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Permit 830 Begonia St PERMIT WORKSHEET certificate of Occupancy 1�-('s--0 V- 4 Job Address: a- Type Work: IJ EGn�1) piSTP Property Owner: Phone # I✓tl Z41 -04�1 Contractor: � Phone # G Z4( Permit#: Date Issued: CA- 2:-7 E3 3-ZZ-off.. Building Inspections: Footing Slab . ,,a Tie Beam Lintel Nailing / Sheathing _ _offIta-I Framing / Cover Up .p Insulation 07- -p Final Building 11 111 10� Tree Permit# by - '.'1 G l ( YES NO Electrical Permit# Date/Copy to p� - Z-1S�8 JEA - 10-04 Temp, Pole Permit# Date/Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric U •i-I•L) I G Released to JEA Temp. Power - Released to JEA Tempa Pole Released to JEA Final Released to JEA Mechanical Permit# - ' 78 Inspections: Rough JLf t-i Final Plumbing Permit# OM - Z7 Eq Inspections: Rough/ Underslab Topout (,� t t � Water/Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final., Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: - Date Paid: I-LULKALLIVILKUt:NGY IVIANAULIVILNI AULNUY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read tete instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION For Insance0orripany Use BUILDING OWNER'S NAME Pot ldy(vumber H.H. &A. Construction BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. COmjyamy l�fAlG Number 830 Begonia Street CITY STATE ZIP CODE Atlantic Beach FI 32233 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 3,Block 144,Section"H",Atlantic Beach Plat Book 18,Page 34 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&CCMMUNITY NUMBER E12.COUNTY NAME B3.STATE City of Jacksonville Duval A B4.MAP AND PANEL B7.FIRM PANEL 139.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 1200750001 D 417-89 4-17-89 X(sh) N/A 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑AS Profile ❑FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in 139:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe): B12.Is the budding located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) CI I.Building elevations are based on:❑Construction Drawings* ❑Building Under Construction* ®Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2.Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones Al A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,ARIA,ARAE,ARIA1-A30,ARIAH;AR/AO Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is cifferent from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum 1929 Conversion/Comments Elevation reference mark used BM Does the elevation reference mark used appear on the FIRM? ❑Yes ®No o a)Top of bottom floor(including basement or enclosure) 8. 5 ft.(m) c o b)Top of next higher floor N.Aft(m) o c)Bottom of lowest horizontal structural member(V zones only) N. Aft.") y o d)Attached garage(top of slab) Z. 6 flto) r 51 wm o e)Lowest elevation of machinery andlcr equipment - servicing the building(Describe in a Comments area) 6.5 ft.(m) o f1 Lowest adjacent(finished)grade(LAG) 6.4 ft.(m) NO � 2 Q °' 1 2-7 o g)Highest adjacent(finished)Bade(HAG) 6. 9 ft.(m) #�,�� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade WA (?L S o D Total area of all permanent openings(flood vents)in C3.h WA sq.in.(sq.cm) SECTION D-SURVEYOR ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME H.Bruce Durden,Jr. LICENSE NUMBER 4707 TITLEPreddent COMPANY NAME Durden Surveying&Mapping,Inc. ADDRESS CITY STATE ZIP CODE 8150 Lone Star R Jacksonville 3 JacksFL 32211 SIGNATUREWDATE TELEPHONE 8/27104 (904)724-5588 FFMA Fnrm R1-31 .lanuarZ 9nnn Rao vPrsp siriP fnr rnntimintinn RPnlacPs all nrPvimm Priitinns m IMPORTANT:In these spaces,copy the corresponding information from Section A. F_or lmoranreComparv'Ebe BUILDING S FREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. i'o{lcy Number 830 Begonia Street CITY STATE ZIPCODEGamparrytJF{iCNurriher Atlantic Beach F1 32233 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. COMMENTS ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is _ft(m)_in.(an)[]above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cn)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery anchor equipment servicing the building is _ft(m)_in.(an)[]above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the ccmmunity's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the best ofmy knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's"lair.manageme,it ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official campleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER -7[7= 5. DATE PERMIT ISSUED G5. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for:❑New Construction ❑Substantial Improvement G8.Elevation of as-buift lowest floor(including basement)of the buildng is: _._ft.(m} Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: J_ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Check here if attachments FFMA Fnrm R1-31 .lanuary 9nOl Ranlarac all nravinuc ariitinnc ■ ■ ■ ■ • s�.��, CITY OF ATLANTIC BEACH f �) • 800 SEMINOLE ROAD • ATLANTIC BEACH,FLORIDA 32233-5445 • Telephone: (904)247-5826 • Fax: (904)247-5845 • Email: sgraham@coab.us FAX To: bel. — _r Fax# 1`7 '7 U 7`1 From: J#7-.tk V Date: �• z8 d Pages: Re: ❑ Urgent ❑ For Review ❑ Please Reply Notes: ®t -#;5 5 t \1• t t �.f. � t M AI N ADO 19 t t •"""""'_.."'' , t .. � end � 11' �t � t - t _ � --rcK t ,3 + J 191 � t ' f r� Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: N 0 V�M P E R 8 , :2009- Contractor 009}Contractor Name: & � C o N CJT Ry C T I UN Permit #: 2 7 W Property Address: Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single-Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works _ _ o / , o Planning Dept. Building Dept. Final Survey with FFE [�Yes ❑ No All Re-Inspect Fees Paid Yes ❑ No Map Output Page 1 of 1 JAXGIS Property Information 1002 1 I I ii m! 'i Y �a v \VX(,b 931 B30 ri 001 A00 - � 781 780 / 751 750 731 730 701 700 651 650 Soo 631 630 Copyrip ht JC)2002 C Hy ar J=1nonvlllq,F1 d Total plat ap Flood # Name Address Value ores Book ne/ Legal Descript/ons one andUse .on/ng T LLIGOOD 18-34 38-2S-29E 170927 000 BOB 5648 .75 144 56B4 SEC H ATLANTIC BEACH X5 2233 LOTS 1 TO 6 BLK 144 � - j J, http://maps.coj.net/V*rEBSITE/DuvalMAps/toolbar.asp 8/21/2003 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 11/12/04 Parcel Number . . . . . 170927-0000-3 - Property Address . . . 830 BEGONIA ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . MAYPORT DEVELOPMENT Contractor . . . . . . H H & A CONSTRUCTION 904 241-4619 Application number 04-00027848 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . C� uilding Official VOID UNLESS SIGNED BY BUILDING OFFICIAL FtUtKALtIVItKUt:Nt;YIVIANAUtMtNI AUt:NL;Y O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION For fnsur I eCvmpany Use- BUILDING OWNER'S NAME :P 1- Number j H.H.&A. Construction BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAdGNumber 830 Begonia Street _.: CITY STATE ZIP CODE Atlantic Beach FI 32233 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 3,Block 144,Section"H",Atlantic Beach Plat Book 18,Page 34 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: [I GPS(Type): ( ##°-##'-##.##' or ##. 0) ❑NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NAP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE City of Jacksonville Duval FI B4.MAP AND PANEL 97.