Permit 124 Camelia St 0003120
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
A 0�A t c--z"�,t� i A rl tl' k 1, lf3..1�rlvlrl.
-1 W t:o'V,
v t�ll��l'I�Nt.T#T't Al,
94 ef�,3 1:1
14 4 C?C
t mpv ov
TA'.It al
44,0%q-0*R#*4
vftt,o�-
f It t fo,ft,c
P.,T i
OWNZ" t N rCl It. A T Vkl A f'r t,
el to c�-z of:A14
0 Il f esti�'a A r.11-A 'IT V�'V T W A'01fe,P�� 1,11rA V�V
rl-vt",r A V�wy,IR MrA�T�T 11 t--:le, iPu i�')*l
w&Tt�" f V,t"T t f t,
tT A 0 k,�14
vfll,ro.ocrvlF T?-llfvJ"MATVVl4! ft A u P�*�,,
i
tt a m e r A ti to,vi-,,�"'n r t,I, "It A,I'1,0't vi,v
A f -rA f`
tbMITM YtTIPA VA f;ll� I I I,I-' �',VfAk�F
4' f E;-I rl"tI3 I"tA I Cl Ty J,w A,V�k
Wr
NOTES:
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.59
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BU(LDING DEPARTMENT\
By: CASHIER COPY
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIAM: UW--CR FLECAICIAN SIGNATURE
NAM ADDRESS:IdI RFD-BOX-
BLDG.SIZE BETWEEN:
RES.(V�/ APT. ( I comm.( Pupkic INDUS. NEW OLD REW.
ADDITION TRAILER ( fiMP. (0 SIGNS SO. FT.
SERVICE: NEW M/ INCREASE I REPAIR FEE
CONDUCTOR SIZE A M PK'a 6) COPPER ( I ALUMJ 0,--
SWITCH OR 13REAKER AMPS PH -3 W --J.:?,J VOLT ./ ,lJl6LRACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31,100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 1 0-100 AMPS, OVER
APPLIANCES BELL TRANSF.
AIR M.P.RATING M.P.RATING
CONDITIONING COMP-MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
OVER
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS1
MISCELLANEOUS
TRANSFORM ERS: UNDER 600 V. OVER 600 V.
EPI= 98.37%
FLORIDA ENERGY CODE SECTION 9 NORTH ZONE 1, 2, 3 900-A-89
DEAN RUSSELL CONST. SUMMER CALCULATIONS AS BLT
S14R. GLASS BASE SUMMER GLS DBL SOF GLASS
ORNT. AREA SPM BASE PTS ORIENT. AREA CLR " (9B) SMR PTS
N 22 38. 3 843 N 22 38 .3 0.91 767
NE 57. 7 0 NE 57 .7 0
E 56 79. 7 4463 E 56 79. 7 0.92 4106
SE 79. 1 0 SE 79. 1 0
S 66. 2 0 s 66.2 0
Sw 79. 1 0 Sw 79. 1 0
w 26 79.7 2072 w 26 79 .7 0.92 1906
NW 57. 7 0 NW 57. 7 0
H 66. 2 0 H 0 267. 0 1.00 0
0
0
0
0
0
0
0
0
0
0
COND TOTAL BASE BASE ADJUSTED ' AS BUILT
FLOOR GLASS ADJ GLASS GLASS GLASS
AREA AREA, FACTOR SBTOTAL BASE SP SUBTOTAL
. 15 1107 104 1. 60 7378 11780 6779
AS BLT
COMP. SUM PT BASE COMP. MULT. SUMMER
DESC. AREA MULT. SMR.PTS. DESC. AREA (9C-9G) POINTS
EXT. 924 0.90 832 0
ADJ. 0.70 0 EXT2X4 Rll 924 1. 7 1571
ADJ2X4 Rll 72 0.7 50
0
DOORS DOORS
EXT. 44 6. 10 268 EXT WD 44 6. 1 268
ADJ. 2 . 40 0 ADJ WD 0 2.4 0 't,
0
CEILINGS CEILINGS
UN.ATC. 1107 0. 60 664 UNDRATC R19 1141 1. 1 1255
SGL.AS 0. 60 0 0
KNEE R19 24 1. 1 26
FLOOR FLOOR
SLAB 140 -37 . 00 -5180 PERIM. R-0 140 -41. 2 -5768
RAISED -3 . 99 0 0 0
0
INFIL. 1107 8. 00 8856 # 2 1107 8 .0 8856
TOTAL 17220 TOTAL 13038
COOLING TOTAL BASE AS BLT DM CSM CCM AS BIT
SYSTEM BSC CSM BS PTS CLG PT SMR PTS ' (9H) (9K) (9L) CLG PTS
.46 17220 7921 13038 1. 08 0.40 1. 00 5632
HOT WTR NBR BASE BASE AS BLT NBR HWM HWCM AS BLT
SYSTEM BDRMS HWM HW PTS HW DES BDRMS (9m) (9N) HW PTS
3 3803 11409 ELECT. .88 3 3803 1.00 11409
SUMMER POINT MULTIPLIERS (S.PM)
90 SUMMER OVERHMG FACTORS(SOF)For single and double pane glass. CLIMATE ZONES I
W RATIO 0-111 .12-17 .18-26 .27-35 36-46 _47-57 .58-70 .71-83 1 .041-1,18 1.19-1.72 1.73-213 274+
79 1V .56 .50
N to .94 .87 .83 .79 .76 .72 .69 .63
I NE/NIN 1.0 .94 11 .86 10 .75 31 .67 .63 .55 .48 .42
3
fjW 1.0 .96 P92 .86 .80 .73 .68 .63 .57 .47 .39 31
5
SFjSW 10 .93 .82 4 .66 .60 .54 .47 .39 .32 .21
S 10 .91 1 .86 .77 .68 .60 1 .54 1 .45 .39 .35 .31
10,OH LENGTH* 0 111 1 r 3 ft. 3V$ft. 1 41A ft. 0. it
I IV,11 ft. 5%ft. 6% 9%11, 14
To wW tri Ove(wg LeNth.no W ol glass shall be am than 8 ft.beW ft ow".
