 7. 109 35 13 11 • 129__ ____ 27 __t 0-__ 9E CEILING SUMMER POINT MULTIPLIERS(SPM) 13 16.9- ---__-2 5 I--- 0 9---- _ UNDER ATTIC SINGLE ASSEMBLY CON RETE DECK ROOF__,-_______ 19 2�$__ �2 2 ._-�_.__�8-` R-VALE PM R-VA UE PM CEILING TYPE___.-__, 26 6 U i 2 0 4 19-21.9 1. 10-10.9 2.9 R•VALUE DROPPED EXPOSED_ 2 -2 . 11 •12. 2.6 10- 13.9 3.2 3,5____ 9 1 -1 .9 2.4 14-20.9 2.2 _ 24_ 30.37. .6 19-25.9 1.8 21 6 Up 1.5 16 38 8 90 DOOR SUMMER POINT MULTIPLIERS(SPM) DOOR TYPE EXTERIOR ADJACENT 9F FLOOR SUMMER POINT MULTIPLIERS(SPM) -" -" -" - --- -- SLAB-ON-GRADE RAISED RAISED WOOD WOOD EDGE INSULATIQN CONCRTE (See 903.2(e))_ R-VA E P R•VALUE PM R•VALUE SPM_-__ INSULATED 85 3.1 .9 -4 . 0 - 0- 6.9 _1.0____ -4.9 -372F 3.4. -1. 7- 10.9 `L1 5.6.9 .9 -1. 11 . 18.9 -1.0 78U -35.7 F 73 -1.3 1980 - .9� 9G INFILTRATION SUMMER POINT MULTIPLIERS(SPM) 9H DUCT MULTIPLIERS(DM) INFILTRATION PRACTICE R-VALUE With Return W/O Return , SPM Air Duct Air Duct (See Table 9P) 4.2-4.9 1.14 1.10 PAACTtCE • 1 102 5.0.6.6 .12 1.08 PRACTICE •2 6.7 d Up 1.6T 1.06 PRACTICE ,3 DUCTS IN CONDITIONED SPACE i. 1.00 1,0,6 -3- ^ WINTER CALCULATIONS ^ AS-BLT. WTR. GLASS BASE WINTER ORIENT. GLASS DBL. WOF GLASS ORNT. AREA WPM BASE PTS AREA CLR. ' (9B) WTR. PTS N 39 7. 3 285 N 39 7. 3 1 . 13 322 NE 0 4. 6 0 NE 0 4. 6 0 E 92 -9. 2 -846 E 8 -9. 2 0. 46 -34 SE 0 -22. 7 0 SE 0 -22. 7 0 S 58 -28. 4 -1647 S 20 -28. 4 1 . 00 -568 SW 0 -22. 7 0 SW 0 -22. 7 0 W 122 -9. 2 -1122 W 122 -9. 2 0. 62 -696 NW 0 4. 6 0 NW 0 4. 6 0 H 0 -28. 4 0 H 0 -57. 7 1 . 00 0 E 42 -9. 2 0. 77 -298 E 42 -9. 2 -0. 05 19 S 38 -28. 4 0. 87 -939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE WP SUBTOTAL . 15 2201 311 1 . 06 -3330 -3535 -2194 AS BLT COMP. WTR PT BASE COMP. MULT. WINTER DESC. AREA MULT. WTR. PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 1636 2. 2 3599 0 0 ADJ. 341 3. 6 1228 EXT2X4 R11 1636 3. 7 6053 ADJ2X4 R11 341 3. 6 1228 0 O DOORS DOORS EXT. 22 15. 4 339 EXT WD 22 15. 4 339 ADJ. 19 13. 3 253 ADJ WD 19 13. 3 253 0 0 CEILING CEILINGS UN. ATC. 1617 1 . 2 1940 UNDRATC R19 1072 2. 0 2144 SGL. AS 0 0 SGLAGMB R19 596 2. 0 1192 KNEE R19 184 2. 0 368 FLOOR FLOOR SLAB 190 8. 9 1691 PERIM. R-0 190 18. 8 3572 RAISED 147 1 . 0 141 RSD WD R11 147 1 . 2 176 O INFIL. 2201 7. 4 16287 # 2 2201 7. 4 16287 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL COMP. BASE WINTER POINTS TOTAL AS BUILT WINTER POINTS TOTAL 21943 TOTAL 29418 HEATING TOTAL BASE AS BLT DM HSM HCM AS BLT SYSTEM BSC HSM BS PTS HTG P WTR PTS ' (9H) (9I ) (9J) HTG. PTS. . 59 21943 12946 29418 1 . 06 0. 50 1 . 