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Permit 1101 Carnation St PERMIT WORKSHEET certificate of Occupancy Job Address: Type Work: Property Owner: Phone # Contractor: Phone # Permit#: Date Issued: Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building Tree Permit# IpN - 2' IA4 YES NO Electrical Permit# Date /Copy to JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough L Final Plumbing Permit# Inspections: Rough / Underslab Topout Water/Sewer Final Drainage Inspection: �— Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: (W4 :S fS1 4` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD w ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028148 Date 4/26/04 Property Address . . . . . . 1011 CARNATION ST Tenant nbr, name . . . . . . LOT 6 TREE REMOVAL Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------------- -------- - ------ --- --- ----------- REGISTER, MICHAEL & ELIZABETH OWNER ATLANTIC BEACH FL 32233 (904) 241-5680 ---- ----------------------------------------------------- ------------------- Permit . . . TREE PERMIT Additional desc Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 4/26/04 Valuation . . . . 0 Expiration Date . . 10/23/04 ------------------------------ ------ ---------------------------------------- Special Notes and Comments TO REMOVE 45 . 2 OF PALM TREES TO BE REPLACED WITH 22 . 7" OF ANY TREES OR PAY $117 . 00 PER INCH INTO THE TREE MITIGATION FUND . 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 PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. . y �oa(�y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ti ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028147 Date 4/26/04 Property Address . . . . 1011 CARNATION ST Tenant nbr, name . . . . . . LOT 7 TREE REMOVAL Application description . . . TREE PERMIT Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 1 0 Owner Contractor --------- ----------- ---- ---- - ----- -------------- REGISTER, MICHAEL & ELIZABETH OWNER ATLANTIC BEACH FL 32233 (904) 241-5680 --------- ---- ------------------------ - ---------- -------------- -------------- Permit TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 4/26/04 Valuation . . . . 0 Expiration Date . 10/23/04 ------------- --------- ---- ---------------------- - --------------- ------------ Special Notes and Comments REMOVING 37 . 8" OF PALM TO BE REPLACED WITH 12 . 3 " OF ANY TREE OR PAY $117 . 00 PER INCH INTO THE TREE MITIGATION FUND . 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 PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. x CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 a Application Number . . . . . 09-00000048 Date 1/14/09 Property Address . . . . . . 1011 CARNATION ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc new construction 19 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REGISTER, MICHAEL ADVANTAGE PLUMBING GREG GAUSE INC. (DBA) ATLANTIC BEACH FL 32233 941 11TH AVE S JAX BEACH FL 32250 (904) 247-9848 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . NEW CONSTRUCTION 19 FIXTURES Permit Fee . . . . 168 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/13/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 168 . 00 168 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 168 . 00 168 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD / ATLANTIC BEACH,FL 32233 �QQ INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001692 Date 12/09/08 Property Address . . . . . . 1011 CARNATION ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TP01 60 amps ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REGISTER, MICHAEL BROOKS & LIMBAUGH ELECTRIC CO Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/07/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ,ti NSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001693 Date 12/09/08 Property Address . . . . . . 1011 CARNATION ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 200 amps 260 volt ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REGISTER, MICHAEL BROOKS & LIMBAUGH ELECTRIC CO Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/07/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ----- ----- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �J `z CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028149 Date 4/26/04 Property Address . . . . . . 1011 CARNATION ST Tenant nbr, name . . . . . . LOT 4 TREE REMOVAL Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------------- --------- ------------------------ REGISTER, MICHAEL & ELIZABETH OWNER ATLANTIC BEACH FL 32233 (904) 241-5680 ---------- -------- ---------------------------------------------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 4/26/04 Valuation . . . . 0 Expiration Date . . 10/23/04 ---------------------------------------------------------------------------- Special Notes and Comments TO REMOVE 11 . 8" OF PALMS TO BE REPLACED WITH 6" OF ANY TREES OR PAY $117 . 00 PER INCH INTO THE TREE MITIGATION FUND. 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 PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL L ( T' q CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION ' M1 All applications must be submitted with seven (7) copies and received by 5:00 p.m. on the'Phday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. E I Icie 19)PQ i TQ f' 10,110 Sem I ( APPLICANT NAME J ADDRESS TELEPHONE at4 1_ 2. _1 8-02)q ZOS-_ag-E �C_ A Q`I -dc� LO 1 —, I ��< 7S— —13 90 ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE p(Z a k (IF LEGAL DESCRIPTION, LIST CLOSEST CROSS STREET) H q 3 f-S"30 3. REASON FOR PROPOSED TREE REMOVAL: h n n a V) `t1n A. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NO NOT SURE 5. SITE PLAN/TREE SURVEY indicating: a. Existing and proposed structures. b. Location of utilites and easements as applicable. c. Location, species and size of all trees with Diameter at Breast Height (D.B.H.) of six inches or more. d. Location, species and size of all trees to be removed should be clearly marked with an "X". e. Location, species and size of all trees to be perserved on-site for mitigation must be marked with brackets "[]" f. Location,species and size of any proposed new replacement trees marked with a circle "0". g. Location, species and size of all trees to be preserved on-site with barricading at tree drip line noted. 6. ON-SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property comers must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST by marked on-site by RED/ORANGE flagging, paint or tape. e. All trees to be preserved on-site for mitigation MUST be marked with BLUE/GREEN flagging, paint or tape. 800 Seminole Road, Atlantic Beach, Florida 32233 Telephone(904)247-5800 Fax(904)247-5845 1 of 4 LC>T y 8. LIST TREES PROPOSED FOR REMOVAL: DIAMETER * OF TREES SPECIES INTERIOR EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE ONLY rn s5ls Palm L4 lea, I ws�3 - t1 s3�s<�, • Pot)rn `� to 0 4 qC4l bW%1 `o (n 5 Z 2 9. LIST TREES PROPOSED FOR MITIGATION: DIAMETER * OF TREES SPECIES INTERIOR ZONE** EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE ONLY 0 e P �— I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE It, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF ATLANTIC BEACH. Applicant's Signature Die Owne s Signature Date Tree Conservation Board Chair Date *Diameter at Breast Height(D.B.H.),is measured at 4.5 feet above grade.To accurately determine diameter,measure the trunk circumference and divide by 3.14.Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. **Interior Zone: outside the 20 foot frontlrear setbacks and the 7.5 feet side setbacks(see diagram on previous page). **Exterior Zone: within the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page). 4 of 4 Lb T y 8. LIST TREES PROPOSED FOR REMOVAL: DIAMETER ' OF TREES SPECIES INTERIOR Z *' EXTERIOR ZONE'* APPLICANT'S COMMENTS OFFICE USE ONLY C A 90120 f OaK 61N) CLO /6 fo Cot 0Q.K 6 q-p 17 aqw "t I re, �- ► )#bt HO `I-ZJ 9. LIST TREES PROPOSED FOR MITIGATION: DIAMETERi OF TREES SPECIES INTERIOR ZONE** EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE ONLY I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF ATLANTIC BEACH. Applicant's Sign tur Date mo-UAt 4=`f0-A Owno Signature Date Tree Conservation Board Chair Date *Diameter at Breast Height(D.B.H.),is measured at 4.5 feet above grade.To accurately determine diameter,measure the trunk circumference and divide by 3.14.Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. "Interior Zone: outside the 20 foot front/rear setbacks and the 7.5 feet side setbacks (see diagram on previous page). *'Exterior Zone: within the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page). 4 of 4 u lamp 3 � Oak CIO' i ............. 1 09k 6 ~ l k h 9 1 F ` A� Ips tf c k 9 Acb SO _ �g •p`� 1 d A Aim t a 4 l S Oh G 'w F0 Vol C:? 'NOA �ll�4if ■ MAP SHOWING SURVEY OF LM 1, 2, 3, 4, 5, 6 AND 7, BLACK 175, 6ICTION "H"j ATLANTIC BIkCH A5 R4.'CORDIll IN PLAT BOOK 18, PARD 34 OF THE CU}WREN T PUBLIC RECOMS OF DUVAL COUNTY, FLORIDA.. ,fOr"► G�ONN f�, P. HE G M 5 P 10 MAIROVBMEMTS Nor Zoc.ArCp 8Y TN/S A..9'.dmcx Zws —; 0 B RlOCK. / 75 0 a b° CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028148 Date 4/26/04 Property Address . . . . . . 1011 CARNATION ST Tenant nbr, name . . . . . . LOT 6 TREE REMOVAL Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ---------------------- - - REGISTER, MICHAEL & ELIZABETH OWNER ATLANTIC BEACH FL 32233 (904) 241-5680 ------ ------- --------------------------------------------------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 4/26/04 Valuation . . . . 0 Expiration Date . . 10/23/04 -------------- -------------------------------------------------------------- Special Notes and Comments TO REMOVE 45 . 2 OF PALM TREES TO BE REPLACED WITH 22 . 7" OF ANY TREES OR PAY $117 . 00 PER INCH INTO THE TREE MITIGATION FUND. 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 PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4BE7ZG OFFICIAL ° , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028147 Date 4/26/04 Property Address . . . . . . 1011 CARNATION ST Tenant nbr, name . . . . . . LOT 7 TREE REMOVAL Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------ ----------- ------- REGISTER, MICHAEL & ELIZABETH OWNER ATLANTIC BEACH FL 32233 (904) 241-5680 -------------------------- ---------------------- ---------------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 4/26/04 Valuation . . . . 0 Expiration Date . . 10/23/04 ------------------------- ----------------- ---------------------------------- Special Notes and Comments REMOVING 37 . 8" OF PALM TO BE REPLACED WITH 12 . 3 " OF ANY TREE OR PAY $117 . 00 PER INCH INTO THE TREE MITIGATION FUND. 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 PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Z..o-r -7 `k CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted with seven (7) copies and received by 5:00 p.m. on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. i 1e.%,eA T A ttt:v E 4 2 1050 semIrde Rd d y 1-S-4�60 APPLICANT NAME ADDRES . TELEPHONE -76_1 3qd �-n&� 2. -0 4 -R9- -71 Cq- ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE (IF LEGAL DESCRIPTION, LIST CLOSEST CROSS STREET) 3. REASON FOR PROPOSED TREE REMOVAL: 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NO NOT SURE 5. SITE PLAN/TREE SURVEY indicating: a. Existing and proposed structures. b. Location of utilites and easements as applicable. c. Location, species and size of all trees with Diameter at Breast Height (D.B.H.) of six inches or more. d. Location, species and size of all trees to be removed should be clearly marked with an "X". e. Location, species and size of all trees to be perserved on-site for mitigation must be marked with brackets"[)". f. Location, species and size of any proposed new replacement trees marked with a circle "0". g. Location, species and size of all trees to be preserved on-site with barricading at tree drip line noted. 6. ON-SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property comers must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST by marked on-site by RED/ORANGE flagging, paint or tape. e. All trees to be preserved on-site for mitigation MUST be marked with BLUE/GREEN flagging, paint or tape. 800 Seminole Road, Atlantic Beach, Florida 32233 Telephone(904)247-5800 Fax(904)247-5845 1 of 4 8. LIST TREES PROPOSED FOR REMOVAL: DIAMETERi OF TREES SPECIES INTERIOR ZONE"` EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE Cl.is• , NN%ummoor r 9. LIST TREES PROPOSED FOR MITIGATION: DIAMETER * OF TREES SPECIES INTERIOR Z EXTERIOR ZONE" APPLICANT'S COMMENTS OFFICE USE O-NLW Al poin CD f�,( koo (;6 1rn2 c= _ I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II; TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF ATLANTIC BEACH. Applicant's Si ture Q Own is Signature Date Tree Conservation Board Chair Date 'Diameter at Breast Height(D.B.H.),is measured at 4.5 feet above grade.To accurately determine diameter,measure the trunk circumference and divide by 3.14.Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. "Interior Zone: outside the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page). "Exterior Zone: within the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page). 4 of 4 R r ' 9� { { r � 9 � r f � t 1 { E � 1 i J ._-.. r r r� a s < ' J City of Atlantic Beach , a. Building Department Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the Florida Building Code certifying that at the time of issuance this structure is in compliance with the ordinances of the City regulating building construction for the occupancy and use for which the occupancy is classified: Date: October 12, 2009 Permit Number: 08-0260 Contractor: Owner Address: 1011 Carnation Street Atlantic Beach, Fl 32233 Description of Structure: Residential Permit issued in accordance with: 2004 Florida Building Code Construction Type: V Occupancy Class: Residential R-2 Design Occupant Load: N/A Sprinkler System Required: None Special Stipulations/Conditions: None MICHAEL GRIFFIN BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: l c / g t Contractor Name: Permit Property Address: Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: In__-- Single-Family Residence F-1 Commercial F-1 Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy.- Department ccupancy:Department Date Notified Date Approved Approved By Fire Dept. Public Works g lb - 1, 09 Public Utilities p $ D a Building p Planning /7 0 c Tree Mitigation '�'-f►wtX Satisfied t) v Final Survey with FFE Yes No All Re-Inspect Fees Paid �- Yes No Termite Treatmenty es No V • C�G..� 4 -- - USS. RTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Expires February 28.2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name ELIZABETH REGISTER Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1011 CARNATION STREET City ATLANTIC BEACH State FL ZIP Code 32233 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Despription,etc.) LOTS 4,5,6 AND 7,BLOCK 175,ATLANTIC BEACH SECTION"H",PLAT BOOK 18,PAGE 34 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lat.30'19'56.39"N Long.81°25'31.77"W Horizontal Datum: ❑NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage 462 sq It b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within.1.0 foot above adjacent grade WA walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State ATLANTIC BEACH 120075 1 DUVAL FL B4.Map/Panel Number B5.Suffix 136.