OVERI"RATIO OH LENGTH J)
OH HEIGHT
R
L
L
Fli-
9C WALL SUMMER POINT MULTIPLIERS jSPM)
FRAME CONCRETE BLOCK' FACE BRICK
WOOD 67EEL INT.INSULATION EXT.INSUL R-VALUE WOOD FA LOG
RVALUE EXT ADJ EXT ADJ NORMAL Wr. NOR.Wt. 0. 6.9 2.4 6 INCH
R-VALUE EXT ADJ EXT 7-10.9 .6- A-VALUE EXT
0. 69 55 22 76 28
7-109 21 0- 29 2.2 1.1 2.2 11-18.9 .4 0.29 5
.-A- 35 13
11-129 7 27 10 3- 4.9 0 .5 .8 19-25.9 .2 3-69 10
6 5. 69 1.0 .7 .5 26&UP
13-189 15 6 25 0.9
4 7-10.9 .7 5 .3 R-VALUE BLOCK I INCH
19-259 4 F 22 08
2 '11-18.9 .4 .4 .0 0. 29 to A-VALUE EXT
26 Uj 6 2 1 12 1 04 19-259 2 .2
3. 6.9 6 0.29 to
26 UR .1 .1 1- 9.9 .4 1
to up 2 7 Up 6
90 DOOR SUMMER POINT MULTIPLIERS(SPM) BE CEILING SUMMER POINT MULTIPLIERS(SPM)
UNDEF ATTIC I SEM13LY CON REIE DECK ROOf
DOOR TYPE EXTERIOR ADJACENT &VALUE SPU ALUE SPM CEIL&I TYPE
19. 1.2 10-10.9 2.9 IRQPPEQ
WOOD jg� 2.4 22-25,9 .9 2.6 10-13.9 32
26-29.9 1 2.4 14- 2.2
IN SULATED 4.1 1.6 30-37.9 .6 19-025.9 . 1,8 21 A A . 1.5 1.6
36&UD .5 26&Up LZ
9F FLOOR SUMMER POINT MULTIPLIERS(SPM)
SLAB-ON-GRADE RAISED RAISED WOOD$
INSUL TION :TE POST OR PIER STEM WALL Wi UNDER
CONSTRUCYLON FLOOR INSULATION' ADJACENT-
RJALUE SRM a-VALUE kem R-VALUE OF P_y__T
0.29 0-2.9 .5 0- 69 00
-4 9 -372 7.tog -IA -23
11-18.9 -1.3 -19 7
-15 4
7 6 Up 357 Ir 7 Up 1.3 19&up
WINTER CALCULATIONS
AS-BLT.
WTR. GLASS BASE WINTER ORIENT. GLASS DBL. WOF GLASS
ORNT. AREA WPM BASE PTS AREA CLR. ' (9B) WTR. PTS
N 22 7 . 3 161 N 22 7 .3 1. 13 181
NE 0 4 . 6 0 NE 0 4. 6
E 56 -9. 2 -515 E 56 -9-.2 0.77 -397
SE 0 -22 . 7 0 SE 0 -22.7 0
s 0 -28. 4 0 S 0 -28.4 0
SW 0 -22 .7 0 SW 0 -22 .7 0
W 26 -9. 2 -239 W 26 -9.2 . 0.77 -184
NW 0 4 . 6 0 NW 0 4 . 6 0
H 0 -28 . 4 0 H 0 -57.7 1.00 0
0 0
0 0
0 0
0 0
0 � 0
0 0
0 0
0 0
0 0
0 0
COND TOTAL BASE BASE ADJUSTED AS BUILT
FLOOR GLASS ADJ GLASS GLASS GLASS
AREA AREA FACTOR SBTOTAL BASE WP SUBTOTAL
. 15 1107 104 1. 60 �-593 -947 -400
AS BIT
COMP. WTR PT BASE COMP. MULT. WINTER
DESC. AREA MULT. WTR. PTS. DESC. AREA (9C-9G) POINTS
. . . . . . . . . . . . . . . . . . . . . . . . . . . .�id. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WALL S
EXT. 924 2 . 2 2033 0 0
ADJ. 0 3 . 6 0 EXT2X4 Rll 924 3 .7 3419
ADJ2X4 Rll 72 3. 6 259
0
DOORS DOORS
EXT. 44 12 . 3 541 EXT WD 44 12 . 3 541
ADJ. 0 11. 5 0 ADJ WD 0 11.5 0
0 0
CEILING CEILINGS
UN.ATC. 1107 1. 2 1328 UNDRATC R19 1141 2 . 0 2282
SGL.AS 0 0 0 0
KNEE R19 24 2 . 0 48
FLOOR FLOOR
SLAB 140 8. 9 1246 PERIM. R-0 140 18.8 2632
RAISED 0 1. 0 0 0 0
0
INFIL. 1107 7. 4 8192 # 2 1107 7.4 8192
TOTAL 12393 TOTAL 16973
HEATING TOTAL BASE AS BLT DM HSM HCM AS BLT
SYSTEM BSC HSM BS PTS HTG P WTR PTS ' (9H) (91) (9J) HTG. PTS.
.59 12393 7312 16973 1.08 - 0. 50 1.00 9165
TOTAL
BASE BASE BASE TOTAL AS-BLT AS-BLT AS-BL TOTAL
COOLING HEATIN HT WTR BASE COOLING HEATING HT WT AS-BLT
POINTS POINTS POINTS POINTS POINTS POINTS POINT POINTS
7921 7312 11409 26642 5632 9165 11409 26207
PREPARED BY
ENERGY DESIGN SYSTEMS
287-�5339
WINTER POINT MULTIPLIERS (WPM)
98 WINTER OVERHANG FACTORS(WOFI CLIMATE ZONES 12 3
73-?13
0 It t2- 17 18-26 27- 35 36-46 47-57 58-70 71�13 84-1.118 1.19=1 72::=1
oit fiANO
S1 GL E PANE GLASS
1 14 10 105 108 1 12 1.16 1.20 1.24 1.27 1.31 08 1.45
1.74 1.84
N IV 10 109 1 13 120 126 1.33 1.39 1.45 1,50 1.63
405
05
0 67 .50 .16 -.20 -60 -.95 -132 -1.73 -2.51 -331 -4
I $E SN 10 92 88 .66 .52 .39 .25 .10 -.21 -.48 -.74
-.24
=�54 [----;-67
to 95 92 84 .74 .60 .46 .29 .13
-5 DOUBLE PANE GLASS 4,
v
1.19 1.25 1.31 1.37 1,42
Ij 10 109 1 13)) 1.48 1.58 169 1 19
1 15 1 21 135 1.46 1.58 1.68 1.78 1.87 --209 228 246
j
10 1 62 46 .28 .12 -.05 -.24 -.59 -129--
90 82 .72 61 '51 .40 .28 03 -,19 -.40
9 40
81 78 .67 55 41 27 04
0.1"I I flildri#1 0 it I I It I 1,z 11 2 1! 311 3��11 4W 11 5W II. N 11. A 11 1411 20 It
To�ei�ct tj O�ewjng Length no pao of glass snall be rove than 8 It.below toe oveihany =""pap"
OH LE.'.GTri
OdfittAING RAIIO
H
T- L H LIT
H H A el.
