Permit 1002 Begonia Street �!rL`lfJ.
I CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
} ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000850 Date 6/12/09
Property Address . . . . . . 1002 BEGONIA ST
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 cu 1 ahu
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERNEST JEFF ALFORD FROSTY AIR CONDITIONING & HEAT
3020 SUGAR CREEK LANE P.O. BOX 16334
JACKSONVILLE FL 32246 JACKSONVILLE FL 32245
(904) 568-4204
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/09/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 95 . 00 95 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
f ri CITY OF ATLANTIC BEACH oe-
P7 ' „i; 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �7
�I OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPTQCOAB.US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 13.DATE:
JNO
/001.
�✓
0 01. /2 e<30"914 5 11YES PERMIT#:
PROPERTY OWNER:
4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
04PW4 i"�rt 1,3 3
MECHANK AL CONTRACTOR:
7.�NAME OF COMPANY: 8.ADDRESS.:
P1. it! (ja y' L•C� rJ
9.STATE OF FLORIDA LICENSE NO:G 10.CELL PHONE: 11.FAX NO.:
/ br-/
12.EMAIL ADDRESS: 13.OFFICE PHONE: 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 any time after work is commenced.
ARI# 929 ,9 ia
CONTRACTORS SIGNATURE:
1L CLASS OF WORK: 16.BUILDING: lt4ERVICE. 16.CURRENT CODE:
❑NEW INSTALLATION ❑NEW PrRESIDENTIAL ❑'07 FLORIDA BUILDING CODE-
REPLACEMENT OF EXISTING SYSTEM A EXISTING ❑COMMERCIAL MECHANICAL
❑ALTERATION I ADDITION TO EXIST SYSTEM
❑REPAIR ❑OTHER
MECHAMICAL EQUIPMENT TO BE INSTALLED:
19.HEAT: ❑SPACE ❑RECESSED CENTRAL ❑FLOOR BURNERS:
20.AIR CONDITIONING: ❑ ROOM XCENTRAL
21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfrrl
22.REFRIGERATION: MAX CAPACITY: Cfm
23.COOLING TOWER: CAPACITY: gpm
24.FIRE SPRINKLER: NUMBER OF HEADS:
25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26.COMMERCIAL HOOD NUMBER:
27.FIREPLACE: PREFABRICATED: MASONRY:
28.IRRIGATION: ❑PUMP ❑WELL ❑PIPING
29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL,HEAT EXCHANGER
OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS:
31.COOLING EQUIPMENT:
NUMBER AIR Tl APPROVING
OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY
Aig 1 92 3 2 Z2
32.HEATING EQUIPMENT:
NUMBER FURNACES.BOILERS,FIREP ES,AIR HANDLERS ETC. APPRMING
OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY
CA ff 413'C242 4 Z o �Qoa�� �23F.�•8'
33.TANKS:
TYPE LIQUID APPROVING
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY
BLDG04 Permit App4utton Mech:REVISED:12!182008
JOB ADDRESS 1
00 C Q ,� TyPE woRK/)e, J4) ce
PROPERTY 0WAM �U"t�Q c���fi TELF-PHONE
CONTACT O..iF�� T ELF-PHONE a-u 6 6 /�3
PE,RWT MEE�R / 5.� DATE `7 —
LVSPEC77ONS: F'OOTMVG
SLAB
77E BEAM
LCL
NAff.E•IGrSHEATHBVG
F RAMMICOVER UP
LVSULA77ON
F17VAL EULLDING
CERTIF'ICAT'E OF OCCUPANCY
E.ECTRIC4L PERMM
INSPECT IONS ROUGH
FINAL
MECHANICAL PERM
INSPECTIONS ROUGH
FVV L
PLUMRLVG PERMITT#
EVSPEC77ONS ROUGHAWDER QST.4B
T'OPOUT
WATEMSENEIt
FINAL
NOTES: 7/s els P .fir,-
S d 2
ALDRESd
BUILDING PERMIT NUMBER � � 8
INSPECTIONS : FOOTING--/- 7-
UNDER
UNDER SLAB PLUMBING
SLAB
FRAMING J-.-?o- 9
COVER-UPS`
INSULATIOI`1____���'.��" ��r� C�
FINAL BUILDING
CERTIFICATE OF OCCUPANCY � ;7- F-7
ELECTR I CAL PERM I T # 0 / 33 t
NSPECT=ONS ROUGH
FIN AT
MECHANICAL PERMIT
PLUMVTN,'Z PERMIT
NOTES :
r
HP OfficeJet Fax Log Report
Personal Printer/Fax/Copier
Jun-17-97 01:34 PM
Identificati Resuft Pages Tvne Daaw Time DurationDiagnostic
97437445 OK 02 Sent Jun-17 01:32P 00:01:46 002184230020
7.4.0
CITY OF ATLANTIC BEACH
FACSIMILE TRANSMISSION TO FOLLOW
a �t
�1OR��Q►
TO: Vnxu FAX#
ee-
FROM: PV f
PAGES TO FOLLOW: DATE: 6 _/7.- 5;7'2
MESSAGE:
00
9
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
Tattfiratt of Orruvancu
(situ of
Atlantic NW4 — +Aloriba
hpartmtnt of Nuilding Inspection
fThis Certif„tate issued pursuant to the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
f
i
various ordinances regulating building construction or use. For the following.
f
Use Classification Single Family Residence Bldg. Permit No. 13085
Group W.frame Type Construction SIf Fire District Atlantic Beach
Owner of Building Ernest Jeff Alford Address 1002 Begonia Street
ing Address 1002 Begonia Street Locality Atlantic Beach, FL 32233
By DON Q. FORD k
j Building Official Date: A
{ POST IN A CONSPICUOUS PLACE
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OFATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORKSHEET
Date Requested: 6/13/97
Building Contractor: Owner
Building Permit Number: Ernest Jeff Alford
Address : 1002 Begonia Street
Legal Description: Lots 3 and 4, Block 168/169, Section H
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 Residence
Lowest Floor Elevation:
required as built
BEFORE ISSUING CERT7FICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire n/a
Public Works 6/13/97 6/13/97 JD
7
Planning
1,-/7- ? /
Building elo—j 7-F-7
NJ
t
' + w
1 �
MOMWLAIN DEVELOftVff INFO*MATtOM
Type of Devvlopmentt 5 Z--
♦w�w�..r�ww....rwwwww.wrrwr_wwwwri�rws,. w.rwr..r_,.
Flood
����Mrrr�AMwr4r�W_
Required Lowest floor Clavetioat �
Zt building is looatod W&tbin a flood haserd seM, a survvy •ua.t
be made AFTER TN! ft&a NAS MM V"ZDO pfrtitylw0 that MU-t
LOWEST FLOOR CLEVATION it erquel to ere abovo the Mss 1100a
elevation ertabllrl�ed !a9!' tbat scows.
No 'in*' inspeatioa r111 bs weds and nes 4ar1440iereto o9 aacupancy
viI1 be issued until AbW ~vsy is 00 filo rtth tho MAldinU
Department.
COMMENTS2 1 .
Applicant AcknovlodOesents t underatand that tho lssuence of
this per*At it ooattwgfnt upoa tlws above Satwmetton boinp
correct and that tM plats Meet eruppeMrt dater Mw Mow or shall
be provided as r"uAr4W* Y 6000 40 MMly rftk all "VAAcable
provisions of Ordinanw No. 28•7•49 mad all otAss laws ur
ordinances affecting the, proP0mvd devdiepwent.
Date�z"^��'���'_wwAppiAoaat•s 8ipneturi ,,,wrw,�, �_ _
rwr_w_r-. ----r -------
Department Us&
Required Lowest Ulcer tlovation
•.rrrrr r www_
An Built LOMest /*10er SIOWS46100
Survey Filed With Nrilding Oepertwent
_��:�f .�w..Nw1��r• .� ver rr� r1lr�rw�rA
Building Depart; nt RepresswlatAve
pave 3
1
MAP SHOWING SURVEY OF
LOTS 3 AND 4, BLOCK 168 TOGETHER WITH A PART OF BLOCK 169, SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK
18, PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY FLORIDA AND BEING MORE PARTICULARLY DESCRIBED
AS FOLLOWS: FOR A POINT OF BEGINNING, COMMENCE AT THE SOUTHEAST CORNER OF SAID LOT 4; THENCE SOUTH 89'02'00"
WEST ALONG THE SOUTH LINE OF SAID LOT 4 AND A WESTERLY EXTENSION THEREOF, A DISTANCE OF 294 FEET, MORE OF LESS,
TO THE EDGE OF PABLO CREEK MARSH; THENCE NORTHEASTERLY ALONG THE EDGE OF SAID MARSH, A DISTANCE OF 103 FEET,
MORE OR LESS, TO ITS INTERSECTION WITH A WESTERLY PROLONGATION OF THE NORTH LINE OF SAID LOT 3; THENCE NORTH
89'02'00" EAST ALONG LAST SAID LINE AND ALONG THE NORTH LINE OF SAID LOT 3, A DISTANCE OF 272 FEET, MORE OR
OR LESS, TO THE WEST RIGHT-OF-WAY LINE OF BEGONIA STREET (50 FOOT RIGHT-OF-WAY); THENCE SOUTH 01'16'00" EAST
ALONG SAID RIGHT-OF WAY LINE, A DISTANCE OF 100.00 FEET TO THE POINT OF BEGINNING.
BEGONIA STREET
--POINT OF BEGINNING RECEIVED
50' RIGHr_OF_yyAY UNIMPROVED /
S 01'16'00" E 100.00' !� --- — — — -AN 1 _' 1997
FouNo 1/2' FOUND 1/2'
IRON PPE ; RON PIPE 120.00'
No. 3672 . No. 3672 City of Atlantic Beac
Buildipg and Zoning
I
! W
i W
2CC6 j
N
p
— o
N — — — I
s _ Z
I
QD
i
74.0' r
CONCRETE BLOCK FOUNDAT;ON
o (DIRT FLOOR)
' FINISHED FLOOR ELEV. = 7.37
o 0
1&0,
24.0S.8
' — 46.3' NOTES:
THIS IS A SPECIAL PURPOSE SURVEY FOR FOUNDATION LOCATION ONLY.