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 120075 0001 D N/A 04/17/89 "X"SHADED OR "AE"6 "AE" B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe) Bit. Indicate elevation datum used for BFE in Item 139: ® NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings' ❑Building Under Construction' ®Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.1 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor 18.1 ®feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 5.8 ®feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 9.2 ®feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) 5.6 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 7.8 ®feet ❑meters(Puerto Rico only) SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. !certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. / Certifier's Name DONN W.BOATWRIGHT,P.S.M. License Number LS 3295 Title PRESIDENT Company Name BOATWRIGHT LAND SURVEYORS, INC � r Address 1 T 0 R B RIS D I City JACKSONVILLE BEACHState FL ZIP Code 32250 Signature r Date 10/09/09 Telephone (904)241-8550 OV 0 U FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt, Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 1011 CARNATION STREET City ATLANTIC BEACH State FL ZIP Code 32233 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW ,A REAR VIEW k� 3Pt 4�i9q u - rA7 MAP SHOWING SURVEY OF LOTS 4, 5, 6 & 7, BLOCK 175, SECTION "H", ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. WEST PLAZA 50' RIGHT OF WAY PAVED PUBLIC ROAD FOUND 1\2" IRON _ PIPE NO CAP ._. z I � p � J J � W o LOT 3 �coT 3 WOOD rc ISET 1/2" IRON POWER 1P0J-E 6' WOOD FENCE 6' WOOD FENCEI FOUND 1\2- IRON � ;�, x 5.0� 5.0� 5 10.5' N 80"d '00"E 102.00' 0.5' PIPE NO CAP FOUND 1\2 514 5.6 g.8 1.2 SOUTH REBAR NO CAPD --`�-- 6.5 6.0 5.2X 5.1 5.1 5,3 5.2 r 80- 1 06' SITE BENCHMARK X X N a 5.9 ^� I NAIL and DISC CONCRETE ' z SEPTIC LB 3672 IN y DRIVE o �!I DRAIN FIELD �^ ASPHALT PAVED ROAD I Ln 5.9 7.S I 8.0 0 g 1 5.5 ELEVATION = W x x ox 50.3' LOT 4 4X LOT LOT 4 5.45 NGVD 1929 " yr 9'7 o, FINISHED FLOOR cll N p NELEVATION 5.8 ? TWO STORY CONCRETE 130' FRAME N bA/C PADS 19.7' _N RESIDENCE _ _ - _ 5.9 6.1 J X5.X4.�x5.2 x5.4 o N o . 1011 6.6 5.9 O n 0 m 0' � 3.9'X X O m � C -], z 1 /V \Q m o FLESHED FLOOR CO)m rn 1: z .� ELEVATION 8.1, m v '0 004.8 O x4.8 X is�inQ� o XLil 5.2 5.7 28.4' S.8 5.1 5•Xo 5.4 .acLOT 5 D x 6.0 x' 5.9 LOTX5 o Rj� D � tlQ \ X5.6 X5.3 O �11 zz \ APPROXIMATE EDGE ` 4.5 �z �� l O \ OF MARSH 4.5 4.4 DZ O y. -\ - - a\ X3.4 3. < X4.7 X-� x5.0 \ 5.0 x5.1 w�`3.2 x\ X4.6 _u OCO x\ W ELECTRIC \ 'X 1; w 3.5 C OUTLET/ LOT 6 N p3 SWITCH -]1 O TANK PADS \ I FLOOD ZONE "X•. SHADED p TRAVERSE LJNq ONLY o LOT 6 O M FILTER PAD.`� PUMPS --A 3.9 - . - . _ rn _ -X - 'FOUND 1\2" IRON 1 ' 1 FOUND 1\2" IRON 3X4 6 S89 08'p'�"W 102.C9T PIPE LB 3672 J PIPE LB 3672 4.3 - l / FLOOD ZONE "AE" (EL6) 3.7 x3.9 / LOT 7 0 00 LOT 7 44.1 K -- / 5.7' APPROXIMATE MEAN HIGH WATER I ELEVATION = 2.4 NGVD 1929 �LINE NOTES: -THIS IS A BOUNDARY SURVEY. -BEARINGS BASED ON EASTERLY RIGHT OF WAY LINE OF CARNATION STREET BEING N01'16'00"W AS PER PLAT. -NO BUILDING RESCRICTION LINES AS PER PLAT. -ELEVATIONS BASED ON NGVD 1929. SITE BENCHMARK AS SHOWN. -MEAN HIGH WATER ELEVATION IS 2.4 NGVD 1929 PER TIDE INTERPOLATION POINT No. 3704 AND TIDE STATION No. 872-0247 DATA FROM LABINS.ORG. SEE SPECIAL �N�otice of Preventative Treatments for Termites (as required by Florida Building Code(FBC) 104.2.6) Terwinix International Phone: ),Z,L(14, Address of Treatment or Lot/Block of Treatment: Y /rt �rc � i� �1'3 [,..° d`E`yr(,�44wt.� Y•5(, �,< r�r$ � Date Time Applicator .iceG rnE« ; rpt Product Used Chemicalused(active ingredient) Number of gallons applied Percent Concentration Area treated(square feet) Linear feet treated Stage of treatment(Horizontal,Vertical,'Adjoining Slab, retreat of disturbedtare*) As per 104.2.6 If soil chemical barrier method for termite,prevention is used,fin at etterior treament shall be completed prior to final building approval If this notice is for the final°exteri or treatment, initial and,,daW this line. �•--•• ..ku Brooks, Nancy From: Hall, Erika Sent: Friday, October 09, 2009 8:49 AM To: Brooks, Nancy Subject: RE: CO for 1011 Carnation St. Good on TREES! (10 From: Brooks, Nancy Sent: Thursday, October 08, 2009 12:44 PM To: Carper, Rick; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika; Deming, James; Nodine, Phil; Gilboy, Tim Cc: Doerr, Sonya; Graham Shirley Subject: CO for 1011 Carnation St. Mike Register is requesting a CO for the above address, permit#08-260. His phone number is 707-1438. Please email approvals or provide signatures on CO worksheet located in the Building Dept. Thanks, Nancy Brooks Building Department City Of Athuitic Beach (904) 247-5826 nbrooks La coab.us 1 Brooks, Nancy From: Walker, Chris Sent: Thursday, October 08, 2009 1:19 PM To: Brooks, Nancy Subject: RE: CO for 1011 Carnation St. We don't have any utilities on this street to inspect. Must be an internal inspection. From: Brooks, Nancy Sent: Thursday, October 08, 2009 12:44 PM To: Carper, Rick; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika; Deming, James; Nodine, Phil; Gilboy, Tim Cc: Doerr, Sonya; Graham Shirley Subject: CO for 1011 Carnation St. Mike Register is requesting a CO for the above address, permit#08-260. His phone number is 707-1438. Please email approvals or provide signatures on CO worksheet located in the Building Dept. Thanks, Nwmcy Brooks Buildnig Department City Of Adwitic Beach (904) 247-5826 nbrooks((-Pcoab.us i PREPARED 10/12/09, 8:29:27 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 10/12/09 ADDRESS . : 1011 CARNATION ST SUBDIV: CONTRACTOR : PHONE OWNER REGISTER, MICHAEL PHONE PARCEL - - - APPL NUMBER: 08-00000260 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------------------—-—---—----------—--------------- 6/05/09 AP PARTIAL SHEETROCK & SCREW OFF MIKE REGISTER SHRK O1 6/30/09 MJ SHEETROCK/SCREW OFF TIME: 17:00 6/30/09 AP MIKE REGISTER 82 01 9/21/09 MJ PW DRIVEWAY FORM TIME: 17:00 9/21/09 AP pm appt formboards for driveway. 16 01 10/12/09 MJA BDCERTIFICATE OF COMPLETION TIME: 17:00 CO-MIKE REGISTER 707 1438 PM APPT -- -- - - -- - - - - ---- __ _ _- - PERMIT- MECH 00 MECHANICAL HVAC PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------------------- 32 01 4/03/09 MJ MECHANICAL A/C ROUGH-IN TIME: 17:00 4/03/09 AP 31 01 5/11/09 MJ MECHANICAL FIREPLACE ROUGH-IN TIME: 17:00 5/11/09 CA not ready. inspected and approved on 5/19 with insulation inspection 34 01 10/12/09 MJ MECHANICAL A/C FINAL TIME: 17:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/12/09, 8:29:27 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 10/12/09 ------------------------------------------------------------------------------------------------ ADDRESS . : 1011 CARNATION ST SUBDIV: CONTRACTOR BROOKS & LIMBAUGH ELECTRIC CO PHONE (904) 241-9051 OWNER REGISTER, MICHAEL PHONE PARCEL - - - APPL NUMBER: 08-00001693 ELECTRIC ONLY ------------------------------------------------------------------------------------------------ PERMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------- 22 01 4/03/09 MJ ELECTRICAL ROUGH-IN/COVER UP TIME: 17:00 4/03/09 AP 24 01 8/11/09 MJ ELECTRICAL EARLY POWER TIME: 17:00 8/11/09 AP 23 01 10/12/09 MJ ELECTRICAL FINAL TIME: 17:00 III PM APPT MIKE REGISTER 707 1438 -------------------------------------- COMMENTS AND NOTES ---------------------------------- �p r sr, EARLY POWER AGREEMENT & RELEASE CITY OF ATLANTIC BEACH Electric power is requested now under the conditions and terms of this fully executed Agreement&Release Job Address: /D // Ami -��/?-Vy) Jr— Permit No. O 9 ' Al L 3 Service Type (Circle One): Overhead Underground We, the undersigned General Contractor and Electrician, understand and agree: 1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not substitute for Final Inspections or the C/O (Certificate of Occupancy}TFiat must be issued belore occupancy, and as such is at the discretion of the Building Official. 2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough inspections must have prior Approval, including meter base connections. 3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beach Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service after a twenty-four hour notice. 4. "Early Power"release authority is the Electrician and/or the Contractor and must not occur before: a. Equipment, devices and fixtures are installed(or blanked off)safely. b. Panel is complete with breakers and cover, and(labeling required at final inspection). c. Service connection and grounding is complete. d. The electric system has safely passed through electrical check. e. Meter can is pennanently marked with address. f. Temporary address numbers displayed(Permanent numbers are required for C/O). 5. This fully completed form is to be submitted to the Building Department by hand,mail or fax. 6. Future such Agreements will not be accepted from those who violate any one of the above items. CONTRACTOR r DATE " 7 O PRINT NAME ELECTRICIAN 32�Od 13 #*.q tl' DATE 7 i PRINT NAME 800 Seminole Road,Atlantic Beach FL 32233 Phone: (904)247-5826 Fax: (904)247-5845 h ://www.coab.us revised 11.29.06 STATE OF FLORIDA - DEPARTMENT OF HEALTH Wil APPLICATION POR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT , "N MI . Permit Application Number -------_.—.—_—•._ ------ PART II-SITE PLAN-..........—_���_—�--------- Scale: Each block represents 2,0 f1t. each st�1L block. - e: -_ .. ,-t ._ w . , t—r• r • t 1 . 171 �..� .-_l.._r_ +.,1 — L}- f . _ 1� 1 ---�- 44-t- + }- t -t-. _ f 1 41 1 � 1 1 T � t 17.4 44, r . t yr r r r j - r 1r+ r-+ i-,- - t--•-��4- t ;_ t w Y- , 1 S _�-rte I _ t , f T:� �1'y�s �/yy► I _.._ li U vs L01- la' *+"f _.C x.;•11 �oma- • _ Site Plan submitted by: \1C .-�C � 701,t ature Title Plan Approved Approved Date By County Health Department ALL CHANGES MUST BE APPROVED BY THE CbUNTY HEALTH DEPARTMENT 'U(ROOMM HNSH Form 4015 WNch may ba u940 _./.. MAP SHOWING SURVEY OF LOTS 4, 5, 6 & 7, BLOCK 175, SECTION "H", ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. WEST PLAZA Z FOUND 1\2" IRON PIPE NO CAP 50' RIGHT OF WAY p — — — — N O M CO LOT 3 o LOT 3 `O o J 6' WOOD FE.CE Q / (N 9'09 44"E 101.99> FIELD) rn ' ' N89 02'00"E 102.00' z Ip�N FOUND 1\2" IRON4' CHAIN LINK FENCE 7 PIPE LB3672 PIPE NO CAP 0.3' O 0 v 0 4 o LOT, a m1 D z N m — 0 Cy) <D —J O \ e cn O Q \ o z opo LOT �` p �, LOT 0 0 5 T1 v O (-Ili z D 0 0 cjn z S \ � 0 —I � z — z00 \ LOT 6 00 o —� o SET 1\2" IRON p � C' SET 1\2" IRON PIPE LB3672 o TRAVERSE LINE ONLY PIPE LB3672 LOT 6 FOUND 1\2" IRON N89'09'28"E 102.00' PIPE NO CAP _� --- � WEST=1.2' NORTH=0.2' WOOD / JLOT °0ck5.7'--{EDGE OFMARSH APPROXMMAfE NOTES: -THIS IS A BOUNDARY SURVEY. -BEARINGS BASED ON EASTERLY RIGHT OF WAY LINE OF CARNATION STREET BEING N01'16'00"W. -NO BUILDING RESTRICTION LINES AS PER PLAT. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b the Building Department.) 800 Seminole Road D� 1 s� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date route City web-site: http://www.coab.us APPLICATION REVIE No Property Address: Applicant: Q Project: Other Agency R Florida Dept.of Envir Florida Dept. of Trans St.Johns River Water Army Corps of Engineers Division of Hotels and Res Division of Alcoholic Beve Other: Q APF ' , � -IV, Reviewing Department First Review: 9i yr r (Circle one.) Comments: �` $ I S J u r $UILDING �( � V9PLANNI ONING 'fP TREE ADMIN. ry'*' _Date: /-93-0? PUBLIC WORKS Second Review: QAppi Comments: _v/ PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: nRTlOa �3 -Io q- TV MAP SHOWING SURVEY OF o LOTS 4, 5, 6 & 7, BLOCK 175, SECTION "H", ATLANTIC BEACH AS M RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC II RECORDS OF DUVAL COUNTY, FLORIDA. Wool) POWER POLEf WEST PLAZA f« FOUND 1\2" IRON 50' RIGHT OF WAY � 0 gPIPE NO CAP � � I Q � 4�4 I _ S' v 0) 'po LOT 3 o I LOT 3 th m0.5'6' WOOD FENCE (N89'09'44"E 101.99' FIELD)WOOD N 89°02'00" 102.00' _ _ _ _� POWER POLE I g�� 6.1 AND SET BENCH MARK---/ ai (MAG NAIL , LB 3672) 5.3 4.7 FOU - 1\2 IRON 4. 4' RAIN LINK FEN FOUND 1\2" IRON ELEVATION 1929'27 ' Qyt acr NO CAP �\ PIPE L83672 r EADGE OF PAVEMENT I o �T - -� F o p lh S `.� ��os� QJ fi\q LOT 4 to 0\ � 1 N .; �°✓'2� • z o LOT 5 01 ,ice{ O 4.9 4.8 'pp O 4.5 3.9 ` i O 5. LOT 5 o Z - s o v I I DV, Z-I \ / -I- Y - (51 Z- - O _.` _ 7 - - .� I H- m z 00 LqT 6 v m SET 1\2" IRON SET 1\2' IRqg PIPE 1-1302po TRAVERSE LINE ONLY O PIPE L63672 _ _ _ _ _ . •�. LOT 6 FOUND 1\2--/IRON N89'09'28'E 102.Od' PIPE NO CAP 1 WEST=1.2' NORTH-0.2' 1 k C - _3.8x _ - 3.6 3.7 3.7 NOTES: , 1. THIS IS A TOPOGRAPHIC )(C*)11T7 0°00SURVEY. 3.9x ck 2. BOUNDARY AS PER 5.7' BOATWRIGHT LAND SURVEYORS , X• DRAWING No. 2004-0781, DATED ' JUNE 15, 2004 lc 3. NO BUILDING RESTRICTION LINES EDGE OF MAR'' AS PER PLAT. - '- APPRO)o 4. BENCH MARK IS A FOUND RAIL ROAD SPIKE ON EAST SIDE OF WOOD POWER POLE BETWEEN RESIDENCE NOS 1416 & 1432 ON JASMINE ROAD. ELEVATION = A v LEGACY ENGINEERING,INC LEr �<I A C 1 6424 BEACH BOULVARD JACKSONVILLE,FL 32216 ENGINEERING, INC 904-721-1100 OFFICE Project No.: � 904-722-1100 FAX Report No.: Geotechnical&Materials Engineering and Testing Page of Lab No.: Report of In-Place Density(Asphalt or Soil) Tests or Coring for Thickness(--circle one--) Project: )6 11 Al AM' 5r— Contractor, ''Contractor: Method: Reported To M t '"r"�r" Location by: Location: Course: Material: f° Spec. Requirements: Date Tested: Z ss/ Location Elev/ Base/LR/ Dry Max. %of Moist Fail/ Depth/ Asphalt Density Dry Max % Retest Lift Thickness Q� Density* Den -�'' L� ��► c? , t� *Source of Proctor(Project Number) P -Test Meets Specification Requirements F-Test Fails To Meet Specification Requirements R-Retest To Be Completed In Field Employee Name l/.�''� ❑-Standby Time from to Total: Billing Comments ❑-Job Time from to Total: _ Trip Charge(Job Canceled) ❑-Travel Time from to Total: (To job) _Out of Town Mobilization ❑-Travel Time from to Total: (From Job) City Total Hours: _\ - Notice of Preventative Treatments for Termites (as required by Florida Building Code(FBC) 104.2.6) Terminix International Phone: "15 Address of Treatment or LotBiock of Treatment: �.- Date Time Applicator Product Used Chemical used (active ingredient) Number of gatlons applied Percent Concentration Area treated(square feet) Linear feet treated Stage of treatment(Horizontal, Vertical, Adjoining Stab,retreat of disturbed area) As per 104.2.6-1f soil chemical barrier method for termite prevention is used.final exterior treament shall be completed prior to final building approval. If this notice is for the final exterior treatment,initial and date this line :v,r;,; CITY OF ATLANTIC BEACH P7 ' 800 SEMtNOLE ROAD,ATLANTIC BEACH,FL 32233 O7- ' al OFFICE:(904847.5826 a FAX NO.:(9%P47-5845 t� BUILDING4EPTbCOA&US BUILDING PERMIT APPLICA'nON DUVAL COUNTY 1.,los ADDRESS: 2 VALUATION OF WORit j3.SQFT.UNDER ROOF IOU Cacti �U�_ ��S_ Atlantic Beach, FL 32233 4.LEGAL DESCRIPTION. S.CLASS.OF WC--- a.USE OF STRUCTLIR& � y NEw BUILDING Q DEMOUTION RESIDENTIAL LOT }'SL I±Cw VSION ADDITION 13 cowERT NG USE Q CM4L 7.DESCRIPTION OF VVWORK ❑ALTERATION 13 ACCESSORY swe, S.FIRE SPRINKLER: i3 REPAIR C]POOL f SPA 0 YES NIA {\f Gl o M VE a OTHER o No PROPERTYOVVNER: CONTRACTOR ARCFU3't:C lENGINEER: 9.NAIL: 15 CO07 NAME: 23.COMPANY NMS: tl';C'1 16.NAME: 74.LICENSEE NAGE: to.ADDRESS: S7.SLATE OFF t10EN SE Hn 25.STATE OF FLORIDA LICENSE NO.: "O U ..c``. 