rJ;'
9C WALL WINTER POINT MULTIPLIERS(WPMI
FRAME CONCRETE BLOCK' FACE BRICK
W 00 STEEL INT.INSULATION EXT.INSUL. RNALUE WOODFR LOG
NORMAL WT. NOR.WT.- 0. 69 Q6 6 INCH
VAL II.E --iDJ EXT AOJ EXT
R-VALLIE EXT ADJ EXT 7.109 42 'R-VALUE
151 131 -----
0- 29 112 68 1112 11 .189 35.
7 3 -66
3- 49 7 3 5 1 56 19-259 22
51 52 - vv,
5- 69 57 7 A Up 2 1
42 4 3 26&Up 14
2
7- 109 46 35 33 RNALUE BLOCK I INC"
22 46 4 4
4 EXT
- 11-189 30 26 22 0- 29 7 R-VALUE
19.259 19 3. 69 57 0-29 -3
26&Up 13 12 7- 9.9 38 3-69 22
to&up SO 7&Up
9D DOOR WINTER POINT MULTIPLIERS(WPM) 9E CEILING WINTER POINT MULTIPLIERS(WPM)
UND ATTIC SINGLE ASSEMBLY CON RET DECK-WOJ---
DOOR TYPE EXTERIOR ADJACENT
R-VALUE I WPM CEIL!R'a TYPE
W M
10-10.9 3.2 R-VALUE OREM-Ax-PQN9-
--!I-213- --
115 22-259 -1(41- 11 - 12.9 2.9 10- 139 1 2.9 33
2.0 2.1
INSULATED 84 80 26-299 1 4 13,18.9 2,6 14-209
30-3?. 12 1 19-259 2.0 21 UR 1 1.3-
-Ts T U 9 ?6 up 13 Li
9F FLOOR WINTER POINT MULTIPLIERS(WPM)
SLAB-ON-GRADE RAISED RAISED WOO
EDGE INSULATION CONCRETE POST OR PIER 511tilill WALL
WFUN
CTION FLOOR INSULATIOMN ADJACENT "i,
CONSTRIJ
R-VAL R-VALUE
W-P
. * --- - -4-- -VALUE WN
0-29 99 - 69 7 . 104
- 0 134
3-4 -41 16
J 44
76 9 29 12 36
0 -18
7 & t 4, 7 7& Up 29 19&UP 19
�G INFILTRATION WINTER POINT MULTIPLIERS(WPM) 9H DUCT MULTIPLIERS(DM)
With Return WjO R#Iu1q
INFILTRATION PRACTICE R-VALUE Air Duct
ISte Table 9P) WPM Air Puct
4.2-4.9 1.14 1.10
PRACTICE 1 101 5.0-6.6 1.12 'A
PRACTICE 2 6.7&Up 1,09
PRACTICE 3 471 DUCTS IN CONDITIONED SPACE 1.00 1.00
'Fol mWil,pi'M lot other t�PeS of Concrete block construction see section 903.2(b).
'Fot rnuil,pliers lot other types of Faised wood assemblies see section 903.2(e)1.
GLIMAll;4141110 1-J J
SYSTEM TYPE HEATING SYSTEM MULTIPLIERV
-WS-PF "N
64-689 6.9-7-39 7.4-7.89 8,4-8.88 69-Up
Cerdial heat 7.9-839
Units COP 25-269 2.7-2-89 2.9-309 3.1-3-29 33-349 3T 3,69 3 7-Up
HSU 48 .45 .42 .40 .38
P7HP
HSU .54 .48 .45 .42 .40 38
Electric Strip
I'D
Gas&01nef FUelS 10(See Table 9.1 W Credit Multiplier)
WAirriums:Cordial Unils-Aii Source 2.7 COP(6.4 HSPF),Water Source 3.4 COP,
Ground Water Source 3 2 COP PTHP 24 COP means Coellicierd ol Performance.
i.3
11,11 HEATING CREDIT MULTIPLIERS(HCM)
SYSTEM TYPE HEATING CREDIT MUMPLIERS
Attic Radiant Barrier HCM .98
mu"Llone HCM
.90
4
Natural Gas AFUE .67-.69 1-10-77-4 -7--75 .79 .80-.84 .85--89 1 90-up
HCM 39 + .38 .35 .33 .31 .29
Other Fuels HCM .61 .57 .54 1 .51 1 .48
Whole mole than one cledil 4 claimed, 'U" HCM's togellief.Eniv ploul on pap 4.
I It
AFUF mean$Annual Fyel Utilizalo Efficiency.
1K COOLING SYSTEM MULTIPLIERS fCSM)
SYSTEM"PE COOLING SYSTEM MULTIPLIERS1
IV
- 10-5- 120
PXI14G 7.5. 8-0- 8.5- 9-0- 9.5
10.0
CENTRAL UNITS 7.9 8.4 89 9.4 9.9 10.4 V-9 11.4 11.9 Up
ISEERiEER) CSM
.38 .36 .34 .32 .31 .30 .28
ME
PIAC&RWIA UNITS
JEER) CSW .45 .43 .40 .38 .36 .34 .32 .31 .30 .28
Minimums:Central Units-Ait Cooled 7.8 EER(8.5 SEER). Ground Water Cooled IOTE-ER
EER means Enemy Elliciency Ratio.