€3EARINGS BASED ON THE SOUTHERLY LINE OF DESCRIBED LANDS AS
PEP PLAT.
IAS 3 NO BUILDING RESTRICTION LINE PER PLAT.
8
BENCHMARK REFERENCED IS NAIL IN PINE, ELEV. 7.50, N.G.V.D. 1929.
S -
4 N
0 00�
0
Z N
FOUND 1,17.
IRON PIPE
No. 3672
\
N\
\ 4 3 FOUND 1/2'
\ WON PIPE
O ATE No. 3672
OF k
103•
THIS SURVEY WAS MADE FOR THE BENEFIT OF
BARNETT BANK, N.A.; AND ERNEST J. ALFORD
AND 1S IN COMPLIANCE WITH THE MINIMUM TECHNICAL
THE PROPERTY HEREON APPEARS TO LIE IN FLOOD ZONES STANDARDS SE-T FORTH IN CHAPTER 61 C17-6
"X" SHADED AND "AE" (ELEV. 6') AS WELL AS CAN BE OF THE FLORIDA ADMINISTRATIVE CODE.
DETERMINED FROM THE FLOOD INSURANCE RATE MAP
COMMUNITY PANEL NUMBER 120075 0002 D. REVISED
APRIL 18, 1989 FOR THE CITY OF ATLANTIC BEACH
DUVAL COUNTY, FLORIDA.
UNLESS IT BEARS THE SIGNATURE AND
THE OR►GItiL RAISED SEAL of AHFLORIDA DONN W. 84ATWRIGHT,. P.S.M.
UCEiAISEO SURVEYOR AND MAPPER,, "MIS S
-*AAP IS FOR INFORMATIONAL PURPOSES FLA. REG. SURVEYOR AND MAPPER No. 3295
IMCY AND IS NOT VALID.
AOSCPA.Ea ,J. BOATWRIGHT LAND SURVEYORS, INC. °ANl g, 1997
nLE: 97-s� 1711 SOUTH 5th STREET, JACKSONVILLE BEACH, FLORIDA 241-8554 SHEET 1 OF
97N-2
DATE• _ �_ -7-9j7-
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY:
1_d z= -- -----------------
------ -------------------------------------------------
------ -------------------------------------------------
------ -------------------------------------------------
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
S z.NCER E L Y,
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF ATLANTIC BEACH
Q► /C FACSIMILE TRANSMISSION TO FOLLOW
a �1
OR���`
TO: ASU-1-1 � FAX # S %°t- /0,5
0
FROM:(. ,,-z- z-
PAGES TO FOLLOW: DATE:
MESSAGE:
V.
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE(904) 247-5800
FAX (904) 247-5877
. .
. . . .
Tertifirate of Ocrupancu
(situ of
Atlantic Ntac l — 31oriba
Department of Nuilding Inspection
This Certificate issued pursuant to the requirements of Section 103.8 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.
Use Classification Single Family Residence Bldg. Permit No. 13085
Group w_framP Type Construction S/f_ Fire District Atlantic Beach
Owner of Building Ernest Jeff Alford Address 1002 Begonia Street
B ing Address 1002 B onia Street Locality Atlantic Beach, FL 32233
By: DON C. FORD
Building Official Date: T -i .T
POST IN A CONSPICUOUS PLACE -31
TY OF
1996 '
Builrdling, and o ri I n g ON SEMINOLa ROAD
ATLANTIC W-4C ,FLORIDA 32233-544
PROPERTY DESCRIPTION TFyZMNIL0"yo.M
1 L g FAX P"WMIS
Loth #3t Lt Block # Section #
Subdivision:
Street NameDESCRIPTION OF WORK
or Address : 1007 [*�€ N6o :A S;r�'
If in a FLOOD HAZARD
Flood Zone:,harea complete page 3. Brief Description
Class of Work: (New/ �
Remodel/Addition:
ZONING INFORMATION Type of Construction:_-�Uj000
Zoning Proposed
District : Use:___ Estimated Value S���""+r�o6
Exceptions or Variances Materials: L/, cooi7
Granted: ka A-
Solid or Filled
Ground:_____Roof: S t+i-A S Le
Method of Heating: ma c- -u c-P
OWNER INFORMATION
Property Owner: 1z—'fWt 51- � 2`� Phone: � '�� 1 6 0 \
Mailing
Address-
Zip:
CONTRACTOR INFORMATION
Contractor: Phone.
Mailing
Address :
Zip:
Expiration
License Number : Date:
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCE--
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEF.E::;
OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TZ
VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES .
REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING Cr
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY.
UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE
INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA
HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
Owner Signature Date
Contractor Signature ._ __ _ Date ____
CITY OF ATLANTIC BEACH, FLORIDA
q
Approwd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. _ .L,-� 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME i�.n/'S i � A(.f-DIZ�7 ADDRESS:-.'1 CJ 07Z- liI,A S j
RFD BOX
BLDG.SIZE BETWEEN:
RES.( �►/ APT.( 1 COMM.( 1 PUBLIC ( 1 INDUS.( 1 NEW( ► OLD ( 1 REW. ( ►
ADDITION ( 1 TRAILER ( ) TEMP.( ► SIGNS ( 1 SO. FT.
SERVICE: NEW( INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE t AMPS-Z-40 C> COPPER f ALUM. ff
SWITCH OR BREAKER AMPS PH W Zq OVOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 91.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES - BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
CITY OF
ATLANTIC BEACH N2 21747
FLORIDA
NAME
_ ADDRESS
CITY
:il
When Signed, Dated and Numbered, This Becomes an offici ' "Receipt
MAKE CHECKS PAYABLE TO Received Payment
CITY OF ATLANTIC BEACH, FLORIDA TREASURER
DONALD R BONTS DBA 0554
BONTS CONSTRUCTION
904-221-4200
13042 MOUNT PLEASANT RD. -�7 634/630
JACKSONVILLE, FL 32225-1226 / — Z / 4
is
PAY TO THE
ORDER OF
` DOLLARS
/rt�0
001.004 �j l
9500 Regency Square Boulevard
Jacksonville,Fiorids 32224
FORp � ----- — .� -- r__ — ------ ---ar
111000 5 54n' 6 300004 7I: 2 i 7 10808960
51CLARNE AMERICAN i
A
4
TRANSMITTAL DOCUMENT FOR JEA
DATE: S_-9,-7 -�'
The following permits have passed "rough" inspection:
Permit No. Address �
esex cxi�x �b :c�p� x� �a�xex ,�. Please update
your records accordingly.
ha y u
BUILD NG CLERK
CITY OF ATLANTIC BEACH
/vcb
TRANSMITTAL DOCUMENT FOR JEA
DATE: 7-�1
The following permits e passed "rough" inspection:
Permit No. Address
32
2` S7 Q
/ S �
/33 kl-,"Y/J W
-
3' 5 S 7
&�aar$er �x o�zxx � sx?xxx �a�xex �. Please update
your records accordingly.
Thank you,
BUILDING CLERK
CITY OF ATLANTIC BEACH
Jvcb
n � ������� /CITY OF
Tl&�(C /3eac-4-
Office of Building Offici
REQUEST FOR INSPECTION �(fj
Date
�9 Permit No. Z30 (/
Time A.M.
Received
V
Job Address L cality
Owner's
Name Contractor
BUILDING jSlab
LECTRICAL PLUMBING MECHANICAL
Framing ❑ G Rough Wiring Rough 7 Air Cond. & ❑
Re Roofing ❑ G Temp Poie Top Out n Heating
Insulation ❑ Final C Sewer C Fire Place ❑
Pre Fab
READY FOR INSPECTIO
M.
Mon. Tues. Wed. Thurs. Friday R
Inspection Made PM
Inspector Final Inspection ❑
Certificate of Occupancy ❑
Date
{
A9A-3844
or
DERJ#MU_N r OF BUILbI G
CITY O#ATLANTIC BEACH
PERMIT INFORMATION � - --.._... LOCATION INFOR14ATION
Permit Number. Address# 1002 BEGONIA STREET
Permit Type:MECHANIAL ATLANTIC BEACH, FLORIDA 32233
Class oI o k.NE .�.._'�..» ._-- LEGAL DESCRIPTION -__ .�___ ��
'4 ,
Qonstr» T 'WOOD FRAME BlockY168 Lot:S, 3 & Twp: 0
Proposed se; SINGLE FAMILY Section; 0 Subd. Rnq*
Dwellings: 0 Subdivfsion:SECTION H
Est. Value.-
Improv.
allue�Ir ray. Cost : Q .QQ
Totat Fees• 25, 600
Amount ,, a�.
25 .00
Dae . tS ro 497
�
Work I1 �� � ��° PLACE �j GAD PIPE
TIQN — , APPLICATION APPLICATION FEES w. --
R am D PE N I T 25.00
Addi. SIC .LANEy
,° tR IDA 322
Thon
I
------
Name. GA I T 4
Addax-w ?1 tw.A ADm s��"
,IACESOR � 'LORIDA32207
TV �
NOTES:
p
NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT'VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISHAND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEAREO USP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
{ � TO COM PLY,WITH THE MECHAN#CS' LIEU LAW CAN RESULT IN
E f PERTY OWN. R PAYING,TWICE FOR SUILD#NG IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATI
VIOLATION QF APPLICABLE PROVISIONS OF LAW.
ATLANTIACH BUILDING DE1 #TMENT
3
. e« n6a
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT -- Applicant to complete ali items in sections I, II, III, and IV.
I. /0 6 :R �CC�6�,!1.4
LOCATION
Street Address: ._ n
OF Intersecting Streets: Between /r'!rn✓e—, PO "* 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 abcve statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance wifh the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) Lg :Edo ot, A -r 16d Master J6
Name of
Property Owner �AAA��a
Signafure of Owner �i Signature of
or Authorised Agent b!v T--5 Co') 5-r I Architect or Engineer
III. GENERAL INFORMATION
A, Type of heating fuel: B'
IS OTHER CONSTRUCTION BEING DON ON
❑ Electric THIS BUILDING OR SITE?
❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER,0 OONNSTjtU�ION
❑ Oil PERMIT �� CC�.,, $$
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) COY Residential or ❑ Commercial
❑ Heat ❑ Space ❑ Recessed O Central O Boor ❑ New Building
❑ Air Conditioning: ❑ Room ❑ Centre) ❑ Existing Building
❑ Duct System: Material Thicknes- ❑ Replacement of existing system
Maximum opacity c.f.m.
D/New installation(No system previously installed)
C3 Refrigeration13Extension or add-on to existing system
El Other — Specify
❑ Cooling tower: Capacity g.p.m.
❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Monlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Reeeiwd)
❑ Tanks (number) Remarks
❑ LPG contains,R (number)
❑ Unfired pressure Yeuel
❑ Boiler Permit Approved by Date
Other — Specify aAs t&'[ / f j //�. 'r r'a Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity Approving
Number Unita Deacriptlon Model Number Manufacturer na) gmeyey
City of Atlantic Beach UT500L
** S E R V I C E 0 R D E R CYCLE/ROUTEt 04 99
8 A R B A 6 E C 0 M P L A I N T
CREW CODE: SVC ORDER NO* : 25528
SECTION: AB ATLANTIC BEACH ISSUE DATE! 1/06/97
LOCATION IDI 15074 CLASS: RESIDENTIAL I UNIT ISSUE TIME: 16139102
ADDRESS: 1002 BEGONIA ST REQUEST DATE! 1/06/97
CITY: ATLANTIC BEACH USER ID: CSTARR,
-----------------------------------------------------------------------------------
SERVICE/SEQ: OB 000 GARBAGE
DWAYNE 100-JAX WAST
.................................................. ..........
NAME OF EMPLOYEE
-------------------------------------------------- -----------
---------------- C G M P L. E ir I o N y hi g- ri r% LZ X N -------------------
DATE: ___._._../._. .„ .... MISC CHARGE: 0 ,144-v AMT.*
C
ACTION: --------------- COMPLETION ME1 4TENANCE
�.f
MTh READER COMMENTS
---------------- ----------
CARLENE MATTHEWS NEED TO KNOW WHEN CO HAS BEEN ISSUED SO WE CAN
START BILLING OB AND ST ONLY*
CITY OF ATLANTIC BEACH, FLORIDA /33/
Approwd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: QVJ nl r iZ, MASTER ELECTRICIAN SIGNATURE 'i AL f%v t4 7 JOURNEYMAN
NAME ��i2'V G� AADDRESS: �y L It b��v i�} T RFD-BOX—
BLDG.
FDBOXBLDG.SIZE BETWEEN:
RES.1'1 APT. ( ) comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW I fl OLD ( 1 REW.( 1
ADDITION ( ) TRAILER ( 1 TEMP.6j'-/ SIGNS ( 1 SO. FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE _
CONDUCTOR SIZE AMPS COPPER ( 1 ALUM.
SWITCH OR BREAKER CJ AMPS -�— PH 3 W 2-` QVOLT 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
0.90 AMPS. 81.100 AMPS.
SWITCHES
INCANDESCENT ,.
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES I I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
14 PA D FIM.
'rft A II.CA A�/C Sn. 11�1l1CA CAA\/ A\/CA CM\/
CITY OF
�ctic Ve4d — Shoda
800 SEMINOLE ROAD
— -- -- ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
Chapter 489, Florida Statutes,Pa=t I 'CONSTRUCTION CONTRACTING'requires Owner/Builder to acknowledge the law:
DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes:
State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to
that law. The exemption allows you as the owner of your property,to act as your own contractor even though you do not have a
license. You must�au,eivis -the o structio,y;;:, elf, You may build or improve a one-family or two-faily residence or a farm
outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for yQU own
yap and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1
year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this
exemption You may not hire an unlicensed Person as you contractor. Your construction must be done according to building codes
and zoning regulations. It is your responsibility to make sure that people employed by you havelicenses re iir d by state law and by
muotX or municipal licensing ordinances.
Ordinances also allow an Owner to improve their own property when it is for personal or family use,and likewise
require all work(except maintenance under$2,000)be under a buildingpermit andpass all normal inspections. The
onalinance states owners may physically do work themselves;or a=In re unlurnsed workers provided such workers be under
"direct s"ryisi on of the owner,who must be on the Job site at all lines while work is in progress by unlicensed trades
people." Vu's does not allow use of unlicensed contractors.
Since owners may be hable for—itl:_to workers they hire,the Building Department suggests Workers Compensation insurance
be purchased unless the homeowners insurance policy clearly protects the Owner. Owners hiring workers become employers and
should also observe IRS withholding tax and/or Form 1099 requirements on the workers they employ on their improvement work
Unlicensed contractors cannot be emnl=d under=circurnstawxt Owners being subject to$5,000 penalty under Florida Statute
No.455.228(1). An'OcoQation l License*is nota egjAc The owner should physically seethe county'Certificate of
Competency'or the Florida'Contractors Certificate"to ascertain if a person is a licensed contractor. Telephone the Building
Department(247-5826)if in doubt.
I hereby acknowledge that I have read and understand
all the above on this i qday of 'tom , 199_7
RL';:�G g-D
Witness,Building Dept.Employee Owner/Builder
C)-o
Address
NOTE: Phrases underlined above =7 fr- -!4,y0 -7 3 G I V 4
are emphasized by the Building Phone
Department
PSR-3844
019PARTMENT OF BUIL01NO
s CITY bp ATLANTIC BEACH
PERMIT INFORMATION ------ _ LOCATION INFORMATION,, ------.--
__
Permit Number: ° 13428 Address 1002 BEGONIA STREET
Permit; Typt:MECNANICAL ATLANTIC BEACH , FLORIDA 32233
Class of work:NEN --_�-_-�__ LEGAL DESCRIPTION � ----_-�
Constr.` Type:'WOOD FRAME Blook:168 Lot :S. 3 & 4 Twp: A
Proposed Use:SINGLE FAMILY Section: 0 Subd: Rng: 0
bwel'liAgs. a Subdivision:SECTroii H
Est . Value: 0.44
IrIprov o$t : 0 .00
` Total Feo' 55 .00
mount,un t 'ft 5 5.0 0
t
_., ION APPLICATION FEES
Name � � � RSA PERMIT
Addy 3 K LANE
L ORIDA 322-,,
Pho
C 14 R ORMAT I QN;
f N am4e ; B N AND AIR
IVE
JACKSON 4 r r���, ' FLORIDA 32236
Lzc CA ? � Exp.
4
C .ae
c NOTES,
r
e
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
1 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT.BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR'OR OWNER n
I
`FAILURE To COMPLY WITH: THE MECHANICS! LIEN LAW GAN RESULT IN
THS P0,00 RTY *.Nt PAYING TWICE 1=CSR BUILI31 fLi IIAI iOVE N"�' I!
ISSLtIED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR x
V1C 4TiON OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC-BEACH BUILDING DE ARTMENT
rf
By. el
!z �
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
LOCATION Street Address:_ ,.7tU _ )/`✓tA j l
OF Intersecting Streets: Between '711`CIICi e.I j✓} And
BUILDING Sub-division `s
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 attacked plan, and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Nance of Mechanical Contractors
Contractor (Print) o.. C Master
Name of ^j_
Property Owner I1,A �-S-- - L j Coo
Signature of Owner Signature of
or Authorised Agent Architect or Engineer
Ill. GENERAL INFO MATION
A, Type of hooting fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
pr Electric THIS BUILDING OR SITE 7,
❑ Gas-0 LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MWHNICAL EQUIPMENT TO 1E INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) (, Residential or ❑ Commercial
�Q Heat ❑ Space ❑ Recessed ,5111� Central O Floor New Building
Air Conditioning: ❑ Room Control ❑ Existing Building
Duct System: Material /YT L f .J Fl c&ThickniiissL Ir ElReplacement of existing system
Maximum capacity c.f.m. ,, New installation(No system previously Installed) -
❑ Refrigeration ❑ Extension or add-on to existing system
❑
❑ Cooling tower. Capacity g,p,m. Other — Specify
❑ Fire sprinklers: Number of head-
C) Hevator ❑ Monlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ .Gasoline pumF4 (number)
❑ Tanks (number) Remarks
❑ LPG container (number)
❑ UeRred pressure vessel
❑ 1011tH Permit Approved by Do
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Unita Description Model Number Manufacturer ��Y Approving
�, i Agency l� �F
%r �\ CITY OF
Office of Building Official
REQUEST FOR INSPECTION /1
i Date Permit No. r 6 �
Time /� �� A.M.
Received v RM.
Job Address f, Locality
Owner's /
Name �' c ontre
BUILDING CONCRETE ELECTRICAL 'PLUMBING MECHANICAL
Framing ❑ ooting ❑ Hugh.,long----E-,-;' Rough ElAir Cond. & ❑
Re Roofing ❑ t Slab ❑ Temp Pole Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final r Sewer ❑ Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tuet Wed. Thurs. Friday PM-
L A.M.
Inspection Made PM.
InspectorL Final Inspection
t '" Certificate of Occupancy ❑
Date
DATE: _ 7 f� 7
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION( S) HAVE BEEN MADE AND ARE
SATISFACTORY :
-----
I
------ -------------------------------------------------
I
------ -------------------------------------------------
i
------ -------------------------------------------------
I
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
NCERELY '
BUILDING INSPECTION DIVISION
cc:FILE
e
CITY OF ATLANTIC BEACH
APPLICATION, FOR PLUMBING PERMIT
JOB LOCATION: O D '
/ Y
OWNER OF PROPERTY: - �
PLUMBING CONTRACT IS06 PLUAa, co.
CONTRACTOR'S ADDRESS: 1394 7 B El-l<N QC vp.