2, k 18.ADDRESS: 26.ADDR SS:r.I 3 u33 1c� xtiri a ax 'rL 11.OFFICE PHONE: 12 FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27-OFFICE PHONE: 28.FAX N Ytiz '2134 13.CELL PHONE: kv-1-.V44 21.CELL PHONE: 29.CELL PHONE: z -1 -7c-)--1438 14.EMALADORE= 22.E61WLADD1RE 30.SMILADORESS: - uFollExtlulrown71Y BONfNNG-ow MORTGAGE-LENDER: 31.NAME; 33.NAM 3S NAME: 32. 34,AD SS: 36.ADORES& AppfiCabon is hereby made Ito 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 rvWia*V construction in this PY"etion. This permit becomes null and void N work is not Commenced within six(6)months.or U construction or work is suspended or abandoned for a period of sic(6) months at any tinve after work M commenced. I aWamtwW That separate permits mustt be secured for ElactMcai Work,PlumblM Signs,Wella,Pools,Furnaces boilers,Harriers,Tanks, Air Condidoners,etc. OWNER'S AFFIDAVIT-I Certify that all the foregoitV information Is accurate and that all Work will be done in compliance with all applicable taws requiatktg consbuction and zoning.I vdi not occupy or use the referenced building or any part#rami.until all inspections are 6naled and prior to obfeinirg a carritficabe of occupancy or cornplebiorr issued by the bLdldbV official,as required by taw. WARNING TO OWNER: **Ik 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. OVMER or AGENTCONTRACTOR ttf ADMA,Pa�.er er Apenoy Ldrsr Regrdred) ,e,d Oyslifler DdYy Signed: s, Date: Z—5—Uo Signed: Date: of Before nue thig��!dayrFek.Vs f f vr_ .20�j rxwnty of Before me this day of in tAe cotxity Duval.Siebe of r-bride,has personally appeared L` Duvaf.State of Florida,hes personally _ryt.i�a� t g-e�r harm by himself I herself and aiTlrms that all statements and declarations are hem by hlmselFl herself and aTrms;tflat ants acrd declarations are true and agate. pr true and aouxate Notary Public at Large,State of l tom.. .County of �( _ Notary Public at Large.State of Cou E3 Personally Knowe 0 Peraonaly Known Vftd—d Identillamft- _ 't7 �.- D Produoad tderllilir�tidrt- NIToterySigneluca Notary Signature: K.CUPINOGHDFr&ft ajP Notary Public-Sure Wr Cpnmis w ExpiresCOAB FORM BL0001:REVISED:1211/2007 CotlrrrisalOn i<DD Bonded By National N Z'd 9t,99-LtiZ-b06 SLueWs uopeLu.lo}ul e 6EM Rn sn ter CITY OF AIMANTIC BEACH PERMIT 1 ` BUILDING 1 ZONING DEPARTMENT APPLICATION# 800 nfic Beacnoleh, Road i�D Atlantio Bead,Florida 32233 (904)247-5500 (904)247-5945 Fax www.coah.us APPLICATION TRACKING FORA RF .IRED DEPT: Property Address: J 2_� 1 � � r z N PLANNING N BUILDING -yu C',k at I R-f aN PUBLIC WORKS Appj]lCShcl$: ' (VA. PUBLIC U71LMES Y FIRE DFPT'. Project: ��� Y IN PUBLIC SAFETY W -APPROVAL U D REQUIRED AGENCY: RECEIVED BY: INITIAL' DATE: UACC Y N CC HUFSTEfLER wY N S.J.RW.M. CARPER Lu Y N ARMY CORPS of ENG I CARPER F o Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE ❑ ❑ 1 1ST REV ® ❑ . QZ ,.7 �0 p� • P ING G ❑ ® N PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV ® ❑ CITY OF ATLANTIC BEACH 07., goo SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 r OFFICE:(9041247-51126*FAX NO.1904)247-5845 BUILDING-DEPTWOAB.UB DUVAL COUNTY BUILDING PERMIT APPLICATION z.VALUATION WORK 354 FT,l�Rk)7ER ROOF}.JOB ADEN*trSS t 1 or Atlantic Beach, FL 32233 ` ' - CLASS OF 1MORK: 6.USE or- 5. STRUCTUI�: KLM 4 LEGAL.DESCRIPTtO►C NEW BUILDING 4 ❑OEMOLrr1ON RESIDENTIAL -4 ADDmON ❑CONVERTING USE ❑COMMERCIAL LOT!BLIK SUB DIVISION O gLTERAT1OPt ❑ACCESSORY BLDG. 8,Film SPRN1 7.DESCAFTION WORK: ❑REPAIR ❑POOL l SPA (3 YES N� ❑MOVE ❑OTHER ❑NO C(H�rftIICTOR A950:fECT 1 ENGtN6ER: PROPFa2TY,OWNE 23.COMPANY NAME: 9.NAME: t s. ANY NAME F LA \l� t, `� t l � 16.NAME: 24.LICENSEE NAME: 25.STATE OF FLORIDALICENSE NO 1�l 17.STATE OF F LICENSE NO 3 10.ADDRESS. i O SIS � 1 r�i r 28. DR SS:x A V C�°ate�-t �3 �^ 18.ADDRESS: 1 ti4\ YYAU't C"N 20.FAX NO.: 27.OFFICE PHONE: 28.FAX G 11.OFFICE PHONE: t 12.FAX NO.:g 19.OFFICE PHONE: tt, ��' 3 Ct f ��O Ct- i 29.CELL PHONE. 13.CELL '• 2 21.CELL PHONE: 'L. "1 � � it 3 30.EMAIL ADDRESS: 14.E ADDRESS: 22,EMAIL ADDRE : 2. MORTGAGE LFXDER: t E HQLD Bo"NG COMP (1F(mtIER TFiAl10W116� 35.NAME: 31.NAME: 33.NAME: 34. SS: 36.ADDRESS: 32. Lt t0 d0 the work and installations as indicated. I Y that no work or installation has Application is hereby made to obtain a perm to meet the standards of a8 laws regulating construdiom in tills commenced prior to the issuance of a Pandit and that all work will m performedworkIs suspended or jurfsdictiorL This permit becomes nail and void ff work is not commenced within six(6u months,Or sep�t�n� t be secured for, abandoned for a period of six(6)months at any time after work is Tanks, Air Conditloners,etc. Electrical Work,Piumbin ,S rls,Wens,Pools,Furnaces,Rollers, OWNEWS AFFIDAVIT-I certify that an the foregoing irrforrrtalion is accurate and that all work will erof done Compliance in all'i snspections are ff laws regulating construction and zoning.i will not occupy or use the referenced building or any P art prior to obtainhVa e of 1>� �a required � WARNING T4 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, CONS CE OFT WII H YOUR ENT. LENDER OR AN ATTORNEY BEFORE RECORDING CONTRACTOR OWNER or AGENT o (N Agettt Power or AQ-9 Leber ReW Li 4 �IS S �l� Signed: Date: Signed: Date: .�, ✓ rl,,� .2� camtyof Before me this day of007 in the county of Before me _-_day t Duval,State of Florida,has personallyred Duval.State of Florida,has Personally appeared rA(U�at i R-e are trerin by himself/herself and affirms that is and declarations are hedn by himsetf I herself and affirMs that all statements and dedarations true and accurate. true and accurate. Coun f Notary Public at Large,State of Notary Public at Large.State of � County 0 Personsiy Known ❑Personally Known ❑Produced Ideriffration- )noduced Iden0fication- Notary Signature: Notary Signature: .4 KPCUNNINGHAM Florida r P ���: No1My Ext Feb 28,2010 --1. Cp�►#DD 523638 COAG FORM BLDGOt:REVISED:12/11/2007 ] r= Bonded By National Notary HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Jan 03 2008 10:39AM Last Transaction Date Time Type Identification Duration Pages Result Jan 3 10:38AM Fax Sent 92490910 0:58 2 OK PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FL. ProjectName: 1 c Hca -� �'(rz -1, Permit# Project Address. As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed roducts. Information regardingstatewide Rroduct a roval may be obtained at: www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging :sL, 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6. Other B. WINDOWS 1. Single hung 17A ! ZQ 2.Horizontal slider"' 3.Casement 4.Double hung 5.Fixedmap 6.Awning 7.Pass-through S.Projected 9.Mullion 10.Wind breaker 11.Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL 1. Siding j 2. Soffits 3.EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8.Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1. Asphalt shingles -,� 2. Underlayments 3.Roofing fasteners 4.Nonstructural metal roof 5.Built-up roofing 6.Modified bitumen 7. Single ply roofing 8.Roofing tiles 9.Roofing insulation 10. Waterproofing 11.Wood shingles/shakes 12.Roofing slate 13. Liquid applied roofing 14.Cement-adhesive coats 15.Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1.Accordion 2.Bahama 3. Storm panels 4. Colonial 5.Roll-up b.Equipment 7. Other F. STRUCTURAL COMPONENTS 1.Wood connector/anchor 2. Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 5.Concrete admixtures 7. Material 8. Insulation forms 9.Plastics 10,Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight 2.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Locat H.NEW EXTERIOR ENVELOPE PRODUCTS I. 2. In addition to completing the above list of manufacturers,product description and State approval number for the products used on this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed instructions, along with the list above,on the job site available to the inspector. The products listed below did not demonstrate product approval at time of plan review. I understand that before these products can be inspected,they must be submitted for review for code compliance and approved by a Pians Examiner. This form will be revised to include each new product in the categories listed above and will be highlighted to indicate the new products and required information. Authorized Proiect Agent: (Contractor or Design Professional) (Print Name) (Signature) Company Name: Mailing Address: City: State: Zip Code: Telephone Number: { } Fax Number:{ ) 't-ne Number:{ ) E-mail Address: " r ' � CITY OF ATLANTIC BEACH PERMIT B$UMDING! ZONING DE�`.R-'7C`M"TBMW andmis Road ,gpP1.ICATION# . Aflaatia Dow*.FlImift 32233 �,� • (904)247 38i)D • (9N)247-5845 Faye 'vvvew oaaby�s . APPUCAMN TRACT ENG FORM nDIEPT : K KAWNG CJ su"sa p3mp"Ly Addrem. LW H puBua Y Pumm uT1i t nss y' " Y FIRE App - Project: Y N Pu13 Ja SAFETY APPRWAL w BY: INTiiAi: REQUIRED AGFJ�CY RECD DATE Y N DzpHUFSTEILM Q .f N S..I.R W.ft CARPER awC Y H ARMY CAWS CK EIS CARPI t OY ti MOTES&RESMAkAHM Ifi7F5tEiLF-R APPLICA i ION STATUS _ • as A� air: iNmA1.- oA-� c1RCLeoK SITE MWINc Q Q 1sT REv Q (3 FUBLIC WQRiSS 4, pUB•IC UTILITIES FIRE CyEP - PtlBI IC SAFETY 3M REV Q Q M ` •A (++,Af!�I4.7-+,/1C ' eu�aic6tnnnni i��roi a nnn n nn ei I ndn Initial Effective Date: 01-01-02 as adopted by Ordinance 90-01-172 Last amended on 08-13-07 by Ordinance 90-07-201 (e) NPDES Requirements. All construction activities shall be in conformance with the City's National Pollutant Discharge Elimination Systems (NPDES) permit, in addition to the requirements of the Water Management District and the Florida Department of Environmental Protection. NPDES requirements include use of Best Management Practices (BMPs) prior to discharge into natural or artificial drainage systems. Beginning May 1, 2003, all construction projects of one acre or more will require a NPDES permit. (f) Enforcement. Subsequent to approval of a property owner's final grading, including on-site and/or flood plain storage and stormwater treatment, the improvements shall be maintained by the property owner. Failure to maintain the improvements will require restoration upon notification by the Director of Public Works, within a stipulated time frame. If restoration is not timely completed, the City shall have the right to complete the restoration, and the City's actual cost incurred, together with a charge of 100% of said costs to cover the City's administrative expenses, shall be charged to the owner. Sec. 24-67. Development Review and Issuance of Development Permits. (a) Purpose. The purpose of this Section shall be to establish procedures for the submittal, review and approval of Construction Plans, and the issuance of Development Permits. (b) Procedures. Plans prepared according to the requirements set forth within this Section shall be submitted to the Building Department for distribution, review and comment from appropriate departments of the City. Plans may be denied if they do not meet the intent or the requirements of this Section and this Chapter or the Florida Building Code. (c) Site Plan required. A Site Plan, drawn at a clear and legible scale, shall be required for all new Development,other than interior renovations, in accordance with the following provisions: (1) Single-family, Two-family (Duplex) or Townhouse and Structural Alterations or additions a - thereto, including Swimming Pools and Accessory Structures. A Certified Survey and Site" Plan accompanied by the required application form and review fee as established by the City Commission shall be submitted to the Building Department. Each of the following items shall be addressed. i. All driveways and parking. ii. All existing and proposed Structures. iii. Setba PlattBuilding Restriction Lines and Height of Buildings. iv. AnVIurisdictional Wedan or Coastal Construction Control Line water bodies an re uire uffers r si nificant environmental features. V. A pre-con'stru ion topographical survey, pursuant to Section 24-66, unless waived in accordance with the provisions therein. (2) Multi-Family, Commercial and Industrial Uses and Structural Alterations or additions thereto. A Certified Survey and preliminary Site Plan accompanied by the required application form and review fee as established by the City Commission shall be submitted the Building Department. The Site Plan shall depict the entire tract proposed for Development and shall be drawn at a scale sufficient to depict all required information in a clear and legible manner. Each of the following items shall be addressed: i. Project boundary with bearings and distances. ii. Legal description, including property size. iii. Location of all structures,temporary and permanent, including setbacks, building height, number of stories and square footage. (Identify any existing structures and uses.) 34 rs iry CI'rY OF AA TL ' TC BEACH PERMIT . '� BUILDING 1 ZONING DEPARTMENT ENT APPLICATION# r NO Sauunnle Road Atlantia Beach,Flaida 32233 (904)247-5800 (904)247-$845 Fax vrww.oDab.us APPLICATION TRACKING FORM jZeQiJ-� .IRED DEPT: iro rty.Address: � pmm � � i (:� � R PLANNING P � M BUILDING >N PUBLICwoWts Appla�t; ( Y PUBLIC U17F1TlF_S Y FIRE DEPT. Project: Y z N PUBLIC SAFETY APPROVAL t3 ty n REQUIRED AGENCY: RECEIVED BY: INITIAL_ DATE a Y N D.E.P HUFSTETLER O Y N S.d.FRW.M. CARPER Y N ARMY CORPS of ENG APER o Y N HOTELS&RESAURANTS HLIFSTE I'LER APPLICA i ION STATUS CIRCLE ONE STCE BUILDING DA AP REVIEWED BY: INITIAL• _ DATE Q ® tsr REV ❑ ❑ S OZ ,-7 p8 CPU ING ! [� ❑ NI EV ❑ Puauc woRcs /_ ,'D n�•- G � /�! ��� PUBLIC UTILITIES FIRE DEPT. . PUBLIC SAFETY 3RD REV ® . s I'd 06 swelgAs uoilewjojul e8£:06 90 co uef 1011 Carnation Street #08-260 3rd review comments from Public Works, Public Utilities and Zoning 1. Applicant must provide a site plan showing the following: A professionally drawn and certified site plan showing the following: (A hand drawn approximation of the wetlands and general location of the house is not sufficient.) • Location of the wetland jurisdictional line must be provided. This must be prepared by a person or firm certified to make such determinations. • the required 25-foot buffer between the wetland line and any development must be shown on the site plan / survey. 2. Well permit and septic tank permit must be issued prior to issuance of a City of Atlantic Beach Building Permit to construct house. Please submit these to the Building Department. 