SEER means Seasonal Energy Ellicie=Ratio.
9L COOLING CREDIT MULTIPLIERS JCCM)
SYSTEM JYPF CUMING CREDIT MULTIPLIERS(CM
Cedino Fans
.86
Mullizone
'90
-Cross Venlilation or Whole House Fan(Credit for only onel
Attic Ndiani Bafier
Whole mois than one
Jlj�
CIO61 is claimed,�lm�110y CCU's logelbec Enter product on page 2.
IM NOT WATER MULTIPLIERS(HWM)
SYSTEM TYPE Har WATER MULTIPLIERS
fiecitic EF 60- 81 1 82. 83 1 .84-.85 -.87 1 AL.90 .91-.93 94. 96 97&Up
Resstance
HWM 4193 4081 3984 3891 1 '3560 3450
367
EF .54- 56- 57 F .5e..59 1 .60- 61 .62-.63 .64-.65 1 66&Up
hatwil Gas
1 1524 1 1473 1426
HWU 1637 1519 1381 1339 ?
Omer Fueis HwM I A65 1 2570 2481 2398 1 2321 2248
J 21,80
Water healers must comply with pieschpirve measures of Table 9A. EF means Energy Factor.
9N HOY WATER CREDIT MULTIPLIERS(HWCM)
SYSTEM TYP DIT MULTIMB
HOT WATER CRE S
SF 2 .3 .4 .5
Solar Water Heater .7 .8 9 1.0
HWC '1 .0
j .6 .5 .3 .2
Heat Recovery Unit With M-condifigim Heat Pump
HMIJ
EF 2,0-2.49
Dedicated Heal Pump -Z5 2,22 3,0.3.4 15 A Up
HWCM .3§ L-d-
A HWM must be used in conjunction with all HWCM. See Table 9M. SF means Solar Fraction. EF means Energy Factor.
y
9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(o)
COMPONENTS REQUIREMENTS FOR EACH PRACTICE
_CHECK...
PRACTICE COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ON TABLE 9A.
PRACTICE #2
-.COMPLY WITtl PR-CTICE J AND THE FOLLOWING: 4.
Exterior Walls and floors
.Tao.plate g9nevalions sealed Infill(ation barrier installed. Sole platelfloor igiril caulked of sgalej
Exletiot Walls Ceilings Penetrations..bitis and cracks on interior surface caulked,sealed or gaskeled. 0:4,
DuCtwork Ductwork in unconditioned salice must be sealed.
Fireplaces _ EguigM with outside comt>ustion air,doors.and Plie dangirl, �x
ExhauslFans
JgwAnjwith dampers.Combustion devices see 903 21n.
CMWSIlon Hcating CO(r&SW SPaCe&*31011UN Systems p(OV"Mtn OUI"combustion ad.eAcept diteCt vent appliances.
PRACTICE 3 COMPLY WI H PRACIICES I AHQ-2 AND THE FOLLOWING:
Ceilings Infiltration barrier installed.
Interior Walls Top plate g2netrations sealed or Mitts A cracks on interio(walls caulked.1gal d or gaskelgil.
Becmed Liahtl Sealgd from conditictriked space A insulated from ventilated attic spaces.
Ductwo(k All ductwA located in cpWitioned space.
Be in uncoindwriW spaice(exctipi dwed vent),draw aw from uncondidioneid space,exhaust
Coff&gm Appiwicers
bypqoyd!to outside.Swm see 903.2(Q.
'For multipliers lot other typos of systerrill oo section W4.9. . "M
UltwL DATA Smzr
MM oATF, 10-29-90
Ma AMFOSS EPI
Lot 5 , Camelia Street
1. Type Insulation in Walls -)C)n R ) I
,�Q Frnc"y
n Ceilings R
2 Type Insulation I J-hMiJ
3. Type Insulation for wood Floors _A) R
4. Cloncrete Slab rAcje inzulation
IR
7r,
5. Insulation Around Dacts
In Condit. Space
�540F
stem
6. Type Heating S.Y.
7. lype Cooling System Eni J6.;5
Tipe Hot water Heater F ) EF
9. Type Class in Windows and Doors; DC D-r sc* ST
10. Type Exterior Doors L,7)nn
V
11. Are the dinensions of all windows and doors shown? It. noto this is
required either on floor plan, elevations or in a schecLle.
12. Size of Poof Overhang? I "S
13. Ceiling Fans in All Bedrcorns and PrLmLry J�ivinq Areas? A) n
14. Is a nulti-mone A/C System to be used?
15. Cross VentilaLion in Main Bedroom and Primxry Uving ?6reas?
16. Is the building oriented on plot plan with caTass direction? Ldor b If not(
draw in on plot plan.
17. Is there a whole house fan (attic-type fan with a CEM Fating of 3X Condition AreA 7
A.:
18. Infiltration Package 11 12
19. Attic Padiant Baxrier? (See 9E)
I cutity that the above is the correct data used to calculate the EPI on the
tnergy form subnitted, and will be Incorporatedin the aubject job.
Signed
City of- Atlantic Beach
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND
FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY
WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN
DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) r 2- ---WATER CLOSET VALVE
---WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
---SHOWER GROUP PER HEAD (3) ---FLOOR DRAIN (1 )
--SHOWER STALL DOMESTIC (2) ---LAUNDRY TRAY (2)
---LAVATORY ( 1 ) SINK AND TRAY (3)
--L-WASHING MACHINE (3) POT, SCULLERY SINK (4)
'2-
-4-DISHWASHER (2) ---WASH SINK EACH SET OF
__f3_KITCHEN SINK (2) FAUCETS (2)
-DENTAL LAVATORY ( 1)
-KITCHEN SINK WITH WASTE
GRINDER (3) --DENTAL UNIT OR CUSPIDOR (1)
-C)-BIDGET (3) --URINAL STALL, WASHOUT (4)
RIM SINK (8) �' --COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
-URINAL, PEDESTAL, SYPHON JET
BLOWOUT (8) FOUNTAIN (1/2)
--LAVATORY, BARBER/BEAUTY
- -SHOP (2) --LAVATORY, SURGEONS (2)
(�SURGEONS SINK (3) -URINAL STALL, WASUOUTM
TOTAL FIXTURE UNITS @ s*0. 00 EACH
JOB INFORMATION___/_a(�: .....Cff
L --------------------
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
FORM 900-A-49
SECTION 0—RESIDENTIAL P61NT SYSTEM METHOD
CLIMAT��O
DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
ti carn fJ;Ck flUILDEFIQdom
Te
AND ADDRESS. PIERMITTiNG CLIMA
10 20 a
OWNEA.. PERMIT JURl5DKT0 0
NO.. NO..'