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 136.FIRM INDEX DATE EFFECTIVE/REVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding) 1200750001 D 4-17-89 4-17-89 X(sh) N/A B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑AS Profile ❑FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in 139:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe): 1312.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings* ❑Building Under Construction* ®Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2.Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,ARIA,ARAE,ARM-A30,AR/AH,AR/AO Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is dtifferent from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum 1929 Conversion/Comments Elevation reference mark used BM Does the elevation reference mark used appear on the FIRM? ❑Yes ®No o a)Top of bottom floor(including basement or enclosure) 8. 5 ft.(m) CU o b)Top of next higher floor N.A ft.(m) o c)Bottom of lowest horizontal structural member(V zones only) N.A ft.(m) W cc o a)Attached garage(top of slab) Z. 6 ft.(m) E a o e)Lowest elevation of machinery and/or equipment W c servicing the building(Describe in a Comments area) 6.5 ft.(m) E o t)Lowest adjacent(finished grade(LAG) 6.4 ft.(m) o Highest a scent finish grade 9) 9 d1 ( ed)gr (HAG) 6. 9 ft.(m) � �- o h)No.of permanent openings(flood vents)within 1 ft.above ad)acent grade N/A J T?l.S. 14 o )Total area of all permanent openings(flood vents)in C3.h NIA sq.in.(sq.cm) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A,B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. CERTIFIERS NAME H.Bruce Durden,Jr. LICENSE NUMBER 4707 TITLEPresident COMPANY NAME Durden Surveying&Mapping,Inc. ADDRESS CITY STATE ZIP CODE 8150 Lone Star R 3 Jacksonville FL 32211 SIGNATURE DATE TELEPHONE 8127/04 (904)724-5588 FFMA Fnrm R1_R1 .lanm;ry 9no.*i Sao varca chis fnr nnntintmtinn Ranlarac all nravinim w itionc IMPORTANT: In these spaces,copy the corresponding information from Section A. dor InsuraG qrn Use BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Nurritier 83118egonia Street CITY STATE ZIP CODE CamparryaJAtCNumtier Atlantic Beach A 32233 ... ....... .... SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)communfty official,(2)insurance agent/company,and(3)building owner. COMMENTS ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is _ft(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,ff available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is _ft(m)_in.(cm)abode the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and(or equipment servicing the building is _ft(m)_in.(cm)❑above or [:]below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(\Mthout a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,Q and E are correct to the test ofmy knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorv_ed by law or ordinance to administer the community's floodplain management ordnance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable items)and sign below. G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation infomnation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for:❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum.- G9. atum:G9.BFE or(n Zone AO)depth of flooring at the building site is: __ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FFKAA Fnrm Al-31 .ranuary?nn3 RPm1AnP.S all nravimm ariifinnc Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: N 0 y T M j3f p b , :200L Contractor Name: & CoJT Ry C T I ON Permit #: 2 7 9 g b Property Address: Vbt & A STREET Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single-Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works _ _ - 0 Planning Dept. � �S-v�-1 �_�S Building Dept. _ s' . p C-0 c Final Survey with FFE 061 Yes ❑ No All Re-Inspect Fees Paid 02r,", Yes ❑ No Map Output Page 1 of 1 JAXGIS Property Information I� 1002 I I 1{ i t a� l® � 9tit 85.7 q"� r' i i` 78, tau 751 750 i 700 ii 65o 631 630 500 Copyeq ht JC)2002CHyof Jackwnvlft F1 E# Name Address Total Acres lot IRSOP Legal Descriptions Flood andUse oning T Value Book net one LLIGOOD 18-34 36-2S-29E 1709270000 BOB 5648 0.75 0144 56134 SEC H ATLANTIC BEACH X5 2233 LOTS 1 TO 6 BLK 144 http://maps.coj.net/WEBSITE/DuvalMAps/toolbar.asp 8/21/2003 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD z ATLANTIC BEACH, FLORIDA 32233 / INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 04-00027848 Date 3/22/04 Property Address . . . . . . 830 BEGONIA ST Tenant nbr, name . . . . . . NEW SFR, 1191 RAD, 1427SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 115000 Owner Contractor ------------------------ ------------------------ MAYPORT DEVELOPMENT H H & A CONSTRUCTION 645 MAYPORT RD, SUITE 3A 645 MAYPORT RD - STE 3A ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-8305 (904) 241-4619 ------- --------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 505 . 00 Plan Check Fee 252 . 50 Issue Date . . . . Valuation . . . . 115000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .29 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 6 . 42 AB CONSTRUCTION SURCHARGE . 71 STATE RADON SURCHARGE 5 . 65 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 410 . 00 WATER CONNECT/METER ONLY 85 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- --------- - ---------- ---------- ---------- Permit Fee Total 505 . 00 505 . 00 . 00 . 00 Plan Check Total 252 . 50 252 . 50 . 00 . 00 Other Fee Total 2118 . 07 2118 . 07 . 00 . 00 Grand Total 2875 . 57 2875 . 57 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,Qj, ., I-K,, BUILDING OFFICIAL 12" OAK I rn SET 1/2" IRON PIPE 12„ PALM DURDEN L.B. #6696 `x• `�• X`�• - - - - - - - - - - - - - - - � `�°� ��1 i ` I 13E,'-4° LLI .I o 11 " OAK m ° 9" I AK O O AK in" OAK f I I I I ' 1 I N I: I I I - - - - - - - 20'-O"_ �Jl 0 7" OAK-, 7,. 'DOAK c�CQ,1 `}1 I �1 lb obI eco r ET 112 " IRON PIPE ro1 ti lb1 = ° 9° PALM URDEN L,B. #6696 o 9" PALM ry Q 8" OAK o I L7 ®�F TR a 0 10" 0AI< j Ld i �I 2" IRON PIPE ,�11 L.B. #6696 LOT 2 OT 310" OAK 013" PINE �-, 8" OAK 4 ° 20'-01, - - - - - - - - - - - - ° 7" J AK o 9„ 21 " PINE o g„ M. -----------------------, O ' O 'D 7" OAK .. � ® --- -- OAK � 1 O � L,,' A ---------- , 9" OAK ° O ° 7„ AKf G oc 11 " OAK -L- 00 �\ 00 0 13" PAI-120,-o, `2" IRON PIPE I L.B. #6696 �`°� T 3 r ��' 7" OAK. LOT 4 7" OAK o O 8" OAK 0 12" OAK 0 8 OAK � w 11 ss CITY OF ATLANTIC BEACH S, PERMIT CALCULATION SHEET Date: ? Address f S 7— Heated Heated Square Footage T @ $ per sq ft = $ Garage Shed ? @$ per sq ft = $ Carport/ orc� 1. @ $ per sq ft = $ Deck @ $ I,Pr , , ` Patio TOTAL VALUAh ' Total Valuation ,. 1 St T, m i Yp Remaining Value ' $ . per thousand or portion thereof ?s } m,� #*�. +'•# Y ,3 kit, ,w ^. .�.� CONSTRUCTION TYPE: TOTAL ZONING: + 1/z Filings FLOOD ZONE: _ (0) Fireplace $35.00 IMPERVIOUS SURFACE:/ BUILDING PERMIT FEE $ WATER IMPACT FEE U SEWER IMPACT FEE d WATER METER/TAP $ S CAPITAL IMPROVEMENT$ .� SEWER TAP $ C V�?/) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ Sr, ST("7.) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 Schlueter, Jennifer From: Kaluzniak, Donna Sent: Monday, March 22, 2004 11:19 AM To: Schlueter, Jennifer Cc: Showman, Lisa Subject: Lot 3, 830 Begonia, PA#04-27848 Jenny, we met in the field with Ray Hinson, and he agreed to put 2- 12"pipes under the driveway, and will bring in the sediment and erosion control plan (silt fence is already installed)this afternoon. You can go ahead and approve his permit. Thanks, Donna Donna Kaluzniak Utility Director 1200 Sandpiper Lane Atlantic Beach, FL 32233 PH: 904-247-5834 FAX 904-247-5843 dkaluzniak@coab.us III. Energy Code Information: RESIDENTIAL CHECKLIST FOR ONE Se TWO FAMILY DWELLINGS 1. Is the current energy code form completed properly and signed; correct climate zone and correct jurisdiction? (FBC 13-600) Yes✓ No N/A 2. Does conditioned square feet area on plans match square feet NOTE: DRAWINGS REQUIRED TO BE DRAWN TO SCALE WITH SUFFICIENT CLARITY shown on energy forms? Yes "No N/A AND DETAIL-(FBC 104.2.1) 3. is the"R"value between common walls shown? Yes .,No N/A (FBC 13-602.I.ABC.1.1) PLANS EXAMINER: j..J p +I DATE: "l:� `in,' 4• Is the"R"value for added insulation on exterior walls shown? Yes /No N/A 5. Is the"R"value for ceilings shown? (FBC 13-604.LABC.1) Yes y,No N/A 6. Is the"R"value for raised floors shown? (FBC 13-605) Yes No N/A✓d OWNER: /Qr e 7 JOB ADDRESS: �3O �r`GOI�(dq 7. Are Energy Credits Claimed? Yes,,, No N/A ��f A. Attic Radiant Barrier Credit (FBC 13-607.1.A.4) Yes No N/A CONTRACTOR:1.21711�14 C AJ, PHONE NUMBER:�Y P' �/.''�'3 B. White Roof Credit (FBC 13-607.1.A.5) Yes ✓-No N/A C. Programmable Thermostat (FBC 13-600.2.A.3.5) Yes tlo N/A (CIRCLE) 1. Survey: IV Foundation Plan: 1. Is a specific purpose survey submitted? Yes -No N/A I. Are all footings shown,including interior bearing walls, 2. is correct Flood Zone shown? Yes v"'No N/A 3. Are existing grade elevations shown for structures located Column pads and concentrated loads? Yes 1/"No N/A 2. Are all locations of vertical reinforcement and anchor bolts shown? Yes t/No N/A in an is m"V"zone? Yes No N/A 3. Are all elevation changes in slab shown? Yes No N/A 4. On lots in multiple flood zones,are flood zone lines indicated? Yes No N/A�' 4, Is minimum concrete PSI shown? Yes--No N/A 5. Is property in a flood way? Yes No N/A V' S. Is slab reinforcement shown? Yes✓No N/A 6. Is flood way line shown? Yes No N/A ✓ A. Wire mesh size and gauge? Yes No N/A-- B. /A✓B. Fibermesh reinforcement? Yes�_/"No N/A 6. Is vapor barrier,minimum 6 mil.shown? (FBC 19092) Yes✓No N/A II. Structure Code Compliance: 7. Is minimum slab on grade thickness shown?(FBC 1909.1) Yes✓ No N/A L Are plans sealed by architect or engineer? Yes V**"No N/A $. Is type of soil treatment for termites shown?(FBC 1816) Yes ..✓No N/A A. Are structural calculations submitted? Yes ✓No N/A 9. Do plans show concrete footings have a specified compressive 2. Is correct wind speed shown? (FBC Figure 1606) Yes ,No N/A Strength of not less than 2500 PSI at 28 days? (FBC 1804.5.1 Yes ✓No N/A 3. Is exposure category shown? (FBC 1606.1.8) Yes No N/A ) 10. If pile foundation shown,is Sealed Soils Report submitted? 4. Is Importance Factor shown per FBC Table 16067 Yes L,/No N/A (FBC 1805.1) Yes No N/A ✓ 5. Are pressures for wind loading on components and cladding Shown per FBC 1606.2.5? Yes --No N/A 6. Are pressures for wind loading on components and cladding V. Typical Wall Section: Shown per FBC 1606.2.5? Yes No N/A I. Is finished grade shown? Yes V No N/A 7. Does structure meet requirements of FBC Table 500 for number of 2. Is minimum floor elevation shown? Yes✓No N/A stories and allowable area? Yes ✓No N/A A. Minimum 8"above adjacent grade? Yes ,"No N/A 8. Does structure meet Fire Resistance Ratings of FBC Table 600 B. Flood protection elevation? Yes ✓No N/A for structural elements. Yes v No N/A 9. Are plans designed per SSTD 10-997 Yes No N/A v 3. s Is Base flood elevation? Yes,f No N/A minimum footing depth beneath finished grade shown? YesNo N/A A. Are all appropriate charts and tables shown? Yes No N/A ✓ � (FBC 1804.1.3) B. Are all appropriate requirements circled or highlighted? Yes No N/A 4. Are all footing sizes shown? Yes wo'No N/A 10. Are plans designed per"Guide to Concrete Masonry Residential 5. Are all horizontal reinforcements shown? Yes ✓No N/A Construction in High Wind Areas"? Yes No N/A 6. Is vertical reinforcement shown? Yes�_/No N/A A. Are all appropriate charts and tables shown.' Yes No N/A 7. Masonry construction. B. Are all appropriate requirements circled or highlighted? Yes No N/A �" A. Is exterior wall finish shown? Yes No N/A 11. Are plans designed per"WPPC Guide to Wood Construction in r "No N/A B. Is interior furring shown? Yes No N/A High Wind Areas? Yes C. Is exterior wall insulation shown? Yes No N/A wf A. Are all appropriate charts and tables shown? Yes t,No N/A D. Is exterior wall finish shown? Yes No N/A f B. Are all appropriate requirements circled or highlighted? YesNo N/A ✓ 8. Wood Frame Construction 12. Are plans designed per"AF&PA Wood Frame Construction A. Is stud size,spacing,p g,grade and lumber species shown? Yes✓No N/A Manual for One-and Two-Family Dwellings,High Wind Edition"? Yes rfNo NIA B. Is exterior sheathing(type and thickness)shown? Yes v No N/A A. Are all appropriate charts and tables shown? Yes -No N/A C. Are nailing requirements(size and spacing)shown? Yes N/A B. Are all appropriate requirements circled or highlighted? Yes _No N/A (FBC Table 2306.1) D. Is exterior wall finish shown? Yes✓No NIA 15. Does bedroom open directly into garage? Yes No t-/N/A E. Is interior wall finish shown? Yes,/'No N/A 16. Does the number of bedrooms shown on plans match the number F. Is minimum clearance between wood siding and finished of bedrooms shown on the application? Yes„/No N/A grade shown? (FBC 2304.2.5) Yes ✓No N/A G. Are shear wall segments shown? Yes No N/A 17. Is Designer's name and address shown on plans? Yes✓No NIA A. Type of hold-downs shown? Yes ✓No N/A 18. Do egress doors and landings comply with FBC 1012.1.3 9. Are ceiling heights shown? (FBC 1202.2) Yes t./No N/A and FBC 1012.1.5? Yes No N/A 10. Are all hurricane anchorage and hold-downs specified and labeled? Yes wo"No N/A 19. Are habitable rooms shown with the minimum light and ventilation 11. Is ceiling type shown,drywall thickness? Yes 6,oNo N/A requirements of FBC 1203.17 - Yes ✓filo N/A 12. Roof Framing 20. Are garage doors,windows and other openings shown as meeting A. Are engineered trusses shown? Yes ✓No N/A wind load requirements for components and cladding per FBC 1606? Yes VNo N/A B. Are conventional frame rafters used? Yes No N/A`� 21. Does floor plan show fireplace? Yes No N/A✓. 