STATE LICENSE NUMBER: C2 a 5-)3
—TELEPHONE: 2z 3. 3sb's
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
W LAVATORY WATER HEATERS
2 BATH TUBS DISHWASHERS
URINALS / DISPOSALS
3 CLOSETS I WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES; , IV x $3 . 50 + $15 .00 o o
MINIMUM PERMIT FEE - $25 .00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: -
l&_j,�
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - ( 904) 247-5834
$ APARTMENT OF BUILDING
X CITY 4F ATLANTIC BEACH
PERMIT . INFORMATION - INFORMATION
- LOCATION I NFORMAT I OP#
Permit Number: 13C?85 Address: 1.002 BEGONIASTRE»T �
Permit Type:BUILDING- ATLANTIC BEACH, F ORItbA 32233
'Class of Work:NEW --- - -.. . LEGAL DESCRIPT11OPI
Constr. fiyP*:WOOD FRAME �B1'6ck:168 Lot :S. 3 & 4` "� 0
Prc�P0sed Use:SIJ�0LE 'FAXILY Sectien: 0 Subd: � 0 .
Owel l iags: 4 Subdivision:SECTION H
rat . Value: 0.00 ..
Improv. Cost : , 103,016.00
�'trtal 6
`�4
A cunt :; 18 .84
vati
.,
ION , ;= --� .. APPLICATION PEES
N CRO PERMIT
873.00--
Addr: R R LANE WATEN I11� ." "� FEE�` � � t3.04
L t1JDA 32 . `
Pho OT M ER%TAP 0. 4
} RASION GAS-H.R.S. 9. 94
CO . N C�RMA' I C -...-__ RADON CAN 5% 0 .52 —
A
Name -PROPER � �w, , � �� �CAPITAL �1�MPROV9-. .._ -00 -
325.
Adr.
� r
SEWER TA tr,t �}
CROSS CONNECTION � ,. 0 .84 �
SEC H I14PACT FEE
SCHARGE/A`TL.SCH
NOTES:
7
NOTICE -ALL CONCRE E 0ORMS'IIND FOOTINGS MUST BE INSPECTED BEFORE'P'OURINi#
`PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILC?FNG MAT , IAL,R 01SH AND D.EORIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUS Be
CLEARED U'P A MAU AWAY;,BY EI�I`HER 06NTRACTOR"OR OWNER
i
FAIL, CMRl.1 WIT". THE MIECNANICS' LIEN LAW CA;N`:RESULT IN
THS PR - 1 1NIti ER PAYING TWICE OOR BUI�.0INQ ',M0R0Vt ENTS."
IS$UEd ACCC?R NQ.TOPPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOI"ATION OF A, PI ICAB PAOVIS1bNS OF LAW. #9.38 7�C ;Afi3.0 14'
ceipts Now
ATLANTIC BEACH BUILDING DEP VV,1�8$1
M118M
f
a
By.
i
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 14
D a t e
0
Heated Square Footage OF2 3`i. 00_per sq ft = $ 21
Garage/Shed @ $ - per sq ft = $ /2.
Carport/Porch @ $-x'
-�2-66 per sq ft = $ ,..,�, 0
Deck $ per sq ft = $
Patior@ $- per sq ft = $____
TOTAL VALUATION : $ 0,3"
$
Total Val ation 1st $
Remalihing value $
per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee
(0) Fireplaces @ $15 - 00 $
BUILDING PERMIT FEE
WATER IMPACT FEE $—
0
SEWER IMPACT FEE $
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP $
�iOTJ) RADON (HRS) .0050 $
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION $ C)
(;b?2) SURCHARGE .0050
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well Sign_ FinishFloor Elevation
Survey ; ,other
-
CALCULATIONS and/or NOTES:
CITY OF
�'llattrtc'c �� - JT�o'ri�
800 SEMINOLE ROAD
- ----- - ---- --- ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE;(904)247-5800
FAX(904)247-5805
:''^captor 489, Florida Stab-tes„Put 'CONSTRUCTION CONTRACTING'requires Owner/Builder to acknowledge the low:
DEKLOSURE STATEMM for Section 459.103(7),Florida Statutes:
State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to
!%A law. The exernption allows you r the owner of your property,to act as your own contractor even though you do not have g
1cm2c. You . You may build or improve a one-family or two-faily residence or a farm
�.utbtulding You may also build or knpea commercial building at a cost of$23,000 or less. The building must be for your own
Ac and occupance. R may not be bulk for sale or lease. If you sell or lease more than one building you have built yourself within 1
year after the constriction is conVidke,the law will preaxne that you built it for sale or lease,which is a vioWoin of this
P7
emption You mmucantrectar Your construction r wt be done according to building codes
and zoning regulations. It is your responsibility to make are that people enland by you have licenses regair d y"e law and by
- or m etdpal lime igr g ordirawtata.
On*nanwr also a flow an Otwur to Improve fhdr own property when if is for persona!or family use,and likewise
-zqwre all work(exWt xx*dltsnan R aatairr S2,0W)be wider a buil4ng permit and pass all normal inspections. The
rtnanoe stoles owners mayphysicatly do work daemselves;or ma Au m uaUazwgd worke provided such workers be under
"dtred nptlWzion of drs mmr,who Aatst be are d:e oh We at all hmas while work is in progress by unlicensed trades
7e*1e.0 71ss dols not adTlow war ofWflteffsaEd contractors.
Scraae owurs a= &tj4AuWtov,oikess they hire,the Building Department suggests Worker's Compensation insurance
-�e purchased unless the homeowners i ourance policy clearly protects the Owner. Owners hiring workers become employers and
shaild also observe M withholding tact andlor Form 1099 requirements on the workers they employ on their improvement work.
�lirensed c c�eentbe lal�ld4l�d�any Gk-awas ances O�being subject to$5,000 penalty under Florida Statute
X10.455.228(1). M . The owner should physically seethe county'Certificate of
'ompetency'or the Florida Certificate$to ascertain if a person is a licensed contractor. Telephone the Building
Deparunent(247-5826)if in doubt
I hereby acknowledge that I have read and understand
- all the above on this day of ' 199-,
r i
-witness,Building Dept Employee Owner/Builder
3 oza 5��5,/J2 �� �� (-'J
Address
OTE: Pham underlined above
r e crrephasized by the Building Phone
epartment.
CITY OF
800 SEMINOLE ROAD
ATLANTIC REACH,FLORIDA 32233-5445
TELEPHONE(904)257-5800
FAX(904)247-5805
hapter 489, Florida Statutes,Part I 'CONSTRUCTION CONTRACTING'requires Owner/Builder to acknowledge the law:
:DISCLOSURE STATEMENT for Section 489.103(7},Florida Statutes:
State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to
_nae lsw. The exemption allows you as the owner of your property,to act as your own contractor even though you do not have a
ieense. You -.6 - I -Xmzzelf You may build or improve a one-family or two-faily residence or a farm
-utbuildirug You maye a commercial building at a cost of$25,000 or less. The bWldingjwaLhtfQtyDjxMM
and occupance. it mor not be built for tale or lease. If you sell or lease more than one building you have built yourself within 1
year after the construction is congd t*,the law will presume that you built it for sale or lease,which is a violatioin of this
Pxarrption. You . Your construction must be done according to building codes
and zoning regulations. 3 is your tesponstbility to mdse are that people=gland by=have licenzes regliired by state lawand by
-SLY or muntapal kaeredut orrlirwnm.
Onslirtorsaes also allot'an Otwasr to Improve darir own property when it is for personal or family use,and likewise
,equr re all work(cwgpt xagnk"onm muter 82,Ot7i0)be under a building permit and pass all normal inspections. The
r&nanoe states owners wayphyakuUy do work daemtselves;or a=&re unhaensed workers provided such workers be under
"-L.red zofdw owur,Mlto mawt be an dawAh site at all brass while work is in progress by unlicensed trades
x cple." This does not allow use ofwxUamsed contractors.
�:rxx ogmrz a= ft 940ida to workers they hire,the Building Department suggests Worker's Compensation insurance
.,e purchased unless the horneotatas int xuwe policy clearly protects the Owner. Owners hiring workers become employers and
ahouid also observe MS witlrMlding tart and/or Foam 1099 requirernertts on the workers they employ on their improvement work.
Jr licensed unAw,xW--iron-Ata ccs Owners being s&ject to$5,000 penalty under Florida Statute
Flo.455.228(l). M The owner should physically see the county"Certificate of
cn4etency'or the Florida•Contractors Certificate'to ascertain if a person is a licensed contractor. Telephone the Building
Department(247-5826)if in doubt.
I hereby acknowledge I have read understand
all the above on this_ of_�, 1996,
//5..
trx 1dir�Dept .---loyeee udder
7�
<rj i'E: Phases utderltrled abO�e V(D,� ` an
-e emphasized by the Budding Phone
epartrnent.
J o h n 17 . E 11 j_-, , ;D E;
10101 Lakeview Rd( w)
Jacksonville , I'-L 32225
REPORT OF : Hand-Auger Soil InVe; ,t.i'j,a,tiOn
PROJECT : Ernest Jeff Alford Residence:
Begonia & 9th Streets
Sect .H , B l ks 168 & 169 , Lots 3 9x A
Atlantic Beach , Florida
DATE : October 25 , 1996
7:EPORTED TO: Mr . Ernest Jeff Alford
3020 Sugar Creek Lane
Jacksonville , Fl_ 32246
On October 2.3 , 1996 this writer visited the above project.
sur the purpose of determining : It
1 . If any debris , such as garb age or other undesi.;-eahl.c mate) iai
was buried under the proposed structure .
2 . If the buried debris , found by the owner , had been suces_, full-y
removed from under the proposed structure .
3 . If the site is suitable for construction for a sto) y
residence .
This writer visited the above listed site- on the morning of
1996 along with the owner Mr . Jeff Alford . Mr Alford had laid out
the location of the structure on the lot and furni�,;hed a survey , wit-h
the house location , and a plan of the house layout , Mr . Alford i.ndicatcicd
the area where he had removed debris from under the location of the,
proposed house . This area was at the garage and extended to the nort],
%roperty line . Mr . Alford indicated the unsuitable material was about
9 -9 feet deep and was removed and replaced with clean fill and thi=s
is indicated on the attached sheet .
This writer utilizing a hand--auger performed tori( I.0 ) auiger bor .i.ng<1
at the locations on the attached plan . The borings were taken to a
�f /i .0 to 4 .5 feet and no debris was found at any location . The
�ater table varied from 16 to 20 inches below the exizsting surft�ce .