00 15592 TOTAL BASE BASE BASE TOTAL AS-BLT AS-BLT A8-BL TOTAL COOLING HEATIN HT WTR BASE COOLING HEATING HT WT AS-BLT POINTS POINTS POINTS POINTS POINTS POINTS POINT POINTS 16865 12946 15212 45024 14365 15592 15044 45001 PREPARED BY ENERGY DESIGN SYSTEMS 287-5339 WINTER POINT MULTIPLIERS (WPM) 9B WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 1 2 3 OH RATIO 0- 11 12- 17 18- 26 2-,- 35 36- 46 1 47- 57 1 58- 70 71-&1 84-1 16 1 19-1 72 1 73-2 73 T4+ SINGLE PANE GLASS 1 N 10 105 1OF 112 116 120 124 127 131 138 145 1.51 i NE'NW 10 109 t 13 120 i.26 133 139 145 150 163 174 184 E'w 10 67 50 16 - 20 - 60 - 95 -132 -173 -251 -331 -405 m t S6'SW 10 9288 77 66 52 39 25 10 -21 -48 -.74 ►-�g S t 0 95 92 84 74 .60 46 29 13 -.24 -,54 -.67 DO BLE PANE GLASS N 1.0 109 113 1.19 1.25 131 1.37 142 148 1,58 1.69 1.79 NE/NW t0 115 1. 1 158 1.68 1 209 2.28 246 .78 1.87 • - 1 Ew 1.0 85 6 6 28 12 0 -.24 -.59 -.96 -1.29 SE�Sw *0ft 93 90 .72 61 .51 40 .28 .03 -.19 -40 S 96 94 87 78 67 55 41 .27 -.29 -40 I1OH LENGTH+ 1 ft 1",7 h 2 30 3h ft 417 ft 5W ft. 614!t 914 ft 14 ft 20 ft+ *To sWV by Ovemanp Length no past of pian snarl be more than F ft below the ooernanu OVERHANG RATIO= OH LENGTH HHEIGHT IT T-�L H L 9C WALL WINTER POINT MULTIPLIERS(WPM) CONCRETE BLOCK FACE BRICK FRAME INTERIOR_ INSULATION EXT.INSULATION R-VALUE WOOD FR LOG WOOD NORMAL WT. LT. WT. NOR. WT.1 LT. WT. 0- 6.9 12.6 6 INCH R-VALUE XT ADJ R-VALUE EXT ADJ EXT EXT EXT 7- 10.9 4.2 R-VALUE EXT 11.1 10.4 11.2 6.8 8.8 11.2 8.8 11 . 1 .9 3.5 0.2.9 1 4. 7-10.9 4.4 4.4 - 4.9 7.3 5.1 6.1 5.6 4.9 19.25. .2 3-6.9 11 -1 .7 4.2 4.8 4.3 3.9 26& Up 1.4 7 .1 13-18.9 .4 7• i 4. .5 4.0 .1 R-VALUE BLOCK INCH 19-25.9 2.2 2.2 11 • 1 .0 2. 2.8 2.2 2.2 0.2.9 7.9 R-VALUE EXT 1. 1. 1 1 1.7 1. 3-6.9 5.7 TEE 1. 1.2 1.3 7.9.9 3.8 3-6.9 EX � �' 10& U 3.0 7& 1.7 0. 6.9 15.1 13.1 7-10.9 7.3 6.6 9E CEILING WINTER POINT MULTIPLIERS(WPM) 11 - 12• 5.7 UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF 13-18.9 5. 4. R-VALUE WPM R-VALE WPM CEILING TYPE 19-25.9 4. 4.4 19.21.9 10-10.9 3.2 R-VALUE DROPPED EXPOSED 2.7 2.6 22.25.9 1.7 11 . 12.9 2.9 10. 13.9 2.9 3.3 26-29.9 14 13. 18.9 2.6 14 -20.9 2.0 2.1 90 DOOR WINTER POINT MULTIPLIERS(WPM) 30.37.9 1.2 19-259 21 &Up 1.3 1.3 38 8 Up 9 DOOR TYPE EXTERIOR ADJACENT 9F FLOOR WINTER POINT MULTIPLIERS(WPM) WOOD 15. t3.3 SLAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATION CONCRETE See 903.2 e INSULATED 16.8 14.5 R-VALUE i WPM R-VALUE WPM R-VALUE WPM 0.2.9 1 0.2.9 9.9 0- 6.9 8.3 3-4.9 9.3 3-4.9 5.1 7- 10.9 3.0 5-6.9 7.6 5.6.9 3.6 11 - 18.9 2.2 7& Up 7.0 7& Up 19& Up 1.4 913 INFILTRATION WINTER POINT