1. Rafter size shown? Yes No N/A 22. Are stair details shown? Yes No N/A✓` 2. Species of lumber shown? Yes No NIA ✓ A. Is minimum stair width shown? (FBC Table 1004) Yes No N/A wl 3. Grade of lumber shown? Yes No N/A ✓ B. Are tread and riser sizes shown? (FBC 1007.3) Yes No N/A V C. Type of roof sheeting shown? Yes--No N/A C. Do spiral stairways comply with FBC 1007.8.2? Yes No NIA v, 1. Thickness of roof sheeting shown? Yes --*No N/A D. Are required landing shown? (FBC 1007.4)? Yes No N/A 2. Grade of roof sheeting shown? Yes t fNo NIA E. Is required headroom clearance shown? (FSC 1007.4) Yes No N/A 3. Nailing pattern of roof sheeting shown? Yes ♦^o N/A 23. If floor plan shows mixed construction,are mixed (FBC Table 2306.1) Construction details shown? (May require engineering.) Yes✓,No N/A D. Weight of Dry-In felt shown? Yes t/No N/A 24. If required,are tenant separations shown? Yes No N/A E. Type of roof cover shown? Yes v°'No N/A A. Duplex (FBC Table 704.1) I. Attachment asphalt/fiberglass shingles shown? B. Townhouse (FBC 704.4) (FBC 1507.3.7) Yes ✓No N/A 25. Are all columns and beams shown for porches and lanais? Yes No N/A t✓ 2. Attachment of the roof shown? Yes No N/A✓ A. Are column type,size and anchorage shown? Yes No N/A (FBC 1507.3.7) B. Are beam type,size,span and anchorage shown? Yes No N/A✓ 3. Other roof covering and attachments shown? Yes No NIA l 26. Are all lintel and beam details shown? Yes No NIA F. Length of roof overhang shown? Yes --'No N/A 27. Are engineering details provided for butt glass? Yes yl"No N/A G. Type of soffit and fascia shown? Yes -*No NIA H. Attic ventilation shown? Yes ✓"No N/A 1. Location,type and thickness of flashing shown? VII. Truss/Rafter Plan. (FBC 1503.2.1 and FBC 1507.3.9) Yes ,/No N/A 1. Are engineered truss plans provided showing loads,uplifts and I. Type and gauge of cave metal shown? Yes ,No N/A required connections? Yes ,/No N/A 2. Are all headers,beams,girders and interior hearing walls shown? Yes No N/A 3. Framed roof. V1. Floor Plan. A. Is rafter plan shown,including size,spacing species, 1. Does square footage on plan match square footage show on grade of lumber,span and connections? Yes No N/A✓ application? Yes ✓No NIA B. Is ceiling joist plan shown,including size,spacing, 2. Are all room dimensions shown? Yes v No N/A species,grade of lumber,span and connections? Yes No N/A 3. Are all door and window sizes shown? Yes "No N/A C. Are collar ties shown,including size,spacing,species, 4. Are all emergency egress openings shown? Yes V`No N/A grade of lumber and connections? Yes No N/A 5. Is required tempered glass shown at all hazardous locations? D. is ridge beam shown,including size,species and grade (FBC 2405.2) Yes✓No N/A of lumber? Yes No N/A s` 6. Are all vertical reinforcements shown? Yes✓'No N/A 4. Is roof sheeting indicated,showing type,thickness and nailing 7. Are all shear wall segments shown? Yes ✓No N/A pattem? Yes ,/No N/A 8. Are all hold-downs and hurricane anchorages shown? Yes✓`No N/A 9. Is required attic access shown? Yes No NIA , 10. Are all plumbing fixtures shown? Yes✓ No N/A VIH. Floor Framing. 11. Are all electrical fixtures shown? Yes v'No NIA 1. Is engineered floor truss plan provided,showing loads, 12. Are all mechanical fixtures shown? Yes ✓ No N/A uplifts and connections? Yes No N/A A. Is air handler and condensor location shown? Yes✓ o N/A 2. Is joist plan provided,showing size,spacing,span,species, B. Are exhaust fans shown? Yes I I0 NIA grade of lumber and connections? Yes No N/A 13. Are all smoke detectors shown? (FBC 905.2) Yes No N/A 3. Is floor sheeting indicated,showing type,thickness and 14. Does one(1)bathroom on the first habitable floor level nailing pattern? Yes No NIA ✓ Have a 29"net clear door opening and handicap accessible route? (FBC 1t-11) Yes t/No N/A WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet,lavatory, Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountai make /2 S Floor drains 2 Hose bib 1 -2— Kitchen sink, domestic 2 Kitchen sink,domestic with food waste grinder andlor dishwasher 2 Laundry tray(1 or 2 compartments) 2 Lavatory 1 Shower compartment,domestic 2 Sink ( 2 Urinal 4 Urinal, 1 gallon per flush or less 2 . Wash sink circular or multiple)each set of faucets 2 Water closet,flushometer tank,public or pmt 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 TOTAL S /p CITY OF ATLANTIC BEACH r, l 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 .tVvJt� f}� Application Number . . . . . 04-00027616 Date 1/29/04 Property Address . . . . . . BEGONIA ST Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------------- -- --- - - - ---- -- ----- ------------ - MAYPORT DEVELOPMENT OWNER 645 MAYPORT ROAD, #34 ATLANTIC BEACH FL 32233 ---------------- -- ----------- --- - ---------- --------- -- ---- ---- -------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 1/29/04 Valuation . . . . 0 Expiration Date . . 7/27/04 --------------- - - -- - -- -- -- - - - - -- - - - - - - -- - - - ---- - - - - - - - - ---- - - - - - - - - ---- ----- Special Notes and Comments APPROVED REMOVAL OF TREES IN THE INTERIOR ZONE, SPECIFICALLY A 6" OAK, A 7" OAK, A 9" OAK, A 9" OAK, A1011 OAK, A _1Q" OAK, A 11 . 25" OAK AND A 14 . 5" PALM WITH NO MITIGATION REQUIRED. Fee summary Charged Paid Credited Due Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 grand Total . 00 . 00 . 00 . 00 �a BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HA,ID AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4, cN- BUILDING- OFFICIAL CITY OF ATLANTIC BEACH _ TREE REMOVAL APPLICATION x., w � All applications must be submitted with seven (7) copies and received by 5:00 p.m. on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. MAY PcR-r i7EV' 5LOPME A)T A 34 APPLICANT NAME ADDRESS TELEPHONE 2. 2,0 T 3 , 'S'C_k t4^4, s L�'GT3Ol�(``H•, �f3SC-��JIA /V EA�2 t�1�- aJ?N SID ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE (IF LEGAL DESCRIPTION, LIST CLOSEST CROSS STREET) 3. REASON FOR PROPOSED TREE REMOVAL: I46mj A S/DE=A)-rlAL 60A1STQ UC7'1o1� C 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NO NOT SURE j4r,l�-r or- wA y A IZ,--.9 P1ZCV16-0s LY 5. SITE PLAN/TREE SURVEY indicating: a. Existing and proposed structures. b. Location of utilites and easements as applicable. c. Location, species and size of all trees with Diameter at Breast Height (D.B.H.) of six inches or more. d. Location, species and size of all trees to be removed should be clearly marked with an "X". e. Location, species and size of all trees to be perserved on-site for mitigation must be marked with brackets f. Location, species and size of any proposed new replacement trees marked with a circle "0". g. Location, species and size of all trees to be preserved on-site with barricading at tree drip line noted. 6. ON-SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property corners must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST by marked on-site by RED/ORANGE flagging, paint, or tape. e. All trees to be preserved on-site for mitigation MUST be marked.with BLUE/GREEN flagging, paint or tape. e 800 Seminole Road,Atlantic Beach, Florida 32233 Telephone(904) 247-5800 Fax(904)247-5845 1 of 4 A 8.NLISTJREE8 PROPOSED FOR REMOVAL: DIAMETER(*) OF TREES SPECIES INTERIOR ZONE** EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE ONLY 17 4.. !O y !O� !•Z�S 9. LIST TREES PROPOSED FOR MITIGATION: DIAMETER(* OF TREES SPECIES INTERIOR ZONE** EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE ONLY I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF,CHAPTER 23, ARTICLE II, TREE PROTECTION, L OTHER APPLICABLE DES AND ORDINANCES OF ATLANTIC BEACH. pplic 's Signature Date Owner's Signature Date Jwvwp" o�bY/ ree Conservation Bdard Chair D.. t *Diameter at Breast Height(D.B.H.),is measured at 4.5 feet above grade.To accurately determine diameter,measure the trunk circumference and divide by 3.14.Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. "Interior Zone: outside the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page). **Exterior Zone: within the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page). 