_3ch location the: soil was so firm that the auger could not, be advanc _,d
,nar;ually without extreme effort . -rhe soil. removed from they auger boric;cis
medium to light brown to grey fine sand with some very slight
of clay at the botton of the borings . The borings take;r, at the loc ti ,T
o .he debris removal indicated light brown to light grey fire sands,
c� trace of clay and also very firm at, they bottr.,m of the borin<;; w
it is the opinion of this writer that. there is no other debris
Dcated under this proposed structure and that the site is suitable-, for.
,-- on:struction of a single story residence . Prior to construction thy: cl it.,,
,hould be cleared of the silt which has wiashed into the low areas <,I)id
layer of clean fill be placed and compacted beim, careful riot tc,) sa-,ural
the fill by over compacting and bringing UP thea a- T-O .tnd wafter . P1,_jce'
�ceeding layer as above until reaching the: olevatinn .
Re, pect_ively Submitte:d
J i E . Ellis E-7
STATE OF FLORIDA PERMIT # 96-1283-N
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID 11/25/96
ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ 220 .00
CONSTRUCTION PERMIT RECEIPT # 207647-
Authority: Chapter 381, FS & Chapter 1OD-6, FAC
'ONSTRUCTION PERMIT FOR:
X] New System [ J Existing System [ ] Holding Tank [ ] Temporary/Experimental System
J Repair [ j Abandonment ( ] Other(Specify)
PPLICANT: ERNEST JEFF ALFORD AGENT: NA
ROPERTY STREET ADDRESS: 1002 BEGONIA STREET JACKSONVILL
,:T: 3 & 4 BLOCK: 168 SUBDIVISION: SECTION H
'ROPERTY ID #: NA [SECTION/TOWNSHIP/RANGE/PARCEL NO.]
[OR TAX ID NUMBER]
YSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS%AND STANDARDS OF CHAPTER 10D-6, FAC
EPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS
XPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY
ERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A
ASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH
ODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
__=====ss==oss=�==xsxaosaxsssassss=�sssc-----------------------...__----_-_------,---'-------------
YSTEM DESIGN AND SPECIFICATIONS REMOVE "O" HORIZON BENEATH THE DRAINFIELD, SHOULDER AND SLOPE
OF THE ENTIRE FILL SITE PRIOR TO CONSTRUCTION OF A FILLED OR MOUND SYSTEM.
L 900 J _WALLQH,-� / GPDJ SEPTIC TANK/AEROBIC UNIT CAPACITY MULTI-CHAMBERED/IN SER S [Y]
L 0 ) [GALLONS / GPDJ CAPACITY MULTI-CHAMBERED/IN SERIES: [N]
L 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
L 300 ] GALS LON�„ PER DOSE DO ING TANK CAPACITY DOSE RATE [6] PER 24 HRS NO. OF PUMPS: [1]
[ 462 J SQUARE FEET PRIMARY DRAINFIELD SYSTEM
[ 0 ) SQUARE FEET SYSTEM
TYPE SYSTEM: [ ] STANDARD ( ] FILLED [X ) MOUND [ ]
CONFIGURATION: [ J TRENCH [X ] BED [ )
LOCATION OF BENCHMARK: LG PINE TREE APPROX MID LOT (FRONT) SQ NAIL PINK RIBBON
ELEVATION OF PROPOSED SYSTEM SITE IS [36.0 J INCHES SELOAAgNQ_HMA2K/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [31.0 J INCHES BELOW BE ARK/REFERENCE POINT
FILL REQUIRED: [26.0 J INCHES EXCAVATION REQUIRED: [ 0.0 ] INCHES
MAINTAIN 75' FROM SURFACE WATER & PRVT WELLS 10' FROM WATER SUPPLY LINES 5' FROM
BLDG. FOUNDATION & PROP. LINES. STABILIZE 3:1 SLOPE WITH SOD 5:1 SLOPE WITH SEED &
HAY. STABILIZATION MUST BE COMPLETED WITHIN 7 DAYS OF 1ST INSP. CALL BEFORE COVER.
INSTALLER TO FURNISH PUMP SPECS. PRIOR TO APPVL DOSING HIGH WATER ALARM RE D IF
GRAVITY FLOW CAN'T BE MAINTAINED. REMOVE "0" HORIZON OF TOP SOIL & VEGETATION.
ECIFICATIONS M I TITLE: ENV. SPEC. I
'PROVED BY: TOM RIDDLE TITLE: ENV. SPEC. I DUVAL CPHU
,TE ISSUED: 11/27/96 , EXPIRATION DATE: 05/27/98
S-H Form 4016 March 1992 (Obsoletes Previous Editions Which May Not Be Used) Page 1 of
STATE OF FLORIDA PERMIT # 96-1283-N
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID 11/25/96
ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ 220.00
CONSTRUCTION PERMIT RECEIPT # 207647-
Authority: Chapter 381, FS & Chapter 1OD-6, FAC
'ONSTRUCTION PERMIT FOR:
X) New System [ ) Existing System [ ] Holding Tank [ ] Temporary/Experimental System
] Repair ( ] Abandonment [ ) Other(Specify)
,PPLICANT. ERNEST JEFF ALFORD AGENT: NA
'ROPERTY STREET ADDRESS: 1002 BEGONIA STREET JACKSONVILL
OT: 3 & 4 BLOCK: 168 SUBDIVISION: SECTION H
ROPERTY ID #: NA [SECTION/TOWNSHIP/RANGE/PARCEL NO.]
(OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 1OD-6, FAC
;:;PAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS
XPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY
ERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A
ASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH
: DIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
YSTEM DESIGN AND SPECIFICATIONS REMOVE "O" HORIZON BENEATH THE DRAINFIELD, SHOULDER AND SLOPE
OF THE ENTIRE FILL SITE PRIOR TO CONSTRUCTION OF A FILLED OR MOUND SYSTEM.' /�yj
[ 900 J fG LLQNj / GPD] SEPTIC TANK/AEROBIC UNIT CAPACITY MULTI-CHAMBERED/IN SERIES
[ 0 ) [GALLONS / GPD] CAPACITY MULTI-CHAMBERED/IN SERIES: [N]
[ 0 ) GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
[ 300 ] GALLON PER DOSE DOSING TANK CAPACITY DOSE RATE (6] PER 24 HRS NO. OF PUMPS: [1)-
462 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
( 0 ] SQUARE FEET SYSTEM �f�O'�� '• ''. ` `''+
TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X ] MOUND [ ]
CONFIGURATION: ( ] TRENCH (X ] BED [ ]
LOCATION OF BENCHMARK: LG PINE TREE APPROX MID LOT (FRONT) SQ NAIL PINK RIBB014
ELEVATION OF PROPOSED SYSTEM SITE IS [36.0 ] INCHES B9j�M BEN j21ARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [31.0 ] INCHES BELOW BENCHMARK/REFERENCE POINT
FILL REQUIRED: [26.0 ] INCHES EXCAVATION REQUIRED: [ 0.0 ] INCHES
MAINTAIN 75' FROM SURFACE WATER & PRVT WELLS 10' FROM WATER SUPPLY LINES 5' FROM
BLDG. FOUNDATION & PROP. LINES. STABILIZE 3:1 SLOPE WITH SOD 5:1 SLOPE WITH SEED &
HAY. STABILIZATION MUST BE COMPLETED WITHIN 7 DAYS OF 1ST INSP. CALL BEFORE COVER.
INSTALLER TO FURNISH PUMP SPECS. PRIOR TO APPVL. DOSING HIGH WATER ALARM REQD IF
GRAVITY FLOW CAN'T BE MAINTAINED. REMOVE 110" HORIZON OF TOP SOIL & VEGETATION.
ECIFICATIONS M I TITLE: ENV. SPEC. I
--'PROVED BY: TOM RIDDLE TITLE: ENV. SPEC. I DUVAL CPHU
'E ISSUED: 11/27/96 EXPIRATION DATE: 05/27/98
;S-H Form 4016 March 1992 (Obsoletes Previous Editions Which May Not Be Used) Page 1 of 2
W +
CJ c '«1 wl GF !�
e ` ! M r j2o 1--;,0"c'
l�RS1SI At )
BEGONIA 5dRIW UNIMPROVED STR E E
_ A 01° 16' 00''E. 100.00
SET 1/2 iRCM PIPE� - ` SET I/2'�IRON PIPE 20'00
N� 36 T2 , No. 3672
POINT OF BEGINNING
Z ut, 1 yn
LOT 2 {� -p- LOT 3 b LOT 5
12 N_ 8 �� N �� ONOTES
/ ¢ N O \�' '� -_ THIS IS A BOUNDARY SURVEY.
'ao y q BEARINGS BASED ON THE CENTERLINE OF
BEGONIA STREET AS PER PLAT.
NO BUILDING RESTRICTION LINE PER PLAT.
i0 N
V
B Lf 0 C K c c 168
Cl .L o}, of
B 169
r- ,�0
Ito L 1EUML f
i?vR� 3 'too 5q 4r.
MAP SHOWING SUF
1 I;c) COTS 3 AND 4, BLOCK 168
11 PART OF BLOCK 169, SECTIC
IIRACII AS RECORDED IN PLAT
34 OF THE CURRENT PUBLIC P
COUNTY, FLORIDA AND
PARTICULARLY DESCRIBED AS
POINT OF BEG INNI110, CC
�LJ 1)$ SOU1'NEAS,r CORtIER OF SAID
` SOUTH 89002 ' 00" WEST ALONC
OF SAW LOT 4 AND A WEST
I'iIISI6!,UF, A U1S'IANCE OF 29
Ld ! 1.1::3:3, TO THE EDGE OF T
p IIARS11; THENCE NORTHEASTE
O 1 ED(;E. OF SAID MARSH, A C
FEET, MORE OR LESS, TO I
NI'rn 1. WESTERLY PROL OtICAT'
LINE OF SAID LOT 3;
^`^T er.nNG LAS
Equal Opportunity/Affirmative Action Employer
REGULATORY&ENVIRONMENTAL
SERVICES DEPARTMENT
Air &Water Quality Division
WELL PEI�lLT � c
0
oma, X04
GRAD= TO: Ernest J. Alford S Nv�L�`c
3020 _99= Creek
Jacksonville, Elorida 32246 PERKrT 96-0309
WKL IDCATICN: 1.002 Begmia Street, Atlantic Beach WELL #: J-9440
CXOR'RACUR: Larry Williams LIC91SE/B0KD #: 1417
Permission has been granted to ccinstruct, repair, alter or plug well(s) at the above
location in aa;�dat-ce with information supplied on the Application for Permit form and
with the authority of Chapter 366, City of Jacksonville Mziicipal Code (OC). Water shall
not be used for purpose(s) other than that indicated without prior approval from this
office. This well shall be subject to the following additional provisions:
APPLICABLE IF CHOMM
1. This well shall not be constructed or located within 755 feet of pollution
sour es, including, but not limited to sewage disposal systems, dry or wet
retention ponds, treated lakes or ponds and rivers and their tributaries.