3/5/08 Initial Effective Date: 01-01-02 as adopted by Ordinance 90-01-172 Last amended on 08-13-07 by Ordinance 90-07-201 (e) NPDES Requirements. All construction activities shall be in conformance with the City's National Pollutant Discharge Elimination Systems (NPDES) permit, in addition to the requirements of the Water Management District and the Florida Department of Environmental Protection. NPDES requirements include use of Best Management Practices (BMPs) prior to discharge into natural or artificial drainage systems. Beginning May 1, 2003, all construction projects of one acre or more will require a NPDES permit. (f) Enforcement. Subsequent to approval of a property owner's final grading, including on-site and/or flood plain storage and stormwater treatment, the improvements shall be maintained by the property owner. Failure to maintain the improvements will require restoration upon notification by the Director of Public Works, within a stipulated time frame. If restoration is not timely completed, the City shall have the right to complete the restoration, and the City's actual cost incurred, together with a charge of 100% of said costs to cover the City's administrative expenses, shall be charged to the owner. Sec. 24-67. Development Review and Issuance of Development Permits. (a) Purpose. The purpose of this Section shall be to establish procedures for the submittal, review and approval of Construction Plans, and the issuance of Development Permits. (b) Procedures. Plans prepared according to the requirements set forth within this Section shall be submitted to the Building Department for distribution, review and comment from appropriate departments of the City. Plans may be denied if they do not meet the intent or the requirements of this Section and this Chapter or the Florida Building Code. (c) Site Plan required. A Site Plan, drawn at a clear and legible scale, shall be required for all new Development, other than interior renovations, in accordance with the following provisions: (1) Single-family, Two-family (Duplex) or Townhouse and Structural Alterations or additions thereto, including Swimming Pools and Accessory Structures. A Certified Survey and Site"` Plan accompanied by the required application form and review fee as established by the City Commission shall be submitted to the Building Department. Each of the following items shall be addressed, i. All driveways and parking. ii. All existing and proposed Structures. iii. Setba Pla ding Restriction Lines and Height of Buildings. iv. An iurisdictional Wetlan or Coastal Construction Control Line water bodies an re uire uffers r significant environmental features. V. A pre-construc ion topographical survey, pursuant to Section 24-66, unless waived in accordance with the provisions therein. (2) Multi-Family, Commercial and Industrial Uses and Structural Alterations or additions thereto. A Certified Survey and preliminary Site Plan accompanied by the required application form and review fee as established by the City Commission shall be submitted the Building Department. The Site Plan shall depict the entire tract proposed for Development and shall be drawn at a scale sufficient to depict all required information in a clear and legible manner. Each of the following items shall be addressed: i. Project boundary with bearings and distances. ii. Legal description, including property size. iii. Location of all structures,temporary and permanent, including setbacks,building height, number of stories and square footage. (Identify any existing structures and uses.) 34 SL:Li�l�3 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road s� Atlantic Beach, Florida 32233-5445 -- a `^$ Phone(904)247-5826 - Fax(904)247-5845 tt �vjW E-mail: building-dept@coab.us Date routed: C City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM � C4i 49+ Department review required Yes No Property Address: in Building ing Applicant: ublic Works Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: @Approved. [—]Denied. (Circle one.) Comments: BUILDING re t7k j (� PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: Xproved as revised. 4enied. PUBLIC SAFETY Comments: Sim FIRE SERVICES !!j�tir 1 �' Reviewed by: /`Z-- Date: �O Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ,.• R,r ATLANTIC BEACH, FLORIDA 32233-4318 ` S) TELEPHONE: (904)247-5834 FAX: (904)247-5843 SUNCOM: 852-5834 www.coab.us 'r~J,31 EROSION & SEDIMENT CONTROL SILT FENCE INSTALLATION DETAIL TYPE A OR 8 FENCE r �r a ''`'"—L.t a`as—E SCN- P ACM BY SHOVEL kNil NOTE SALES TO BE STAKED AT IM UC4MY COMPAC76D ALONG UPS` -filkl DIRECTION OF THE ENGMEER FACE OF SALES. ROOLES BACKED BY FENCE N.T.S. -----POOOST (OPTTOW- 27 X 4` MEL 1.33 LHS/ M MIN.) 3'-0- RtMOFF •1 P C FAMIC (3 PS7�T�F..S¢T) mm- 6 MIN PERMIT #: 16-SJ-907354 STATE OF FLORIDA APPLICATION #: AP849882 r~ DEPARTMENT OF HEALTH DATE PAID: 03/10/2008 ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: $55.00 SYSTEM RECEIPT #: 16-PID-996471 DOCUMENT #: PR741082 CONSTRUCTION PERMIT FOR: OSTDS New N" APPLICANT: Elizabeth&Michael Register PROPERTY ADDRESS: 1011 Carnation St ATLANTIC BEACH, FL 32233 LOT: 4-7 BLOCK: 175 SUBDIVISION: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S. , AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL, PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,200 J GALLONS / GPD SeDtic CAPACITY A [ j GALLONS / GPD N/A CAPACITY N [ j GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ 375 ] GALLONS DOSING TANK CAPACITY [ 83.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ) D [ 770 ] SQUARE FEET SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ) FILLED [X] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ) N F LOCATION OF BENCHMARK: Orange line On left fence post I ELEVATION OF PROPOSED SYSTEM SITE [ 40.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 26.00 ] [ INCHES FT ) [ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [32.00] INCHES EXCAVATION REQUIRED: [ 42.00 ] INCHES 0 Excavate 42 inches or to suitable soil The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with T s.64E-6.013(3)(f), FAC. Performing Lift Dosing. H Pumps must be certified as suitable for distributing sewage effluent. DRAINFIELD MUST BE INSTALLED USING 9 BUNDLE PTI E R SPECIFICATIONS BY: i Colleen Al Bierbach * TITLE: Environmental Specialist II APPROVED BY: _ 1 I ' � �7�1 t � TITLE: Environmental Specialist II Duval CHD Colleen A. Bierbach DATE ISSUED: 06/06/2008 EXPIRATION DATE: 12/06/2009 DH 4016, 10/97 (Previous Editions May Be Used) Page 1 of 3 1.1..4 MAP SHOWING SURVEY OF LOTS 4, 5, 6 & 7, BLOCK 175, SECTION "H", ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. WEST 'LAZA Z FOUND i\2" IRON 50' RIGHT OF WAY - O PIPE NO CAP Q f o. II \V}\J f _- 0 61 o LOT 3 ( ; LOT 3 GL -9 6' W000 FENCE `189'09'44"E Q 101.99' FIEL, � it l 0,m 0SET 1\2" IRONU N89'02- 0E 102A / PIPE 1B3672 FOUND 1\2" IRON T LPT n PIPE NO CAP - SITE BENCHMARK 03 ( 1 NAIL and DISC ` /I LB 3672 IN ASPHALT PAVED ROAD o - ELEVATION = } $ o LOT 4 4.36 NAVD '88 VI N C7 `. . Q 11 '' o 0 o > O z LOT 5 ' o til c / z O - --� z o - -P0 Z t{ 9 X22 -.Y ` SF O p C0 t.s --� }}- - LOT 6 \ 1.9 \ X 2.1 SET 1\2" IRON O TRAVERSE 16 Q ONLY SET 1\2" IRON PIPE L93672 O 20x 0 PIPE L83672 LOT 6 2 3X �'. _ . � Y _ , . _ 2.4 F9 FOUND 1\2" IRON N89-09'28"E/ 102.00 241.5 PIPE NO CAP VJLST=1.2' j 1 1.6 NORTH=0.2' � w W2.4 )t 2.1 / 1 ' / LOT 7 t ,x 2.9 a K LOT 7 6 2.4-- 2.4 .4-- 2.4 APPROXIMATE MEAN HIGH WATER I LINE ELEVATION = 1.3 NAVD '88 ` NOTES: -THIS IS A SPECIAL PURPOSE SURVEY TO LOCATE MEAN HIGH WATER LINE. BOUNDARY SURVEY JUNE 15, 2004, FILE No. 2004-781. -BEARINGS BASED ON EASTERLY RIGHT OF WAY LINE OF CARNATION STREET BEING NO1'16'00"W. AS PER PLAT. -NO BUILDING RESTRICTION LINES AS PER PLAT. -ELEVATIONS BASED ON NAVD '88, SITE BENCHMARK AS SHOWN. i' CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT !fJili Jt.. 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 `CONSTRUCTION CONTRACTING'REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW. DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES; STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE YOU ST SUPERVISE THE C STI1 CTI N YOURSELF YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN INFLICENSED PERSON AS YOUR CQM RAaQR, YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EWLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR nftWCiPAL LICENS]NG ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY 13E LIABLE-FOB IJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX ANDIOR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY RC CIUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY" OR THE FLORIDA 'CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT i COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS PHONt NUMB-ER' 1-11�T^C _ S DATE Oefore ms this 5' day of Ri ulatf t in the county of Duval,Stat of Florida.has Personapy appeared t in by himself/herseN and affirms that as staternen s and declarations are true and accurate. Notary Public at Large.State of Known e❑-fParswm ft K.CUNNINGHAM _--�_ /^ aifrer• ayZ Nt718ry Public-Stara Fbrida Notary Sig _ ExDbpe5 Feb 28,2010 •fly CoCo *DD 5236M COABFORMBiDW; m.�r %:.°;;.`. Bonded By NoOM81 Notary Assn. t ��r _C Impervious Surface Calculations % Formula Find square footage of the following: House footprint Driveway All sidewallWwalkways A/C pads Detached garage/sheds Pool Decking Patios,terraces and/or decks Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. �1 2-e- C)i 006 5ct. �f� L4 (4 C,ckc� OcW, U 10 nJ snaf2oo7 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD _ .:. ATLANTIC BEACH,FL 32233 Mr3 INSPECTION PHONE LINE 247-5826 1} Application Number . . . . . 08-00000260 Date 3/13/09 Property Address . . . . . . 1011 CARNATION ST Application type description SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 ---------------------------------------------------------------------------- Application desc NEW SFR 2575 SQ FT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REGISTER, MICHAEL OWNER ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL HVAC PERMIT Additional desc . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/09/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Provide Impervious Surface Area calculation; maximum 700 for commercial development and 50% for residential . *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. CONSTRUCTION SITE MANAGEMENT PLAN REQUIRED 1) GRADING AND DRAINAGE SURFACE WATER MANAGEMENT PLAN. 2) ONSITE & OFFSITE PARKING FOR CONSTRUCTION WORKERS . 3) LOCATION OF TEMPORARY FENCING WITHE HEIGHT AND SCREENING T�INDICATED. SILT rFENCE +��R�EEQQUIINREDD A,T��ALL TTIIMEESS ..+p� PERMIT IS AAO;ACO ;O1 ACCORDANg-9'WITH'ALO'AW OF'"ATLkNWC FLORIDA BUILDING CODES. Ife. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD i 3 e ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ZJi1 'y Page 2 Application Number . . . . . 08-00000260 Date 3/13/09 ---------------------------------------------------------------------------- Special Notes and Comments TOILET. PROVIDE DETAILED PLANS FOR STAIRS AND HANDRAILS, PER FBC R 311 . 5 . 6 . 1 & R311 . 5 . 6 . 3 SLAB SHALL BE 3000 PSI PER FBC-RESIDENTIAL; APPENDIX F, F303 . 4 CONCRETE FOR SLABS, F303 .4 . 1 MIX DESIGNS PROTECTION OF OPENINGS - FBC 1609 . 1 . 4 . UNLESS WINDOWS AND DOORS ARE IMPACT RESISTANT, A SHUTTERING SYSTEM IS REQUIRED. NEED APPROVED PERMIT FROM STATE OF FLLORIDA DEPT OF HEALTH FOR ONSITE SEWAGE DISPOSAL SYSTEM. No water or sewer utilities exist at this location. Obtain well permit prior to drilling well . Must use roll off container company that is in the City' s approved list . Silt fence must be installed per attached specification. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Mar 13 2009 12:49pm Last Fax Date Time Type Identification Duration Pages Result Mar 13 12:48pm Sent 92200715 0:45 2 OK Result: OK - black and white fax CITY OF ATLANTIC 99ACN 09- '— MaQMMOLE A0MlL A7LAM►IC aIACIr.PL X= WPM m� �- WPM PN)U74=•FAX NQ.IMIU74HO futaffeawdlooAfAus MECHAWCAL PERIMT APPLICATION DUVAL COUNTY lc , cor rx 2.bon s 't � PitRIAfTIR C�`�-oa1�y 31 ,1 D`l ���-r;G Amm.,n, 71. �- 7 UMdlft � inns >�r`nq 4 keT/ OfPIOUp, 55 cl1LL *�o _ �,�i ,,.pu� c��(�7►5 AG011EaS: a L +r o i�trcylS hP bel.sa�fh, n c�- o -W70 AppleM bn a Nueb►made b obtaln a pwmt to do ft work and Mu bllons as kidlcaMd. I CWJfy M all wmk WN be performed to one tW s6artdsrds Of eN lawn nlptrletirg ambud w in tta ju eftilorr. Tba pormrT bmWrrros mA and void if work a not tWmMficed wi lrll ort(ti) mungm.Or If oordituCtlon or wmk Ie suspended or abandoned for a panod of sk(g)ftmwWs at any W"xW wmit is eo co►rtsAr:ratS$MF4KTUW. 1T. INSTALLATION wwff WN FLORIDA BUILDINGO - D EISD REPLACEMENT OF EXSTING SYSTEM TING O COMMERCIAL AEC1NCAL O ALTERATION/ADOMON TO EXIST SYSTEM O REPAIR ❑OTHER —150m, FOE 1!.NEAT: D SPACE 'M RECESSED ENTRAL. O FLOOR IMMMERS: 20.AMA CONDITIOIINNG: D ROOM CENTRAL 21.DUCT SYS MIk TERUIL THICKNESS: MAX CAPACITY: dm n.WFlUGERATION: CAPACITY: cft 2S.COOLNNS TIOvMM.- PACITY: 2pm 2L FIRE SPRYIKLER. NUMBER OF HEADS: 26.LST$YSTE ATOR: MANLIFT: ESCALATOR: AUTOLIFT: 2S.COWARCIAL NOOp NUMBER: 27.F1ROLACE: ffirw ICATED: MASONRY: X.IRRKWA7M: O PUMP 0 WELL O PIPING 29.OAS PrIbim- LOFOUTLETS: ❑GAS ANU: O GAS WATER HEATER- 31L EAE TER: 31L OTHER-SPECIFY: SoLAa rrrv►Tsrp.WL"s.uNr r"IN= Vf°�fEL.HEAT OOpMOMA dt OM N OUM ITC. APPWA POR OTrgt TTEMB: OFUNrrg OEBCRIFnON MODEL! WNIIFACTURER TONS AGENCY Co✓1 PH f t�e- 5 4 TW 40S -j Oft NLAOM IPmON MODELS MAIUPACTURE7t AGEICY � . � � ��' �-'r T�— ft- �3 a� ►ate" � t aI= MANUFACTURER SMAL a AGENCY slokl0l hnrwAuNoran IrWI:REVIB�,?MMl000 ' RbRR/b7. ae 1 n en_o i _nn 6/27/2008 TO WHOM IT MAY CONCERN WE ARE IN FLOOD ZONE X, DUE TO THIS WE WILL BUILD OUR HOUSE ATLEAST 1 FT ABOVE THE CROWN OF RD..... MICHAEL AND ELIZABETH REGISTER ADDRESS 1011 CARNATION STREET ATLANTIC BEACH FL. 32233 THANK YOU MICHAEL REGISTER ,,,r,,,,, SHIRLEY L.GRAHAM :yQ4,av�a�•'• Notary Public-State Of Florida • •My Commission Expires Feb 14,2010 Commission#DD 518533 '••,;of"` `� Bonded By National Notary Assn. i CITY OF ATLANTIC BEACH OWNER/ BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 `CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW.- DISCLOSURE AW:DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. XW MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LI LASES REQUIRED BY STATE LAW ASID BY COUNTY OR MUNICIPAL LK; SING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; Ub!LICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN OCCUPATIONAL LICENSE-IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY' OR THE FLORIDA `CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 51. ADDRESS PHONE NUMBER PRINT NAME S TU DATE Before me aft� day of '1'ea,.I f f m>»e Muffly of Duval,State of Florida,has personally appeared h n by himself/herself and affirms that ap statements and declare*=are true and accurate. Notary Public at targe.Stats of 7 l.- Coun y o;D. y aL— ❑PAY Known , n - -A�-- w,uu.,,, K.CUrININGHAM Notary PuW-%*of Flotda NotarySigimum— _ COmnriwlon Sxoo Feb 28.2010 Commis3 #DD 523&38 m COAD Foam BcUco�; Fn r✓r ''%:,4;;.