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Permit 902 Camelia St PERMIT WORKSHEET Certificate of Occupancyl 1 Job Address: 90Z 7s7-- Type Work: KAC-(,,3 IF t--?- Property Owner: Phone # -7 so zo s7 Contractor: Phone # '-7 L4 4 33 53 4�-;5 - -z.cj7-7 cu I Permit#: 03 - Z599c Date Issued: Building Inspections: Footing Slab Tie Beam Lintel Nailing Sheathing 17 - i o - n.-,s Framing Cover Up Z9--0 3 Insulation Final Building Tree Permit# o--3 - Z 5-7 4��t- ('YES NO Electrical Permit# Date/ Copy to � JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric -7 - Z9-05 Released to JEA Temp. Power Released to JEA Temp. Pole 5- IZ- 05 Released to JEA Final Released to J,EA Mechanical Permit# Inspections: Rough -7 -,,W9- Final Plumbing Permit# 9 9,0 Inspections: Rough Underslab Topout -7 Q�q-Q3 Water Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing Sheathing Final Fire Inspection: Failed Inspections: BD ZSLAB Date Paid: Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000486 Date 4/22/08 Property Address . . . . . . 902 CAMELIA ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6FT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STANLEY, ERIC OWNER ATLANTIC BEACH FL 32233 (904) 463-2059 --- ------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/19/08 ---------------------------------------------------------------------------- Special Notes and Comments *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US Fence must be completely on owner' s lot per change to design dated 4/9/08 . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CIW OF ATILANTIC BEACH 08. 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 7 T 77' 77,77 77,777", 1/ 00 13 NEW BUILDING [3 DEMOLITION IDENTIAL LOT BLOC) SUBDIVISION 13 ADDITION 13 CONVERTING USE MERCIAL [3 -7777 ALTERATION 13 ACCESSORY BLDG. 13 REPAIR 0 POOL/SPA Ir/A MOVE OTHER -k� ............. 9.NAMEJZri�f Ile 6(r)'4'S Fo)( 16.COMPANY NAME: 23.COMPANY NAME: A --1 L(- 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: %;L ekme'lia S�ree� 18.ADDRESS: 10 113 86, B114A 26.ADDRESS: Nhwh'(, 54, r-1 3�233 -JQ&y-S0rV1'11Iff,r1 3M4(y 11.OFFICEPHONE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: q0q-,a(Jb- /57t 140-1#4-4,05-6' lqoq-&OA- 1 13 CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: oq- A qo- z 11 VQ 1 5,011 ,14 EMAIL ADDRES�: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: N RV "'MM"'t ME 1-0 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: L- Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I MM Ism Signed: Date: Signed: Date: Before me this day of 200 in the county of Before me this day of 2007 in the county of Duval,State F n1cla,has peT�Ily peared— Duval,State of Florida,has personally appeared FIr i S W herin by hirrkelf/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. N;�ry Pu I t f County of Notary Public at Large,State of_,County of Per [3 Personally Known Person 13 Produ HIR RAN 13 Produced Identification- ign Notary Sill 04m. Notary S 7re. Co MIAN - ";=" CE Son lvrnml&ion#D&T1 BY National N "I'v CITY OF ATLANTIC BEACH 'CE ry Assn. SEE PERMITS FOR ADDITIONAL v QUIREMENTS AND CONDITIONS. COA FORM BLDGOV REV 1 2008 Cop REvmwpD By. /77 DATE: FILE y wo RAL SM 9 /1 x 4 '[]2x3 rl/2 x 0 lF 2 X4 I Olx4 WA x4 t3l x6 x4 -T ISIS 0 Z9, -,—mom ='doff, MINE ir - -w tow-.42M-WON"* m NSA, 'Em INS! 0 NL:�iM- MON EL 0 ZECnOR `W, ATLARTtg; NEMM AS RECORDED IN PLAT BOOK 18 , PAGE(S) 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: THOMAS .FOX, KRISTINE FOX, STEWART TITLE GUARANTY CONPANYP WATSON & OSBORNE TITLE SERVICES, .INC. AND WELLS FARGO BANK, N.A. LOT 6 BLOCK 165 LOT 5 70.00P (Rj BLOCK 165 70.04' (M) r 0.1, 1/2' 1/2' LB 6645 LB 6645 2' 0.3' NORTH 1.0' 0.3' EAST LOT 6 CONC. IKS .01' _O 2" 45 Ts BLOCK 164 1" 20' 1 50.27 jt4.-9' n R. I—STORY FRAME RESIDENCE W/ 1.5 EAVES NO. 902 u) 7.1' 11.4! Pi pi 11.4! 4.9' 0 C) j 0 CONC. C4 15.1'....! 20.2! CONQ ar "�­looq so.DO: (R) ct 50.01 (At) 1 2" 1/2- LB 8645 70.03' (M) Le LB 1704 70.00' (Bj CA Affil.1A 4 S r)WE r (50 RIW) %j E Y 0 �IAL NOTES, 1. ANGLES ARE SHOVIN ON THIS SLIRVE`f. 2-SMICTURE ROL IM SWIIN MtEON LIES ORM "M ZONE X AS MST I OEMANNED FP40M F.E.M.A. ROW MAPS PANEL NO—I DATEDM=l)_-1_989. ASSOCIATED SURVEYOR3 INC. 3.THIS 6 A SWACE SLIRVEY ONLY. 1HE EXTENT OF UNDETWO1010 FWTINGSI LAND & ENMEERING SURVEYS PIPES AND UTkJlIESI IF MY, NOT DETERMINED. 4.JJRISDICTIONAL ANDAR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT 3846 "DING BOULEVARD LWAIRD BY IM "VEY JACKSOWALLE. FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC 904-771-6468 RECOIRDS VlIERE NOT SEARCHED BY INS SVRVEYOR FOR EASEMENTS, CERTIFICASE OF AUTHORIZATM NO. LB 00054M 71RE, Com"m RESOWTIM CIMAWS, TMONGS (R ORINVACES, ETC THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL I—'— "It #�-t nMrC� C"W-M LIAlAr AIIA ffWWTMllATWW MAP SHOWING BOUNDARY SURVEY OF LOT 6, BLOCK 164, ACCORDING TO THE PLAT OF SECTCON "H" ATLANTEC BEACH AS RECORDED IN PLAT BOOK 18 , PAGE(S) 34 OF THE CURRENT CERTIFIED TO: PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. THOMAS FOX, KRISTINE FOX, STEWART TITLE GUARANTY COMPANY, WATSON & OSBORNE TITLE SERVICES, INC. AND WELLS FARGO BANK, N.A. LOT 6 BLOCK 165 LOT 5 70.00-p (R) BLOCK 165 70.04' (M) ol' 1/2" 1/2- LB 6645 LB 6645 IwLw'—w - 2' Ej7- 0.3' NORTH lQo. 1.0' 0.3' EAST CONC. LOT 6 .01' 12.0), BLOCK 164 1 20' 15.0 50.2' 4.9 .44 1-STORY FRAME iq RESIDENCE cd W/ 1.5 EAVES NO. 902 C-4 ci -,n 7.1' U-) 11.4' ri "i 11.4 4.9' 0 C) COV'D C-4 CONC. N 15 V 20.2' .......... L CONC. COV'D CONC. CONC. Cl. C4: 190. 04 cld C'4 50.00' (R) 50.0 1' (m) 1/2- 1/2- 1/2' LB 6645 70.OJ' (M) LB 6645 LB 1704 70.00' (R) "AfAELIA SrRjFjFr 050' /?/W) ,q E Y 0 GENERAL NOTESs 1. ANGLES ARE SHOWN ON THIS StJRVEY. C-3 2.STRUCTURENO. 902 SHOWN HEREON LIES WI THIN FLOOD ZONE X AS BEST *Qn&^IATCf% alintfew^no iam^ I DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO- I wirn04-17-1989 C A NUC BEACH PERMIT UMDING Z G DEPARTNMNT APPLICATION # 800 SerainDle Road -rida 32233 ALantic Beach,Flo (904)247-5-000 (904)247-5845 Fax vvww.coab.us APPLICATION TRACKING FORM REQlARED DEPT: PLANNING Property Address., z BUILDING P PUBLIC WORKS AppHeant: eZVA4�4- Y N . PUBLIC U-11LITIES Y N FIRE D"EPT. Project- 17-' e-E Y N PUBLIC SAFF-Ti Y w -APPROVAL 0 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE- z uo .1. LU re y m D.E.P HUFSTETLER CD 5 <0 y N S.J.R.W.M. CARPER =UJ LU Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS&RESAURANTS HUFSTFMER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: I ST REV _74 P 13 E] 2ND REV E] BUILDING PUBLIQWORKS 411('o - re-2)Ubrvc I' ffeOQ PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY E] 3RD REV El Apr 16 08 10:19a Al Fence 9046424863 p.2 rV01­7 rfilce MAP 8"WINQ BOUNDARY SURVEY OF I�GT.-6, BL= 164. ACCORDING TO THE 13LAT OF "W A11wAJV= BEACH AS RECORDED IN PLAT BOOK 18 . PAGE(S) 34 OF THE CURRENT CMIFIED TO: PJBUC RECORDS OF DUVAL COUNTY.. 1*'-ORIDA. 10-A THMW FGX, KUSTIVE FOX, ST8WM7 TITLE GUARAM COMP#M, WATSON & OSMOM TITLE SERVIMS. Intl. AND VMLS MCO MM. N.A. LOT 6 IBLOOK 165 LOT 5 70.00- (J?) SLOCK I M Qx EAST Lar is COMC. -OWCK 164 Cr 41 41 SOX I-XTORY~E *.,&11-IM. 4,.)- 4 VIA Is A 13 W/JMs 902 7X . 9 IT.-C 5ZI Co" Come. Ci­�, ,)'Allarltic PaZM Planning ,nd Zoning Department 20.2' COMC. This approval ver!ies compliance with applicable zoning, subdivii ion and other local land development reg ions, but does not constitute approval for the i ance of permits. Compliance with Florida Build! Code.and all other applicable som 49*1, State and erat permitting requirements pmen' rag u "" i u8r a' fo t'�1d* C orld " I ' Stoll 8 ' Ide 0 and "Oed sig s"i'MAtbelvied"Web ignature of ft City of Atlantic �ftach­ftildlng I prior to Me 11asuance of a PIN L 2�5 13U"Le%P6 LO 6645 .70.03'(0) Apprwad Ufft CAAMIA SMEEr DOW. TZI�r (50' RIV E V'o MORE NOTM am um vro"FL=am—s—As Ksr 0EM&MM MN IIXMJL FLUID NAM PAU#*__L_ A a Am suiRvEiroNs w4c. ;2L'=1Mc1S1=Aft*kWAawMR"W0Y'C0't% 1K DIMa W UNCIMMOM MMGS. I LAND I ME I I SUP14M * 4 4.%%LQWE41.S'f 'WV%WVW WIS W AW. WT 11046 SILMOM douUMAID IFLION11% MM &WIM &MYtY IMAM Of ILM DESCRIF100113 nONSHM. ft PJWC 3 204-77t-4%ft RECONCIS 11M NOT SEAM�IM BY IM SLWIIE"M CERnFr.ME OF AUTHOMIMM Pik MOMM Ma"Mo T,=3sam VZO 0 W=at V CMIILD GE 4OTM moTIM W IMMV IMT AFFECT v"pjfg=_ 4,0UM 0114111111IMM sTAIM xL am Frn rwm"Aw no No riawk r mmy Tmp RVLY WAS DONE V114DER W L"M III FEREMM" TMME- I CMM%L 0 SEF 0" pow am Roma I STAMCDeM LAW SU CKAIPTISM 472. M 010CLOWC F*Wr OF MORNME 5 IINN IF IL Ale..-MW of C It wMaNt W VON T =-IMF 9 M&T GROM-L A CERIFFIMM NO. 4 tur)""M WE AL AFIC 9:W,L SUNIUM AmmA cm MIX 4579 GA &CM %0.- ROMOM A SCMAM too 61119 2J: MW -IMMMIMMINK CCMMMI�141'M I V L1010110139 -4m--offit JM MINS I Joe No. -MIS Fa ILT U11 =M L 09MI -ME MORE A&MM"10 QRWFM J'x.A MOP 'FAMMT Can-01INDIVAM&JIMINICIM NOT VAW WMUT ME S=MTUW Amb raE Uparvi Am= wAL 5F A FLOK90A Mgw" SuRvEym Am uApp" CITY OF ATLANTIC BEACH PERMIT BUH.,I)ING/ZONING DEPARTMENT APPLICATION P 800 S=hwle 1koad Atlantic Beach,Fladda 32233 247-58M 247-5":5 Fax www.mab.us APPLICATION TRACKING FORM REQIARED DEPT: (V N PLANNING Property Address: (Y,/ u BUILDING PUBLICWORKS Appliemt: zqzvv�e_l . Y N . PLIBLICMILH15S , y N FIRE DEP Project: 4!!