X 2. A legible and completed copy of the St. Johns River Water Management District
(SJR*V) well completion report shall be filed with the meter Section (GS)
within 30 days after completion of this well.
_ 2L 3. Water from this well may X_ may not be used for once-through cooling
purposes (ie.,, water-cooled heat pump).
4. The well contractor and owner shall be responsible for notifying the GS at
least 24 hours prior to starting work and receive an authorization number.
_X 5. A copy of this permit is given to any future property owner when the property
is sold.
i X 6. Water taken from this well shall not be used to create or maintain surface
water level or equality (ie., ponds, pools, streams, etc.) or go to waste.
� X 7. See attached proviso(s) 8 th'rotich 11. Please review these proviso(s)
carefully. There may be a difference bets the items requested in the
application and the requirements of this permit. Appeals must follow the
requirements of the Environmental Protection Board (EPB) Rule 8 and Rule 1 and
Chapter 366, CSC.
WELL APPROVED PCR:
Irrigation and recreation use only Recovery
_ Construction of a potable water supply Abandauwnt/Plugging
Non-potable water supply Industrial Use Only
Monitoring Injection
Public Supply X _ Other Irrigation
ISSUED BY: MAA DAM: A)
Grouter Section/Dead
em.dn.putts.patt d Air Quality 630-3484
Water Quality 630-3461
421 West Church Street-Suite 422 Ground Water 630-4900
Jacksonville, Florida 32202-4111 Hazardous Materials 630-3404
Owner: Ernest J. Alford
Permit No.: 96-0309
8. well Proviso for Irrigation Uses:
a. This site may be included in a designated water reuse zone in the future.
If such designation occurs and a reuse line becomes available adjacent to
the site, the owner must discontinue using the well for irrigation
purposes and connect to the reuse line.
b. The amount of water used from this well is limited to non-wasteful
quantities. Water from this well is also subject to those standards or
limitations as may be established by the SJM*O or the city, of
Jacksonville for water use(s).
c. A rain gauge or moisture sensing device shall be installed, maintained and
operated as an integral part of the irrigation system and shall be set to
shut off the irrigation system when adequate rainfall has occurred.
d. An approved backflow device shall be installed, maintained and operated
between the well head and any irrigation distribution system.
e. A city plumbing permit shall be obtained prior to connecting an irrigation
distribution system to this well.
9. All wells shall be plugged by a state licensed well contractor within six (6)
months after their use has been permanently discontinued, or when the well is
determined to be in a state of disrepair and/or subject to abandonment
pursuant to Chapter 366, OC, EPB yule 8, Chapters 62-532 and 40C-3, Florida
Administrative Code (FAC) or as otherwise noted in subsequent provisos.
10. Use of this well shall be subject to all applicable water shortage
restrictions pursuant to a Water Shortage Declaration issued by the Mayor of
Jacksonville, Jacksonville's EPB or the SZ4*0's Governing Board.
11. This well small be located no less than 25 feet from a foundation treated for
pests in accordance with Chapter 1OD-4, M.
P
I well is co be u: as a public water supply (cocua� 'r, non-community,
or ocher public) as defined by the Florida Administrative .,e, Chapter 17-22. or
C`,apter 10-D-4, the foilowing well construction standards must be adhered to.:
(a) well construction standards will be in accordance with those sec t_n
An
='OC-3 :.r public well ccnscrucc_:r..
(b) Tor wells less than j incl in diameter a minimum 1 inch thick annulus of
grout full length is required . Larger wells require 2 inch grout annulus.
ExpLenat:.c,�
Drilling method: Cable tool Jetted ---{--�-- Rotary Other_._________
Casing material: GalvanizedSteel PCV Other______.--
'.asting joined by: Threaded weld -- Coupling Other,.-_----
Type of seal coupling & weld
between casing: Neoprene Cement Bell reducer Other
knnular material: Grout Gravel Sand Other . --
? Total depth to. be.dril- -above land surface
led from well flange:, J0 ft. Height of/well flange: ,eft. below mean sea leve:
dd jt. ot_ in. casing weigh. `5f z lb/ft seated atJOQ ft. below well �iange
lid ft. ofin. casing weigh,1 -1' ,lb/ft seated at &% ft. below well flange
ft. of_in. casing weigh. lb/ft seated at ft. below well flange
Date and time of intended abandonment
Diameter of casins,- Depth to be sealed Depth cased
Total depth of well_„�Is well unobstructed throughout its lengty? Yes Vo
:ow detefnined? When was we!1 drilled?
If dace is not available, estimate minimum age of well If well is obscructea .
3
-.hat action is proposed?
Row do you intend to seal the well?
If the well is to be used as a public water supply as defined by the Florida Admi.us-
trative Code, Chapter 17-22, or Chapter IOD»4, the following provisions are applicadle:
(s) This is not a permit to drill a public supply well as defined in Ch. 17-22, °74cr
to construction, a public supply well permit :oust be obtained from rhe St. j.�hr.!
River Water Management District in Palatka (1-904-328-8231) in addition to .:his
City Permit.
(b) This form will serve as the application for bther Public Supply ststems (10D-4) .
(c) An on-site inspection of the proposed well location will be performed pr�cr, -,
approval by the Sanitary Engineering Branch when .action under (A or B) is taken
(633-3910).
(d) After constrvctton, bacteriological clearance is requ+.red. Technical Advice anc
assistance may be obtained from the Sanitary Engineering Branch.
(s) A nhemieal analysis of a sample of the well water must be made by a certified, com-
mercial laboratory with a copy of the report to be submitted to the Sanitary -ng:-
nearing Branch. The analysis shall indicate the content of all those chemical
elements and compounds listed in Ch. 17-22 of the Floridan Administrative Code.
�.- For wells defined in Ch. IOD-4, analysis of nitrates only is required.
I understand I may not use any deep, artesian well to serve t once-through heat exchange
such as a water-cooled heat pump, or for any other purpose •prohibited by the City Codn
or well permit provision. I also understand as a well owner I have a responsibilitq,
under .Ch. 306:307 (a), to have this well plugged when the conditions of Ch. 306.302 (b)
accur. I certify that the enclosed information is accurate and agree to comply with all
;roV13iOnS of the permit and Ch. 306 of the Duval Ccunty Municipal. Ordinance Code, with
the requirements of,,the Rules and Regulations of the St. .Johns River water Management
'X ?istrict, Florida Division of Health, and Department of Environmental Regulrtion.
Attached is a check made out to the City Tax Collector for the required permit fee.
AA - - >
Signature of well owner Date
1
A
CITY OF JACKSONVILLE
APPLICATION FOR PERMIT TO CONSTRUCT, REPAIR OR ABANDON A WELL
1
Bio-Environmental Services Div s,.cn - waL?r Con'iervetlOR ?rogram uar.3QE+r
421 W. Church St. ,Sulte 41Z - Jacksonv%1.1e , . _ . .�:1Z - "ai��ncne : =0µ% 630-3665.
ie-.haician Work Order No. J Permit NO. Roja 7 Well No, Y'��V6
r
PLEASE TYPE OR PRINT IN In
'
Name of well contractor Wlrlt State
��F license'�—
y L t irst� Middle
atidrpm" D
Mailing jJ /
_/" �� �L:F: _�Phone N
Street or box City �' Mate zip
Permit for:—4New'well -_,..Repair well Abandon•we17. Teat well Other
Name of owner_ALF0 R D RA C5 i Z- FF
Last First Middle
r� address '30Z C7 5LJ,Arl �t G2 -��� r.. Z'z 4 SvPhone No. �
Street or box City State Zip
Naue of applicant
(if ocher than owner)
Last First Middle
Ma::liag
address Phone No.-
-4 Street or box City State Zip
IType of Use: Public Supply (17-22) Place of Business 25 people or more and/or 15
residential connections or more.
Public Supply (10A-4) Place of Business less than 25 people and/or 5 to
14 residential connections.
Domestic (4 or less living units) Industrial Irrigation
cr Other ( pS= ecify)
:a Amt.. of Use: Escimsted average withdrawal G> Expected well capacity
�? Gal- lons� day Gallon:
lWhat is the previous ppurce of water? Utility Sand well Rock well
Artesian well NO previous source. If the source is presently a well,
why` is it being replaced
i
Complete both #1 do 02r
1. Well location A, and 4v---t,(3 434
Lot- Block Subdividion Street address,, ti't
!� If the above information is not available, supply s:ctim,.!, township, range data or real
estate numbers or latitude/longitude to the nearest second. Other location data:
w.
Submit a sketch locating: The proposed well and all known wells within 300 ft.
radius: Show points of reference such as ronds, buildings etc. ; show possible
eontzzinW.0" soureen like sepcia tanks, retention ponds; include a distance
measurement to the nearest known cross street. Use this space or attach a sketch.