NEW CONSTRUCTION If MULIWAMLY.NUMBER OF CONDITIONED GLASS AREA AND TYPE
(-dn FT
ADDITION UNITS COVERED Y FLOOR AREA CLEM TINTfft_Ml,SOLAR SCREEN
E] Jigs SUawrlAL:
WEDOMINANT
LFWVWIU SINGLE- $0. SINGLE- so.
�UtllfAMLyArWjjjO M DikCK if INS Suawrk LOGM fT PANE FT. PANE F=fl.
REPRESENTS A WORST USE pofich OVERHANG DOUBLE.=0.1 DOUBLE.[]:M S
SiNGIf-fAMILY WAD CON011ION: PANE f T.
--ifo LENGTH PANE ff
NET WALL AREA AND INSULATION
1xlfRiORMASOnRY
EXTERIOR f UWE
EXTERIOR STEEL——ft ExIffh011 LOG
so. m
FT FT.
i Lull 0].11
ADJACf NT MASONRY R ADJACENT FRAME R AOXENT STEEL fl ADICENT LOG R
SOFT. FT" 1
[11 .0 SO. =10.
CEILING AREA AND INAULATIng f LOOR TYPE AND INSULATION
UNDER ATTIC R 9TNGLE ASSEMBLY R SLA8' PERIMETER R RAISED.WD 0 CON Q
Lwyl�lwl miq —111, 0] =R lu- 111111111
FT
a u Ey- COOLING IVITEM HEATING IVITEM NVAC CREDIII HOT WATER ITSTEM NOTWATERCREDITI
CEMRAL ELf CTRIC STRIP HEAT CEILING fANS ELECTRIC.;
Sf
SPACE R ROOM NATURAL GAS P'W D CfiO4S VENTILATION NATUR&W jW p
fCOVCHy
40 0 PACKAIGE TERMINAL ROOM UNIT OR OMER
Q FUE HOUSE FAN 0 OW F !?
IN c AIR CONDITIONIER PACKAGE TDWINAL LS . DEDICMED
of.ollaio El ARIC RADIANT 0 Nft
HEAT PUMP
SME R - NONE I I EF
BARRIER
IZONE Ef NUI/&R OF
"a" MuLT
BEDROOMS
INFILTRATION
X
PRACTICE USED + 190
-1 R' 02 El #3 TOTAL, A"UILT POINTS TOTAL BASE POINTS . CALCULATED E.P.1.71
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
In acmilanc with Soma 553,907 F.S.,I twoby ca(uty ow"P40 RQVWW 01 ow*4 ww spwl=;Qowwad oy 04 c*i4thon ifld4lo
W4 wl""wvwod by 04 cawatm Iwo in mplwa vom ow wowa wah IN Hw*Efwgy Codo.Bob(#omwom is omplowd."I
f Oda Enwqy CW@.
w""ba h6pow w(w*"
OW4RIAGENT:
BUILDING OFFICIAL
DATE: io - cp-9 DATE:
E MEASU RE§IMusl W nwl v4catM by all g*jj6Mg&j
REQUIREMENIS
%81 kkXIMIUM Of 0 5 CEM fjfl LINEA
R fOOT OF OPgRABLE SASH CfJACK
EXTERIOR a 904.1 MAXIMUM OF 0.5 CFM PER SO.FT.Of DOOR AREA. INCLUDES SUDINQ 91AS�DOOf4.SOYO
ADJAUNT QMS - WM P&HEL INSULATED,(M GLASS QMS ONLY,
.........
—7r- 77,-
EXTERIOR JOINT$ 904.1 TO BE CAULKED.GASKETED,WEATHERSTRIPPED OR 01HERWI$9 SMED.
CRACKS
MUST BW LABEL INW-ATM COMPLIANCE VATH ASHRAE STANDARD 90 OR COMPLY V4TH EFFICIENCY AND
WATER hEATIERS W4 2 STAf"Y LOSS REQUIRIEMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER jELEqTfIIC),go CUT-off
- AGASI MUSI BE PfflYIDED AN EXTEBUAL Qfl BUIL14N HEAT TEM ML&I BE PBOVIDED
SWIMMING POOLS 9043 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR hEATED). NON-COIAMERCIAL POOLS AAUSJ
J.SPAS I HAVE A PULIP TIM GAS SPA&PDa Hf-Aff AS MUH HAVE MINIMUM JH fNCV!Qf 6
ERMAL [FEKi 7 %
HOT WATER 904.4 11-SLLATION ISFtQUMOKVfOfl RECACILLAIING SYSUS INCLU"HfAl RECOiERY LOTS IN SXhCASfS-P!PI�Q H�Al LOSS
PIPES Slrl,41.BE LIMITED TO I 15 BTLIiimW FOOT Of PIPE
SHOWER HEADS 9045 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 80 PSIG.