�E Y ff PUBLIC SAFETY fn -APPROVAL Q REQUIRED AGENCY: RECEIVED BY: INITIAL* DATE: �Lou: Y N D.E.P HUFSTETLER 0 r,- <0 Y N S.J.R.W.M CARPER ix� ui y N ARMY CORPS of EKG CARPER 0 Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE, SITE BUILDING DA AP —REVIEWED BY: INITIAL: DATE: 0-To I I ST REV 0 [�f —0z Q PLANNIma, 2ND REV (1:3:UI:L�Dl 0 PUBUQWORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 0 3RD REV 0 MAP S.HOWING BOUNDARY SURVEY OF LOT -6, BLOCK 164, ACCORDING TO THE PLAT OF SECTEON "H'4 ATLANTEC BEACH AS RECORDED IN PLAT BOOK 18 , PAGE(S) 34 1 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: THOMAS FOX, KRISTINE FOX, STEWART TITLE G-UARANTY COMPANY, WATSON & OSBORNE TITLE SERVICES, INC. AND WELLS FARGO BANK, N.A. LOT 6 LOT 5 BLOCK 165 BLOCK 165 70.0 0' (R) L70.04' (M) 1. 0.1. 1/2' ol' / LIB 6645 LB 6645 --w—w—w—w—w—w—w 2- 0. 0.3' NORTH lQo. K 0.3' EAST LOT 6 COT b, .01' 1N2��'j BLOCK 164 1 20% 15.0' 50.2' .44 1-STORY FRAME Z4 RESIDENCE 06 W/ 1.5 EAVES -cli NO. 902 c; u') 7.1' "i 11.4' 4..9' 00 ri 11.4, t'i -j 0 cri -j cn COV'D c-i CONC. 04 1' 4' COV'D CONC_ C. T. 15.1' 20.2' CONC........... 190. cr lb 04 �04 rp N A 50.00 (R) JK 50.0 1, (m) oX 1/2- LB 6645 LB 6645 LB 1704 70.03' (M) 70.00' ()?) CA HEL 1A i S rR,ISE r (5 o, /?/W) Nj E Y 0) GEIMAL NOTES* 1. ANGLES ARE SHOWN ON THIS SURVEY. 2.STRUCTURE NO. 902 SHOWN HEREON LIES WITHIN FLOOD ZONE X AS BEST - DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO---L-- DATED04-12-1989 A ii-MCNATFn RHRV;:Vl0R-q INC T[41q i4Z A CZJ 10CAPC 01 101�v CfTY OF ATLANTIC BEACH I f ' I 000 CWM*"E ROW.ATLAPMC W-ALK RL' 08- O"IM"P47-MM 0 FAX N0.4904)247-W0 81L1K.DV4G4XPT*C0A0MS BUILDING PERMIT APPLICATION DUVAL COUNTY IMOV 4, USE E3 oEmouTm 4hESIDEPMAL LOT KiKsuemmm D ADDITM 0 COWER7M USE El ALTERATM 13 AccEssm eLoe. D REPAR E3 POOL I SPA E3 YES "A 0 MOVE _nIER 13 w 'K0 CONTRACTM 2&COWAW HAW- 9*NAmF-V,rj0jf1C Th 6MAS PDX I Xc 0-m-TAw,"he' co. L L t*lcel I&NOME 24.UCENSEE NAME:- 10.ADDRESS- 17.STATE OF FLORIDA LKMNSE NO.. 25.STATE OF FLORKIA LKXNSE NO.: 01w- UmelibL Shw,� 11L ADOMM 100113 Sci, -B11AA 28.ADDREM ,4AWH6 54, r-1 3�233 11.OFFNX A 113 12 FAXNO.: 19.OFFIM PHONE. --I:M.FAX NO.: V.OFFCE PHOFW-' FAX NO-* q0q,,a4b- 4VV-Lq-#6 i? 'A4b I ftlf-t#43-4 go I CMPHOWI 21.CEI A PHOPME: 2&CEI I PHONE. M- AP 11 pq-5011 1-76 3 EMAK-ADORESV: 2Z EMAK.ADDREW 30-EMW ADDREM 1 Sh E�6X n-- XXXtTC-AM WHOM 31.NAME. 33.NAME- 35.NAME' 32.ADORES& 34.ADDRESS. 31L ADORES&- Application is hereby made to obtain a panyd to do the work and installations as inclicaled. I certify that no work or Wisiallation has commencec!prior to the issita of a permit and that am work wil be perlormed to most the stanciarcis of am Laws replaft construction in this jwkNcbmv. This permit becomes Md arid void N work is not commerload within six(6)monihs. or if construction or work is onpencled or abencioned for a poW of six(6)nxm*w at any time after work is cominenced. I unckwstancl that separate permits must be seavvd for Etecbicaj Work Plumbing,S*ia,Wells,Pools,Furnacem6 Bollers,Hestars,Tanks. Air Con�lif*.str- iZ ancl that ad work will be done in compliance with al appluble OWNEW3 AFFIDAWT-I ow*OW aN the bragoingi inlormation is acc Was regulatingi construction and zomV.I will not oocupy or two the reftrenoed bwl&V or any part therat,until al mspections we finaled and prior to obtakft a certifkmts of oocupancy or completion issued by it*building official,as required by low. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 4' _77-1, skpxd: EMW Signed: DaW. Before nle this day of 2007 in to courdy of Belore rm Oft day of .2007 ki ftw ocendy of ou%-W,Steft of 7/*has;personalyjppeared Duval.Stale of Plorida.has pwu—*qvea-d ,ts iv V.-) hedn by twirneet and rinClaradonS are herh by hkneWl herseff and aft. dWaNstatemerftanddectaraftware Mm and accurate. bus and aocUrate. Notaj,PLkft at Large,State of 2.t*of Notary Ptdft at Large,State of Cm*of 0 per—levy E3 Personmy Knows " HUY HAM 10 Pmdawed 0 Pm&jwd Wervifficefim- Notani Siormh M.41A Notary Sotabire: L Bon By a I No ry Aun. COAB FORM BLDG01:REVISED.1110MCS Maio ANNE MEMMEMMERIMMUN K'AablamunrA A UTIM "Jill "i k, Gt� Te' 0 irr i rll ITT MAP SHOWING BOUNDARY SURVEY OF LOT 6, BLOCK 164, ACCORDING TO THE PLAT OF SECTION 'OR'* ATLANTIC 13EACH AS RECORDED IN PLAT BOOK 18 , PAGE(S) 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: THOMAS FOX, KRISTINE FOX, STEWART TITLE GUARANTY COMPANY, WATSON & OSBORNE TITLE SERVICES, INC. AND WELLS FARGO BANK, N.A. LOT 6 BLOCK 165 LOT 5 70.00' (R) BLOCK 165 70.04' (Ad) 0.1, 1/2- 1/2' LB.6645 LB 6645 2' 0.3' NORTH lQo. CONC. t1b I> 1.0' Off EAST LOT 6 .01! BLOCK 164 F —'-T-I 20' 15.0 50.2' *.9, L_0.8' t4 I-STORY FRAME '04 RESIDENCE ad W/ 1.5 EAVES NO. 902 00 11.4' 11.4! 4.9' _j 0 cn Q, Cov'D C4 CONC. N 114 T�14! COV-D CON C. Co 15.1' 20.2' ...... CONC. J lQo. N �cl L'1,' 50.00' (R) 9. 50.0 r (m) O.U.— U.- 0.11 1/2" L8 6645 1/2" LB 1704 LB 6645 70.03' (M) 70.00' (R) CA A fEL 1A 4 S rREE r (5 0' Rlw) _E�Yo�4�_ QENERAL NOTESs 1. ANGLES ARE SHOWN ON THIS SURVEY. 902 X 2.STRUCTURE NO. SHOWN HEREON LIES WITHIN FLOOD ZONE AS BEST &&rtf-lk-rv!t% atintrowtoo ludft DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO—I f)ATFn04-I1-i989 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 F 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 12/01/03 Parcel Number 170973-5000- - Property Address . . . 902 CAMELIA ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . STANLEY, ERIC Contractor . . . . . . SMALLWOOD CONSTRUCTION 904 744-3353 Application number 03-00025990 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: Contractor Name: 4�f�_ o_ O'No/TS&Ku C+' (9)0' Permit #: 0 Z?-- lt�' Property Address: C102, Legal Description: 1 CIL- 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: [��Sin gle-Family Residence F-1 Commercial Other: Lowest Floor Elevation: Required As Built Thefollowing must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works ZLIN Planning Dept. 0 Z'? 6 -6 1112 _4�_d Building Dept. Final Survey with FFE 6//Yes F-1 No All Re-Inspect Fees Paid ED,*" Yes F-1 No CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: 4al- 6 4/ A- er Type of Development: A-,�e'10 1407%�f'.e- Flood Zone: /&*� 204--.)e Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMNIENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with allapplicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances '-`6-ting the pron6s'ed del" op Kr M/q/x- V/ ate: Vr Applicant's Signature Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building l3eSpartment Repr4sentativ Revised 1/17/03 106713 MAP W-OWMG BO&M. MY SURVEY OF LOT 6 -BLOCK,.-,,/i',9 : AS SHOWN ON MAp OF S6e-7-1 QA J A-fe-AJ7le- 23,f-,qe-A1 AS RECaWM IN PLAT BOOK PAGES OAV OF ME PUMJC RECORDS a- DUVAL COUNTY, FL DA CER MED FOR. 4i�:C- IA-J oes A5 0 op (10 v V) N! ZZ./I ZZ-1, 11.45 N zz.Z., to �j V kJ6S T S-reE e 7- THE ITY MIOM HEREM APPEARS 70 LIE WMIN FLOW HAZARD ZaVE X AS SCALED FROU FLOW SAMIDAMrC DATC AAAD rrm2 7&jr- PmT-.o P%r-Ad-rL.4LJ-rle- —A — -V 1� —d% CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 z Application Number . . . . . 03-00025990 Date 7/11/03 Property Address . . . . . . 902 CAMELIA ST Tenant nbr, name . . . . . . 1844 SQ FT SFH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 152379 Owner Contractor ------------ ------------ - ------------------- ---- STANLEY, ERIC SMALLWOOD CONSTRUCTION 4243 SUNBEAM RD # 2 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 463-2059 (904) 744-3353 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc 200AMP, 1PH, 3W, 240V, 311RACE Sub Contractor ALLEN DEES ELECTRIC Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFUS 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH9 FLORIDA ELECTRICAL PERMIT APPLICATION r BIT' TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z- IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, W1-flCH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY O)?TL��TI'C BEACH ORDJNANCES. AlELECTRICAL CONTRACTOR: MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: ell- JOB ADDRESS: AC-1;_1 RES.(A-<- APT.( COMM.( ) PUBLIC( INDUS.( NEW(,-4—OLD( REW.( ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW( ) INCREASE( ) REPAIR( CONDUCTOR SIZE AMPS: COPPER( ALUM.(L-�-- FEES W Ie-_v 0 SWITCH OR BREAKER 76rV AMPS PH VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED IOPEN TOTAL 0.30AMPS 31.100AMPS SWITCHES I 16D INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING MPS I CEIL. kw-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS A BEAT 0-1 OVER MOTORS H.P. IVOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. � KVA NO. � KVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWIT FLASHERS I EACH SIGN I 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.adantic-beach.fl.us R evi qt-Ai f)I/17/0 3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 03-00025990 Date 7/15/03 Property Address . . . . . . 902 CAMELIA ST Tenant nbr, name . . . . . . 1844 SQ FT SFH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 152379 Owner Contractor ------------------------ ------------------------ STANLEY, ERIC SMALLWOOD CONSTRUCTION 4243 SUNBEAM RD # 2 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 463-2059 (904) 744-3353 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . FLORIDA WEATHER INC. Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------- ------ ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFUS 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH C'-'OV ck MECHANICAL PERMIT APPLICATION Date: Owner of Property: Job Address: C­a-V�A Contractor: �- �Q�C�'A6L Weply-4y-/— T—�C ' 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. 