`• _ goaded By National Notary Assn. NOTICE OF COMNvIENCEMENT State of V1 or, Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: I-k )b�A 3 k a&=:2.a (_ use,a sec �1 " V - -] Lis Address of property being improved: 1 b k� Cav_X a 110v`- 5A_ COA t 134,. General description of improvements: C "QYM o Mt Gha c l i� ls� — Address: .1 bX'O StMi Ntf, &A er's interest in site of the improvement: rOe.A--> HOWVL Fu' Sf,4 Fee Simple Titleholder(if other than owner): Name: n 1r�L Contractor: ] Address: Telephone No.: ly Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person malting a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself;designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: G) Telephone No: -Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): i THIS SPACE FOR RECORDER'S USE ONLY OWNED- Si Date: nefor day of in the County of Duval,State Doc#2008029551;OR BK 14371 Page 2346, f Florida, ly appeared / Number Pages:1 atary Public at Large,State of Florida,Coun Filed&Recorded 02/05/2008 at 03:30 PM y commission expires: aNr'"••,• K.CUNNINGHAM JIM FULLER CLERK CIRCUIT COURT DUVAL xsonally Known: 2Q10 COUNTY oduced Identification: F;L- 'D RECORDING$10.00 • Bonded By National Notary Assn. CITY OF ATLANTIC BEACH . �' �•._ a PERMIT BUMDING/ ZONING DEP NT APPLICATION *V� 800 Seminole Road Atlantic Beach,Florida 32233 GJila' (904)247-5000 (904)247-5845 Fax www.coabms APPLICATION TRACKING FORM REQQIRED DEPT: M PLANNING Property Address: -Jul 0Af1a(1kmtnm+ � � B�st�DING I A 1• N PUBLIC WORKS AppHean to Y�- F CY2A. PUBLIC UTILITIES Y FIRE DEPT. Project: �� � Y N PUBLIC SAFETY C/) APPROVAL vREQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w Y N D.E.P HUFSTETLER O� <a Y N S.J.R.W.M. CARPER w z Y N ARMY CORPS of ENG CARPER Y N HOTELS RESAURANTS HUFSTFTLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® 1 ST REV 0 0 m r 'Sof1Pf a ,p . PLANNING ® ® 2ND Rev BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV f> i =_ . CITY OF ATEANTIC BEACH PER r � BURNING I ZONING DEPARTAIENT APPLICATION# f' 900 Smlimole Road A&nfla Beacb,Florida 32233 (904)247-x800 (904)247-5845 Fax www.coab.ns E; 2i�t.)t`! APPLICATION TRACKING FOR RFAUIRED DEPT: PrOpe>�Address: -!-�Lt� alit r�J 11 Z NPLANNINGN BUILDING • � - N PUSUC WORKS ' Applicant: 0 Y PUBLIC UTILITIES Y FIRE DEPT. Project: Y td PUBLIC SAFETY Lu -APPROVAL top REQUIRED AGENCY: RECErvED BY: INITIAL' DATE_' UJW Y H D.E.P HUFSTE LER z wY N S.J.RW.M CARPER LU re Y N ARMY CORPS of ENG CARPER, E-. 0 Y N HOTELS$RESAURANFS HUFS'TET LER APPLICATION STATUS CIRCLE ONE; SITE BUILDING DA AP REVIEWEM / BY: ` L' E DAT . ® 1 ST REV ® ( W " PLANNING ❑ ❑ 2ND REV ❑ BUILD G PU G WO S PUB IC 5 F1 PT. PUBLIC SAFETY •® ® 3RD REV CITY OF ATLANTIC BEACH --- EACH +� 800 SEM INOLE ROAD,ATLANTIC BEACH,FL 32233 07-- _ Y r~__� V OFFICE:(904)247.5628•FAX NO.:(904)247-W5 J BUILDING PERMIT APPLICATION DUVAL COUNTY 1.x acsoREss z VALUATION OF 7!11c1RK 3.SQ.F[w tkIDER ROOF 10111 tic- c-r'.- 51 1 Atlantic Beach, FI. 32233 t'`t o C LEC,ALDESCiRWTION: 6.USE OF STRUCTURE, , �j MEW 8UlLONiG ❑DEMOLITION RESIDENTIAL LOT ` BL K!_St)B DIVISION ADDITIOPI 13 CONVERTwG usE O COMMERCIAL 7.DESCRIPTION OF W ❑ALTERATION O ACCESSORY BLDG. 8.FIRE SPRM ER: E3 REPAIR ❑FOOL/SPA O YES PYA E3 MDvE 13 OTHER ❑NO PROPERTY OWNER: CT011- ARCHITECT I ENWRENE 9.NAME: i { 15.cooeaANY NAME: 23.COMPANY NAME: jr 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF Fb47 LICENSE NO 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS, 26.ADDRESS: ., U1 44 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX 13.CELL PHONE: Ivy'.} 21.CELL PHONE: 29.CELL PHONE_- -f HONE_--t 0 1 - 6 14.EMAIL ADORE,rSS�: 22.EMAIL ADDRE . 30.EMAIL ADDRESS: pFpn+ratnw+o>+ 80NDING CC3MAP AAE?R7tsAGE UNDER 31.NAME: 33.AIME: 35,NAME: 32•ADORM. 34. 36.ADDRESS: Application is hereby made to obtain a permit to do the Work and installations as indicated. I certify that no work or installation has commenced prior to the Nuance of a permit and that all work will be performed to meet the standards of all laws rebating corist action In this jurisdiction. This permit becomes null and void If work Is not commenced within six(6)months, or if constrtxxion or work is suspended or abandoned for a period of six(6)morlthe at any time after work is commenced. I understand that separate permits must be segued for Electrical Waris,Plumbs Wells,Pools,Furnaces,Boller:,Heaters,Tanks, Air Conditioners,eta:. OWNER'S AFFIDAVIT-I that afi the foregoing information Is accurate and that all work will be done in compliance with all appficable laws regulatirtg 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. ,OWNER alp AGENT ! CONTMCTOR; . ({f Agent or Aerx3}r LetleF Rimed) Qualirar Ortty) Signed: ��,,`���.�,� Date: Z- Signed: Date: Before+rte e1 .[:_-day !''t'kW U.l�r s4 201q&he cgmty of Before me this day of 007 in fire county of Duval,State of Florida.has personally appeared Duval,State of Florida,has personally red heart by himself I herself and affirms tha all statements and declarations are herur by himself I herself and affirms thatand durations are true and ate. fir true and accurate. Notary Public at Large,State of [ L... County of�, Notary Public at targe.State of ❑Personally Known Q Ply Known 19� roduced kdetaificafiort-_ {-'[._ 'D . _ ❑Produced Notary Soralvre: Notary Signature: J � y= K.CUNNINtiHAM No"Pubte.state of Fbrfda CuRprillsim Expow Feb 28.2018 COAG FORM BLDG01:REVISED:12M IYL007 �'y-w Cart>tllie m#DD 523638 Banded By NoWnal Notary Assn. .t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 f 1jilt Application Number . . . . . 08-00000260 Date 6/27/08 Property Address . . . . . . 1011 CARNATION ST Application type description SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 ---------------------------------------------------------------------------- Application desc NEW SFR 2575 SQ FT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REGISTER, MICHAEL OWNER ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 760 . 00 Plan Check Fee 380 . 00 Issue Date . . . . Valuation . . . . 200000 Expiration Date . . 12/24/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Provide Impervious Surface Area calculation; maximum 70% for commercial development and 50% for residential . *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. CONSTRUCTION SITE MANAGEMENT PLAN REQUIRED 1) GRADING AND DRAINAGE SURFACE WATER MANAGEMENT PLAN. 2) ONSITE & OFFSITE PARKING FOR CONSTRUCTION WORKERS . 3) LOCATION OF TEMPORARY FENCING WITHE HEIGHT AND SCREENING INDICATED. SILT FENCE REQUIRED AT ALL TIMES . PERMIT IS Ail R(; WMAPR ARfO Pf?T4&A �'I S rA ►� C I iIN $�I�1�fiHE FLORIDA BUILDING CODES. r�.tvl r"IN CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept2coab.us Page 2 Application Number . . . . . 08-00000260 Date 6/27/08 ---------------------------------------------------------------------------- Special Notes and Comments TOILET. PROVIDE DETAILED PLANS FOR STAIRS AND HANDRAILS, PER FBC R 311 . 5 . 6 . 1 & R311 . 5 . 6 . 3 SLAB SHALL BE 3000 PSI PER FBC-RESIDENTIAL; APPENDIX F, F303 .4 CONCRETE FOR SLABS, F303 .4 . 1 MIX DESIGNS PROTECTION OF OPENINGS - FBC 1609 . 1 . 4 . UNLESS WINDOWS AND DOORS ARE IMPACT RESISTANT, A SHUTTERING SYSTEM IS REQUIRED. NEED APPROVED PERMIT FROM STATE OF FLLORIDA DEPT OF HEALTH FOR ONSITE SEWAGE DISPOSAL SYSTEM. No water or sewer utilities exist at this location. Obtain well permit prior to drilling well . Must use roll off container company that is in the City' s approved list . Silt fence must be installed per attached specification. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 64 ST CONSTRUCTION SURCHARGE 11 . 58 AB CONSTRUCTION SURCHARGE 1 .28 STATE RADON SURCHARGE 12 .23 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 760 . 00 760 . 00 . 00 . 00 Plan Check Total 380 . 00 380 . 00 . 00 . 00 Other Fee Total 25 . 73 25 . 73 . 00 . 00 Grand Total 1165 . 73 1165 . 73 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. STATE OF FLORIDA -- r DEPARTMENT OF HEALTH EW APPLICATION POR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT �v'`i1 Permit Application Number V ----- PART II -SITE PLAN--------- ap �t each sr1t �,Io�k 2F�, Scale Each block represents 94ee4 and L 1 / I lie i 4,. } p Tk_ _. ,._ ._-....._,_, -•�-a;a fit~ _:�+s l�►+-�_- : , , ,_, ,. ,_,��.;�,_.�- _ ...._j - F ....�- T. i•» ,• '_r T--' '1----, 1 f"r.'1-[ t}.... ._.�.. 1•"} .1 c.. __1"' _ -. -ie--• 1 I 1 4. -- I S c► �� r , ,. t 4 ! *17 F 'S T.. 'r 1 i t - 1 pts► -r�-r- rt�_ - - f`- r.i + _ �)�y'•,/�/}(. �. w.�{.�{ 1... 1 t-; t-I i`i" t...1-.t}. fS j L t T i1 _4 ' T � '1-' ...:..!-.��.G�:. �_.;__., � 1 - _ ,_.,...J..7.L .'.- -i--.S-- -;.--�"•.'--�-:�t ,-t_..� to i_.,.-s-- 1 - i t. '• .;1._ .. 1 .w.++ ri i � _t•.� = f f I 1 7 .�. �. �._ 1 45S4. -f-" 1 '. r �- 7 i +d �r ,:-• .ate""`."_'"'. T � �i -� 1 I-ti ,--�-;- (-t �;r 1 r,•-i t -4- 117 : , t I y -- f T7 I NoTer 1 i S}r " '�e nGjS Lai' ci•�g""' �a 1!1"7 CL 3 84,13 ` J, �\ Site Plan submitted by: 1C _...,. (211 gg.-_� 77 Zolt ature Tile Pian Approved Approved Date By County Health Department ALL CHANGES MUST BE APPROVED BY THE CbUNTY HEALTH DEPARTMENT W 4015.10198(Repla m HRSH Forth 4015 whkh may W uta _ YI NurtP.er•57.J_fm_.mc Brook. 10724 Page 2125 Return to: I I A9 Ncku ci{-Ltc k d!2 IID#: QUITCLAIM DEED This QUITCLAIM DEED, is executed on: Oct 21, 2002 BOV:21072400222298393 oolk Pajes: 2125 — 2126 by Patricia Ann Gearhard Filed 6 Recorded hereinafter referred to as FIRST PARTY,whose address is 10/22/2002 10:42:34 AM JIM FULLER CLERK CIRCUIT COURT 901 Ocean BV.#59 Atlantic Beach Florida DIN AL COUNTY RECORDING $ 9.00 does hereby Grant to: TRUST FUND $ 1.50 DEED DOC STAMP $ 0.70 Elizabeth and Michael Register hereinafter referred to as SECOND PARTY, whose address is 129 Naugatuck Drive Jacksonville FL.32225 WITNESSETH, that....the FIRST PARTY, for and in consideration of the sum of $10.00 in hand paid by the said SECOND PARTY, the receipt whereof is hereby acknowledged, does hereby remise, release and quitclaim unto the SECOND PARTY, all right, title, interest, and claim which the FIRST PARTY has in and to the following property situated in Duval County, State of Florida, more particularly described hereof; LOTS 4,5,6,&7 BLOCK 175, ATLANTIC BEACH, SECTION "H",ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 18, PAGE 34,CURRENT PUBLIC RECORDS, DUVAL COUNTY,FLORIDA TO HAVE AND HOLD the same, together with all and singular the appurtenances thereunto, of all interest, equity and claim whatsoever the FIRST PARTY may have, either in law or equity,for the proper use, benefit and behalf of the SECOND PARTY forever. IN WITNESS WHEREOF, the FIRST PARTY has signed and sealed these presents the day and year first above written. _LJ E'i�11 IE•' S�J11!�P��a Wi —ssignature Witness Name: T— ' Witness Signature Witness Name: P4-7W IC- Signature of First Party Name of First Party ( Notary Witness) -.ste9WFt,.lA L.ORUMMONO `, es MY Comm Exp. IIIMm cc 3gogn �" ,+stcwtly Kncnm i I Otlw L9. MAP SHOWING SURVEY OF LOTS 4, 5, 6 & 7, BLOCK 175, SECTION "H", ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. WEST PLAZA Z FOUND 1\2" IRON 50' RIGHT OF WAY O PIPE NO CAP — _ — — N I I rn o LOT 3 S`�pT 3 LLi w II J 6' 'W000 FEII;E. Q m f J (N :09'44"E 101.99 FIELD) v � ' t'( N89 02'00"E 102.00' FOUND 1\2" IROlp N 4' CHAIN t_INK FENCE PIPE L83672 PIPE NO CAP (j'3' Ln \ I N cn O � m O m' 0 4 Oo LOT D + x+ o ms Sn � CIO z - - D Ln ct � z N ca m O c� \�} � o -7 L4 o LOT `'` 1`\1 0 0 O LOT 5\ o O v v < \ o o — 0 ()0 \ LOT 6 H- a \ 0 —� o SET 1\2" IRON p SET 1\2" IRON PIPE L63672 0_ TRAVERSE LINE ONLY PIPE Le3672 LOT 6 FOUND 1\2" IRON N8970728"E 102.00' PIPE NO CAP WEST=1.2' NORTH=0.2' W00'D / LOT 7 oocK 5.7' ^ OF MARSFI - p1apROXIIAATE NOTES: -THIS IS A BOUNDARY SURVEY. -BEARINGS BASED ON EASTERLY RIGHT OF WAY LINE OF CARNATION STREET BEING NO1'16'0O"W. -NO BUILDING RESTRICTION LINES AS PER PLAT. STATE OF FLORIDA --� DEPARTMENT OF HEALTH APPLICATION POR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT ot, k-/ Permit Application Number ------------------- PART II -SITE PLAN------------------- Scale: Each block represents ao �t ec`ch st�1 t block 2F i% I . -• • 1 _i—. i �--, � _- - _ -ice-+--T-; t r l I , 4'. T '1 .,..{.`r_-,( .1TT I i' �--•'� * I w .J._,i,_ � _u, r � i 1 ,_, I _•-1--°—+-♦ f I�,_s_I -may I 1 I 1 - _ .-:,...w.- T. #. �--•-- -rte r h--�--i- . - i 4� _ ... - tPf .. J t f r—+—• -+—+-»•--- i l --- - iT -t I , Site Plan submitted by: `)C ' d �� t nature Title 'Ian Approved of Approved Date 3y County Health Department ALL CHANGES MUST BE APPROVED BY THE CbUNTY HEALTH DEPARTMENT _,...._ 4015.10+98(Roplaoes NRSH Form 4015 whkh may be wed) . - W AI�„rw...•ems,•.w..n..... PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FL. Project Name: t Permit# Project Address: AZ O&Z As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed roducts. Information re ardin statewide roduct a royal ma be obtained at:www.floridabuildin .or , Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging25(414 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1. Single bung . f 2.Horizontal slider '/'' 3. Casement 4.Double hung 5.Fixed it ;.5 a/A?oz A 6.Awning 7.Pass-through 8.Projected 9.Mullion 10. Wind breaker 11.Dual action CITY OF ATLANTIC BEACH 07� �4 ryd 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 1 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUI LDI NG-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY "t"J' ;.c��`" s 3Jilt t ��•r'` 4t'.��,F .t !�i'� ill Re,VAI. ' �' . 1W, 3,6,s." ;.t' ;s;: t: .;' T4Q DER RO-W :• .„, _. 10 b1 Cc.r \an 5-} Hlo M�_ � � "� Atlantic Beach, FL 32233 4.LEGAL»t7Et "�Rff'TION.:r 4' u " fie,. Si CLASS,C ilii 77f i.= . `g 6.tJSB STI rt IFtE. NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK' SUB DIVISION ADDITION ❑CONVERTING USE ❑COMMERCIAL "7H33E,�;Lfli IC�FI'Ei11V01 �' - f y s rry „� ' " ❑ALTERATION ❑ACCESSORY BLDG. 8 1 ti $Pltt ?` •, � \ ❑REPAIR ❑POOL/SPA ❑YES N/A 1�!-,C + LIOYN� ❑MOVE ❑OTHER ❑NO PRQPERTY OWN ? 3 ii; ZONTRACT Rat'' uY : i 11TEG7 El taiNEE 9.NAME: 15.COMPANY NAME: 23.COMPANY NAM : ' 16.NAME: 24.LICENSEE NAME: (n 10.ADDRESS: 1 17.STATE OF F RIDA LICENSE NO. 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDR SS: Slit a�1. ��.w L 3X33 Icy Ys �� w �tV 13 11`�.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX N : _kIC ^ 13.CELL PHONE: M'. 21.CELL PHONE: 29.CELL PHONE: -L-)Os -I -1143 i14 EMAIL ADDRESS I 22 EMAIL ADDRE . 30 EMAIL ADDRESS IA1�tN4i14CMI' `ry ii q ( ; m4RT"AGLF.MI3Eta. ', .rn, : 31.NAME: 33.NAME: 35.NAME: 32.ADD S: 34.AD ESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: r 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 i�iryii �11tv � s,yL 9tiUt4f, , �tf$ CflOMMit: E°"'yit N.'')rr iiC" 'ir�tslE..M� ENT. e'•:,. •' 1,177 77 " 7=7w¢' O.i, r ,$ Yi ,o4wet 4 ' Signed: Date: .2 'S O Signed: Date: Before me thi T��day f?-0✓Jk&.1' 20k7 tithe county of Before me this day of 007 in the county of Duval,State of Florida,has personally appeared L Duval,State of Florida,has personally eared rvl. (Ch I A-Q;�+-�'' herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that stat %entsand declarations are true and accurate. true and accurate. Notary Public at Large,State of County ofNotary Public at Large,State of f ❑Personally Known TT ❑Personally Known Produced Identification- l� L ❑Produced Identification- Notary Signature: I Notary Signature: K. CUN�AM -. Notary Public-Stab of Florida •any Commission Expires Feb 28,2010 COAG FORM BLDG01:REVISED:12/11/2007 ;;T, j(I,� Commission ft DD 523638 �' .