HVAC DWI 903.2 CO"STRUCTED,IN AWWANCE IWITH INDUSTRY STANDARD$11,I.00AL MECHMiCAL,CODES. PLICTS IN
CONSIRUCTION ow a U Qff*NED SPACE MUU 09 IN51)LATED TD MWIMUM E j 2 A JCMtaS MUSI BE SfALEft IN
HVAC CONTPOOL5 9047 SEPARATE READ(Ly ACUSSIBLE MWAL OR AL[TMTIC THEBMWAT fQ6
IIN$ULATION __ W 9 [CEILINGS-1,11N.A-19 C6WAONWkLS-FRAW&IIORCBSR-3 Fil"COMIJONCEILINGS&ROORSA-11
Tre 0 a
CITY OF ATLANTIC BEACH
APPLICATION FOR 4� PERMIT
ire
Job Address
Lot # Block # Subdivision
Owner x
Address
Contractor
Address
License Number
lVZd-
SITE PLAN
front
(D (D
. rear
Signature Owner Date
Signature Contractorz� �e —Date
CITY OF ATLANTIC BEACH, FLORIDA
Approv"by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 43 19 v
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 Y MASTER ELECf RICIAN SIGNATURE JOURNEYMAN
NAME�&lx�/ ADDRESS:12 -RFD_BOX
BLDG.SIZE BETWEEN:
RES.(&/) APT. ( COMM.( PUBLIC INDUS. NEW(41 OLD REW.
ADDITION I ) TRAILER ( TEMP.( ) SIGNS ( I SO. FT.
SERVICE: NEW(4_1�" INCREASE REPAIR FEE
CONDUCTOR SIZE AMPS COPPER f ALUM. ( W
SWITCH OR BREAKER 4�6' AMPS- PH W VOLT ACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS 1 CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. I OVER
APPLIANCES 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. I H.P. VOLTAGE PHS.
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER60OV.
Address
�--ated Square Footage 7 @ $-LL.-- "--Per sq ft = $ o 'n
/Shed '(0
$ sq ft =
@ —Per sq ft =
)--ck @ $ er sq ft = $
latio -J per sq ft =
TOTAL VAUIMON:
btal V-luation
a ist $
lamadnder Valuation per thousand or
portion thereof
---------------------- --------- ------------- Total Building Fee
DDITICNAL PER41TS and/or FM REQUIRED
+ k Filing Fee
Fireplaces @ 15.00
bdianical L/
BU11DING IPERMIT FEE $
'Itirbing
I. ectric/New
L-------------------------------------------------
,iectric/TeW
BUnDING PERMIT
;eeptic Tank
w= v= aiARGE $—
SEWER, IMPACr FEE /j
wimming Pool WATER IWACT FEE $
ign
later Carmection ]MISCELLANEOUS $
ewer Connection
later btter
levation Certificate o"
Q�tM TOTAL DUE
------------------------------ - - -- ------ 7-777--------
AlLUJATIONS and/or NOTES
3 f `c-)
ADDRESS__
BUILDING PERMIT NUMBER�:��.-Z��
INSPECTIONS
SLAB
COVER UP
INSULATION
FINAL BUILDING,-,-
CERTIFICATE
ELECTRICAL PERMIT 3
INSPECTIONS ROUGH
FINAL__._,
MECHANICAL PERMIT
PLUMBING PERMIT
NOTES:
CITY OF
oftft& &4A- %Gi&
Eppartwnt of Nut1hitto Napffttim
This Certificate issfied pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was ill compliance with the
various ordinances regulating building construction or use. For the following.
umclwification Single Family Residence -Bldg,Permit No, 3129
Group w/frame Type Construction S/f Fire District,At lant ic Beach
Owner of Buil Dean Russell --Address— Ponte Vedra Beach, FL 32082
BU dd Ca e ia St. Locaity__.Atl.anti_c_3parh- 'PT. '42213
Don C. Ford
1/21/91
Date:
POST IN A CONSPICUOUS PLACK
W "%00�-
EMOMP
ZOO
I��10�00 AJv
"oo
Z akol
41 00
0A-IS"0 alkl �Sol&
1,01S -% sl,�o
1101 13 \0
-A
\0
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)2V-5W
FAX("4)W5805
May 19, 1994
Mrs . Anna M. Green
124 Camelia Street
Atlantic Beach, FL 32233
Dear Mrs. Green:
our records indicate that you are the owner of the following
described property in the City of Atlantic Beach:
124 Camelia Street
a/k/a Lot 5, Block 87 , Section H
RE#170847-0010-8
Investigation of this property discloses and I have found and
determined that this property is in violation of the following City
of Atlantic Beach ordinances: Chapter 6, Section 6-(108) (street
numbers required) ; Chapter 6, Section 6-(107) (attachment of
numbers to building) ; Chapter 6, Section 6-(108) (building official
to assign numbers) i .e. , the numbering system and attachment to
building is not as prescribed by the building official . The proper
number sequence is #124.
You are hereby notified that unless the conditions described
above are remedied within ten (10) days from the date hereof, this
case will be turned over to the Code Enforcement Board.
Under Florida Statute 162 .09, the Code Enforcement Board may
impose fines of up to $250.00 per day for a first violation and
$500 .00 per day for a repeat violation.
Sinc�ereil
5,e
Karl W. Grunewald
Code Enforcement officer
KWG/pah
cc: City Manager
Don C. Ford
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
A P P L I C A T 1 0 H F 0 R B U I L D 1 14 0 P E R M I T
CITY OF
REQUIRED SUBMITTALS
716 OCFAN BOULFWARD
Each application for building P.0.BOX 25
permit will be accompanied by ATLANTIC BFACII,FLORIDA 32233
two complete sets of plans, including TELEIIJIONE(9041249-2395
a detailed site plan indicating location
of utilities, parking, size of yards and
other pertinent date; one set of Florida Energy
Efficiency Code sheets; recent survey (on new construction)
SCHEDULE OF 111SPECTION
Requests for inspections will be qccep�le' d from asO0 AM until
4330 PH. All inspections will be made the following working day.
I. Footing
Rough Plumbing/Sewer
CALL IN WIT11 PERMIT
3. Slab NUMBER FOR EACH
TRADE
4. Framirig, Rough Electric,
Hechariical, Top Out Plumbing
5. Insulation
6. Final Inspection/Issuance of Certificate of Occupancy
------------------------------------
BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE
Pour no concrete or cover any work until
building card is SIGNED by 'the inspector. You
will be required to uncover any work that has not
been inspected.
$10 fee is required for all re-inspections.