111. GENERAL INFORMATION A. T of heating fuel: B. ;r Electric IS OTHER CONSTRUCTIO"EING DONE ON THIS 0 Gas: —LP —Natural —Central Utility BUILDING OR SITE? 0 oil Q Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE TUI�O�F:ORK Commercial sidentiall r -i INSTALLED 9�LNw Building (Provide complete list of components y6 back of this form) ildi Heat —Space _Recessed \/_Central Floor g 0��Rel=icnt]omf existing system Air Conditioning: Room Central f 2- Now Installation(No system previously installed) Duct System: Material -Thickness 1 0 Extension or add-on to existing system 0 Refrigeration Maximum capacity--J-J-41-00—cfm 0 Other-Specify_ 0 Cooling tower Capacity' -----PM 0 Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY (3 Elevator: _ Manlift_Escalator_(Number) (Rectived) 0 Gasoline pumps _(Number) 0 Tanks _(Number) Remarks U LPG containers (Number) U Unfired pressure vessel 0 Boilers Permit Approved by Date_ a Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency HEATING-FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving (BTU) Agency L *4� le, TANKS How Many Nominal Capacity Type Liquid Nameof Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road*Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800*Fax:(904)247-5845* http,//www.cLatlantic-beach.ft.us 1/14/03 City of Atlantic Beach *** CUSTWR RECEIPT *** Over: CXOMOREK Type: OC Drawer: I Date: 7/10/03 ill Receipt Do: 72485 Description Qtv Amount 203 25996 BP BUILDING PERMITS 1 $35.60 Tender detail CA CASH $40.W Total tendered $40.H Total payment $35.W Change $5.N Trans date: 7/10/03 Time: 10-.09:11 SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025990 Date 6/09/03 Property Address . . . . . . 902 CAMELIA ST Tenant nbr, name . . . . . . 1844 SQ FT SFH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 152379 Owner Contractor ------------------------ ------------------------ STANLEY, ERIC SMALLWOOD CONSTRUCTION 4243 SUNBEAM RD # 2 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 463-2059 (904) 744-3353 ------------------ --------------------------------- ------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . 37 FIXTURES Permit Fee . . . . 154 . 00 Plan Check Fee . 00 11 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 154 . 00 154 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 154 . 00 154 . 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Job Address: Owner of Property: Telephone: Plumbing Contractor: C-( C_ Contractor's Address:– s 7,�7 3 Telephone: 6-> - Fax: State License Number: How many of.the following fixtures (re-piped or new� Sinks Showers Water javatory —Water Heaters Hose Bib -Bathtubs Dishwashers Sewer -Urinals Disposals Other C�, Closets Washing Machine Shower Pans Floor Drains Re-Pipe(List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 -(Minimum Permit Fee:S3 5.00) Signature of Contractor: Installation of plumbing and fixtures must be M� accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to.schedule u–ispections: (904) 247-5826 I k 1� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025990 Date 5/15/03 Property Address . . . . . . 902 CAMELIA ST Tenant nbr, name . . . . . . 1844 SQ FT SFH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 152379 Owner Contractor ------------------------ ------------------------ STANLEY, ERIC SMALLWOOD CONSTRUCTION 4243 SUNBEAM RD # 2 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 463-2059 (904) 744-3353 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 654 . 00 Plan Check Fee 327 . 00 Issue Date . . . . Valuation . . . . 152379 Expiration Date . . 11/15/03 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .46 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 10 .42 AB CONSTRUCTION SURCHARGE . 92 SECTION H IMPACT FEE 1050 . 00 STATE RADON SURCHARGE 11 . 00 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 470 . 00 WATER CONNECT/TAP & METER 85 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 654 . 00 654 . 00 . 00 . 00 Plan Check Total 327 . 00 327 . 00 . 00 . 00 Other Fee Total 3237 . 80 3237 . 80 . 00 . 00 Grand Total 4218 . 80 4218 . 80 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFUS 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 TI-IIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FANULY RESIDENCE AND DUPLEX CONSTRUCTION) Date: JobAddress: Owner of Property: Address: I/VV-3 /Z,-/f-ZZ'!�_7Telephone: 7301 Legal Description: Block Number: Lot Number: Zoning District: Contractor: A State License Number: Contractor's Address: 4/�4�3 Z Telephone:7& JYU Z 9ek,5 —A6-7 t,' e//*'F a x: 0o Describe pro sed use and rk to Pe done: S 7d an 7-1 vL) air *5 7e" /*,*fZ/, 1y(,1J1WfA7 Present use of land or building(s): 0_fe� Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required?_If yes, please submit with this application. Will,Xproject involve changes in elevation,site grade or any use of fill material or the removal of any trees? 1 0. Applicant certifies that no change in site grade or fill material will be used on this project. F4ES. See Step 2 below. Approypl of the Public Works Department is required prior to issuance of a Building Permit. SIm 04, El NO. Applicant certifies that no trees will be re o d for this project. 15kYES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewelby the Tree Conservation Board,which meets two times each month. rXee- legw,_r ?,,,-0 9 - 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 relomted. 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 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page I 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. I. 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, sidewallcs� 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 information pr i . his application is correct. Signature of owner: rvlov,��c r_ Date: I hereby certify that 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 not. 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 any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and porting dat have bee or shall be provided as required. //, , ' 7 Date _1P 7,,-'- 6�K, Signature of Contractor: f 1 01 Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: 41,0z i�v Sv�i e*yd z?V ?'�z 7W,< A/_ &t_e5-;2 Telephone: 7kzY Fax: Z-& 9,0 E-Mail: AS TO OWNER: Sworn to and subscribed before me this _1_30 day of L 20 o-3 State of Florida,County of Duval EDWARD WINTERS - Notary's Signature4, 11,A A4 '194:49 3 EXPIRES:ApOl 19,2005 Bon r.,�'m 21 Personally known dog Thru NOlary Public Underwrliers My COMMISSION#DD 019449 Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 0 day of Jq Cr-i L 20 Q State of Florida,County of Duval Notary's Signature_-_`l:;�4 1,&=� EDWARD WINTERS MY COMMISSION#DD 01949 [ErPersonally known EXPIRES:Apol 19,2005 130nded Thru Notaly Public Underwrilom F� Produced identification 11 Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 05/15/2003 13:33 904745005e ROSES MAILROOM PAGE 01 5 MIN. RETURN PHONE# NOTICE 0 1?COMMENCEMENT State of Tax Folio No.-- County of gAl Book 11093 P I&gW 1487 To Whom 11 May Concern: The undersigned hereby informs you that imp ovements W ill be made to certain real property,and in-accordance with Section 713 of die Florida Statutes,the followinp,.aformation is stated in this NOTICE Of COMMENCEMENT. Legal description of property being improved: Address of property being improved:7:4= -70W .7 C7_7 General d ,pybUiption of improvements: epys7 ,!y,c_7— IrAAK e— Owner: C26c. I Address: Owner's interest in site of the improvenient: fee Simple Titleholder(if other than owned._. Name: Address:� Contractor: Address: VV Ph on e NO: Pax No: Surety(if any):____' Address: Amount of Bond Phone No: Fax No; �n�ction of the improvements. Name and address of any person making a loim for the 4 Name, Address: Phone No: Fax No- Name of person widtin the State of Florida,other than i imstK 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 3"on to receive a copy of the Lienor's Notice as provided in Section 713.06(;)(b),Florida Statues. (Fill in at-Owne-s Option). Name- Address: Phone No: Fax No: Expirut�lon date of Notice of Commencement(the expbe don date is.one(1)year*om the date of recording unless a different date is specified); TEIIS SPACE FOP,RECORDER'S USE ONLY ER Ei Med:_ _Date: I,fore me es M dayAf &r ,&�— "e C6unj of Duval,State of Florida,has parsonally appeared I.',dary Public at LkSe,State Ifinty ofDuval. I�commission expires- P"e.- 1487 Prrsonall KnD or �iled & Rmrd#d L I P r Aucedyidentifi EDWAA6 moms W15/203 12:25.-47 9W JIN FULLER EXPIRE&Am 10. MERK CIROJIT M*T VA% cam REMPING $ 5.0 TIOT FUND 4 1.00 COPY FEE t 1.00 L 0 T-6, 8L OCK/6-41, sfF-C 7-10 A rL A�NTIC 8EA CH A 5 RECORDED hV PL A;r iqL H 0 O�,,- 63, PA G E 3 4 06FF M PUBL IC RECORDS OF D U VA L coulv r Y, FL oRIDA .01 �72 CAMELIA 6TREET 50' P101-1,r-0,t' W4Y 6)"104 4 7 70.00' tu L Lo A.1 6,0 oo —0., 2.e> ig6 IVIIl" e(,V —x -,F&vd ytlfvn ploc 7L (46?"45) f&f= 96CCII t 07C; 81-OCA< IG5 1 NO rES mo 8ot DIAIG RES MIC MW L WE SHO WIV ON PL A r BU T WRE AAA Y OF RESMI C rION L MS OR EA SEWN rS MA r A rrEC 7' 7,Hls pRopER r r ig Y zavllvG oR REc oRDED/w rHE pv&lc pecoRos oF rHis cown, rHAr 4AF Nor sHowN ON THIS SURVEY. THIS MOPERTY LIES WrLOM 701VE "Y" ByFLOWMAPS P.SJ4. REVIVED 4,-17.189, comorwry PAva Ac aoo75 0001 A FLORIDA LIC. SURVEYOR AND MAPPER NO. 1,S3295 of-o f-.f/re AVIIV� Jfff X(Y 1//l M AA M. P,9FPARED FOR ME BEWFIT OF. evX4 e F/ rZIAl Y Cl L f r Schlueter, Jennifer To: Showman, Lisa Subject: RE: #03-25990-902 Camelia ThanksH -----Original Message----- From: Showman,Lisa Sent: Wednesday,May 14,2003 9:52 AM To: Schlueter,Jennifer Subject: #03-25990-902 Camelia FYI --Approved by PW this morning. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date:- (0 3 Address C- Heated Square Footage @ $ per sqft = 7 6, ��Garage Shed i(7 (&, s oo per sq ft= $ 3A <,-P—O�---) @ $ S- Carport per sq ft= s Deck @ $ per sq ft = $ Patio /0 Q @ $ per sq ft = $ TOTAL VALUATION: 15-2-�37 � 41( o $ Total Valuation Ist $ C6 �06 5-2-3 S- �, $ Remaining Value �3:perthousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: ' + V2 Filing Fee 3 0 FLOOD ZONE: Q ) Fireplaces @$35.00 IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ 9 WATER IMPACT FEE $ SEWERIMPACTFEE s vt WATER METER/TAP $ 41 CAPITAL IMPROVEMENT$ SEWER TAP $ C Viq�RADON HRS .0050 $ SECTION H PAVING(7o) $ Z n S--c CROSS CONNECTION s ST,9316) SURCHARGE $ :I— V OTHER $ GRAND TOTAL DUE: $ 1/13/03 WATER IMPACT FEE WORKSHEET ADDRESS: q(D 2- 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 fountairulcemaker Floor drains 2 Hose bib I Kitchen sink,domestic 2 Kitchen sink,domestic with food waste grinder ardor dishwasher 2 Laundry tray(I or 2 compartments)_ 2 Lavatory 1 Shower compartment,domesfic 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,flushorneter tank,public or private 4 Water closet,private installation 4 Water closet public installation 6 TOTAL NUMBER OF UtaTS;r- 3 -S MULTIPUED X 20 TOTAL$ Af BP250UO2 CITY OF ATLANTIC BEACH 5/06/03 Application Tracking Individual Step Review 14 : 39: 50 Application number . . . . : 03 00025990 Application type . . . . . : SINGLE FAMILY RESIDENCE Revision number . . . . . . : Agency/path/step/seq . . . : PUBLIC WORKS A 01 00 Date submitted, resulted . : 50503 Approval code . . . . . . . : Reviewed by . . . . . . . . : Revised est cpl date . . . : 50603 Copies of plans . . . . . . : Seq Comwnts Prt Date 1 . 00 Provide erosion and sediment control plan. 50503 2 . 00 Provide drainage plan. 50503 3. 00 4 . 00 5. 00 6. 00 F3=Exit F12=Cancel Bottom BP250U01 CITY OF ATLANTIC BEACH 5/06/03 Application Tracking Step Selection 14 : 39: 17 Application number . . . . 03 00025990 Addre33 . . . . . . . . . . 902 CAMELIA ST RE number . . . . . . 170973-5000- - SINGLE FAMILY RESIDENCE Application type . . . . . NCR OLD ACCOUNT NUMBERS . . Tenant name, number . . . . 1844 SQ FT SFH Type options, press Enter. 2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance 9=In/out maint Path --- Key Dates --- -- Action Sunuary - Opt Agency description Rev Step Req In Est Cpl Last Type By — PLANNING A 01 Y 5/01/03 5/06/03 5/01/03 REJ SD — PUBLIC UTILITIES A 01 Y 5/05/03 5/06/03 5/05/03 APN LS — PUBLIC WORKS A 01 Y 5/05/03 5/06/03 5/05/03 REV LS BUILDING A 02 Y F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry Bottom F10=View 3 F12=Cancel F14=Action log inquiry F24=More keys A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD IN, ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX: (904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # c)3 - 9 9 Applicant: 5ry-)ct-0 Goon � Address: 0 r,ry)P I i r, Project: Fafy,,1&4 kJ /Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by —'g njo Signed L Date Contractor Notified Date ir CITY OF ATL 800 8EMIN' ATLANTIC BEACH 4 N PHO INSPECTION PHO Al - ,j Application Number . . . . . 03-00025768- Da' �e j'/,2' 8/0 3 Property Address . . . . . . CAMELIA ST, 4-1 Application description TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED 0 Application valuation . . . . Owner Contractor',;� , ------------------------ --------- - --- ------ STANLEY, ERIC OWNER ATLANTIC BEACH FL 32233 (904) 463-2059 ----------------------------------------------------- ------- Permit . . . . . . TREE PERMIT Additional desc Permit Fee . . . . . 00 Plan Check Fee' . 00 Issue Date . . . . 3/28/03 Valuat ion 0 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE 87 . 511 OF OAK TO BE MITIGATED ON SITE WITH AN 18 . 1511 OAK, A 10 . 511 OAK, A 12 . 1011 OAK AND A 511 OAK. Fee summary Charged Paid Due ----------------- ---------- -------- 0011.��, Permit Fee Total . 00 . 00 . 00 600' Plan Check Total 00' : 0 0 00 ,i Grand Total . 00 . 00 00, S 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 COWLY WITH THE CONSTRUtTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS�ISSUED ACCORDINO T6,11APPROVED PLANS. WHIC14 ARE PART OF TIES T CT TO REVOCATION FOR VIOLATION OF APPLICABLE PROViSIONS OF LAW,", TsUBJE BUILDING OFFICIAL FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: 1844 Square Feet Builder: Smallwood Constructiloo Address: Permitting Officv. City, State.- Permit Number: Owner: Jurisdiction Number: Climate Zone: North I. New construction or existing New — 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:36.0 kBtu/hr 3. Number of units,if multi-family I — SEER: 10.00 4. Number of Bedrooms 3 b.NIA 5. Is this a worst case? No 6. Conditioned floor area(ft') 1844 ft' c. N/A 7. Glass area&type a. Clear-single pane 0.0 ft2 13. Heating systems b.Clear-double pane 205.0 112 a. Electric Heat Pump Cap:36.0 kBtu/hr — c. Tint/other SHGC-single pane 0.0 112 HSPF:6.80 — d. Tint/other SHGC-double pane 0.0 111 b,N/A 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0, 180.8(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 EF:0.91 a. Frame,Wood,Exterior R=11.0, 10MO 111 b. Frame,Wood,Adjacent R=11.0, 16 1.0 ft2 b. N/A c. N/A d.N/A c. Conservation credits e. N/A (HR-Heat recovery,Solar 10, Ceiling types DHP-Dedicated heat pump) a. Under Attic R=30.0, 1867.0 fe 15. HVAC credits b. Under Attic R=19.0,44.0 W (CF-Ceiling fan,CV-Cross ventilation, c, N/A HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0, 140.0 11 MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.11 Total as-built points: 25101 PASS Total base points: 27043 I hereby certify that the plans and specifications covered Review of the plans and S by this calculation are in compliance with the Florida specifications covered by this 0 i Energy Code. calculation indicates compliance 1 with the Florida Energy Code PREPARED BY: k.OAA 0 Before construction is compl'eted DATE: this building will be inspected for compliance with Section 553.908 I hereby certify that this bul Id I n s designe is in Florida Statutes. WF compliance with the Flor* rergy Co BUILDING OFFICIAL OWNER/AGEN�7 DATE: DATE: EnergyGaugeO(Version: FLRI PB v3.22) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: . . . PERMIT#: FGLASS TYPES BASE AS-BUILT F .18 X C2onditioned X BSPM Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF Points .18 1844.0 20.04 6651.7 Double,Clear E 1.3 7.0 24.0 40.22 0.96 925.6 Double,Clear E 13 16.0 24.0 40.22 1.00 961.2 Double,Clear S 1.3 5�O 14.0 34.50 0.85 408.3 Double,Clear W 1.3 7.0 90.0 36.99 0.96 3193.5 Double, Clear W 1.3 7.5 40.0 36.99 0.97 1430.5 Double,Clear N 1.3 5.3 13.0 19.22 0.94 235.1 As-Buiit Total: 205.0 7154.2 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 161.0 0.70 112.7 Frame,Wood,Exterior 11.0 1086.0 1.70 1846.2 Exterior 1086.0 1.70 1846.2 Frame,Wood,Adjacent 11.0 161.0 0.70 112.7 Base Total: 1247.0 1958.9 As-Built Total: 11247.0 1958.9 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 1844.0 1.73 3190.1 Under Attic 30.0 1867.0 1.73 X 1.00 3229.9 Under Attic 19.0 44.0 2.34 X 1.00 103.0 Base Total: 1844.0 3190.1 As-Built Total: 1911.0 3332.9 FLOOR TYPES Area X BSPIVI = Points Type R-Value Area X SPM = Points Slab 180.8(p) -37.0 -6689.6 Slab-On-Grade Edge Insulation 0.0 180.8(p -41.20 -7449.0 Raised 0.0 0.00 0.0 Base Total: -6689.6 As-Built Total: 180.8 -7"9.0 INFILTRATION Area X BSPM = Points Area X SPIVI = Points 1844.0 10.21 18827.2 1844.0 10.21 18827.2 EnergyGaugeS DCA Form 60OA-2001 EnergyGauge@/ResFREE'2001 FLRI PB v3.22 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: . . . PERMIT#: BASE AS-BUILT Summer Base Points: 24104.4 Summer As-Built Points: 23990.3 Total Summer X System Cooling Total X Cap X Duct X System X Credit Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 23990.3 1.000 (1.090xl.147xO.91) 0.341 1.000 9315.4 1 24104.4 0.4266 10282.9 1 23990.3 1.00 1.138 0.341 1.000 9315.4 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge(D/ResFREE'2001 FLR1 PB v3.22 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: . . . 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 Poin] .18 1844.0 12.74 4228.7 Double,Clear E 1.3 7.0 24.0 9.09 1.02 222.4 Double,Clear E 12 16.0 24.0 9.09 1.01 219.3 Double,Clear S 1.3 5.0 14.0 4.03 1.13 63.8 Double,Clear W 1.3 7.0 90.0 10.77 1.01 979.3 Double,Clear W 1�3 7.5 40.0 10.77 1.01 434.4 Double,Clear N 1.3 5.3 13.0 14.30 1.00 186.4 As-Built Total: 206.0 2106.6 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 161.0 3.60 579.6 Frame,Wood,Exterior 11.0 1086.0 3.70 4018.2 Exterior 1086.0 3.70 4018.2 Frame,Wood,Adjacent 11.0 161.0 3.60 579.6 Base Total: 1247.0 4597.8 As-Built Total: 1247.0 4597.8 DOOR TYPES Area X 13WPM = 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 I3WPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1844.0 2.05 3780.2 Under Attic 30.0 1867.0 2.05 X 1.00 3827.3 Under Attic 19.0 44.0 2.70 X 1.00 118.8 Base Total: 1844.0 3780.2 As-Built Total: 1911.0 3946.1 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 180.8(p) 8.9 1609.1 Slab-On-Grade Edge Insulation 0.0 180.8(p 18.80 3399.0 Raised 0.0 0.00 0.0 Base Total: 11609.1 As-Built Total: 180.8 3399.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 1844.0 -0.59 -1088.0 1844.0 -0.59 -1088.0 EnergyGaugeg DCA Form 60OA-2001 EnergyGauge(D/ResFREE'2001 FLRI P13 v3.22 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: . . . PERMIT#: BASE AS-BUILT Winter Base Points: 135737 -Winter As-Built Points: 13415.8 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) 13415.8 1.000 (1.069xl.169xO.93) 0.501 1.000 7818.8 1 13583.1 0.6274 8522.0 1 13415.8 1.00 1.162 0.501 1.000 7818.8 EnergyGauge Tm DCA Form 60OA-2001 EnergyGaugeQD/ResFREE'2001 FLR1 PB v3.22 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: . . . 