J 1 � 5 6-- va e�?T�;"gc4��el""
WATER HEATING
BASE _-= f =_= AS-BUILT
S,.+SSC�:L�,'S�..:w"`t.2�..��5"'..SrSCG2.��S��.:'.:,^S.:;x"�iS��G?..5"..�.-�..�..XZ�LS.�.�..�37C�4S�T..S,'�i.':':r'�.r...+Z�:S3+70Ct�SY�SS.^'S.....��.TS�SC-•-7T..=
NUM OF x MULT - TOTAL TANK VOLUME EF TANK x MULT x CREDIT = TOTAL
BEDRMS RATIO MULT
rrr.ww.rlr-r-wr-rr*r..r. ---- wr-rr.rrr----...rrwr----.4rrw.-rr-----------------.n---------
3 3803.0 11,409.00 1 40 .88 1.000 3803.0 1.00 11,409.00
z=a.rsz=sza=-a^T=.^,=ss=assxxssssx�s;sx.^sr..azss.::zat-xe�e-:sssszs.:�eaaes=s�sszzssss»assxss.-ssa=s
************�k1k**lkik**7k**ak*�t7k**fk�k�l�k*�t7k'k*'�F7k*vk�itlk7k�F�edr�4**Sk*�Ie** k�k9t7k7kktk7k***�k�ktk**�k*tk7k*�k7k
SUMMARY
BASE ___ __= AS-BUILT
COOLING HEAVING HOT WATER TOTAL COOLING HEATING HOT WATER TOTAL
POINTS + POINTS + POINTS = POINTS POINTS + POINTS + POINTS = POINTS
--------------------------
r.rrr..-r---- --------rrrrr. -..----r.rrrr----rrrr.rrr-
12014.9 10681.8 11409.0 34,105.68 5860.9 9393.6 11409.0 26,663.46
msz..ssasrrs.^.mcssss�ss=xsssss*araas-sxa..►.�s=�.:ams�s.-sz�ssas�azsxxxs==srsw.-arscszs=-srsxzsazsa
* EPI = 78.18
M
For detailed information ENERGY GUIDE
of the EPI rating number
or for any ITEM listed,
ask your Builder for EPI- 78.2
DCA Form 60OA-93
or Form 600E-93
0 10 20 30 40 50 60 70 80 90 1o0
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM HOME VALUE Low Efficiency High Efficiency
SINGL CLR DBI, TINT
WINDOWS. . . . . . . . . . . . . . . . . . . . . Double Tint l--------------------X1
INSULATION. . . . . . . . . . . . . . . . . .
R-10 R-30
Ceiling R-Value. . . . . . . . . 30.0 (--------------------X1
R-0 R-7
Wall R-Value. . . . . . . . . 11.0 I --------------------xy
R-0 R-19
Floor R-Value. . . . . . . . . 0.0 `x--------------------I
AIRCONDITIONER. . . . . . . . . . . . .
10.0 SEER 17.0
SEER. . . . . . . . . . . . . . . . . . . . . . 10.0 }X--------------------
�
HEATINGSYSTEM. . . . . . . . . . . . . .
6.8 HSPF 12.0
Electric HSPF. . . . . . . . . . . . 8.0 ----X--------- I
WATERHEATER. . . . . . . . . . . . . . . .
0.88 0.96
Electric EF. . . . . . . . . . . . . . 0.88 Ix--------------------)
0.54 0.90
Gas EF. . . . . . . . . . . . . . 0.00 1 ---------------------I
0.40 0.80
Solar • • • • r • • ♦ • • • • wr ---------------------1
OTHERFEATURES. . . . . . . . . . . . . .
. . . . . . • . . ♦ . . . . . . . . . ♦ . . . . . . . •
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Builder
Address: -Signature: Date:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community affairs FL-EPL CARD93
C-J
LL
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4
LL FRAMING
LL
BY BUILDER
LL n
LL`1 LL
N
M
-V
O 1
ATLAS BUILDING&OOMPONENTS
CUSTOMER:DURHAM LUMBER CO
- MODELALFORD RES
C-DFRAMING BY LOCATION:#58M59 BEGONIA ST
4 BUILDER DWG#6 6204
M
DESIGNER:BMFM
0
s '' ALN BOW
Bul, C)IN� o re
- SEC 2 31996
n
W
8814" --—�
17 1996
Bi,j"Q;J9b and Zoning
NOY-1 :-95 MON 8:55 AM ATLAS-TRUSS FAX NC, IK43255479
A�}RHAN► LJ�n�E�L At...�Q-0 RES +��
SUPPORT REPORT JOB DESCRIPTION: 6^6204
WIND CODE: SBCCI-1991 WIND MPH: 100 BLDG TYPE: CLOSED
TRUSS TRUSS SUPPORT SUPPORT BEARING- BEARING REACT. REACT. MAX WIND
DESC SPAN-ft SIZE-in. TYPE XLOC-ft. YLOC-ft. MAX.+# MAX.-# UPLFT.-#
---------------------
.A1 = 29 29 .500 354 .000 WALL 0.000 8.000 2773 -1030
.A2 29 29.500 3.500 WALL 0.000 8.000 1485 _ ---560 r
.A2 = 29 29.500 3.500 WALL 29.208 8.000 1485 -560
-------------------------
.B1 = 33 33.208 398.500 WALL 0.000 7.333 3122 -1040
.B2 = 33 33 .500 3.500 WALL 0.000 8.000 1574 -540
.B2 = 33 33.500 3.500 WALL 33.208 8.000 1574 -540
-----------------------------------------------------------------------------------
B3-- 33 33.208 398.500 WALL 0.000 7. 333 3122 -1040
.B4 = 33 33.500 3.500 WALL 0.000 8.000 249 -200
.B4 = 33 33.500 3.500 WALL 7.354 8.000 1697 -690
.B4 = 33 33.500 3 .500 WALL 33.208 8.000 1203 -390
.B5 = 33 33.500 3.500 WALL 0.000 8.000 1574 -540
_.B5_=_33-33.500 3.500 WALL 33.208 8.000 1574 -540
---
.Cl = 11 11.313 3.500 WALL 0.000 8.000 532 -200
Cl = 11 11 .313 3.500 WALL 11.063 9.000 527 -430
---------------------------------------------------------------------------------
.C2 = 11 11.313 3.500 WALL 0.000 8.000 532 -200
_.C2_=_11_11.313____3.500 WALL 11 .063 9.000 527 -430
---
-.Dl-= 29 29 .500 354.000 WALL 0.000 8.000 4119 -1630
.D2 = 29 29.500 3.500 WALL 0.000 8.000 2284 -860
.D2_=_29-29.500 3.500 WALL 29.208 8.000 2284 -860
---- - -- ------------------------------------------------------------------
-------- -----
.E2 = 5' 5.000 60.000 WALL 0.000 7.333 456 - -200
.E2 = 5 ' 4.958 3 .500 WALL 0 .000 7 .333 353 -200
_.E2_=_51__4.958 3.500 WALL 4.708 8.000 206 -200
-.Fl-=-10 10.292 123.499 WALL 0.000 8.000 954 -200
.F2 = 10 10.292 3.500 WALL 0.000 8.000 606 -260
.F2 = 10 10.292 3.500 WALL 10.000 8.000 460 -230
-------------------------------------------------------------------------------
.F3 = 10 10.292 3.500 WALL 0.000 8.000 1166 -490
-.F3-=-10-10.292 3.500 WALL 10.000 8.000 1601 -730
.F4 = 7' 6.958 3 .500 WALL 0.000 8.000 441 -230
_.F4_=_71__6.958 3.500 WALL 6.708 9.000 307 200
7063657 NOTICE OF COMMENCEMENT WE HEREBY CERTIFY THIS DOCUMENT TO BE A
ALFORD 70636 TRUE Alyll RECT COPY OF THE ORIGINAL
INSTRUMENT ON DATE.
Tax Folio No. _170975_050n / I
. Permit No. _
X i.
State of FL _AXIB CHER 6 8CMNEIOE P.A.
County of Duval
To whom it may concern:
The undersigned hereby gives notice that improvements will be made to certain real property,
and in accordance with Chapter 713,Florida Statutes,the following information is provided in
is^poCectof bmrr�e�tc�ment.
P� MoPeny o improved ftgW description and address If available)
1002 BEGONIA STREET,ATLANTIC BEACH,FL 32233
(Property Address)
SEE ATTACHED EXHIBIT"A"
(legal Description)
3eneral description of improvements
'?neer information Name ' ERNEST J.ALFORD
Addfs" 3020 SUGAR CREEK LANE,JACKSONVILLE,FL 32246
Dv"r's interest in the site of the improvements(B other than fee simple title holder):
Name of fee simple title holder Qf oexr than owne):
Cont"dOf Roby Bonts J Bonts Construction
address 13042 Mt. Pleasant Road
cor"risclor Jacksonville, FL 32225
iddress
Contractor
uidress
Contractor
,ddress
Contractor
ddress
ure.y on any payment bond:
Name
Address
Amount of bond 6 _0_
sme of any lender making a ban for the construction of ft improvements: Barnett Bank,N.A.
Address 9000 Southside Blvd.Third Fl,Jacksonville,FL 32256
arsons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by section 713.13(1)(a)7,
orida Statutes:
same
Fr-nest J- Alforti
wdress 3020 Sugar Creek Lane, Jacksonville, FL 32246
addition to himself,owner designates the following person to receive a copy of the lienor's notice as provided in section 713.13(1)(b),Florida Statutes:
•
.aTe
Miss Carrie Burlette Barnett Bank,N.A.
ddress
100 Laura Street, Jacksonville, FL 32`22002
pis Notice of Commenoemenit
all expire Bar` ,
apared by: Ellen park . �• l
(Type or prind legibly) Borrower D
•96-1009
EXHIBIT"A"
Lot 3 and 4, Block 168 together with a part of Block 169, Section "H" Atlantic Beach as recorded in Plat
Book 18, page 34 of the current public records of Duval County, Florida and being more particularly
described as follows: For a point of beginning, commence at the Southeast corner of said Lot 4; thence
South SM'00" West along the South line of said Lot 4 and a Westerly extension thereof, a distance of
294 fat, more or less to the edge of Pablo Creek Marsh, thence Northeasterly along the edge of said
marsh a distance of 103 feet, more or less, to its intersection with a westerly prolongation of the North
Use of said Lot 3; thence North 89°02'00" East along last said line and along the North line of said Lot
3, a distance of 272 feet, more or less, to the West right of way line of Begonia Street (50 foot right of
way); thence South 01*16'00" East along said right of way line, a distance of 100.00 feet to the point of
beginning.