4 of 4 0 7" OAK o 7` OAK d Z tL IRON PIPE 1 B. #6696 kms. LOT 2 N �N 0— LOT 3 0 3' PINE 10' 0 7' 9 OAK -t P ►IE i 9- OAK I 1 ' 0 1 0 0 7- OAK � Q CD X7- OAK 0 ifi 0 09- OAK ' X 6- QAK � , 0 7�' O � 11.25~Tw�a'a►K N 0 13" PALM I RON, PIPE #6696 ``" LOT 3 ` ��• 0 7" oAx I nT d MINUTES OF THE REGULAR MEETING OF THE TREE CONSERVATION BOARD January 28,2004 A regular meeting of the Tree Conservation Board was held Wednesday, January 28, 2004, at the Adele Grage Cultural Center. Present were Chair Maureen Shaughnessy, Charles Carroll, Bill Permenter, Building Official Don Ford and Recording Secretary Susan Dunham. Absent Were Susan Grube and Jim McCue. 1. Call to Order The meeting was called to order at 7:00 p.m. 2. Recognition of Visitors None. 3. Approval of Minutes of Meetings of January 14,2004 A motion was made by Board Member Permenter, seconded by Board Member Carroll, and unanimously carried to approve the Minutes of January 14,2004. 4. New Business A. Tree Removal Applications 1. 877 East Coast Drive: Chair Shaughnessy advised that two palm trees were being relocated on the lot. A motion was made by Board Member Permenter, seconded by Board Member Carroll, and unanimously carried to direct the Building Official to issue a permit to relocate a 14" palm and a 15" palm on site,which trees must survive for one year. 2. (mania Street near West 9"' Street): Building Official Ford advised that the applicant was not removing any protected trees and,therefore, no mitigation was required. A motion was made by Board Member Carroll, seconded by Board Member Permenter, and unanimously carried to direct the Building Official to issue a permit for the removal of trees in the interior zone, specifically a 6" oak, a 7" oak, a 9" oak, a 9" oak, a 10" oak, a 10 inch oak a 11.25" oak and a 14.5" palm with no mitigation required. 3. Tree Removal for Town Center Phase III: Building Official Ford informed the board that Public Works had planned to change their tree removal request because they had been advised by the contractor that it would be too expensive to relocate the trees and that they could not guarantee that the trees would survive. However, Public Works had since determined that they would continue with the original plan of relocating the palm trees to the other side of the street. 5. Old Business A. Tree Removal Application Form: Deferred to the next meeting. B. Draft Ordinance Regarding Protected Corridor: Building Official Ford advised that the City Attorney,Alan Jensen, had some corrections to make to the draft ordinance. 6. Reports and Announcements CITY OF ATLANTIC BEACH r � BUILDING /ZONING DEPARTMENT Road L. ins Seminole oad S. Doerr 800 S j Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: 12) 3 �: -�— Applicant: t�t . �� _ d' v GD✓'1 '�" ��1 C �I, r, Project: This permit application has been: Lid Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: 3 f Z CITY OF ATLANTIC BEACH �. For . BUILDING / ZONING DEPARTMENT s. S Doerr 800 Seminole Road ` — . ;r Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # OL, Property Address: Applicant: �-{ d' � ✓-1 S �� i �—/'� �_. Project: This permit application has been: EV Approved Reviewed and the following items need attention: Please re-sub r application when these items have been completed. Reviewed Bymit ou: ( Date: 3 —f2- �t P TVG°gi-HY+'bF CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) f 3 p /3" 6 0 C V Date: 4, Job Address: LO-T Owner's Name: -��n„�fi e Je(on✓►1ey� g3o5 Address: (o4� ✓Ul =rt" --PA , J" ,.t-L 3A, 6+1,5 � . Phone: Legal Description: Block Number: Lot Number: ) Zoning District: Contractor: -t---14 0—enSfiy-J c-+)'-o yA . State License Number: Address: (ny ►�Yta•r,7or� d,��.��`+� 3+`� Phon — City: PrH p,Vft-i C- Y O etc,k State: rL Zip: 3aa33Fax: 02 I Describe proposed use and work to be done: c. Er ✓ri, 0.r r Present use of land or building(s): 1/ax-4-y% 1157t— Valuation of proposed construction: I I PX-)C--) Is approval of Homeowner's Association or other private entity required?I�If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? ❑ - Applicant certifies that no change in site grade or rill material will be used on this project. QNES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ Applicant certifies that no trees will be removed for this project. S. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required,written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all irtformati rovided with this application is correct. f/ Signature of ow Date: V. I hereby certify tha I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or mt. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in arty manner,including the governing of construction or the performance of construction of the property. tand that the issuance of this permit is contingent upon the above information being true copt and that the plans and supportin data hav een or shall be provided as required. Signature of Contractor: Date: -� Address and contact information of person to receive all correspondence regarding this application(please print). Name: q-Vjor ,.r h Mailing Address: (cry`) 1 uov)Ct- na 36 11 Phone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this 9 day of 20 State of Florida,County of Duval Notary's Signature: B--p"Orsonally known Heidi A. Lowery ❑ Produced identification ; '�°' Commission#DD253921 Type of identification produced��• • Qpft U R 211Q1__ Bond Thatof Bond That AS TO CONTRACTOR: ' Atlantic Bonding Co.,Inc. Sworn to and subscribed before me this --O� day of - 20A. 113 State of Florida,County of Duval Notary's Signature: ❑/Personally known Lowery ❑ Produced identification Heidi A. Type of identification produced°. =Commission#DD253921 ° Expires: ';'• �°' Bond 800 Seminole Road •Atlantic Beach,Florida 322 %., -; Mantic Bonding Co,Inc. Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/14/03 5 .4,11 N. RET U N Book 11638 Page 915 PH, 0�IE -�,,�A rr NOTICE OF COMMENCEMENT State of Tax Folio No. County of —j,)0,/0,- 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:J,_i-7) , R oc Address of property being improved: _=14` CLb 1 tQ a- cA e � General description of improvements: rt %) Owner: Address:_LD�4= ✓YlGiy a o fi A&At '�� T�, 3Q1 Q 322 Owner's interest to site of the t provement: Fee Simple Titleholder(if other than owner): (? Name: r� Address: ontractor: t- vi Address: (o45 Mat:oo7C-TRd14-oGirtQ a3,3 Phone No: (-`c)LI 3 f 2v4 1- y 1019 Fax No: - � urety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan fo r the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone 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): THIS SPACE FOR RECORDER'S USE ONLY O R ��` Si d: v Date: Be s day o %in a County of Duv ,State of Florida,has pgrsonally appeare Notary Vublic at Large,Skft of Florida,County of Duval. My commission expires: `J.. look: 20d 3260 Personally Known: ✓ or Book: 00 5 Prod Identifica'on: ' Page: 915 Filed 8 Recorded 02/17/2004 01:11:10 PM Heidi A. o ery JIM FULLER `��,�"Y' CLERK CIRCUIT COURT Commission# 3921 DUVAL COUNTY5.00 a. :,� Expires:Sep 28,2007 RECORDING # 1.00 � OFp�OI` Bond hru T TRUST FUND Atlantic Bonding Co.,Inc. COPY FEE S 1.00 �� r.. Af CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00027616 Date 1/29/04 Property Address . . . . . . BEGONIA ST Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------------- ---- -- -- ------- - ---------------- MAYPORT DEVELOPMENT OWNER 645 MAYPORT ROAD, #34 ATLANTIC BEACH FL 32233 --------------------------- ----------------------------- -------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 1/29/04 Valuation . . . . 