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 10283 8522 8238 27043 1 9315 7819 7966 25101 ' PASS i'TM Sr4��, 0 WE EnergyGaugeTm DCA Form 60OA-2001 EnergyGauqe8/ResFREE'2001 FLR1 PB v3.22 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: . . . PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLI ST COMPONENTS - -_ 17ECTION REQUIREMENTS FOMEACH P—R—ACTICE CHECK Exterior Windows&Doors 6061.ABC.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,weetherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility �i 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>1/8"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. - -- I 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 conditioned space,tested. Multi-story Houses 606.l.ABC.1.2.5 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, i� have combustion air. -6A-22-OTHER-PRESCRIPTIVE MEASURES(Must be met or exceeded by all residences.)_ COMPONENTS SECTION 1 REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker(electric)or cutoff(gas)must be provided. External or built-in heat trap required.- Swimming Pools&Spas 1612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools I must have a pump timer. Gas spa&pool heaters must have a minimum thermal efficiency of 78%. - Showerheads 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 607.1 Separate readily accessible manual or-automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min. R-1 9.Common walls-Frame R-1 I or CBS R-3 both sides. I Common ceiling&floors R-1 1. EnergyGauge Tm DCA Form 60OA-2001 EnergyGaugeQDIResFREE'2001 FLR1 PB v3.22 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* 84.0 The higher the score,the more efficient the home. I. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:36.0 kBtu/hr 3. Number of units,if multi-family I - SEER: 10.00 4. Number of Bedrooms 3 b.N/A 5. Is this a worst case? No 6. Conditioned floor area(ft') 1844 fi2 c. N/A 7. Glass area&type - a. Clear-single pane 0.0 ft' _ 13. Heating systems b. Clear-double pane 205.0 ft2 - a. Electric Heat Pump Cap:36.0 kBtu/hr c. Tint/other SHGC-single pane 0.0 ft, - HSPF:6.80 d. Tint/other SHGC-double pane 0.0 ft2 b. N/A 8. Floor types - a. Slab-On-Grade Edge Insulation R=0.0, 180.8(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=I I�0, 1086.0 ft' EF:0.91 b. Frame,Wood,Adjacent R=I 1.0, 161.0 W b. N/A c. N/A d.N/A c. Conservation credits e. N/A (HR-Heat recovery..Solar 10. Ceiling types DHP-Dedicated heat pump) a. Under Attic R=30.0,1867.0 ft' 15. RVAC credits b. Under Attic R=19.0,44.0 ft2 (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Une. Ret:Unc. AH:Interior Sup.R=6.0. 140.0 it 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) RotE ST4�, in this home before final inspection.Otherwise,a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip: 01)WEIV *NOTE: The home's estimated energy performance score is only available through the FLAIRES computer program. This is not a Building Energy Rating. Ifyour score is 80 or greater(or 86for a US EPAIDOE EnergyStar"designation), your home may qualifyfor energy efficiency mortgage(EEA4) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 3211638-1492 or see the Energy Gauge web site at wwwfisec.uqf edufor 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. EnergyGaugeg(Version: FLR I PB v3.22) RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems 1065 Oak Vale Rd,Jacksonville,Fl 32259 Phone:904-287-5339 Fax:904-287-1258 ErnaW energydesi9n@attbi.rorn P roje.Ct�] f n rmati6q: 6 For: Smallwood Construction Notes: POShalvint brnhatiom Weather: Jacksonville,Cecil Field NAS, FL , US Winter, Design Conditions Summer Design Conditions Outside db 34 OF Outside db 95 OF Inside db 72 OF Inside db 72 OF Design TO 38 OF Design TO 23 OF Daily.range M Relative humidity 50 % Moisture difference 47 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 30645 Btuh Structure 27659 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3,0 OF Design heat load 30645 Btuh Use mfq. data n Rate/swing multiplier 1.00 Infiltration Total sens. equip. load 27659 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces Internal gains 920 Btuh Ventilation 0 Btuh Heatin Coolin Infiltration 3211 Btuh Area(ft2) 1M 1841 Total latent equip. load 4131 Btuh Volume(ft3) 15200 15200 Air changesthOUr 1.00 0.40 Total equipment load 31790 Btuh Equiv.AVF (cfrn) 254 102 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Hea�ng 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 1479 cfm Actual cooling fan 1479 cfm Heating air flow factor 0.048 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 87 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. .a�� vvrilSj1-%t,-%C>ft Right-Sufte Residential—5.0.66 RSR29784 2003-Apr-30 22:52:21 s4CCA CADocurnents and se-tting5kcustornehMy DocurnentskWnghtsoffiSmalhNood 1844 Sq Ft rst Page I RIGHT-J SHORT FORM Entire House Energy Design Systems 1065 Oak Vale Rd,Jacks0mrille,rl 32259 Pbone:904-287-5339 Fax:9(A-2B7-1258 Email.energydesign§aft(com For: Smallwood Construction I Htg Cig Infiltration Simplified Outside db('F) 34 95 Method Inside db (*F) 72 72 construction quality Average Design TD('F) 38 23 Fireplaces Daily range - M Inside humidity(%) 50 Moisture difference(gr/lb) 47 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Heating input Sensible cooling 0 Btuh Healing output 0 Btuh @ 47*F Latent cooling 0 Btuh Heating temperature rise 0 '17 Total 000ling 0 Btuh Actual heating fan 1479 cfrn Actual cooling fan 1479 cfm Heating air flow factor 0.048 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 87 % ROOM NAME Area Htg load CIg load Htg AVF CIg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Whole House 1844 30645 27659 1479 1479 Entire House d 1844 30645 27659 1479 1479 Ventilation air 0 0 Equip.@_ 1.00 RSM 27659 Latent cooling 1 4131, TOTALS 1844 1 30645- 31790 1 1479 1479 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. VVrj9htSC:),ft Right-Su*eRestcientialr*15.0.66RSR29784 20U3-Apr-30 22M:21 AE&CADocuments and settingsXcustomerWy DocumentskWnghtsoftkSmaltomod 1844 Sq Ftrsr Page 1 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE: (904)247-5834 FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # o,:� - aS�q Applicant: L3c)&d Con�siru-c-ltori Address: c) �s4 Project: r-)C4 I-) J Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. u Your permit application has been reviewed by the Public Utilities Department and the following items need attention: ol o' 011 a2-4 dal-a� 4/ ZX=d 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. ;R,ev' wed by Donna Kaluzniak, Public Utilities Director v I wec - !r-03 Date ature Contractor Notified Date 51 OF 31 �5 CITY OF,ATIJ" Rhil, M Ht5IM 800, J46 ATLANTIC BtAC11`4 INSPECTIO14 PHOT&L" OW, 02, I(" ArIt'. Dit�� Application Number . . . . . 03-00025768,, a Property Address . . . . . . CAMELIA , ST� Application description . . . TREE PERMT'r Property Zoning . . . . . . . TO BE UPDATED' Application valuation . . . . Owner Contractor', ------------------------ ------------- -------- STANLEY, ERIC OWNER ATLANTIC BEACH FL 32233 (904) 463-2059 ------------------------------------------------ ----- - --------- ---------- Permit . . . . . . TREE PERMIT Additional desc Permit Fee . . . . . 00 Plan Check' Fee' . 00 Issue Date . . . . 3/28/03 Valuat i on 0 ------------------------------------------------- - ------- ------------------ Special Notes and Comments REMOVE 87 . 511 OF OAK TO BE MITIGATED ON SITE WITH AN 186151- OAK, A 10 . 511 OAK, A, 12 . 10 11 OAK AND A 5 11 OAK. Fee summary Charged Paid DUe, ----------------- ---------- -------- -- 0 0 Permit Fee Total . 00 . 00 UU Plan Check Total . 00 m 0 Grand Total . 00 . 00 00 - 0 0 3 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,"k4n MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WIT14 THE CONSTPLU&ION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDIN016APPROVEb PLANS WHICH ARE PART OF T19S J:KCT TO REVOCATION FOR VIOLATION OF APPLICABLE PROViSiONS OF,LAW, e"— BUILDING OFFI CIAL 'Sonr- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLAJIMC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX: (904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 0 3 - d-5 9 Applicant: a t I LoOW J cicr-,Ls&tc_-�I�n Address: 9 C),_ Cet mp I ict <-54 Project: J o Your Application is approved Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed Sign/ed Date P �r Contractor No i ied Date BP255UO2 CITY OF ATLANTIC BEACH 5/01/03 Application Tracking Action Log Maintenance 16: 49: 10 Application number . . . . : 03 00025990 Address . . . . . . . . . . : 902 CAMELIA ST Application type . . . . . : SINGLE FAMILY RESIDENCE Revision number . . . . . . : Path/step/seq . . . . . . . : A 01 00 Agency . . . . . . . . . . : PLANNING Type information, press Enter. Action date . . . . . . . . . 3 Action by (F4) . . . . . . Action code (F4) . . . . . (tREJ) C Time spent (hours) . . . . 00 Correction report item . . N Y=Yes,N=No 1=Add new comment 2=Change convent 4=Delete c nwimnt Opt Seq t 1 . 