°.I Bonded By National Notary Assn. CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. 111. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS© / t�Ol/i'lol�i�n J f• / ��/'7 /Ll PHONE NUMBER P T NAME S NATUR �,/� DATE Before me this,J day of * 4.) "A1 20�n the county of Duval,State of Florida,has personally appeared hdrin by himself/herself and affirms that all statements and declarations are true and accurate. 7y n�i Notary Public at Large,State of 7 l.. County ofDuy r❑fPersonally Known �p Produceroduce d Identification- (` K. CUNNINGHAM •,';fir.",••,,- No1Bry Public•Stye ol Florida Notary Sig _ : ►y Commission Expires Fob 28,2010 Commission#DD 523638 COAB FORM BLDG07; ISED:8/14/20 /�pE ov c� `�� 80r�dt'd gy National Notary Assn. gnu.. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001733 Date 1/20/09 Property Address . . . . . . 1011 CARNATION ST Application type description WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc new well ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REGISTER, MICHAEL PARTRIDGE WELL DRILLING CO. Q/A:DONAL PARTRIDGE JR. ATLANTIC BEACH FL 32233 4744 COLLINS RD. JACKSONVILLE FL 32244 (904) 269-1333 ---------------------------------------------------------------------------- Permit WELL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/19/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Dec 22 08 10'. Debra Giddens 904-269-8747 P•4 MAP SHOWING SURVEY OF LOTS 4, 5, 6 & 7, BLOCK 175, SECTION "H", ATLANTIC BEACH AS RECORDED IN PLAT BOOK " t 18. PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. WEST PLAZA a rowso-1\x"IPON 50' RIGHT OF WAY Q PIPE RO CAP N s- o LOT 3 LCT 3 CJ u - .,1 e'NOOD FENCE(4$9'09'44"E 101.99 nEL,1 / v o sJ N80V0 00"E 102.( 9' scF,\r IRON -� - � PIPE L83572 raUND 1\1'ROPI - SITE BENCHUARK RPE No CAP - D.Y NAIL and DISC f—mom LB 3672 IN • ` C) ASPHALT PAVED ROAD o o LOT 4 ELEVATION - •� 4.36 NAVO '88 $ t A Dot E{C 'A o•. I L '� o LOT 5 �� XIMA` EIJGE M1 �.._._ .� � MAISIH .4 A 2.2 P 0 o f \. cn W �LaT 619 x.1 sET z x'wen r` MAVERS1 UN q ONLY ` sE1 i\Y 1RDH rn PpL672 o Yw zo — PIPELD3672 LOT 6 (-j 2.3111 A. _... _ .r ._.—. 2.4 1 rae+o E\z'waN N88'09'28"E� 102.00 �- 4 is PIPE NO CAP ' 1"9. NEST-I,Y f 1.6 NORM-0.2' d. ' z s LOT 7 ,., J1 LOT 2.1 2.4 SY ^, APPROXIMATEMEAN RICH WA7CR'UNE ELEVATION = 1..33 NAVO 88 !(1 1 NOTES: -71115 IS A SPECIAL PURPOSE SURVEY TO LOCATE MEAN HIGH WATER UNE. BOUNDARY SURVEY JUNE 15, 2094, FILE No. 2004--781. -BEARINGS BASEO ON EASTERLY RIGHT OF WAY LINE OF CARNATION STREET BEING NOt'16'00"W. AS PER PLAT. -NO BUILDING RESTRICTION LINES AS PER PLAT. -ELEVATIONS BASED ON NAVO '88. SITE BENCHMARK AS SHOWN. -MEAN MCH WATER ELEVATON IS 1.3 NAVD '88 PER ME INTERPOLATION POINT No. 3704 AND TIDE STATION No. 872-0247 DATA FROM LABIN5-ORG THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (SHADED) AND FLOOD ZONE "AE" (EL6) AS WELL AS CAN BE THIS SURVEY WAS MADE FOR THE BENEFIT OF DETERMINED FROM THE FLOOD INSURANCE EZ Tii REGISTER. RATE MAP" COMMUNITY-PANEL NUMBER 120075 00010, REVISED APRIL 17, 1989 FOR ATLANTIC BEACH, FLORIDA. DONN Vt.BOATWRIGHT, P.S.M. 'NOT VALID RAISED SE THC 9 FLCRI E AND CK V FLA. LIC. SURVEYOR AND NAPPER No. LS 3295 ORIC4VAL RASED SEAL OF A FLCRDA LICGSEO Sd%vEYDR AM MAPPER' rLA_ L1C. :iURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY. RI T S, INC. DATE. APRIL 4. 2008_ DRAWN BY. lacc/CSK E SNEET?OF !� FILE ;�' zoos—a312 JAG E Rl A 241-8550 V-k,rr 7M.4--roti onna-ate ENVIRONMENTAL QUALITY DIVISION w%em Florida stun. Well Permit 2009-0004 Granted To: Michael and Elizabeth Register Well Ty e: Domestic We]] 1050 Seminole Road Permit#: 2009-(X)04 Atlantic Beach,FL 32233 Well#: 24557 Well Location: 1011 Carnation Street Contractor. Donal M.Partridge,Jr. Atlantic Beach,32233 License#: 1927 Authorization is hereby granted to construct,repair,alter or abandon wcIl(s)at the above location in accordance with information supplied on the application for permit form according to the following provisions,and with the authority of Chapter 366,City of Jacksonville Ordinance Code(OC).The permittee and any future property owners hereby hold the City of Jacksonville harmless from responsibility to comply with or obtain permits pursuant to any other fWeral,state,or local law.All permitted work must be accomplished by a well contractor with a valid EQD registration within one year of the issue date.This well shall not be used for the purpose(s)other then that indicated via the following provisions. Provisions I. 'There may be a difference between the items requested in the application for the well and the requirements issued by EQD. 2. This well shall not be constructed or located within 75 feet of pollution sources,including,but not limited to septic tank systern,sewage disposal systems,dry or wet retention ponds. 3. A legible and completed copy of the St.Johns River Water Management District(SJRWMD)well completion report shall be filed with the Groundwater Section(GS)within 30 days after completion of this well. 4. The well contractor and owner shall be responsible for notifying the GS at least 24 hours prior to starting work and receive an authorization number, 5. A copy of this permit should be givers to any future pniperty owner when the property is sold. 6. Water taken from this well shall not be used to create or maintain surface water level or quality(ie. ponds,pools,streams,etc.)or go to waste. 7. All wells shall be plugged by a state licensed well contractor within sit(6)months after their use has been permanently discontinued,or when the well is determined to be in a state of disrepair and/or subject to abandonment pursuant to Chapter 366,OC,EPB Rule 8, Chapters 62-532 and 400- 3,Florida Administrative Code(FAC),or as otherwise noted in subsequent provisos. S. This site may be included in a designated water reuse zone in the fixture. If such designation occurs and a reuse line becomes available adjacent to the site,the owner must discontinue using die well for irrigation purposes and connect to the reuse line. Well Permit 2009-0004 Page l of 3 ENVIRONMENTAL AND COMPLIANCE DEPARTMENT 117 West Mval Street,Suitc 225 1 Jacksonville,Fl,32202 i Phone:904.630.4900 1 Fax:904.630.3639 1 www.coj.net ENVIRONMENTAL QUALITY DIVISION 9. The amount of water used from this well is limited to non-wasteful quantities. Water from this well is also subject to those standards or limitations as may be established by the SJRWMI)or the City of Jacksonville for water use(s). 10. Tftis well shall not be connected to any existing well(s)or its distribution lines without first installing,maintaining and operating an approved backflow prevention device between each wellhead and its distribution lines and/or between any irrigation distribution system. 11. A City_ plumbing permit shall be obtained prior to connecting an irrigation distribution system to this well. 12. IJse of this well shall be subject to all applicable water shortage restrictions pursuant to a Water Shortage Declaration issued by the Mayor of Jacksonville,Jacksonville's EPI3 or the SJR WMD's Governing Board. 13. This well shall be located on the applicant's property in a place that will not expose it to a potential physical or traffic hazard. 14. 'rhe upper terminus of the well to which the well head is affixed shall extend to land surface or to finished grade in accordance with Chapter 40C-3.312(6),FAC. 15. This well shall not be constructed directly on mw property line. 16. This permit allows for the drilling and construction of a Floridan Aquifer well with casing fully grouted into the top of the Floridan Aquifer. In the event that the permit holder elects to Ilse a subsurface"caving clay formation"(Chapter 40C-3,Florida Administrative Code)to seal the annular space between the internal(lower)casing and the borehole wall,a site-specific,technical report must first be submitted to the Groundwater Section for review. The report shall include the investigation methoeiology used to verify the presence of a caving clay formation beneath the proposed well site and provide scientific evidence of the ability_ of the formation to completely seal the annular space surrounding the internal casing. The report,including the findings and conclusions of the investigation,shall be signed and sealed by a Professional Geologist or Professional Engineer registered in the State of Florida. Due to the current workload in the Groundwater Section,review of a submitted report may take up to 30 days. Following the Section's review of the report,approval or denial of the proposed well construction will be submitted to the applicant in writing. No drilling of a proposed well specifying the use of caving clays to seal the annular space surrounding the internal (lower)casing shall be initiated prior to receiving written approval from the Groundwater Section. 17. When the well is completed,but prior to the installation of any primping related items or other well or site changes that might limit access to the well,the owner&/or driller shall notif}the E.QD and shall make it available for down hole logging. The owner&/or driller is responsible for providing access to the well(opening the wellhead and addressing any drainage issues)and assurnes all liability associated with such investigation. 18. When the well contractor and owner shall be responsible for notifying the GS at least 24 hours prior to starting work and receive an authorization number,the well contractor shall provide cell phone number,pager number,or some other acceptable field to office communication notification arrangement for the crew that will be constructing/plugging the well. If the crew contact person or work schedule changes occur after the work order number has been obtained the well contractor must notift the Groundwater Section and obtain their concurrence. Well Permit 2009-0004 Page 2 of 3 ENVIRONMENTAL AND COMPLIANCE DEPARTMENT 117 West Duval Strut,Suite 225 3 Jacksouville,Fl.32202 1 Phonc:904.630.4900 1 Fax:`)04.630.3638 1 %v%Nw,coj.net ENVIRONMENTAL QUALITY DIVISION 19. This well permit is being issued as a"Specific Permit'under the conditions of EPH Rule 8.6.1)3(A):r. The proposed well is located within the 500 ft.buffer zones of two former dumps and/or landfills. These sites are identified as the Begonia Street Din-tip, 1402 Begonia Street and Atlantic Beach (I-IWR 70),Plaza Street(Duval County Health Department 2005).Additionally,this well is located within the 500 ft.buffer Zone of a water well identified as impacted, 1200 Tulip Street(Duval County Health Department 2004). fa comply with the requimments of EPl3 8.501 C,and EPA July 1995 guidelines for well construction,the use of PVC well casing;and a"telescoped"easing at this site are not recommended because of po .tial contamination problems. A continuous casing of galvanized steel,Black iron, stainless st r'feflon is therefore reccnmcKxl<xi. Issued By Dat Well Permit 20094004 Page 3 of,, ENVIRONMENTAL AND COMPLIANCE DEPARTMENT 117 west Duval Stred,Suite 225 1 Jacksonville,FL 32202 i Phm :904.630.4900 j Fax:904,630,3639 1%v%n.coj.net City of Atlantic Beach APPLICATION NUMBER 1 Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 1 'pp 3 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 1Z ZZ Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No J7- Building Property Address: / O /✓'� Planning &Zoning Tree Administrator Applicant: Q r eia lUf- 61 Public Works N�� ��l/ Public Utilities Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ElApproved. [Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. PUBLIC WORKS Second Review: Approved as revised. ❑Denied. U�UTILITIES Comments: PUBLIC SAFETY FIRE SERVICES Reviewed Date: Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Public Utilities—Distribution & Collection Date: y Initials: Project Name/Address: 4 // Application/Permit#: _ (��- /73? r:` '�, 1.5 midaF hl 4a. t..,. fi �'�,�.ir.x. Nl sfititl �h�' h ..77h#I '�C�T'�`I RPh S� P{ �+Q' >•l.� '_I � Wk fa4 I:k E J'I I ) t� .I1 1 r f :...LtO 4 ,( Ip -01 �`41 M A yJ 7. ,(t 1i i *n 7 F qr(5 ienl ,��Nla^t.tirfd SS'.3n('kti-i1 ?N4'rFG "II 17`It S i 1 I -I Ou, S�s I"i„s�'ry `�i�,cl'���"'�1 J'rA.c S h Y lS�w''a i�°i S:frx x+� �a(h ti�.� I I urlSp+4 4_.+4��r z rl�•Z4�I1 � �1�3)fs r�tS htiS t I� � .jM � Rl.� .W� -. i 1( fl Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum,will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must ❑ be installed in a vault as noted in TEA specifications. /e�'.se sem.-ni'�- c��'� °' Ga�' ��ll ��rni� uJl,e•� \�; � 13 rl1 F AP1anR eviewComments-PU.do c Dec 22 08 10:40a Debra Giddens 904269-8747 p.3 1 CITY OF ATLAITIC BEACH WELL PERMIT APPLICATION Date jo—s--.oy Owner's Narne ' t - y . , aw Well Address(if dilterent than above): Jpj t CYlo*,--Z,+ C;,H_6cj­� Well Location on Property (i.e. northeast corner. etc.)_Vts[ Side aero } 7 Gran A'O( lv 'roper-bc.j kiruL, rfpro�c -q5 -Koro marSF) o ) Well Installation Contractor � P. n1l Contractor License No.: . LR a,� Phone:%4-a(,Q-1353FAX:gD'I-�XA-2)717 Contractor Address: Lun;& Ind Check Use of Well: Domestic V Irrigation��� Other Estimated- Well Depth: `aC Casing Depth: .400 Screen Interval from to�'�'1 Well Diameter:3)( a Casing Material PVC. Is address currently connected to the City water system? 0 Is address currently connected to the City sewer system? u Has a Well Permit been obtained fioln the City of.lacksonville?k2, Permit 4 1 :L1�c� Does the well require a pen-nit from the St. Joivis River Water Management District? (Not required for wells under'-)-inches diameter insudled by resident or wells under C- inches diameter if installed by licensed well contractor), �0 If permit is required, note Permit Number Ptr and attach a copy. NOTE. WHEN A WELL IS IrVST.4LLED OM YOUR PROPERTY, YOU MUST INST-lLL .4 REDUCED PRESSURE ZONE TYPE BACIfFLOW PREVEiYTER ON THE CITY'W4 TER SERVICE,ON THE CG'STOr1IER'S SIDE OF THE AMETER. THE 8r1CKFLOW PREVE.,VTER:V11ST BE TESTED BY.4 CERTIFIED TESTER -41VD A COPY OF THE RESUL TS SENT TO THE PUBLIC UTILITIES DEPART'KE7VT. uta; « vo iu:4ua Debra Giddens 904-269-8747 p,2 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road. ,-'Atlantic Beach FL Office: (90=1)247-5826 • Fax: (90 1)247-5845 Job Address: /0t/ ( Permit Number: Legal Description I S 3 38-. .5-, 9£ ate Llai te.&A LCIS 4-G 7 61K /75 �� # i7o9b��- dolt? Valuation of Work(Replacement Cost) S -4 ,�!5C1. ■ Class of Work(Circle one): C. ' Addition Alteration Repair ■ Use of existinglproposed structure(s) (Circle one): Commercialidenti • If an existing structure. is a fire sprinkler s}stem installed? (Circle one) Yes o N ! ■ Is approval of homeowner's association or other private entity requited?(Circle one): Yes 0'1 Describe in detail the type of woriz to be performed: 2y J F-•- t7 t )es-- + .Zj Property Owner Information, Name E(ltj-vc- Address: 1000 Se e7jj/)y1e .)iQ City Gori 416 C(n StatePLZip 32Z:53 Phone "70 2—/g ik cr a Contractor Information: Name of Com an _ _ p y -�an Ll - , ;_Qualifying.Agent: au ��iL,�Y1__ J Address:-4r)44 Cil Lr r,s r! . City State rL Zip 4�0-7,:� Office Phone OQ14-Q(rq— I?i 2- Job Site/Contact Number C4"- .a(09 - I z 3 !1 State CertificatioillRegistration# }qiR9 Office Fax#_%4,- 2e(} .4 r) + Architect Name&Phone #mit Engineer's Name & Phone il N i .