Less and except:
That part of Block 169, Section "H", Atlantic Beach, as recorded in Plat Book 18 page 34 of the current
Public records of Duval County,Florida,lying within the following described boundaries:
For the point of beginning commence at the southwesterly corner of Lot 6, Block 177, Section "H",
Atlantic Beach, as recorded In Plat Book 18 page 34 of the current public records of said County;thence
run .southeriy along the southerly projection of the easterly right-of-way line of Tulip Street, as now
established as a 50 foot right-of-way, a distance of 440.00 feet to the southwesterly corner of Lot 1, Block
143 of said Section "H", Atlantic Beach; thence run westerly along the westerly projection of the
southerly line of said Lot 1, Block 143, a distance of 50.00 feet to the westerly right-of-way line of said
Tulip Street; thence run northerly along said westerly right-of-way line of Tulip Street, a distance of
440.00 fat to the southeasterly corner of Lot 6, Block 176 of said Section "H", Atlantic Beach; thence run
easterty along the easterly projection of the southerly line of said Lot 6, Block 176, a distance of 50.00
fed to the Point of Beginning.
r
Department of Community Affairs SN: 7899
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OA-93 Residential Whole Building Performance Method A NORTH
PROJECT NAME: (A(_.w;.p_0 BUILDER:
AND ADDRESS: 'ST. PERMITTING CLIMATE
N; C )Ct4 t-L zz 3 OFFICE:/ t t ,ti l<_ &14- ZONE: 11_1 21_1 311"' 1
OWNER: ECJ Es i T /�L�!?� PERMIT NO,��')`�:fr JURISDICTION NO,-
CK
1. New construction or addition 1. New Construction
2. Single family detached or Multifamily attached 2. Single-Family
3. If Multifamily-No. of units 3. 0
4. If Multifamily, is this a worst case (yes/no) 4.
5. Conditioned floor area (sq.ft. ) 5. 2083.00
6. Predominant eave overhang (ft. ) 6. 2.00
7. Porch overhang Length (ft. ) 7. 10.00
8. Glass area and type: Single Pane Double Pane
a. Clear Glass 8a. O.Osgft O.00sgft
b. Tint, film or solar screen 8b. O.Osgft 306.205gft
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter) 9a.R= 0.00 , 195.60 ft
10.Net Wall type area and insulation:
a. Exterior: 2. Wood frame (Insulation R-value) 10a-2 R=11.00, 1179.60sgft
ll.Ceiling type area and insulation:
a. Under attic (Insulation R--value) 11a.R=30.00 , 2083.00sgft
12.Air distribution systems
a. Ducts (Insulation + Location) 12a. R= 6.00 , uncond
13.Cooling system 13. Type: Central A/C
SEER: 10.00
14.Heating System: 14. Type: Heat Pump
HSPF: 8.00
15.Hot water system: 15. Type: Electric
EF: 0.88
16.Hot Water Credits: (HR-Heat Recovery, 16.
DHP-Dedicated Heat Pump)
17.1nfiltration practice: 1 , 2 or 3 17. 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent, 18. CF
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19-EPI (must not exceed 100 points) 19. 78.18
a. Total As-Built points 19a. 26663.46
b. Total. Base points 19b. 34105.68
------------------------------------------------------------------ ------------
-----------------------------d------------W-----
----------------------------------------i-----------W----- -.r.-----------------------------
I Hereby certify that the plans and Review of the plans and specifications
specifications covered by this calcu-- covered by this calculation indicates
lation are in compliance with the compliance with the Florida Energy
Florida Energy Co4e. Code. Before construction is completed
-- this building will be inspected for
PREPARED BY: - - compliance in accordance with Section
DATE: I 553 .908 F.S.
I hereby'certify that this building is
in compliance with the Florida Energy
Code.
OWNER/AGENT:.' BUILDING OFFICIAL:
DATE: / ZZL_ 0 DATE
SUMMER CALCULATIONS
BASE ___ __= AS-BUILT
GLASS---------------r
ORIEN AREA x BSPM = POINTS TYPE SC ORIEN AREA x SPM x SOF POINTS
------------------------ r.r r--r r.w----r---r------------------r---------------r-
E 124.00 65.8 8159.2 ABL TINT E 30.0 68.9 .77 1601.0
DBL TINT E 15.0 68.9 .47 484.2
DBL TINT E 15.0 68.9 .47 484.2
DBL TINT E 15.0 68.9 .47 484.2
DBL TINT E 15.0 68.9 .47 484.2
DBL TINT E 7.0 68.9 .57 274.9
DHL TINT E 7.0 68.9 .57 274.9
DBL TINT E 20.0 68.9 .85 1170.6
W 182.20 65.8 11988.8 DBL TINT W 58.8 68.9 .46 1868.1
DBL TINT W 39.2 68.9 .46 1245.4
DBL TINT W 39.2 68.9 .46 1245.4
DBL TINT W 45.0 68.9 .77 2401.5
------------------------------
x GOND. FLOOR / 'TOTAL GLASS = ADJ. x GLASS - ADJ GLASS � GLASS
AREA AREA FACTOR POINTS POINTS POINTS
--------------------------------------------------------------- ------------
.15 21083.00 306.20 1.020 20ol47,96 20,559.21 12,018.71
=s==L«t=�3""".•Sif••s S•..TAT'�'3R:,7�"••SSSSS�T3�i`.SSY�.�."LS.:'C.'�:�S��SS,iC37C"J'C�,-�S^.C..-•,s���S'3sT.�»'TS.=�.�.�...5.'-��.-..=.r..7�,•S���S�
NON GLASS------------
AREA x BSPM = POINTS TYPE R-VALUE AREA x SPM = POINTS
-----------------------r--r-w.--------------------------------------------------
WALLS----------------
Ext 1179.6 .9 1061.6 Ext Wood Frame 11.0 1179.6 1.70 2005.3
DOORS----------------
Ext 21.0 6.1 128.1 Ext Wood 21.0 6.10 128.1
Adj 19.6 2.4 47.0 Adj Wood 19.6 2.40 47.0
CEILINGS-------------
UA 2083.0 .6 1249.8 Under Attic 30.0 2083.0 .60 1249.8
FLOORS----------..,.-..r
Slb 195.6 -37.0 -7237.2 Slab-on-Grade .0 195.6 -42.20 -8058.7
INFILTRATION---------
2083.0 8.0 16664.0 Practice #3 2083.0 5. 20 10831.6
asssassas�sxxsxsos.-.:=z_.=zss-sas�ssss:.:s.^r.�:s=-ss::sssssasssss�cssss.^ss�saas=sxa:ss.-ssscsaaz
TOTAL SUMMER POINTS
32,472.59 18,221.85
TOTAL x SYSTEM = COOLING TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING
SUM PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS
--------------------------r----------- -----------------r w.r.rr-t-------------
32,472.59 .37 ],2,014.86 1 18,221.85 1.00 1.100 .340 .860 5,860.87
WINTER CALCULATIONS
3=� BASE r=_ ( a= AS-BUILT =
ssxssraxssx.:scs.:sssassxx�a�ess.-ss.wxsms.rsisms=mssxx=smxsax�ssxsxx.-z:x=sssssssxa.�:.¢sxx
GLASS----------------
ORIEN AREA x BWPM s POINTS TYPE SC ORIEN AREA x WPM x WOF = POINTS
--------------- ------ ----------------- ---------rte --..------------------
E 124.00 -10.6 -1.314.4 DBI, TINT E 30.0 -5.7 .39 -67.5
DBL TINT E 15.0 -5.7 -.60 51.0
DBL TINT E 15.0 -5.7 -.60 51.0
DBL TINT E 15.0 -5.7 -.60 51.0
DBL TINT E 15.0 -5.7 -.60 51.0
DBL TINT E 7.0 -5.7 -.24 9.6
DHL TINT E 7.0 -5.7 -.24 9.6
DBL TINT E 20.0 -5.7 .59 -67.5
W 182.20 -10.6 -1931.3 DHL TINT W 58.8 -5.7 -.63 211.5
DBL TINT W 39.2 -5.7 -.63 141.0
DBL TINT W 39.2 -5.7 -.63 141.0
DBL TINT W 45.0 -5.7 . 39 -101.2
-------------------'r-----------------------------------------------------------
.15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS ADJ GLASS GLASS
AREA AREA FACTOR POINTS POINTS POINTS
------------------------------------------------------- ------------------------
.15 2,083.00 306.20 1.020 -31245.72 -3 ,311.97 480.67
ssxsssxoassxssx=..^wsTsxz,�.�ssaxsssssxsxrsc�zss.^ss rssxssssse-s-�.xs.r.rs�asssss.=ss-za-�=x^a3mexx
NON GLASS------------
AREA x BWPM = POINTS TYPE R-VALUE AREA x WPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext
------------------------
WALLS----------------
Ext 1179.6 2.2 2595.1 Ext Wood Frame 11.0 1179.6 3.70 4364.5
DOORS----------------
Ext ---------------
Ext 21.0 12.3 258.3 Ext Wood 21.0 12.30 258.3
Adj 19.6 11.5 225.4 Adj Wood 19.6 11.50 225.4
CEILINGS-------------
UA 2083.0 1.2 2499.6 Under Attic 30.0 2083.0 1.20 2499.6
FLOORS---------------
Slb 195.6 8.9 1740.8 Slab-on-Grade .0 195.6 18.80 3677.3
INFILTRATION---------
2083 .0 7.4 15414.2 Practice #3 2083.0 4.10 8540.3
a+ss.^':s=�9csasrsasxsssssxsssnxsxssssxxst.-.asxssxsstss=srxmzxcassacssset.:�szasss�ss.-sssxsaso=srss
TOTAL WINTER POINTS
19,421.49 20,046.07
.-.=ssscsss.«r..xssssss.-ssasazssssnasmasssassssCs�ss.::.:ssesxxs�essx�axsnsssammssasssss�rxm�sssa;sae
TOTAL x SYSTEM = HEATING TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING
WIN PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS
-------------------------------w--"----------------------- ----------------------
19,421.49 .55 10,681.82 , 20,046.07 1.00 1.100 .426 1.000 9,393.59
sxmmsaazasss+».st-s-s-_sssss.-s.::ss�axs.:rsxtsssssfet.::ssasassncssssa.�:ss.:-ssaexsaeszrzxaoa�s.w:a.�s,::sxtxtsxsa