00 Corner lot. Setback from West 9th Street must be minimum 15 feet . Zoning is RS-2 . Setback on opposite (north) side an b e minimum five feet. (May wish to cconsider shifting e. . . F3=Exit F4=Prompt F9=;Add std convent F12=Cancel F21=User defaults 2 -R C E I V E D C171" BEACH --'C N G CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICA ON MAY 0 1 2003 (FOR NEW SINGLE FANULY RESIDEN�T AND DUPLEX CONSTRUCTION) &te- Job Address: Owner of Property: Address: V,�c/ ,, _3 /—/f2Z5_7Telephone: 7_�R? 2905-�7 Legal Description: Block Number: Lot Number: Z&5� Zoning District: Contractor: -Ze_vc-7_0,z.) State License Number: clee �U?4)6 3 Contractor's Address: &X.�4e&:±f & `�ez Telephone:Z& 113-d -,,,'&,577,�7 ey/ Fax: 00 41 Describe pro sed use and rk to Pe done: C.,>A,,5 7'g oe,7-1 v o-) 9,,r 5f 4% 711 Al'o Present use of land or building(s): we Valuation of proposed construction: ?-0-4 g� 17� Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? t�fNO. Applicant certifies that no change in site grade or fill material will be used on this project. ,�aES. See Step 2 below. Approypi of the Public Works Department is required prior to issuance of a Building FPermit. NO. Applicant certifies that no trees will be re�06d for this project. %YES. 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. r,&,e 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.) Ile 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 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page I 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 dmwings should be sufficient to depict all required information in a clear and legible manner. I. 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 anyjurisdictional 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 information pr vi is application is correct, Signature of owner: Date: /40�2 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances goveming this type of work will be complied with,whether specified herein or not. 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 any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and rting data have bee_g or shall be provided as required. Signature of Contractor: f Address and contact information of person to receive all correspondence regarding this application(please print). Name: A14�),feo�e Mailing Address: Telephone: 7,�111 X16—JI—Fax: 7?l eoll E-Mail: z A,4 AS TO OWNER: Swom to and subscribed before me this a day of i L 200-3 State of Florida,County of Duval WARD NN RS Notary's Signature4. �g AA My COMMISSION#00 019449 EXPIRES:Apdl 19,2005 .. .... Personally known SondeO Thru Notary Public Underwriters Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 2)o day of )q i0r_t L 20 D State of Florida,County of Duval EDY,11,1111,11D wmms Notary's Signature. My COMMISSION#DD 019449 E�rPersonally known 7 EXPIRES:Ap6119,2005 Bonded Thru Notary Public Underwriten Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 4, CITY OF ATLA' 1,0 80O.SEMINO alto Ti 13M- 3 ATLAN 'C 8 b1Y INSPECTION PHONELINE BY Application Number . . . . . 03-00025768,,, 5,. Property Address . . . . . CAMEL IA ST Application description . . . TREE PERMIT � Property Zoning . . . . . . . TO BE UPDATED', i A� 0 Application valuation . . . Owner Contractor`� ------------------------ -------- STANLEY, ERIC OWNER ATLANTIC BEACH FL 32233 (904) 463-2059 ------------------------------------------------ ---------------- ----------- Permit . . . . . . TREE PERMIT Additional desc Permit Fee . . . . . 00 Plan .Check' vee'" .00 Issue Date . . . . 3/28/03 Valuation 0 ------------------------------------------------- ------- ------------------ Special Notes and Comments REMOVE 87 . 511 OF OAK TO BE MITIGATED ON SITE WITH AN 18i1511 OAK, A 10 . 511 OAK, A 12 . 1011 OAK AND A 511 OAK. Fee summary Charged Paid Credited.��",�!Ai��, Due ----------------- ---------- ---------- - - ----- Permit Fee Total . 00 001111�11` . 0. DO Plan Check Total . 00 0 0:,' do , 0 0 Grand Total . 00 00 41; 0"N BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT 13E PLACED IN PUBLIC S UST B UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILM TO COMPLY WITH THE C STR I LIEN LAW CAN �'t RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS- ISSUED ACCORDINO TO,'APPROVEt)PLANS WHICH ARE PART OFTMS TKS IECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROASi6Rs OF.LAW, q, !,A. BUILDING OFFICIAL nsr e C-L C A 9 Oct-ryl I Cc CiVOWAtRIantic Beach RECEIPT *H I : DSNITH ,e: OC Drawer: I ,,Ite,r: ,,,,,3 It R eceipt no: 65199 DescrAjon ffm Oty Avount BP WILDING PERMITS 1 135.90 Tender detail CK DEW 1135 $35.N Total tendered 135.N Total paysent $35.89 Trans date: 6112/03 Time: 8:22:22 Schlueter, Jennifer From: Doerr, Sonya Sent: Monday, May 12, 2003 11:56 AM To: Higgins, Larry J.; Ford, Don Cc: Schlueter, Jennifer Subject: 902 Camelia Importance: High I have now talked with Ms. Holt-- and a couple of her neighbors she is trying to rally. I hope they are satisfied. Ms. Holt cannot believe that anybody/anywhere is allowed to have a 5-foot side yard setback. (and she is certain its not that way on the"east side" of town.) I had to fax the regulations to her before she would believe me. Anyhow, she swears that this house is going to be just five feet from her house, but I don't think the foundation is even in yet, so who knows what she is measuring from. She called the City Managers office before we spoke with her to find out how to "protest'this, but I think she understands now that if built as shown on the plans, she has no grounds to object. ...So Larry, will you check this with a close eye when you do foundation inspection. Thanks. -----Original Message----- From: Ford,Don Sent: Monday,May 12,2003 9:37 AM To: Doerr,Sonya Subject: FW: Pis call Debra Holt 354-0624 at 910 Camelia Re:complaining about 902 being built to close to her house. -----Original Message----- From: Schlueter,Jennifer Sent: Monday,May 12,2003 9:23 AM To: Ford,Don Subject: Pis call Debra Holt 354-0624 at 910 Camelia Re:complaining about 902 being built to close to her house. Schlueter, Jennifer To: Showman, Lisa Subject: RE: #03-25990-902 Camelia ThanksH -----Original Message----- From: Showman,Usa Seft Wednesday,May 14,2003 9:52 AM To: Schlueter,Jennifer Subject: #03-25990-902 Camelia FYI --Approved by PW this morning. L 0 T-6, &OCK/6 4, SEC TION 'H',' A TL A AMIC SEA CH A 5 RECORDED 11V PL A 7' BOOK/8, PAGE 34 OF THE PUBLICRECORDS OF DUVAL COUIV7-Y, FLORIDA. �70,� 0,029#4 CAMELIA STREET 50' RIOPT OF-WAY 5> ,0/-A 7 :0.6, 70.00' I n Pt* 19 4 ui fo-f 5 ,4 R BLO61" 6 0"/,/ / 60 I 6t) 11A-) lo 50 33 RZ>�4-3 FoIJ17.( 49" JT 4L 740.00 cor.!� 6 0 TC� 64ock IGS IVO TES ,Vo 84#1-DING RE-5 rRIC rfoV 4 IAL-SHO WIV ON PL A T SU 7 rNCRE MA Y BERES TRIC PON L MS OR FA SEMEN TS MA r Ar,recr rHIs pRoPE??ry sy ZONIIVG OR RECORDED 11V ME PUSUC RCCORDS OF MIS M&rY rMT APENOr SHOWN ON rHIS SUR VE Y� THis PpoprRrY LIES/A'FL000,701VE "X" gy FLOOD MAPS 1 40 '�MIGHT, P S.M. PEMMD 4117189. commuNirr PAva Alo. i.-ooM 0001 A FLORIDA LIC. SURVEYOR AND MPPER NO. LS3295 I/M A elh(,A fl fA-Vfjy 14 P M i 9A rt. PRF-PARW FOR MEBEWF17'a7: el-94ef I rOAlY jF4 t1f (7onstruction 8 Mav WHY" 4243 Sunbcaim Rd. 92 Jackso-n-villo-, I-T 17257 1ty of Atlantic 11-3each, Mr. Don Ford lie R fi�ronieie-- 90? (7arne.11ir, St, Mr. ns per your instmictions Nve W11 shift the house, the! set hack on the south property tin-,WH be Wen Rvet and thenorth set back will be Iftive ffect. The footer will be 20'- wide 10" deep with 2 # 5 rebar, and set up for a stem wall construction, the finish floor elevation vjU he 1&5" Awe the crown (if the road- Any trees renioved-will, he mitigated at a later date. 1, rry Snial-1h.vood APPROVED MY OF ATLANTIC BEACH BUmMNG OFMCE Ko's 0 9 SLUM 3 oil CITY OF ATLANTIC BEACH 800 SEN41NOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 DIM 9 0 2- C(�r"k,� 1'� Application Number . . . . . 03-00025768 Date 3/28/03 Property Address . . . . . . CAMELIA ST Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ STANLEY, ERIC OWNER ATLANTIC BEACH FL 32233 (904) 463-2059 ---------------------------------------------------------------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 3/28/03 Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE 87 . 511 OF OAK TO BE MITIGATED ON SITE WITH AN 18 . 1511 OAK, A 10 . 511 OAK, A 12 . 10 11 OAK AND A 5 11 OAK. 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 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 PEgMT A1#D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Minutes of Tree Conservation Board March 26, 2003 Page 2 palm and a 14" palm to be mitigated on site with a 6" black olive, a 5.75" cherry and a 3.5" gum. 4. Lot 6,Block 164, Section H: Mr. Larry Smallwood introduced himself He stated that he centered the building on the lot and moved it as far back as possible in an attempt to save the two double oaks but was still unable to do so. The Board determined that the applicant was removing 87.5"of oak. A motion was made by Board Member Shaughnessy, seconded by Board Member Permenter, and unanimously carried to direct the Building Official to issue a permit for the removal of 87.5" of oak to be mitigated on site with an 18.15" oak, a 10.5" oak, a 12.10" oak and a 5" oak. 5. 