-application is hereby nuide to obtain a permit to do the work and installations ars indicated. I certifil that no u-ork of installation has commenced prior to the issuance of a permit unci that all worktdWl be erfornnecl to meet the.slandarcls of a1 laws regulating constructionto this jurisdiction. This permit becomes 1t1111 and>•aid ij_wo'rk is not commenced within six(6 months, ori •construction or work is suspended or abandoned for a period of*six (h) months cu any- time carer work i. commenced I understand that separate permits must be secs{red for Electrical W6rk, Plumbbza, Signs, Wells, Pools Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT VIA) RESULT IN YOUR PAYING TWICE FOR IMPROVENIENTS TO YOUR PROPERTY. IF YOt INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN.E) BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that 1 huve react and examined Ihis applicalion and knorr the same to be true and correct. .411 provis•ionrs r !Cud's and ordinances governing ih1J tvue of i-vork will be complied ti�0h it!hellier.s'pecaiCtihei-e'ii7 of 77U1. Thi' grcintinr o) permit does trot presume to dire c1UX 1'4:• to 1401ale or u07cel the p1'011i.si0n.5 of anY other federul, state, of iocal far rel,tdaling construction or Ile pei formance of consvrtmion. Signature of Property 0%yncr. vSignature of Contractor: ;re y """ _ A Sworn to and subscribe b or me � g rj S��orn to an 'd subscred before me this�' Dav of S� < j- � his2,2- Day or Wye IL_P" 26S ii.- ' votaryPublic Notary Iu blicomm#D007075W = ►Expires 9125W1 Expiros 91"11REVISED 03.05.01 ,�,Aw,,1nc sFloddertota,yAM.r+o !>gpnr•r•.•Huqu rN••aoa•rarapp•r r nq au■•pr•wr Hr•r rM►•s1 t••fa•Mn•I alrH a•rM FORP,4600A-2004R EnergyGauge®4.5.2 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Register Residence Builder: Mike Register Address: 156 Poinsetta Beach Permitting Office: Duval City, State: Atlantic Beach, Fl Permit Number: Owner: 2135 Jurisdiction Number: 261300 Climate Zone: North 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:24.0 kBtu/hr _ 3. Number of units,if multi-family 1 - SEER: 13.00 4. Number of Bedrooms 4 _ b. Central Unit Cap:31.0 kBtu/hr 5. Is this a worst case? No _ SEER: 13.00 _ 6. Conditioned floor area(ft2) 2135 ft2 _ c. N/A _ 7. Glass type I and area:(Label reqd.by 13-104.4.5 if not default) a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble Default)298.0 112 _ a. Electric Heat Pump Cap:22.0 kBtu/hr _ b. SHGC: HSPF:7.70 (or Clear or Tint DEFAULT) 7b.(SHGC=0.75)298.0 ft2 _ b. Electric Heat Pump Cap:28.6 kBtu/hr _ 8. Floor types HSPF:7.70 _ a. Slab-On-Grade Edge Insulation R=0.0,205.0(p)ft _ c. N/A _ b.N/A c. N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap:66.0 gallons _ a. Frame,Wood,Exterior R=I LP,2967.0 W _ EF:0.90 b. Frame,Wood,Adjacent R=11.0,306.0 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=30.0,2135.0 W 15. HVAC credits MZ-C,MZ-H _ b. N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A _ HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH(Sealed):Garage Sup.R=6.0, 145.0 ft MZ-C-Multizone cooling, b. Sup:Unc. Ret: Unc. AH(Sealed):Attic Sup,R=6.0, 110.0 ft _ MZ-H-Multizone heating) Glass/Floor Area: 0.14 Total as-built points: 34167 PASS Total base points: 34419 1 hereby certify that the plans and specifications covered by Review of the plans and ZfIE ST this calculation are in com a with the Florida Energy specifications covered by this o� = 9TA ~ Code. •_, -� �/'�/''`�C`L�� calculation indicates compliance PREPARED B `�J�-' `.�`�J with the Florida Energy Code. ,,,, '� Before construction is completed d DATE: ,__ f L ` 1-4--C_ this building will be inspected for a I hereby certify that this building, as designed, is in compliance compliance with Section 553.908 with the Florida Energy Code. Florida Statutes. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: 1 Predominant glass type. For actual glass type and areas,see Summer&Winter Glass output on pages 2&4. EnergyGauge®(Version: FLRCPB v4.5.2) FORM 600A-2004R EnergyGauge®4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 156 Poinsetta Beach, Atlantic Beach, F1, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 2135.0 18.59 7144.0 1.Double,SHGC=0.75 E 1.3 5.0 30.0 48.76 0.90 1317.0 2.Double, SHGC=0.75 E 1.3 5.0 21.0 48.76 0.90 922.0 3.Double,SHGC=0.75 E 1.3 8.0 32.0 48.76 0.97 1513.0 4.Double,SHGC=0.75 S 1.3 5.0 63.0 41.71 0.84 2202.0 5.Double, SHGC=0.75 W 1.3 4.0 12.0 44.74 0.85 456.0 6.Double,SHGC=0.75 W 1.3 5.0 30.0 44.74 0.90 1209.0 7.Double,SHGC=0.75 N 1.3 5.0 30.0 22.78 0.93 636.0 8.Double,SHGC=0.75 SE 1.3 5.0 20.0 49.53 0.87 858.0 9.Double,SHGC=0.75 W 1.3 5.0 60.0 44.74 0.90 2419.0 As-Built Total: 298.0 11532.0 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 306.0 0.70 214.2 1. Frame,Wood,Exterior 11.0 2967.0 1.70 5043.9 Exterior 2967.0 1.70 5043.9 2. Frame,Wood,Adjacent 11.0 306.0 0.70 214.2 Base Total: 3273.0 5258.1 As-Built Total: 3273.0 5258.1 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 18.0 2.40 43.2 1.Exterior Wood 20.0 6.10 122.0 Exterior 20.0 6.10 122.0 2.Adjacent Wood 18.0 2.40 43.2 Base Total: 38.0 165.2 As-Built Total: 38.0 165.2 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 2135.0 1.73 3693.6 1.Under Attic 30.0 2135.0 1.73 X 1.00 3693.6 Base Total: 2135.0 3693.6 As-Built Total: 2135.0 3693.6 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 205.0(p) -37.0 -7585.0 1.Slab-On-Grade Edge Insulation 0.0 205.0(p -41.20 -8446.0 Raised 0.0 0.00 0.0 Base Total: -7585.0 As-Built Total: 205.0 -8446.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 2135.0 10.21 21798.3 2135.0 10.21 21798.3 EnergyGauge®DCA Form 60OA-2004R EnergyGauge®/FlaRES'2004R FLRCPB v4.5.2 FORM 600A-2004R EnergyGauge® 4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 156 Poinsetta Beach,Atlantic Beach, FI, PERMIT #: BASE AS-BUILT Summer Base Points: 30474.2 Summer As-Built Points: 34001.2 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Central Unit 24000btuh,SEER/EFF(l3.0)Ducts:U nc(S),Unc(R),Gar(AH),R6.0(lNS) 34001 0.44 (1.09 x 1.147 x 0.95) 0.260 0.950 4352.6 (sys 2:Central Unit 31000btuh,SEER/EFF(13.0)Ducts:Unc(S),Unc(R),Att(AH),R6.0(INS) 34001 0.56 (1.09 x 1.147 x 1.05) 0.260 0.950 6240.6 30474.2 0.3250 9904.1 34001.2 1.00 1.244 0.260 0.950 10448.1 EnergyGaugeTm DCA Form 60OA-2004R EnergyGauge®/FlaRES'2004R FLRCPB v4.5.2 FORM 60OA-2004R EnergyGauge® 4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 156 Poinsetta Beach, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point 18 2135.0 20.17 7751.0 1.Double,SHGC=0.75 E 1.3 5.0 30.0 17.39 1.04 542.0 2.Double,SHGC=0.75 E 1.3 5.0 21.0 17.39 1.04 379.0 3.Double, SHGC=0.75 E 1.3 8.0 32.0 17.39 1.02 565.0 4.Double,SHGC=0.75 S 1.3 5.0 63.0 11.20 1.14 803.0 5.Double,SHGC=0.75 W 1.3 4.0 12.0 19.56 1.04 244.0 6.Double,SHGC=0.75 W 1.3 5.0 30.0 19.56 1.03 602.0 7.13ouble,SHGC=0.75 N 1.3 5.0 30.0 23.92 1.00 719.0 8.Double,SHGC=0.75 SE 1.3 5.0 20.0 12.78 1.11 283.0 9.Double,SHGC=0.75 W 1.3 5.0 60.0 19.56 1.03 1204.0 As-Built Total: 298.0 5341.0 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 306.0 3.60 1101.6 1. Frame,Wood, Exterior 11.0 2967.0 3.70 10977.9 Exterior 2967.0 3.70 10977.9 2. Frame,Wood,Adjacent 11.0 306.0 3.60 1101.6 Base Total: 3273.0 12079.5 As-Built Total: 3273.0 12079.5 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 18.0 11.50 207.0 1.Exterior Wood 20.0 12.30 246.0 Exterior 20.0 12.30 246.0 2.Adjacent Wood 18.0 11.50 207.0 Base Total: 38.0 453.0 As-Built Total: 38.0 453.0 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 2135.0 2.05 4376.8 1.Under Attic 30.0 2135.0 2.05 X 1.00 4376.8 Base Total: 2135.0 4376.8 As-Built Total: 2135.0 4376.8 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 205.0(p) 8.9 1824.5 1. Slab-On-Grade Edge Insulation 0.0 205.0(p 18.80 3854.0 Raised 0.0 0.00 0.0 Base Total: 1824.5 As-Built Total: 205.0 3854.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 2135.0 -0.59 -1259.6 2135.0 -0.59 -1259.6 EnergyGauge®DCA Form 60OA-2004R EnergyGauge®/FlaRES'2004R FLRCPB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 156 Poinsetta Beach, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT Winter Base Points: 25225.1 Winter As-Built Points: 24844.6 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1: Electric Heat Pump 22000 btuh,EFF(7.7)Ducts:Unc(S),Unc(R),Gar(AH),R6.0 24844.6 0.435 (1.069 x 1.169 x 0.95)0.443 0.950 5395.2 (sys 2: Electric Heat Pump 28600 btuh,EFF(7.7)Ducts:Unc(S),Unc(R),Att(AH),R6.0 24844.6 0.565 (1.069 x 1.169 x 1.05)0.443 0.950 7715.1 25225.1 0.5540 13974.7 24844.6 1.00 1.238 0.443 0.950 12944.2 EnergyGauge TM DCA Form 60OA-2004R EnergyGauge®/FlaRES'2004R FLRCPB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 156 Poinsetta Beach, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 4 2635.00 10540.0 66.0 0.90 4 1.00 2693.56 1.00 10774.2 As-Built Total: 10774.2 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 9904 13975 10540 34419 10448 12944 10774 34167 PASS yon cxE sT 9r�o.� CODS, EnergyGaugeTm DCA Form 60OA-2004R EnergyGauge®/FlaRES'2004R FLRCPB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 156 Poinsetta Beach, Atlantic Beach, FI, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfm/s .ft.window area; .5 cfm/s .ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from and is sealed to the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>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. 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; �f attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is n 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 606.1.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, ./ have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir breaker electric or cutoff as must be provided. External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficient of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed, insulated,and installed in accordance with the criteria of Section 610. X 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-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTm DCA Form 60OA-2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 84.4 The higher the score,the more efficient the home. 2135, 156 Poinsetta Beach, Atlantic Beach, FI, 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:24.0 kBtu/hr _ 3. Number of units,if multi-family 1 - SEER: 13.00 _ 4. Number of Bedrooms 4 _ b. Central Unit Cap:31.0 kBtu/hr _ 5. is this a worst case? No _ SEER: 13.00 _ 6. Conditioned floor area(ft2) 2135 ft2 _ c. N/A 7. Glass type I and area:(Label regd.by 13-104.4.5 if not default) a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble Default)298.0 ft2 _ a. Electric Heat Pump Cap:22.0 kBtu/hr _ b. SHGC: HSPF:7.70 _ (or Clear or Tint DEFAULT) 7b.(SHGC=0.75)298.0 ft2 _ b. Electric Heat Pump Cap:28.6 kBtu/hr _ 8. Floor types HSPF:7.70 _ a. Slab-On-Grade Edge Insulation R=0.0,205.0(p)ft _ c. N/A b. N/A c. N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap:66.0 gallons _ a. Frame,Wood,Exterior R=11.0,2967.0 ft2 _ EF:0.90 _ b. Frame,Wood,Adjacent R=11.0,306.0 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=30.0,2135.0 ft2 _ 15. HVAC credits MZ-C,MZ-H _ b. N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A _ HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH(Sealed):Garage Sup.R=6.0, 145.0 ft _ MZ-C-Multizone cooling, b. Sup:Unc. Ret:Unc. AH(Sealed):Attic Sup,R=6.0, 110.0 ft _ 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) ��L8E sT9?� in this home before final inspection. Otherwise,a new EPL Display Card will be completed based on installed Code compliant features, ti nn, �o Builder Signature: Date: b Address of New Home: City/FL Zip: c0D W-E *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStar' designation), your home may qualify for energy efficiency mortgage(EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. 1 Predominant glass type.For actual glass type and areas,see Summer&Winter Glass output on ages 2&4. EnergyGauge®(Version: FLpRCP1 v4.5.2) Residential System Sizing Calculation Summary 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North 5/29/2007 Location for weather data: Jacksonville - Defaults: Latitude(30) Altitude(26 ft.) Temp Range(M) Humidity data: Interior RH 50% Outdoor wet bulb 77F Humidity difference 53 r. Winter design temperature 32 F Summer design temperature 93 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 38 F Summer temperature difference 18 F Total heating load calculation 57675 Btuh Total cooling load calculation 53144 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Heat Pump) 87.7 50600 Sensible (SHR = 0.75) 122.3 41250 Heat Pump+Auxiliary(O.OkW) 87.7 50600 Latent 70.8 13750 Total Electric Heat Pum 103.5 55000 WINTER CALCULATIONS Winter Heating Load for 2135 sqft) Duas(S%) Load component Load Wndows(17%) Window total 298 sgft 9852 Btuh Wall total 3273 sgft 11799 Btuh Cellings(4%) Door total 38 sqft 780 Btuh Ceiling total 2135 sqft 2584 Btuh Infil.(35%) Floor total 205 sqft 9192 Btuh Infiltration 488 cfm 20401 Btuh Duct loss 3068 Btuh walls(20%) Subtotal 57675 Btuh Ventilation 0 cfm 0 Btuh ).Or. TOTAL HEAT LOSS 57675 Btuh Floors(16%) SUMMER CALCULATIONS Summer Coolin Load for 2135 sqft) Load component Load Window total 298 sqft 6529 Btuh Wall total 3273 sqft 8150 Btuh Door total 38 sqft 595 Btuh LateMtilfpllrtOM6) Ceiling total 2135 sqft 3604 Btuh Ducts(10%) VNndows(12%) Floor total 0 Btuh ° Infiltration 485 cfm 9602 Btuh Ceilings(7%) Internal gain 920 Btuh Duct gain 4322 Btuh Sens.Ventilation 0 cfm 0 Btuh wallsc,s%) Total sensible gain 33722 Btuh Latent gain(ducts) 1144 Btuh Latent gain(infiltration) 17477 Btuh DOOfe(1%) Latent gain(ventilation) 0 Btuh nfil.(51%) Latent gain(internal/occupants/other) 800 Btuh Total latent gain 19422 Btuh TOTAL HEAT GAIN 53144 Btuh EnergyGaug�BY�: I� Version 8 PREPAREDFor Florida residences only DATE: _.� EnergyGauge® FLRCPB v4.5.2 System Sizing Calculations - Winter Residential Load - Whole House Component Details 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North Reference City: Jacksonville (Defaults) Winter Temperature Difference: 38.0 F 5/29/2007 y 3'l rH ��'""S�'al y i� f 716 - i" `EK fi 1,'E"� h ' � a ' COnlpi3n@nik ,O4wC# S1I" � .