I U1
PROPERTY DESCRIPTION
- 6 V,,6 v'det
rvreslffircc ea, 0
Lot Block -_Section 7160CFAN 1301JUVARD
P.0.110X 25
ATLANTIC BEACH,FLORIDA 32233
Subdivision: TUE11110NE(9041249-2395
Street flame DESCRIPTION OF WORK
or Addreses
-----------(L4-�- i
If in a FLOOD HAZARD
Flood Zones..............area complete page 3. Brief
Description:
Class of Works
(Nev/Remodel/Addition) /vek)-------
Z011ING INFORMATION Type of
Construction: 's y�
Zoning Proposed
Districts uses Estimated Value
Exceptions or Hat0rials: k400
........ ---
Vorinticen OrnviLeds
Solid or
------------------------------------------- Filled 'aj
Grounds .5 Root:
OWNER 111FORHATIOH
H*thod of lleffitings-21-6—d
Property Owm%ri Phones 2 C/
Hniling
Addr,ej;a-**3* 3-1 120W-0-e
---- --- ;7e---- -------- --------
---------------- Zip:
CONTnACTOR IIIFORMATIO14
Contractor:------ ------------------------------ Phone:
Hailing
Address:
--------------------------------------------------
--------------------------------------- ------ zips---------------
Expira
License Number s-C-46-C-49 1619 Datel-T
,7
I IICRE13Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Alto KNOW TIIE SAME TO BE TRUE
AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL fir
CO"PLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING or A PERMIT DOES NOT PRESUME TO
DIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE On LOCAL RULES,
REGULATIONS, ORDIHAHCFS, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR T11E
PERFORMA::CEUOFMCCHSTRUCTICHROF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE or THzs PERMIT 19
AZ CONTINUE T PO THE ABOVE I FORMATION BEING TRUE AND CORRECT AND T"Ar THE PLANS AND SUPPORTING
DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
Owner Signature Date
Contractor Signatur ----------Dat
FLOODPLAIU DEVELOPHEUT IUFORHATIOU
Type of Development :--------------------------------------------
FloodZones -----------------------
Required Lowest Floor Elevations---------------
If building is located within a flood hazard zone, a survey must
be made AFTER THE SLAB HAS BEEH POURED, certifying that the
LOWEST FLOOR ELEVATIOH in equal to or above the base flood
elevation established for. that zone.,
Ho final inspection will be made and no certificate of occupancy
will be Issued until the survey in on file with the Building
Department.
COHHENTS:
Applicant Acknowledgementi I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisione of Ordinance Ho. 25-7-11 and all other laws or
ordinances affecting the proposed development.
Date..............Applicant's Signature--------------------------
----------------------------------------------------
Department Use
Required Lowest Floor Elevation .................
An Built Lowest Floor Elevation ------------7----
Survey Filed with Building Department ...........
-----------------------------------
Building Department Representative
page 3
�0003129
DEPARTMENT OF WILDING
CITY OF ATLANTIC BEACH
A csdm-*** I:Zs vane"1A *TftXLoT
it "'Poli auxtootito ATLA*Tko, io*htoi, 0*160IRMA
---------- ----------
6:�ftxitr. Ty 1000t1401*2
Poll% wtic:oll "Alm, Lot
ft"i 0
*XJ#04� A
i�"l ix ts 9 a.I
4A,� Q4,
E
I rst
0jwb;,i?r
lot,
� "R t
A
7N ---------
'WI.L.TvAT-tion j!",
_v
Aj e
'fit"
WA
Mj=
11i "t"ACT rm
XoA 1322'.
WA left 00
�51
00
A
'*AT TAr
k" �0"x f"Yortzoll ox left
41
0
NOtES: 00 7:777,
3,,�,S
j4yv ,!Av_4-r S r-S, -
f
-BEiN TE,0 SEFQRE
NOTICE-A L�d tFOIRM,$,A SPEC 0
ND FOOTINGS MUST
P URING
PERMIT VOID SIX MONTHS AFTER DATE OF,I' S
UE
13,01LDI�G MATERIAL,8088ISH ANDDEISRIS FROM THIS WORK MUSTNOT BE P OED IN P AND MUST BE
CLEARED UPAND HAU E LA UOL,IC,$IPA(*,
L EITHER.CONTRACTOR OR OWNER,
FAlLU R E;Tor:',C_OM,rpty,�WIT
LAWr
00 H,THE MECHANICS LWENrl, 4 T
CAX,�,R I
THEPR
E WIRAY,ING TWI'
CE FOR UIL61N41m
j$WI�D'ACCOROj�'rb TO APPRO ED OLANS�WHICH ARE PART OF THIS PERMI UBJE6T
_Vr
CA ION
A
ON
�OF PP
P7F!pr"NS,b#,,LAW.
-j
t_7
__7
ATLANTIC
CH,BLII, DING DE RTMENT
By:,
]DEPARTMENT OF BUILDING
C( OF ATLANTIC�8ACH,
v soo* ------
iA4
*b*V
101% VA =21313,
----------
Louui v
rom
ox *Or* Mow,
Lot I
Type woop" jll*��
X0
004 1100
a
wow
ol�
"o, &
bb
foul
4
4
W%V
, sit, vAr, 01010 00
Vol 00*
Via" ft 3*21
M IM
kl�
putt
P 61
Tr=S:
NOTICIE.-ALL CONCRETE FORMS AND FOOTINGS MUST 8 0 13f.,FORF..POURING
E INS#gt.TE
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND ESRIS FROM THIS WORK MUST NOT BE PL L
ACEDINPUB iCSPACE,AND MUST BE
CLEARED UP AND HAULED AWAY ' E'
BY. JTHER.CQNTRACTOR OR OWNER.,
FAILURE'TO COMPLYWITH THE'MECHAINICS' LIE-N LAW,LCA,N-,-,RESljLT,IN
THE PROPERTY,OWNE. �PAVIN
4 G TWICE FOR BUIL01,144-1 0 Ts'll
1; Illpf,
vulm ow i,H /W
aboct
MUED ACCORDING TO APPROVED PLAN$ WHICH ARE PART OF THIS PERMIT AN
iVIOLATION OF APP ICA -PROVISION �Of:LAW.