0 Expiration Date . . 7/27/04 ------- --------- ------ ---- - - - --- ----- ------ - - -- - - --- --- - ------------ ---- ---- Special Notes and Comments APPROVED REMOVAL OF TREES IN THE INTERIOR ZONE, SPECIFICALLY A 6" OAK, A 7" OAK, A 9" OAK, A 9" OAK, A 10" OAK, A. .10" OAK, A 11 . 25" " OAK AND A 14 . 5 PALM WITH NO MITIGATION REQUIRED. Feesummary Charged Paid Credited Due Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 .Grand Total . 00 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE'PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i BUILDING-OFFICIAL DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE: (904)247-5834 * e FAX:(904)247-5843 SUNCOM: 852-5834 1/ http://ci.atlantic-beach.fl.us i; Q,, .R PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicant: 1 Address: ,3 rC..�' Project: -`�-�`� ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: The erosion and sediment control submitted is really a drainage plan. Provide erosion and sediment control plan and details . Show pipe under driveway. We have forwarded the plans to our contract engineer (Edwards Engineering) for further review. May require reconnection of the ditch along Begonia with the ditch running north along W. 9th Street in order to maintain satisfactory drainage . Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Revi e ed "nnaKaluzniak, Public Utilities Director Date Vio a Signature Contractor Notified Date /< o DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 i=+ FAX:(904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # '� Applicant: d'` Address: 3 ( 0-n 6k S-k Project: Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: W AT Ee. +- 5bal Oe— 2z A- © ,A-4W Jkr446?Ji,-- �i..� 3 v Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Rev' we by Donna Ka niak, Public Utilities Director Date 3-/J -d Y Si ure Contractor Notified Date (3 tk o'1. R E V E D CITY OF ATLANTIC BEACH BUILDING :� 7-ONING CITY OF ATLANTIC BEACH MAR 0 5 2004 BUILDING PERMIT APPLICATION i (FOR NEW SINGLE FAMILY RESIDENCE DUPLEX CONSTRUCTION) BY: f,3 O J�,Ce 6 0 C Date: tQ� Job Address: 1--0� tom-,Ifl� O:t_ Me— l --Ta Owner's Name: �,�i' �e_✓e(ol �� g3oS Address:_(04� t -Aa ,�et- �� J�.,tt 5A. Ail -iz" , Phone: Legal Description: Block Number: I`qLot Number: �J Zoning District: S—� Contractor: 4 4-tA 0— State License Number: Address: (ny! Mo_\r b17t `-Rdi_�, :+c. 3y4 Phon — City: A-H q Vf t�i C r�7 e. k State: T5L Zip: 3�33Fax: 02 I Describe proposed use and work to be done: *E4 t7T" ' ru;IQ f� arJnLbc Z,I ink Present use of land or building(s): 62_Ca 1_C_ '" kr Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required?t�q) If yes,please submit with this applicatiorl_ Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ❑ NO,. Applicant certifies that no change in site grade or fill material will be used on this project. S. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ Applicant certifies that no trees will be removed for this project. S. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required,written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated STEP 4. Please arbmit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all infotmati rovided with this application is correct. l Signature of ow f:" Date: I hereby certify tha I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or mt. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in arty manner,including the governing of construction or the performance of construction of the property. tand that the issuance of this permit is contingent upon the above information being true*Cot that the plans and supporfi data hav een or shall be provided as required. Signature of Contractor: Date: (J' Address and contact information of person to receive all correspondence regarding this application(please print). Name: L'i i l1 a (�>' 711A i✓t'�fln Mailing Address: t9Ma't,JO r'1— _36 Phone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this �9 - day of .20 State of Florida,County of Duval Notary's Signature: 3 Personally known El Produced identification Heidi A. Lowery Type of identification produced=.; Commission#DD253921 t- 7007 ob iti°�` r krBondea T el)w� AS TO CONTRACTOR: f i l"`" Atlantic Bonding Co.,Inc. Sworn to and subscribed before me this Lp�� day of ,2010. State of Florida,County of Duval _1� _J Notary's Signature: - DPersonally known ❑ Produced identification ,.��rV diy�; Heidi A.Lowery Type of identification produce.' _Commission#DD253921 qQ PAW NA. .•��� Expires: Bond Thru 800 Seminole Road •Atlantic Beach,Florida 3223 4 5 ,,,Omli;Bonding Co.,Inc. Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Address:Name: Lt 3 Begonaruction Street Lot 3 Begonia Builder: HH&A permitting Office: Atlantic Beach uction City, State: Atlantic Beach, FI Permit Number: Owner: Jurisdiction Number: 261100 Climate Zone: North 1. New construction or existing New 12. Cooling systems j 2. Single family or multi-family Single family Y a. Central Unit Cap:30.0 kBtu/hr _ 3. Number of units,if multi-family 1 SEER: 12.00 _ 4. Number of Bedrooms 3 - b. N/A _ 5. Is this a worst case? No 6. Conditioned floor area(ft2) 1 191 ft2 c. N/A _ 7. Glass area&type Single Pane Double Pane - - a. Clear glass,default U-factor 0.0 ft2 281.0 ft2 _ 13. Heating systems b. Default tint 0.0 ft2 0.0 ft2 _ a. Electric Heat Pump Cap:30.0 kBtu/hr _ 'I c. Labeled U or SHGC 0.0 ft' 0.0 ft2 14SPF:8.00 _ 8. Floor types b. N/A _ a. Slab-On-Grade Edge Insulation R=0.0, 155.0(p)ft b.N/A - ! c. N/A _ c. N/A - 9. Walt types _ 14. Hot water systems a. Frame,Wood,Exterior R=1 1.0,837.0 ft2 _ a. Electric Resistance Cap:50.0 gallons _ b. Frame,Wood,Adjacent R=11.0,84.0 ft2 _ EF:0.91 _ c. N/A _ b. N/A _ d.N/A - e. N/A c. Conservation credits _ 10. Ceiling types (HR-Heat recovery,Solar a. Under Attic R=30.0, 1191.0 ft2 DHP-Dedicated heat pump) i b. N/A - 15. HVAC credits PT, _ c. N/A (CF-Ceiling fan,CV-Cross ventilation, 11. Ducts _ HF-Whole house fan, a. Sup:Unc. Ret:Unc. AH(Sealed):Garage Sup.R=6.0, 100.0 ft PT-Programmable Thermostat, b.NIA MZ-C-Multizone cooling, MZ-H-Multizone heating) Total as-built points: 20259 PASS Glass/Floor Area: 0.24 Total base points: 20482 I hereby certify that the plans and specifications covered Review of the plans and zKE sr by this calculation are in compliance with the Florida specifications covered by this yon _ Ari° Energy Code. calculation indicates compliance y `,,,''' with the Florida Energy Code. PREPARED BY: Before construction is completed a DATE: Zf this building g will be inspected for i i s designed, is in compliance with Section 553.908 I hereby certify that this building, a compliance with the Florida Energy Code. Florida Statutes. °bwe j OWNERIAGENT: BUILDING OFFICIAL: �.