327 Plaza: Mr. Robert O'Neill introduced himself. Chair Mears stated that the applicant was not removing any protected trees. A motion was made by Board Member Owens, seconded by Board Member Permenter, and unanimously carried to direct the Building Official to issue a permit for the removal of 53.5" inches of palm with no mitigation required. B. Discussion of Tree Removal on Road and Utility Easement for Paradise Preserve. Mr. Paul Nichols of Bestcon, Inc. introduced himself. He stated that the Tree Ordinance was fairly specific as it related to a building lot with regard to internal areas, external areas and the right-of-way. In addition, he stated that the Tree Ordinance provides a level of protection to homeowners with respect to trees on a lot and he suggested that a parallel exists with his proposal even though he was creating a private road. Board members stated that the Tree Ordinance addressed lots,not a"piece of land." He suggested that the Board consider that the right of way for the private road be treated as an internal zone in a lot in that trees of 20"or larger would be considered protected and trees under 20"could be removed without a penalty. He proposed that he would mitigate with trees in the right-of-way at the ratio of 50 percent of the diameter at breast height of 20"or larger. Mr. Nichols advised that the City of Atlantic Beach Public Works Department sets the specifications for the roads and rights-of-way in Paradise Preserve. In response to a question from Board Member Owens, Mr.Nichols advised that he could save more trees if he were allowed to build the road the way that he would like. Board Member Owens asked if Public Works was immune from the Tree Board. Chair Mears advised that Public Works did not fall under the authority of the Tree Ordinance. Mr. Nichols stated that this issue falls within the scope of the Tree Ordinance because it Is a private road. Mr.Nichols further advised that Public Works would inspect and approve the road, sewer and water work. Board Member Permenter expressed concern with regard to whether or not this Board had the authority to make an exception to the ordinance. Discussion was held with regard to holding a workshop with department heads and the City Attorney. A motion was made by Board Member Shaughnessy, seconded by Board Member Owens, and unanimously carried to request that a workshop be scheduled with City Attorney Alan Jensen, Community Development Director Sonya Doerr,Public Works Director Bob Kosoy, Building Official Don Ford and the Tree Conservation Board Members to discuss tree removal on road and utility easement for Paradise Preserve. CITY OF ATLANTIC BEACA TREE REMOVAL APPLICATION 01"r) All ap-plications must be submitted with seven (7) copies and reqeiv�by 5 PM on the FTiday ten' (10) days 1xior to the scheduled meeting in order to be 121aced on the gy a. kgqpd- *INCOMPLETE APPLICATIONS OR INACCURATEL M��DSIT`ES-- N-0-T, BE PROCESSED. 74—C A Izell APPLICANT NAME ADDRESS Af I TELEPHONE 2. 7- ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? NO NOT SURE 5. PROPERTY ZONING: (�R�ESIDENTLA� COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL-- SPECIES DUMMTER MnIGATION OMCE USE ONTLY INT.. EXT. A le 1,F, It> 17y 004 4 3- 1,2,/v *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-tmnked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. See attacbed diagram for determination of interior and exterior zoDes. 7. SITE PLA-N/TREE SUR�T-Y indicatina: a) Location of topography features such as �dlls and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height of six inche�o'r­mor'e. d) Tree species and sizes. e) Trees to be removed should be clearly marked vVith an")C'. f) Trees to be preserved on-site for mitigation must be marked writh brackets g) Location, size and species of any proposed new replacement trees marked with a circle "0". h) Location of utilities and easements as applicable. I) Location oftrees to be preserved on-site with bar-,icading noted. 8. ONN-SITE REQUIR-EMENTS: a) All trees identified for removal MUST be marked on-site by RED flagaLng, J paint or tape. b) All trees to be preserved or-site for m�itigation MUST be marked BLUE flagging, paint or tape. III'! frozlt pro:)tTlr)� coirlurs must be rna:�,,ud by sta"KCS or paint indica=g, The Loi 9. IINCOMPLETE APPLICATIONS 0R.1-NACCURATELY MARKED SITES WILL NOT BE PROCESSED. I HEREBY AGREE TO CO2vMLY WITH ALL PRO\qSIONS OF CHAPTER 23, ARTICLE a, TREE PROTECTION-1, AMD ALL OTHERAPPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDLNANCES OF A'TLA.N--iIC BEACH. �Applic4T'/ Si e Z bv'MeV fS �?si ign— D a�e CITY USE ONLY: T' _1 Conservation Board C'naimf,.rson Date D PROP VII o., -1;1P e TY V 00 lop CY r t) 'I) At eq, lot u ilk, PA 00, d LOT 6, M-Cr'01V rL AN riC8FACP.AS RFCORDE-D IN P4 A 7 BOOK 16,P,46,-34 OF ME PLIBLIC r�&�OR495 0-Dtll.14L COUM-Y, 4-40RIDW, CAMELIA STREEr 51:r RX1,1T 0,1-XIA v 6�' 0/A 7' e=0) 70 00' Voll NZ >1 tu ss-Vol, x a 1�1 00 Or 3,S4CCA'A�5 4 0 i 64ock lV07'E$: NVBW0kVG RC$TMCT?aV4MC SHOW MPtA7,Wr OR EASEACAFr5 MAr �F�TC7 T�opnoprRrray ZMAW 0RRCCaWEVN ME P4&tcRE,caws a,Msc"rr rmrAprNorshow av rw 54em r, � L� AL-MCP 4,1171419 COMKVIrr PAAAU Na APOOM 000)D FLCRIDA LIC. SURVEYOR AND MAPPER XO� LS3295 �WrFARW ftw PC e,A4ef.(M(Y f4411 A'Xfr*4n0x4L 0AA(X ADURDEN LrAND p4vArc apgA r1ru SU V S SURVEYORS INC. 446&�� L13 6645 H, BRUCE D',JRDEN, SR� PROFESSION& LAP40 SJJRVEYOR NO,1674 FLORIDA �10.3 SOWN THIRD STPEET ,� JACKSONWLtf BEACH. FLORIDA 32250 SCALE (904) 249-7261 FAX(904�241-f252 THIS MAP OF SURVEY IS NOT VALIV UNLESS IT IS SIGNED AND — nRGINAL RAISED SM OF A FLORIDA MENSED 3URVEYOR. t MINUTES OF TREE CONSERVATION BOARD March 12, 2003 A regular meeting of the Tree Conservation Board was held Wednesday, March 12, 2003, at Adele Grage Community Center. Present were Chair Barbara Mears, Tom Hill, David Owens, Bill Permenter, Maureen Shaughnessy, Building Official Don Ford and Susan Dunham. 1. Call to Order The meeting was called to order at 7:12 p.m. 2.Recoznition of Visitors Silet Wylie. 3. Approval of Minutes of Meetinzs of February 26, 2003 A motion was made by Board Member Permenter, seconded by Board Member Shaughnessy, and unanimously carried to approve the Minutes of the Tree Conservation 15 Board meeting of February 26, 2003. 4. Old Business A. Tree Removal Application Form: Moved to end of Agenda. B. Proposed List of City-Approved Arborist: Moved to end of Agenda. C. Discussion of Permitting Procedures—Building Checklist: Moved to end of Agenda. 5. New Business: A. Tree Removal Applications- 1. 298 Aquatic Drive: Moved to later in the meeting. 2. Lot 6, Block 164, Section H: Mr. Larry Smallwood introduced himself and stated that he represents Mr. Stanley. He advised that his client would like to build a single family attached building which would require the removal of several trees. The Board expressed concern about the removal of a 43"oak and requested that the applicant consider moving the footprint of the -.home to accommodate the tree. Building Official Ford advised that the applicant has eight feet in which to move the house but it would stilr require some re-design of the home to clear the root system of the tree. Mr. Smallwood advised that he would discuss this request with his client. 3. 680 EAii Coast Drive: Mr. George.Bull introduced himself and stated that he was representing the Winfrees who would like to build an addition to their home. Chair Mears advised that 2 0.5"of palm were to be removed. -A motion was made by Board Member Owens, seconded by Board Member Shaughnessy, and unaninq*ously carried that the Building Official issue a permit for the removal of 20.5" of palm It.o fie r mitigated with 10.25" of palm to be planted on site. 1. 2,98 Aquatic Drive: The applicant was not present to address this application. After review, the�,Board determined that no mitigation was required. Map Output Page I of I JAXGIS Property Information 910 1709735000 L .......... 870 (Y Copyrig ht JC)20M C Ay of J=kNonvilk—F1 RE# Name Address Total Acres at ap Legal Descriptions Flood LandUse Zoning 8' Value ook 'Ile/ Zone BERSE 18-34 38-2S-29E 1709735000 ANDREW JAMES ET AL 13350 0.12 164 f56134 SEC H ATLANTIC BEACH NO 32233 LOT 6 BLK 164 1 http://maps.coj.net/website/DuvalMaps/toolbar.asp 4/18/2003 CITY OF ATLANTIC BEACH st 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025768 Date 3/28/03 Property Address . . . . . . CAMELIA ST Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ STANLEY, ERIC OWNER ATLANTIC BEACH FL 32233 (904) 463-2059 ---------------------------------------------------------------------------- Permit TREE PERMIT Additional desc - - Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 3/28/03 Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE 87 . 511 OF OAK TO BE MITIGATED ON SITE WITH AN 18 . 1511 OAK, A 10 . 511 OAK, A 12 . 1011 OAK AND A 511 OAK. 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 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 PE SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 7rT BUILDING OFFICIAL RECEIVED . C�TY CF ATLANTiC BEACH CITY OF ATLANTIC BEACB BUiLDNG & ZONNG' TREE REMOVAL APPLICATION MAR 1 4 2003 All applications must be submitted with seven (7) copies and recei4 bv 5 PM on the FTiday t (10) days pTior to the scheduled meeting in order to be placed on the immda. *INCOMPLETE A-PPLICATIONS OR INACCURATELY MAA1db KTES_7== BE PROCESSED. APPLICANT NAME ADDRESS TELEPHONE 7- 41�1 ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? NO NOT SURE 5. PROPERTY ZONING: RE IDENfTLAJ:_�:� COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL-- SPECIES DIAMETER MITIGATION OFFICE USE ONLY INT.. EXT. 2 4 57 "/ *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 trecs is determined by adding together the diameter of each trunk as measured immediately above the forks. See attzched diagram for determination of interior and exterior zones. 