MULTIPLIERS(WPM) 9H DUCT MULTIPLIERS(DM) INFILTRATION PRACTICE R-VALUE With Retum W/O Retum (See Table 9P) WPM Air Duct Air Duct 4.2•4.9 1.14 I 1.10 PRACTICE ' 1 10.9 5.0-6.6 1 1.06 PRACTICE ° 2 6.7&Up 1.09 1.06 PRACTICE '3 41 DUCTS IN CONDITIONED SPACE 1: 1.00 -5- 1,6)10 91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3 SY,.TEM.TYPE HEATING SYSTEM MULTIPLIERS Heat Pump •2 0 '892.9 .1 • ,4 3.5-3.69 7-Up- HSM- .48 .4 42 40 .38 EI�t1nc StnR �_ Hi_ 1.0 (541A Qther F HsM 1.0 (see Table 9J for Credit Multipliers) - PTHP_B,RoomAkds _ HSM HSM for COP 2 .2.49 = .63. See above for COP>2.49. Minimums:Central Units 2.7 COP. PTHP 8 Room Units 2.2 COP. COP means Coefficient of Performance. 9J HEATING CREDIT MULTIPLIERS(HCM) SYSTEM TYPE - HEATING SYSTEM MULTIPLIERS Attic Radiant Barrier H ,98 HCM .90 Natural Gas -AFVE- •.74 .75. 7 .90 - --- -NCM 4 .4 .36 Where more than one credit is claimed,multiply HCM's together.Enter product on page 4. AFUE means Annual Fuel Utilization Efficiency. . 9K COOLING SYSTEM MULTIPLIERS(CSM) ----�$IEMZYP COOLING SYSTFMP SEER7.8• 8.0- 8.5- 9.0- 9.5- 10.0- 10.5- 11.0• 11.5- 12.0- Central Units 7. 4 9.9 1, 10A 10.9 1 11.4 11.9 $HP_._ _ CSM .44 .4 .40 6 1 .34 -.32 .31 1 30 .28 PTAC 8 taoom�rnt,__ -_C M CS 7.A.7.7 = .46. For EER' )7.7 use multipliers above. Minimums:Central Units 7.8 SEER. Room Units 7.5 EER. PTAC under 13,000 BTUIH 7.5 EER,and over 13,000 BTUIH 7.0 EER. SEER means Seasonal Energy Efficiency Ratio. EER means Energy Efficiency Ratio. 9L COOLING CREDIT MULTIPLIERS(CCM) MULTIPLIERSSYSTEM TYPE COOLING CREDIT &l,n F n 8 M l" n .90 -Cross Ventilation or Whole lJouse Fan iCredit for only one) 95 Arl,c Radiant Barrier Where more than one credit is claimed multi CCM's together.Enter product on pa 2. 9M HOT WATER MULTIPLIERS(HWM) _____SYSTEM TYPE _ HOT WATER MULTIP IER _ Electric EF -_.e0. .81 82- .83 .84-15 • .87 .91 -.93 .94•.96 .97 8 UP Res stance PH 4183 4081 84 3891 3 3678 3560 34 50 EF___ ____48`4 - . 1 2•. -. 7 .60• . 1 .62&-U Natural Gas HWM V - � 1 9 2 1 1 7 1807 1749 Other Fuets _HWM_-__ -L'_J4'"__ 2 1 9 1 2795 2705 Water heaters must comply with prescriptive measures of Table 9A. EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS(HWCM) _SYSTEM TYP � _ T WATER CREDIT MULTIPLIERS Solar Water Heater �F__ 1 3 .4 .5 .7 .8 .9 1.0 -- ------- _HWC_ 7 .4 .2 1 .1 1 .0 fieat Reca+ery Unit, -Alti- Air-conditioner Heat Pump -- HWCM .58 Dedicated Heat Pump NW M .43.0-3.49 44 ___ .- _--------C .2 _ .2�---- -- A HWM must be used,n conjunction with all HWCM.See Table 9M. SF means Solar Fraction. EF means Energy Factor. 