-- DATE: DATE: Z 0 EnergyGauge®(Version: FLRCPB v3.30) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lt 3 Begonia Street,Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 1191.0 20.04 4296.2 Double,Clear E 6.0 6.0 40.0 42.06 0.52 871.3 Double, Clear S 1.0 4.0 9.0 35.87 0.86 276.4 Double, Clear S 1.0 7.5 40.0 35.87 0.98 1400.4 Double,Clear S 1.0 3.0 6.0 35.87 0.78 167.0 Double,Clear S 1.0 6.0 30.0 35.87 0.94 1015.9 Double,Clear W 5.0 7.5 40.0 38.52 0.64 984.0 Double,Clear W 1.0 3.0 6.0 38.52 0.85 196.3 Double,Clear W 1.0 6.0 20.0 38.52 0.97 747.6 Double, Clear N 1.0 6.0 90.0 19.20 0.98 1685.9 As-Built Total: 281.0 7344.8 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 84.0 0.70 58.8 Frame,Wood,Exterior 11.0 837.0 1.70 1422.9 Exterior 837.0 1.70 1422.9 Frame,Wood,Adjacent 11.0 84.0 0.70 58.8 Base Total: 921.0 1481.7 As-Built Total: 921.0 1481.7 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 18.1 2.40 43.4 Exterior Wood 20.1 6.10 122.6 Exterior 20.1 6.10 122.6 Adjacent Wood 18.1 2.40 43.4 Base Total: 38.2 166.0 As-Built Total: 38.2 166.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1191.0 1.73 2060.4 Under Attic 30.0 1191.0 1.73 X 1.00 2060.4 Base Total: 1191.0 2060.4 As-Built Total: 1191.0 2060.4 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 155.0(p) -37.0 -5735.0 Slab-On-Grade Edge Insulation 0.0 155.0(p -41.20 -6386.0 Raised 0.0 0.00 0.0 Base Total: -5735.0 As-Built Total: 156.0 -6386.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 1191.0 10.21 12160.1 1191.0 10.21 12160.1 EnergyGauge®DCA Form 60OA-2001 EnergyGaugeS/FlaRES'2001 FLRCPB v3.30 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lt 3 Begonia Street,Atlantic Beach, FI, PERMIT#: BASE AS-BUILT Summer Base Points: 14429.4 Summer As-Built Points: 16827.1 Total Summer X System Cooling Total X Ca X Duct X System X Credit y g p y = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 16827.1 1.000 (1.090 x 1.147 x 0.95) 0.284 0.950 5400.1 14429.4 0.4266 6155.6 16827.1 1.00 1.188 0.284 0.950 5400.1 EnergyGaugeTM' DCA Form 600A-2001 EnergyGauge(D/RaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whore Building Performance Method A - Details ADDRESS: Lt 3 Begonia Street, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point .18 1191.0 12.74 2731.2 Double,Clear E 6.0 6.0 40.0 18.79 1.29 966.5 Double, Clear S 1.0 4.0 9.0 13.30 1.12 133.7 Double,Clear S 1.0 7.5 40.0 13.30 1.00 532.9 Double, Clear S 1.0 3.0 6.0 13.30 1.26 100.4 Double,Clear S 1.0 6.0 30.0 13.30 1.02 408.2 Double,Clear W 5.0 7.5 40.0 20.73 1.12 928.3 Double,Clear W 1.0 3.0 6.0 20.73 1.04 129.7 Double,Clear W 1.0 6.0 20.0 20.73 1.01 417.8 Double,Clear N 1,0 6.0 90.0 24.58 1.00 2213.0 As-Built Total: 281.0 5830.6 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 84.0 3.60 302.4 Frame,Wood,Exterior 11.0 837.0 3.70 3096.9 Exterior 837.0 3.70 3096.9 Frame,Wood,Adjacent 11.0 84.0 3.60 302.4 Base Total: 921.0 3399.3 As-Built Total: 921.0 3399.3 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 18.1 11.50 208.0 Exterior Wood 20.1 12.30 247.2 Exterior 20.1 12.30 247.2 Adjacent Wood 18.1 11.50 208.0 Base Total: 38.2 455.3 As-Built Total: 38.2 455.3 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1191.0 2.05 2441.6 Under Attic 30.0 1191.0 2.05 X 1.00 2441.6 Base Total: 1191.0 2441.6 As-Built Total: 1191.0 2441.6 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 155.0(p) 8.9 1379.5 Slab-On-Grade Edge Insulation 0.0 155.0(p 18.80 2914.0 Raised 0.0 0.00 0.0 Base Total: 1379.5 As-Built Total: 155.0 2914.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 1191.0 -0.59 -702.7 1191.0 -0.59 -702.7 EnergyGauge®DCA Form 60OA-2001 EnergyGaugeSIFIaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lt 3 Begonia Street, Atlantic Beach, Ft, PERMIT#: BASE AS-BUILT Winter Base Points: 9704.1 Winter As-Built Points: 14338.0 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 14338.0 1.000 (1.069 x 1.169 x 0,95) 0.426 0.950 6892.8 9704.1 0.6274 6088.4 14338.0 1.00 1.187 0.426 0.960 6892.8 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®lRaRES'2001 FLRCPS v3.30 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: Lt 3 Begonia Street, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 50.0 0.91 3 1.00 2655.47 1.00 7966.4 As-Built Total: 7966.4 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 6156 6088 8238 20482 1 5400 6893 7966 20259 PASS y011HE SQ�s+ wl A EnergyGaugeTm DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.30 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: Lt 3 Begonia Street, Atlantic Beach, FI, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK - — - --- Exterior Windows&Doors ; 606.1.ABC.1.1 1 Maximum .3 cfm/sq.ft.window area; .5 cfm/sq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall, foundation&wall sole or sill plate;joints between exterior wall panels at corners; utility penetrations; between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier is installed that extends -- from,and is sealed to,the foundation to the top plate_ Floors 606.1.ABC.1.2.2 Penetrations/openings>118"sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings; penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from F conditioned space,tested _ - - -- _ - -4 Multi-story Houses 606.1.ABC 1 2 5 1 Air barrier on perimeter of floor cavity between floors._ Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors dampers combustion space heaters comply with NFPA, - have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded_by_all residences)-_ COMPONENTS SECTION REQUIREMENTS - _ — _ ) CHECK Water Heaters 612.1 i Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit - I breaker(electric)or cutoff(gas)must be provided. External or built-in heat trap required_ Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a pump timer. Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads _ 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG._- Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation HVAC Controls P97.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 i Ceilings-Min. R-19.Common walls-Frame R-11 or CBS R-3 both sides. j Common ceiling&floors R-11. EnergyGaugeTM' DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 82.9 The higher the score,the more efficient the home. Lt 3 Begonia Street, Atlantic Beach, FI, 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:30.0 kBtu/hr - 3. Number of units,if multi-family 1 - SEER: 12.00 _ 4. Number of Bedrooms 3 _ b. N/A _ 5. Is this a worst case? No 6. Conditioned floor area(W) 1 191 ft2 c. N/A _ 7. Glass area&type Single Pane Double Pane _ a. Clear-single pane 0.0 ft2 281.0 ft= - 13. Heating systems b. Clear-double pane 0.0 fe 0.0 ft- _ a. Electric Heat Pump Cap:30.0 kBtu/hr _ c. Tint/other SIIGC-single pane 0.0 ft2 0.0 ft2 _ HSPF:8.00 _ d. Tint/other SHGC-double pane b.N/A _ 8. Floor types _ a. Slab-On-Grade Edge insulation R=0.0, 155.0(p)ft _ c. N/A _ b.N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:50.0 gallons - a. Frame,Wood,Exterior R=11.0,837.0 ft2 EF:0.91 _ b. Frame,Wood,Adjacent R=11.0,84.0 ft2 b. N/A _ c. N/A d. N/A c, Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types J DHP-Dedicated heat pump) a. Under Attic R=30.0, 1191.0 ft2 _ 15. HVAC credits PT, _ b. N/A - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thennostat, a. Sup:Unc. Ret:Unc. AH(Sealed):Garage Sup.R=6.0, 100.0 ft _ MZ-C-Multizone cooling, b. N/A MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) 0eIftE S74I� in this home before final inspection.Otherwise,a new EPL Display Card will be completed _- ` OW based on installed Code compliant features. Builder Signature: Date: a ` Address of New Home: City/Fl,Zip: 1'c0D WF *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86.for