7. SITE PL.A-N/TREE SURVEY indicating: a) Location of topograph), features such as hills and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Heigh:t of six inches or more. d) Tree species and sizes. e) Tret-s to be removed should be clearly marked with an ",V'. Trees to be preserved on-site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked vit� a circle "0". h) Location of utilities aand easernents as appiicable. noted I) Location of trees to be pre.seryed on-site with 8. 01N-SITE REQUIREMENTS: a) U trees identified for removal MUST be marked on-site by RED flaggLing, paint or tape. b) All trees to be preserved or-site for mitigation MUST be markedwith BLUE flagging, paint or tape. C) I'd front Prozx�r-Ly Cc�ncrs na-Listbe friarkudlo stakcs or paint indica—drig Z'ne Lot 9. IN-COMPLETE APPLICATIONS 0R.INTACCLMATELY MARKED SITES WILL NOT BE PROCESSED. I HEREBY AGREE TO CO1vTLY WITH ALL PRON71SIONS OF Cl-LAPTER 23, ARTICLE 11, TREE PROTECTION, AMD ALL OTHER APPLICABLE CODES AND ORDIN.,�_NCES OF THE CODE OF ORDD�;ANCES OF ATLANT-11C.BEACH. .24 Applic4t'� Sizm�ire Dat� '7 S. '6w' ne'r"si ign Ba CITY USE ONLY. TrIe-e Conservation Board C'na.im, e-.rson Date Po j)e FC—,,Oe,O—T-/ I/V i5- Qz f/ 0* ey 0 h)e e7o �41 INN rl I 6X PRO tOr,q,RLOCK164,SECrf011 'H':ArLANriC8EACH,AS RECORDED INPLAr SOOKM,PAGE 34 OF rnEptevc Rccows orouvAL comry,-LoRw. C AMELIA 6TREET 50 R16,Wr-0,'WAY 6� Pl A 7' (At$V44) 70.CO' 4k I- tu t4j X .K pw 2 Z-1. lu ,71" NOTES: rolfWAA r 8F PC$MX AM LM$4W EAS00V rS MA r A"WT M5 PRO-ER rY 8 r ZOWiG CRArCAWCD kV 7K PI)OLZ AfCOPW OF W=WrY IMF AW ACT 5�00M av rMs sipw Y. -orrLomAws REW-1EP 44"8A COVAOVTY RAAn AOO M0075 0001,0 FLrRlDA LIC. SURVEYOR AND H"PER NO, LS3295 AeWeZZO jo,,t of I/r.*MAI 1101Y Y,-rO PA rf, TW BEMVIT 0'; e'vff e roNy a I ff 1p;lfr WrilWi 16141VIK 4DURDEN LAND llowrl, 2S SURVEYORS INC. 'a 6645 N' BRUCE DURMN, SR. PROFESSIONAL LAND SUAV"OR NO.1674 FLORIDA 10J SOUM OHM StREET "'� SE-PTEAerR /,1999 JACKSOMMLE BEACK FLOR04 322W SCALE (9C4)249-7261 TAX(904;241-1252 THIS MAP OF SURVEY I$NOT VAIJO UNLE55 ff IS 96NED AND nR;GWAL RAISED SEAL OF A ROMA MENSEO 3UPVEYOR. t MINUTES OF TREE CONSERVATION BOARD March 12, 2003 A regular meeting of the Tree Conservation Board was held Wednesday, March 12, 2003, at Adele Grage Community Center. Present were Chair Barbara Mears,Tom Hill,David Owens, Bill Permenter, Maureen Shaughnessy, Building Official Don Ford and Susan Dunhain. 1. Call to Order The meeting was called to order at 7:12 p.m. 2.Reco?—nition of Visitors Silet Wylie. 3. Approval of Minutes of Meetines of February 26, 2003 A motion was made by Board Member Permenter, seconded by Board Member Shaughnessy, and unanimously carried to approve the Minutes of the Tree Conservation ft Board meeting of February 26, 2003. 4. Old Business A. Tree Removal Application Form: Moved to end of Agenda. B. Proposed List of City-Approved Arborist: Moved to end of Agenda. C. Discussion of Permitting Procedures—Building Checklist: Moved to end of Agenda. 5. New Business: A. Tree Removal Applications: 1. 298 Aquatic Drive: Moved to later in the meeting. 2. Lot 6,Block 164, Section U: Mr. Larry Smallwood introduced himself and stated tha t he represents Mr. Stanley. He advised that his client would like to build a single &Mily attached building which would require the removal of several trees. The Board expressed concern about the removal of a 43"oak and requested that the applicant consider moving the footprint of the �_,"hotne to accommodate the tree. Building Official Ford advised that the applicant has eight feet in which to move the house but it would Still—require some re-design of the home to clear the root system of the tree. Mr. Smallwood advised that he would discuss this request with his client. 3 680 EA�i Coast,Drive: Mn George-Bull introduced himself and stated that he was representing the Winftees who would like to build an addition to their home. Chair Mears advised that 2 0.5"of palm were to be removed. _.;�k motion was made by Board Member Owens, seconded by Board Member Shaughnessy, and.unapirqously carried that the Building Official issue a permit for the removal of 20.5" of palm to�te mitigated with 10.25" of palm to be planted on site. 1. 2.98 Aquatic Drive: The applicant was not present to address this application. After review, the,Board determined that nomitigation was required. 4243 Sunbeam Rd. #2 V! I I_'-�.f� A It L 800 Seminole Rd. A Ii - L !,'I -1)-1-,)-7 A t- �:1A �L L 170 ed 72Y 11-1 e fit a r e. re e o A 1111) U IVI Me D ni , LjUIC r, ire- will be planted alone the north property line. These trees will be at least three -inches -in diameter. Thank v"11 tor your time, CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All amlications-must be submittedAith seven (7) copies and received by 5 PM on the Friday t (10) days prior to the scheduled meeting in order to be Rlaced on the agenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. APPLICANT NAME ADDRESS, TELEPHONE 2. 7702-- Xe;�� ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 4. 'HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? NO NOT SURE 5. PROPERTY ZONING: (�R�ESIDENTL�- COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL-- SPECIES DUMMTER MUIGATION OFFICE USE ONLY M.. EXT. /0 75 61 allile 11F,A (.c" 2 4 5- 7,2 — *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. See attached diagram for determination of interior and exterior zones. 7. SITE PL-4-N/TREE SLTR�,`EY indicating: a) Location of topograph), features such ass hills and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height of six inche�or"more. d) Tree species and sizes. e) Trees to be removed should be clearly marked with an ")C'. f) Trees to be preserved on-site for mitigation must be marked with brackets g) Location,,size and species of any proposed new replacement trees marked with a circle "0". h) Location of utilities and easen�ents as applicable. 1) Location of trees to be pre.served on-site with barricading noted. 8. ON-SITE REQUIREMENTS: -site by RED flagging. a) All trees identified for removal WST be marked on paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked with BLUE flagging, paint or tape. I.LIC fro-Lit rnast be rriar�.ud by stakes or paint indica7dng T.Jne Lot 9. LNCOMPLETE APPLICATION'S ORINACCURATELY MARKED SITES WILL NOT BE ROCESSED, I HEREBY AGREE TO CON4:PLY WITH ALL PROVISIONS OF CHAPTER 23, A.RTICLE 11, TREE PROTECTION, AND .-,,.LL OTHER APPLICABLE CODES AND ORDTINANINCES OF THE CODE OF ORDD�;ANCES OF ATLA_N'71C .BEACH. Y .Applic t" Sieaftire Dat� bl-Amer''s; p D a�e CITY USE ONLY: Tree- Conservation Bciar6 ClriaiTerson Date PAO p e L., �(Ajz, Pit, 17tl I A 'I I p,,,,pe V ,,pe Pop -IN IA? ts r7- 119 pA LOT6,&OCX164, 5FCrVN ATLAbTiC8FACH,ASArCORDEDIA(PkA7, BOOK16, -AGE-34 OF' OFDUVA4 COUIVTY,FIMDA. C A A4 5 L 1A STREET "al N 70,00' LOT IZ 9 6a45' =$Uv Z'Wth ILI 6 o r.!�5�co,., 5 4 0 64 ock;G5 NO rcs W AM OW6 RES rRfMON L M SWWIV OW P1 A 7,OU T WWAfAY8F0WSMfCr,*PV(,�5 OPeASCAC#rS 7?yAr Arrec T Tos PRopeRry a r zovm OR Recovo N r,,,f o-t&<Rrcaw5 a�Tms c"re wr A/It Av r vom ON rhn SOW yl X40 BOATWRIGHT, P�S-M- ArW,Ttr 4/f�'/OA C&AKMrYPA*fk W,M-0075 000/0 FLORIDA LIC. SURVEYOR AND'WPER NO, LS3295 &lj1fjtf,o e�,of.0/M AfIV4 fiftViry&f M AAM. PW.PAft-DFW THESI510W OF: 494tt�70AlY U Ilf .-IX,fr N.4774AW OA#k "A(r.r VcPX.4 rir4,c DURDEN LaMD SURVEYORS INC. to 6645 H. BRUCE miROM SR, PROFESSIOKAL LAND SURVEYOR NO.1674 FLORIDA 10i .50UTH 7HIRD Swat DATE, JACKSONMLE BEACH, FLORIDA 32250 SC4LEL i, 904) 249-7261 FAX(904;241-t252 -nF SURVEY IS NOT VALID UNLESS IT IS 96NED ANO -AISED 5,1AL OF A FLORIDA LICENSED 30PIVEYOR, Nf—I Alit 4t 4r, -xI 14� 34� 4'. Aj, Yoe 40 k /* �71 lk az� Wks Ir 4f "ok, ire ;4)11-' it 4kW 4 4 tit 74 If k dtv it AL 'LN- Of CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 A Application Number . . . . . 03-00026026 Date 5/09/03 Property Address . . . . . . 902 CAMELIA ST Tenant nbr, name . . . . . . TEMP POLE 60AMP, 1PH, 3W, Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ WINTERS, RUSS ALLEN DEES ELECTRIC 2826 LENOX AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 389-4114 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 xged Paid Credited Due ------- ---------- ---------- ---------- 70 . 00 70 . 00 . 00 . 00 . 00 . 00 . 00 . 00 70 . 00 70 . 00 . 00 . 00 WNW City of Atlantic Beach *" CWTIPER REMPT *** Oper: DGMITH Type: OC Drawer: I Date: 5/09/93 01 Receipt no: 56M Description Qty Amount 2W3 2M BP BIJILDINB PEFMITS I S7L 0 Tender detail CK DECKS 699 $79.N Total tendered $79.N Total payment $79.80 Trans date: 5/09/93 Time: 19:83:15 4 THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED OR OWNER. "FAILURE TO COMPLY WITH T14E CONSTRUCTION LIEN LAW CAN E FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS 0 REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION IJ TO THE CHIEF ELECTRICAL INSPECTOR: DATE: —201Z.;' 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 CONTRACTOR: MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: z4r JOB ADDRESS: RES.( APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( fREW!. ADDITION( ) TRAILER( ) TEMP.�-�SIGNS( ) SQ.FT. SERVICE: NEW( ) INCREASE( ) REPAIR( CONDUCTOR SIZE AMPS: COPPER( ALUM.( ) FEES ZVI/) SWITCH OR BREAKER 0 AMPS / PH SW VOLT P'RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED1 OPEN TOTAL 0.30AMPS 31.100AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS I HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO VA I MA I MOTOR SIZE I SWITCH I FLASHERS EACH SIGN 1 800 Seminole Road 9 Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us Rewked 0 1/17/01