L OLE
ATLANTIC BEACH BUILDING bEPARTMtNT,-
By:
77
77" 77�7777-
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION
7\
PLUMBING CONTRACTOR F. W. FAIR PLUMBING C01%PANO, 'm W,-,
MP145 State RF0037r�0-1 V
LICENSE N B S
OWNER_
BUILDING CONTRACTOR
TYPE OF BUILDING
S INKS SHOWERS
LAVATORY WA
_j TER HEATERS
� BATH TUBS __L_DISHWASHERS
URINALS _L_D I S P 0 ISAL S
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT X�3- 50 + �15- 00
Drl%TE , // TOTAL A"I'OUNT I
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
0003199
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
------ -------- LoVAIrrom xNP,0RnATxvM ---------
Permit Mumber: '31" Address% 124 Ch"ISLIA STREET
Permit Type% ffftCHANXCAL ATLANTIC BEACH, P`LOftIDA 3:22*33
Class oX works MEW ---------- LZOAL DEmckrPvrort ---------
Constr. Type% WOOD FRAfTE Lot% Block% Sections
Pro"posed use% SrMOLIft rAnXLr Township% ftmu% 0
vvWflings: 1 CC3100% 0 Subdivision t
Estimated Value% so.lot)
roprov. cost% 00. 010
Total P**&ff s 41=3.00
Amount, polat 02,3.010
vato F010% 12t 3y,!50
Work 5woo. % f"13TAX.I.�'E Tom Ad - L-P, 000 BTU IfTO
----------- --------- ---- APPLICATIralt frfsftei -----
ffamez np"ELL PICKIR1T foo
Address% IZAI CA*turA vTftz2vr WATeft InPACT Pftz V0.00
ATLANTrc BRActs, rLoftxbA a223,3 fS1SWftR, XftrACT "E *0.00
WAVE" neTeft 00.043
RADON OAS-Iff. ft. is. 00.00
------- CO"TaAOTOR x"roft'"Atrow ---- -- RADOM OA!S so.lot)
""met AIR 'SYSTEnef WATER TAP 00.00
Address: 261ts *M. "MKS bLuPt isawt" TAP 00. 00
HYDRAULIC t,
JACK"OftVtLLZ, FLORIDA -32216 4"ARL 00.100
License: CACA06022 Type., ft&_xMSe1=T Pee 00.on
ZZC. pEft !*to.00
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE I NSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR'OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LlEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
VALIDATION DATE: 12103/90
TME. 05.45 P111
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU;gk&TO REVOCj" FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
DOM
REEEIPT NIVIBR, M9&lrb
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CONTRACTOR COPY
'1 ' n
-Ai
0003199
DEPARTMENT
OF SUILDINQ
CITY OF ATLANTIC 6E' ACH
reralt, TYPO I 'ftX0ftA*Xt:AjL,
---------- -
Coostr- llypol WWO pa ZVI# --------
Prop***0 VJW 8 X ^mv Lots
tbvnnhlps
Am*
00
R
AO
Mr, g
AdOr
falo
�-v
WE xlrA
so.
A Ag
x-T Wg
wAve"
*AM*, t"s
Jon"
..........
�Vgv�- - ,
' A
,40�
-Ypes
f
�01Y
NOTES:
NOTICE—ALLCONCREtS PORMSAND FOOTINGS MUST BEASPECTED 8 1 E I PORV,�POIJRINCI,
P
ERMiT VOID SIX MONTHS AFTER DATE OF ISSUE ,�
BUILDING MATERIAL,,RUBBISH AN
D DEBRIS FROM THIS WORK MUST NOT BE PLACED INPUBLIC SPACE,AND MUST BE
'CLEARED UPAND HAULED AWAY SY:EITHER CONTRACTOR OR OWNER.
�$cFAILURE To,Comp
LY WITH THE MECHANICS" LIEN LAW CAN
"THE PROPERTY,OW14e- RESULT 1,14,
R, PAYING TWICE 0
RS.UILIOlNdi,m�O)OOVF:MENT.S..I
"LIDATI(V 75RI IV"
,.ISSUED ACCORDING70 APPROVED PLANS, WHICH ARE PART OF TH
V1 LAVON OF,Af�lPQCA8LE:PROv
ISI IS PERMIT AND�S
ONS Uf&w; O 08
,OF LAW. VOC4"FOR
�-7��ft�
ATLANTIC BEACH BUILDING DEPARTMENT
BUILDING AND ZONING INSPECTION DIVISION
I
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address- /ZV— C
LOCATION
OF intersecting Streets: Between And
BUILDING Su6-division —
Ill. IDENTIFICATION — To be completed by all applicants ,
In tonsideration of perimit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and stan clards
of good-practice listed therein.
Name of Mochani &I Contractors
Contractor (Print Mas for CA CA 9'0 3 2—
Name of
Proper" Owner eel
of Owner Signature of
06 Architect or Engineer
M14=ized Agent
fit. �IWIIINRAL INFOPWATION
A' T *F hooting W: B. IS OTHER CONSTRUCTION BEING DONE ON
;0z c THIS BUILOING OR SITET
C3 Ges-0 LF 0 Natural Coatral Utility IF YES, GIVE NUMBER OF CONSTRUCTION
00 PERMIT
Other Specify
We AMMAN" 19UMANT TO It INSTALLED N TURE OF WORK
towwo OMPI I oto list of components on back of Ah fWMI Residential or El Commercial
"Get E3 space 0 Recessed )6 Co-ftel a PA or, New Building
A!I r Condrtlefting: ROOM J Central 0 Existing Building
R Replacement of existing system
Doc� System: Me. Thickness— stallation(No system previou I sly ins%tted)
axirnuffl�K;Idpacity 800
New In
0 Extension or add-on to existing system
0 Roigeretwo, 0 Other — Specify
C] Cooling towor- Capacity
13 Fire sprinklers: Number of
flovater 13 M"I'llit 13 Escole (number)
THIS VACE FOR OFF= USE ONLY
(P
Ossolino pumps —Inumber)
13. (number) Remarks
--(number)
C) LPG oon%'"*rg
C3 unfited pnessure vow Permit Approved by, Dolle—
sellers
00W — Sw* Permit I"
MIrr ALL EQUIPMENT
AM I C ONDITlIONING AND REFRIGERATION EQUIPMENT C
(=.ty APVMvbg
XMIber'Units De"flPtIon 390"NUMbor manufaetu"r ASSOW
42