a US EPA/DOE EnergyStar'"designation), your home may qualify.for energy efficiency mortgage(EEM) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www,fsec.ucf.edu.for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 8501487-1824. EnergyGauge®(Version: FLRCPB 0.30) RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems Job: 2/10/04 1065 Oak Vale Rd,Jacksorolle,F132259 Phone.9Ct4-287-5339 Fax 904-287-1258 Email onerrnldesign(.omcast.ne.t w f For: H H &A Construction Lot 3 Begonia St, Atlantic Beach, FI Notes: 00skgn-Information Weather: Jacksonville, Intl Airport, FL , US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 72 °F Inside db 72 OF Design TD 40 °F Design TD 21 OF Daily range M Relative humidity 50 % Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 27050 Btuh Structure 22500 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 `'F Design heat load 27050 Btuh Use mfg. data n Rate/swing multiplier 0.98 Infiltration Total sens. equip. load 22050 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 920 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 3047 Btuh Area (ft2) 1191 1191 Total latent equip. load 3967 Btuh Volume (ftp) 9528 9528 Air changes/hour 1.00 0.50 Total equipment load 26017 Btuh Equiv. AVF(cfm) 159 80 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47°F Latent cooling 0 Btuh Heating temp rise 0 OF Total cooling 0 Btuh Actual heating fan 1203 cfm Actual cooling fan 1203 cfm Heating air flow factor 0.044 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 85 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. GJh-tSi�'t Right--cite Roside.nftel—5 0.66 P,SR29784 2004-Feb-10 132, 25 )m CUocuments and Settingslrlistomer\tAy GocumentsliNrightsoftlH Hand A Const,[-t2-BP9onia St,rsr Page 1 b Xlr`1- 1 CITY OF ATLANTIC BEACH z 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 A Application Number . . . . . 04-00027848 Date 6/10/04 Property Address . . . . 830 BEGONIA ST Tenant nbr, name . . . . . . NEW SFR, 1191 RAD, 1427SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 115000 Owner Contractor ------------------------ ------------------------ MAYPORT DEVELOPMENT H H & A CONSTRUCTION 645 MAYPORT RD, SUITE 3A 645 MAYPORT RD - STE 3A ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-8305 (904) 241-4619 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc 200AMP, 1PH, 3W, 220V, 2"RACE Sub Contractor KNIGHT ELECTRIC LLC Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 -------------------------------------------- -------------------------------- Special Notes and Comments 12 FIXTURES NEW SERVICE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. )a, r BUILDING OFFICIAL- ^� CITV' Of' ATLaNTIC SEACH 4' ELECTRICAL PERMIT APPLICATION . Propert!r' Addrtss Owner: �AW ) -- Telephone o: �2yl- oy l C'ontr>+tctur: LLC_ Teltphone so 1 Contructor Address. . at ass N: µIr. r,�xksiikraliun ii rmii Yen Rx r aicnsci _ _.w�._...__......� . ... Ve p Jtltntt t1r wuw+k 43 dean"" in ttke aCh1fic st L •`c hcKn. .qKc, G. lk"k.ml ,.nh thr :111,WhW p1rnS arKi '.recikAtirns which rn:. :► p— herct,t ami In acL,Wdart.;c •.kth 'hc + ,rdirtdrnle !.r%1 imn.vwls wjoAks proet4v 11slel0�erein 1�ilcli��: _ : ,isR Tvpe; _ 7 _rreifer Service �e/v}WRcxidtnce .) Temp *?-*I`eN k,,s J (iltJ :J K Cc �u►1 .i Sisc. Ik: r 1 t Kc•wlsc t iddint,n �v Ft _ ltepakr Pb+•ns --;2 70 rtdr►rror Size AA4PS- COPPF..1R � w _�1.1�?►►l�ii_'ri� .........., _..._-......2 Weaker _ mil's ��dV �» Pi( E�tstcng Scrv:;;c K l L S is i AMPS PN l \1 Ati Mre_derx 1%0. SIZE N0 Silt NO ,ghrrnk tlutic�� _ CONCEALED OR N, Rc_ r�rlcs� t ONC E:\LED.—­_.—­­.­ GtftF '�trttchex • tnc�an4ei�em , Flu�rca�ent & IOU mm-b, Mat +►lZplierrrs -- -- _..__.... IRANAFFR µ..P RJ�T{tiC, 'itp R.rtTltil; t'u„Sktjunirt� cool) 410fok k OTHER MV TORS i1fPy HFA .... .,,....... ._.. . �futnrs —.r.»tl•) 11.p, .. ..__�= ULTAGE ?FI -- N . t tVh.it t HP PHS .. sign . _.,.�_ .__ ._ ----. .._ —.., _._4-...__., _... _,... . �. vlrs.�glton euua suo ytoninole Road .Atlantic Stock. Florida .32233•.4445 P"nr: (904}247-. M • Fat: (904)24? 5343 • bat{s:.''r..w.r►itlaotk-t►r�.ch.tLus X J CITY OF ATLANTIC BEACH I i 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 m INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027848 Date 6/07/04 Property Address . . . . . . 830 BEGONIA ST Tenant nbr, name . . . . . . NEW SFR, 1191 RAD, 1427SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 115000 Owner Contractor ------------ -- ----- ----- ------ ------------------ MAYPORT DEVELOPMENT H H & A CONSTRUCTION 645 MAYPORT RD, SUITE 3A 645 MAYPORT RD - STE 3A ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-8305 (904) 241-4619 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . EAST COAST HEAT & AIR INC . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments 12 FIXTURES NEW SERVICE Fee summary Charged Paid Credited Due ------------ ----- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL r CITY OF ATLANTIC BEACH °�;?tlnvw MECHANICAL PERMIT APPLICATION Date: Property Address: Owner: �WtTelephone#: Contractor:_ EME Telephone #: 00 Contractor Address: 6MM "StFax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: _LP Natural _Central Utility �` r ElOil (J"[ L - ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE.OF WORK Heat !Space _Recessed a tral _Floor Residential r Conditioning: _Room _ entral uct System: Material Thickness ❑ Commercial Maximum capacity f � C2�Z_cfm ED Refrigeration ew Building Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number)e- New Installation El LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel_ ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency ��drt Ai'r4& l0 w vL TANKS Nominal Capacity Type Liquid Serial Approving How Man� &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 . http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH i f 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027848 Date 4/19/04 Property Address . . . . . . 830 BEGONIA ST Tenant nbr, name . . . . . . NEW SFR, 1191 RAD, 1427SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 115000 Owner Contractor ------------------------ --------- --------------- MAYPORT DEVELOPMENT H H & A CONSTRUCTION 645 MAYPORT RD, SUITE 3A 645 MAYPORT RD - STE 3A ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-8305 (904) 241-4619 ----------------- ----------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . CHRIS FRAZE & SONS Permit Fee . . . . 119 . 00 Plan Check Fee . 00 - Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments 12 FIXTURES NEW SERVICE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICHAZT OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION 4� Date: Property Address: L c / 3 Owner: Telephone#: Contractor: 9, 5c"f.5 Telephone#: 6:5' 2c,31 Contractor Address: /,,5'7S Serf// rxa,,c iia,` Fax#: 65'3 $ '-rn s{ In consideration of permit given for doing the work A described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code, Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: � ❑ Re-Pipe �`i �'' Z 7/g Number of Fixtures: 2 Bath Tubs Showers 4 Closets Shower Pans Dishwashers ! Sinks Disposals Urinals Floor Drains �_ Washing Machine Z Lavatory �_ Water 1 Sewer f Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: ))- X $7.00 + $35.00 = 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us