'Form 9 D-&i must be submitted to obtain credo for Heat Recovery Unit 9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(f)) COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK PRA TICE '1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ONPRESCRIPTIVE TABLE 9A. _PRAUICE -OMP J_'(WITH PRACTICE °1 AND THE FOLLOWING _ --- _E■ter. Watts and Floor _Top plate pgnetrations sealed Infiltration barrier installed Sole plate/floor prat caulked or sealed Exter!orWails 8 Q tlm _Penetrations.iomts and cracks on interior surface caulked sealed or oasketed Ouccwork - Ductwork in unconditioned soace must be sealed. _Fireplace _Equipped with outside combustion air,doors and flue dampers Exha- ust Ferns Equipped with dampers. Combustion devices see 903 2(0 _ Combustion Heating Cornbusbon space 8 water neabng systems provided wan outside combust on air except direct vent appl.ances TRAOTICE #3 COMPLY WITH PRACTICES -1 AND 12 AND THE FOLLOWING: ,lin Infiltration r installed. Interior Walls _.-Tonlaut DerietrationsI ints&cracks on inter,lor walls caulked, r oasketed. f1jn;e§1 AQ Lights =itionacl space&insulated from ventilated attic spaces. Ductwo(k All ductwork located In conditioned Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,space,exhaust b - oducts to outside.Stoves see 9032(0. 12ME Z DATA SEAT NAME P � t [ r d! 7� 1 t� t ' ,.� . DATE JC8 ADDRESS J ` e ".f- % EPI . 1. Type Insulation in Walls k ( ��,Q r .. P. )i 2. Type Insulation in Ceilings 1,6a: R 3. Type Insulation for Wood Floors Af R 4. Concrete Slab Edge Insulation 1�)c� R 5. Insulation Around Ducts ; In Condit. Space _ 6. Type Heating System f e?r�_.� CCS _mss•. ' 7. Type Cooling System lypr,.f .Jl- 8. Type Hot Water Heater �` ' «y, � EF f 9. Type Glass in Windows and Doors: DC DT 9C• ST 10. 'type Exterior Doors � , ,o, ' 11. Are the dimensions of all windows and doors shown?' `.,�. - If not, this is required either on floor plan, elevations or in a schg ule. . 12. Size of Pcof Overhang? 1, �. - 13. Ceiling Fans in All Bedrooms and Primary Living Areas? A)a 14. Is a multi-none A/C System to be used? A)a 15. Cross Ventilation in Main Bedroom and Primary Living Areas? )n 16. Is the building oriented on plot plan with compass direction? If not, draw in on plot plan. 17. Is there a whole house fan (attic-type fan with aCFM Rating of 3x Condition Area? A),_ 18. Infiltration Package it 12 Lr #3 19. Attic Padiant Barrier?_ )r� (See 9E) I certify that the above is the correct data used to calculate the EPI on the energy form submitted, and will be incorporated 'in the subject job. Sighed c