^ �;{h @rt k E *� Window Panes/SHGC/Frame/U Orientation Area s ft X HTM= Load 1 2, SHGC=0.75, Metal, 0.87 E 30.0 33.1 992 Btuh 2 2, SHGC=0.75, Metal, 0.87 E 21.0 33.1 694 Btuh 3 2, SHGC=0.75, Metal, 0.87 E 32.0 33.1 1058 Btuh 4 2, SHGC=0.75, Metal, 0.87 S 63.0 33.1 2083 Btuh 5 2, SHGC=0.75, Metal, 0.87 W 12.0 33.1 397 Btuh 6 2, SHGC=0.75, Metal, 0.87 W 30.0 33.1 992 Btuh 7 2, SHGC=0.75, Metal, 0.87 N 30.0 33.1 992 Btuh 8 2, SHGC=0.75, Metal, 0.87 SE 20.0 33.1 661 Btuh 9 2, SHGC=0.75, Metal, 0.87 W 60.0 33.1 1984 Btuh Window Total 298 s ft 9852 Btuh Walls Type R-Value Area X HTM= Load 1 Frame-Wood - Ext(0.09) 11.0 2967 3.6 10696 Btuh 2 Frame-Wood -Adj(0.09) 11.0 306 3.6 1103 Btuh Wall Total 3273 11799 Btuh Doors Type Area X HTM= Load 1 Wood - Exterior 20 20.5 410 Btuh 2 Wood -Adjacent 18 20.5 369 Btuh Door Total 38 7806tuh Ceilings Type/Color/Surface R-Value Area X HTM= Load 1 Vented Attic/D/Shin 30.0 2.135 1.2 2584 Btuh Ceiling Total 2135 258413tuh Floors Type R-Value Size X HTM= Load 1 Slab On Grade 0 205.0 ft(p) 44.8 9192 Btuh Floor Total 205 9192 Btuh Envelope Subtotal: 34207 Btuh Infiltration Type ACH X Volume(cuft)walls(sqft) CFM= Natural 0.40 17080 3273 488.5 20401 Btuh Ductload (DLM of 0.056) 3068 Btuh All Zones Sensible Subtotal All Zones 57675 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North 5/29/2007 ` ail +�� "� iyruisa4di�G4 !� II'��a 1 i, 6`4 � "gyp p= J „ �1I§§t'" �` °"�;g?�mgg tea. . „ ai�� rva�� �N.M Subtotal Sensible 57675 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 57675 Btuh r.{ mtl 11, tom„ ?� ''y ani„' "�� '#i iaia,�b•r���l�� ,� '' ' "ffNm'�. 4�i61 "„ � d ny E,a ,- NM +A, �4 �"'I� * fib.'`'„'I §P:, 1. Electric Heat Pump # 22000 Btuh 2. Electric Heat Pump # 28600 Btuh Key:Window types(SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (Frame types-metal,wood or insulated metal) (U-Window U-Factor or'DEF'for default) (HTM-ManualJ Heat Transfer Multiplier) Key: Floor size(perimeter(p)for slab-on-grade or area for all other floor types) Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 System Sizing Calculations - Winter Residential Load - Room by Room Component Details 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North Reference City: Jacksonville (Defaults) Winter Temperature Difference: 38.0 F 5/29/2007 �+ h "Ali ? r sCom �fi4�;:OnB ; rawyI �i Sq 6 r�PO� I� � Rt iL ;?G INP k s # f 19y L &'2 7 Window Panes/SHGC/Frame/U Orientation Area s ft X HTM= Load 1 2, SHGC=0.75, Metal, 0.87 E 30.0 33.1 992 Btuh 2 2, SHGC=0.75, Metal, 0.87 E 21.0 33.1 694 Btuh 3 2, SHGC=0.75, Metal, 0.87 E 32.0 33.1 1058 Btuh 4 2, SHGC=0.75, Metal, 0.87 S 63.0 33.1 2083 Btuh 5 2, SHGC=0.75, Metal, 0.87 W 12.0 33.1 397 Btuh 6 2, SHGC=0.75, Metal, 0.87 W 30.0 33.1 992 Btuh 7 2, SHGC=0.75, Metal, 0.87 N 30.0 33.1 992 Btuh 8 2, SHGC=0.75, Metal, 0.87 SE 20.0 33.1 661 Btuh 9 2, SHGC=0.75, Metal, 0.87 W 60.0 33.1 1984 Btuh Window Total 298 s ft 9852 Btuh Walls Type R-Value Area X HTM= Load 1 Frame-Wood - Ext(0.09) 11.0 2967 3.6 10696 Btuh 2 Frame-Wood -Adj(0.09) 11.0 306 3.6 1103 Btuh Wall Total 3273 11799 Btuh Doors Type Area X HTM= Load 1 Wood - Exterior 20 20.5 410 Btuh 2 Wood -Adjacent 18 20.5 369 Btuh Door Total 38 780Btuh Ceilings Type/Color/Surface R-Value Area X HTM= Load 1 Vented Attic/D/Shin 30.0 2135 1.2 2584 Btuh Ceiling Total 2135 258413tuh Floors Type R-Value Size X HTM= Load 1 Slab On Grade 0 205.0 ft(p) 44.8 9192 Btuh Floor Total 205 9192 Btuh Zone Envelope Subtotal: 34207 Btuh Infiltration Type ACH X Volume(cuft)walls(sqft) CFM= Natural 0.40 17080 3273 488.5 20401 Btuh Ductload Notably sealed, Supply(R6.0-Attic), Return(R6.0-Attic) (DLM of 0.056) 3068 Btuh Zone#1 Sensible Zone Subtotal 57675 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North 5/29/2007 Q �[t 4 :" k kk }.�' �'}71 t y71��i .II P II IS!, mY NV��iy 1' 1 'b'. )! b b *.bq 4 1 %r{k 9 N 4 ,�OI�Gb �!? r /'1l 1`� I V �yyn�v� !�a.1'rc�I a to �' V'V� '�NIAvs,Pr i` y ,. " Ioy"I'" �,1 p 9 ;i r, � '� � t.���t� - �, i #,, Subtotal Sensible 57675 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 57675 Btuh a a s fir„ 1 i �,s I J.' ix"` ' ae sn, 1iril, CI ,h�l�" 4 a ia �� 'EQUF �e+�+Y.��* �:. (i" E.l '.m �i �, F, �j t r'� IP,11 EN ,. w,i, - �9 � �` �, ,7'�-`41 Cir N r €" '�� =�, r sI ,�3 �r� r 1� � �w=� „f„ 1. Electric Heat Pump # 22000 Btuh 2. Electric Heat Pump # 28600 Btuh Key:Window types(SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (Frame types-metal,wood or insulated metal) (U-Window U-Factor or'DEF'for default) (HTM-ManualJ Heat Transfer Multiplier) Key: Floor size(perimeter(p)for slab-on-grade or area for all other floor types) „ Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 System Sizing Calculations - Summer Residential Load - Whole House Component Details 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North Reference City: Jacksonville (Defaults) Summer Temperature Difference: 18.0 F 5/29/2007 '1I t.. t�N, Taff2i,Cm _ L'at ' Type" Overhang Window Area(sqft) HTM Load Window Pn/SHGC/U/InSh/ExSh/IS Ornt Len H t Gross Shaded Unshaded Shaded Unshaded 1 2, SHGC=0.75,0.87, B-D,0.35,F E 1.33 5ft. 30.0 6.6 23.4 17 27 737 Btuh 2 2, SHGC=0.75,0.87, B-D,0.35,F E 1.33 5ft. 21.0 9.3 11.7 17 27 473 Btuh 3 2,SHGC=0.75,0.87, B-D,0.35,F E 1.33 8ft. 32.0 4.4 27.6 17 27 810 Btuh 4 2,SHGC=0.75,0.87, B-D,0.35,F S 1.33 5ft. 63.0 63.0 0.0 17 19 1096 Btuh 5 2,SHGC=0.75,0.87, B-D,0.35,F W 1.33 4ft. 12.0 6.2 5.8 17 27 262 Btuh 6 2,SHGC=0.75,0.87, B-D,0.35,F W 1.33 5ft. 30.0 6.6 23.4 17 27 737 Btuh 7 2,SHGC=0.75, 0.87, B-D,0.35,F N 1.33 5ft. 30.0 0.0 30.0 17 17 522 Btuh 8 2,SHGC=0.75,0.87, B-D,0.35,FSE 1.33 5ft. 20.0 8.7 11.3 17 24 419 Btuh 9 2,SHGC=0.75,0.87, B-D,0.35,F W 1.33 5ft. 60.0 13.3 46.7 17 27 1474 Btuh Window Total 298 (sqft) 6529 Btuh Walls Type R-Value/U-Value Area(sqft) HTM Load 1 Frame-Wood-Ext 11.0/0.09 2967.0 2.6 7628 Btuh 2 Frame-Wood-Adj 11.0/0.09 306.0 1.7 523 Btuh Wall Total 3273 (sqft) 8150 Btuh Doors Type Area (sqft) HTM Load 1 Wood-Exterior 20.0 15.7 313 Btuh 2 Wood-Adjacent 18.0 15.7 282 Btuh Door Total 38 (sqft) 595 Btuh Ceilings Type/Color/Surface R-Value Area(sqft) HTM Load 1 Vented Attic/DarkShingle 30.0 2135.0 1.7 3604 Btuh Ceiling Total 2135 (sqft) 3604 Btuh Floors Type R-Value Size HTM Load 1 Slab On Grade 0.0 205(ft(p)) 0.0 0 Btuh Floor Total 205.0 (sqft) 0 Btuh Envelope Subtotal: 18878 Btuh Infiltration Type ACH Volume(cuft)wall area(sqft) CFM= Load SensibleNatural 0.35 17080 3273 488.5 9602 Btuh Internal Occupants Btuh/occupant Appliance Load gain 4 X 230 + 0 920 Btuh Sensible Envelope Load: 29400 Btuh Duct load (DGM of 0.147) 4322 Btuh Sensible Load All Zones 33722 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North 5/29/2007 {�{� ! �� �Mrliw�« � �t Sensible Envelope Load All Zones 29400 Btuh Sensible Duct Load 4322 Btuh Total Sensible Zone Loads 33722 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 33722 Btuh Totals for Cooling Latent infiltration gain (for 53 gr. humidity difference) 17477 Btuh Latent ventilation gain 0 Btuh Latent duct gain 1144 Btuh Latent occupant gain (4 people @ 200 Btuh per person) 800 Btuh Latent other gain 0 Btuh Latent total gain 19422 Btuh TOTAL GAIN 53144 Btuh �r S i a a 4 G Ma d a �ri 7� r � '� .)'" (r, ��� . '� ��rR. rri ;z � N �:, s. 1. Central Unit # 24000 Btuh 2. Central Unit # 31000 Btuh "'Key: Window types(Pn-Number of panes of glass) (SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (U-Window U-Factor or'DEF'for default) (InSh-Interior shading device: none(N), Blinds(B),Draperies(D)or Roller Shades(R)) (ExSh-Exterior shading device: none(N)or numerical value) (BS-Insect screen:none(N), Full(F)or Half(H)) (Ornt-compass orientation) io Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 System Sizing Calculations - Summer Residential Load - Room by Room Component Details 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North Reference City: Jacksonville (Defaults) Summer Temperature Difference: 18.0 F 5/29/2007 w;a �I � � y may'{: t� ' 4 C mponn7- 'kdo G 1 �,`9 Y t r �i � Type* Overhang Window Area(sqft) HTM Load Window Pn/SHGC/U/InSh/ExSh/IS Ornt Len H t Gross Shaded Unshaded Shaded Unshaded 1 2, SHGC=0.75,0.87, B-D,0.35,F E 1.33 5ft. 30.0 6.6 23.4 17 27 737 Btuh 2 2,SHGC=0.75, 0.87, B-D,0.35,F E 1.33 5ft. 21.0 9.3 11.7 17 27 473 Btuh 3 2,SHGC=0.75,0.87, B-D,0.35,F E 1.33 8ft. 32.0 4.4 27.6 17 27 810 Btuh 4 2, SHGC=0.75,0.87, B-D,0.35,F S 1.33 5ft. 63.0 63.0 0.0 17 19 1096 Btuh 5 2, SHGC=0.75,0.87, B-D,0.35,F W 1.33 4ft. 12.0 6.2 5.8 17 27 262 Btuh 6 2,SHGC=0.75,0.87, B-D,0.35,F W 1.33 5ft. 30.0 6.6 23.4 17 27 737 Btuh 7 2,SHGC=0.75,0.87, B-D,0.35,F N 1.33 5ft. 30.0 0.0 30.0 17 17 522 Btuh 8 2, SHGC=0.75,0.87, B-D,0.35,FSE 1.33 5ft. 20.0 8.7 11.3 17 24 419 Btuh 9 2,SHGC=0.75,0.87, B-D,0.35,F W 1.33 5ft. 60.0 13.3 46.7 17 27 1474 Btuh Window Total 298 (sqft) 6529 Btuh Walls Type R-Value/U-Value Area(sqft) HTM Load 1 Frame-Wood-Ext 11.0/0.09 2967.0 2.6 7628 Btuh 2 Frame-Wood-Adj 11.0/0.09 306.0 1.7 523 Btuh Wall Total 3273 (sgft) 8150 Btuh Doors Type Area (sqft) HTM Load 1 Wood-Exterior 20.0 15.7 313 Btuh 2 Wood-Adjacent 18.0 15.7 282 Btuh Door Total 38 (sqft) 595 Btuh Ceilings Type/Color/Surface R-Value Area(sqft) HTM Load 1 Vented Attic/DarkShingle 30.0 2135.0 1.7 3604 Btuh Ceiling Total 2135 (sqft) 3604 Btuh Floors Type R-Value Size HTM Load 1 Slab On Grade 0.0 205(ft(p)) 0.0 0 Btuh Floor Total 205.0 (sqft) 0 Btuh Zone Envelope Subtotal: 18878 Btuh Infiltration Type ACH Volume(cuft)wall area(sqft) CFM= Load SensibleNatural 0.35 17080 3273 485.3 9602 Btuh Internal Occupants Btuh/occupant Appliance Load gain 4 X 230 + 0 920 Btuh Sensible Envelope Load: 29400 Btuh Duct load Notably sealed, Supply(R6.0-Attic), Return(R6.0-Attic) (DGM of 0.147) 4322 Btuh Sensible Zone Load 33722 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North 5/29/2007 y ak+.i��ll !4;+Nir§'I �a vi rvfi� ti i�ffr a - Pi tia g�Ik+ ig f;Pir a i m a 0 �rz'gni i W r °i :; x �, i,. UIIHt7Ll� H711S `4 �'AS 1 'ITe �i a` ( a q .,i-�.E aE =•F i,�d�P�?�'�Yw a� '` =r.��.. r�aF.. i ..� #-€;. z,i '�'"�i�� - # � .., Sensible Envelope Load All Zones 29400 Btuh Sensible Duct Load 4322 Btuh Total Sensible Zone Loads 33722 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 33722 Btuh Totals for Cooling Latent infiltration gain (for 53 gr. humidity difference) 17477 Btuh Latent ventilation gain 0 Btuh Latent duct gain 1144 Btuh Latent occupant gain (4 people @ 200 Btuh per person) 800 Btuh Latent other gain 0 Btuh Latent total gain 19422 Btuh TOTAL GAIN 53144 Btuh EC11Ph111=1VT v aola r i '� i yi( Ili u G I�Ddu v., ,�':.y o h v kMn e aH. 71'jaii, Y v r : 8 ik ixdlG ,X� iN 2.1t # 1. Central Unit # 24000 Btuh 2. Central Unit # 31000 Btuh *Key: Window types(Pn-Number of panes of glass) (SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (U-Window U-Factor or'DEF'for default) (InSh-Interior shading device: none(N), Blinds(B), Draperies(D)or Roller Shades(R)) (ExSh-Exterior shading device: none(N)or numerical value) (BS-Insect screen: none(N), Full(F)or Half(H)) (Ornt-compass orientation) 10 Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 Residential Window Diversity MidSummer 2135 Project Title: Code Only 156 Poinsetta Beach Register Residence Professional Version Atlantic Beach, FI Climate: North 5/29/2007 Ps .a" ., r tri+"x iyU,�iihhs'i�' -�`� i " f1���1 i� 1 ..'r�'= PTti� da'rr� �6 � Ih 'O �ry 111i'�at�er fQ a� YI9 i�T i(I Ur Pt M1� I "`�W '"� �1�6 .I '�Sr W ai h n n, r. �y a+ „, Summer design temperature 93 F Average window load for July 9667 Btuh Summer setpoint 75 F Peak window load for July 13613 Btu Summer temperature difference 18 F Excusion limit(130% of Ave.) 12567 Btu Latitude 30 North Window excursion Jul 1046 Btuh WINDOW Average and Peak Loads —Limit for excursion f 12000.00 11000.00 10000.00 12 Hour Average 9000.00 - ti 8000.00 7000.00 0 6000.00 d 5000.00 4000.00 3000.00 2000.00 1000.00 0.00 8 a.m. 10 12 2 p.m. 4 p.m. 6 P.M. 8 p.m. a.m. Total July Window Load(Radiation and conduction) Warning: This application has glass areas that produce relatively large heat gains for part of the day. Variable air volume devices may be required to overcome spikes in solar gain for one or more rooms.A zoned system may be required or some rooms may require zone control. EnergyGauge, fortm�ft� y All= PREPARED DATE: EnergyGauge® FLRCPB v4.5.2 'Sti +�kritif�"'�'` �' rriy,� A1�ltta ING}5 r€,}x-y` j (i F,r y �{ H At PUMP 4s Ot ). 1 ARI Standard 210/240 Ratings Capacity- Stuh Efficiency Total Watts COP Expansion Indoor Unit Model No. High Low HSPF High Low High Low Device Cooling Temp. Temp. Cool.Heat Heat Heat Heat Heating Heating SEER EER IV V 13HPD-018 1.5 TON 18,000 16,800 10,600 13.00 11,50 7.70 6.90 1565 1425 1310 3.46 2.36 CB26UH-018-R(Up-Flow/Horizontal) Factory Installed RFC(0.057) 13HPD-024 2 TON 24,000 22,000 13,900 13.00 11.50 7.70 7,05 2085 1825 1715 3,54 2.38 C626UH-024-R(Up-Flow/Horizontal) Factory installed RFC(0.061) 13HPD-030 2°5 TON 31,000 28,600 17,900 13.00 11.00 7.70 7.10 2820 2405 2180 3.48 2.40' CB26UH-030-R (Up-Flow/HorizontalFactory.072)Installed ) RFC 13HPD-036 3 TON 35,200 33,800 21,000 13.00 11.00 7.70 7.10 3200 2760 2515 3.58 2.44 CB26UH-36-R(Up-Flow/Horizontal) Factory Installed RFC(0.074) 13HPD-042 3.5 TON 41,500 41,000 26,400 13.00 11.00 8.50 7.45 3775 3780 3275 3.18 2.36 CB26UH-042-R (Up-Flow/Horizontal) Factory RFC(0.082)lled 13HPD-060 5 TON 57,000 55,000 35,600 13,00 11.00 7.70 7.30 5060 4890 4295 3.30 2.42 CB26UH-060-R(Up-Row/Horizontal) RFC Facto0.098Installed H P13-018 1.5 TON 18,000 16,800 10,600 13.00 11,50 7.70 6.90 1565 1425 1310 3.46 2.36CB26UH-018-R(Up-Flow/Horizontal) Factory Installed RFC (0.057) HP13-024 2 TON 24,000 22,000 13,900 13.00 11,50 7.70 7.05 2085 1825 1715 3,54 2.38 CB26UH-024-R(Up-Flow/Horizontal) Factory Installed RFC(0.061) H P13-030' 2.5 TON 31,000 28,600 17,900 1300 11,00 7.70 7.10 2820 2405 2180 3.48 2.40 CB26UH-030-R (Up-Flow/Horizontal) Factory Installed RFC (0,072) HP13-036 3 TON 35,200 33,800 21,000 13,00 11.00 7.70 7,10 3200 2760 2515 3.58 2.44 CB26UH-036-R (Up-Flow/Horizontal) RFC (0,074)Factory Installed HP13-042 3.5 TON 41,500 41,000 26,400 13.00 11,00 8.50 7.45 3775 3780 3275 3.18 2.36 C1326UH-042-R (Up-Flow/Horizontal) Factory Installed RFC (0.082) HP13-060 5 TON 57,000 55,000 35,600 13.00 11.00 7.70 7.30 5060 4890 4295 3.30 2.42 CB26UH-060-R(Up-Flow/Horizontal) RFC(0.098)ctory Installed NOTE-When used with gas furnaces,a dual-fuel control(La.Fl or a control system wlth dual-fuel capabllltlos(I.e,Harmony III,LZP-2 or LZP-4)must be used(ordered extra), Certlfled in accordance with USE certification program which Is based on ARI Standard 210/240 with 25 ft,of connecting refrigerant lines; Cooling Ratings-95°F outdoor air temperature and 80°F db/67°F wb entering Indoor toll air, High Temperature Heating Ratings-47°F db/43°F wb outdoor air temperature and 70°F db entering Indoor toll air, Low Temperature Heating Ratings-17°F db/15°F wb outdoor air temperature and 70°F db entering Indoor toll air. CB26UH-R-1.5 to 5 ton Air Handlers/Page 9 s ngrit rdt EF" a nab vi `t■7 JG{ C6FilM� ,/a F�.1�RgTrtlrN G St�`��i4zr�'r�'-X,yT✓�;�`F��°. �� H� P•U M P 1 ARI Standard 2101240 Ratings Capacity- Btuh Efficiency Total Watts COP Expansion High Low HSPF Indoor Unit Model No. Device Cooling Temp, Temp, Cool.High Low High Low Heating Heating SEER EER IV V Heat Heat Heat Heat 13HPD-018 1.5 TON 18,000 16,800 10,600 13.00-1 11,50 7.70 6.90 1565 1425 1310 3.46 2.36 CB26UH-018-R(Up-Flow/Horizontal) Factory Installed RFC(0.057) 13HPD-024 2 TON 24,000 22,000 13,900 13.00 11.50 7.70 7,05 2085 1825 1715 3.54 2.38 CB26UH-024-R (Up-Flow/Hodzontal) Factory installed RFC(0.061) 13HPD-030 2.5 TON 31,000 28,600 17,900 13.00 11.00 7.70 7.10 2820 2405 2180 3.48 2.40. CB26UH-030-R (Up-Flow/Horizontal) Factory Installed RFC(0.072) 13HPD-036 3 TON 35,200 33,80021,000 13,00 11.00 7.70 7.10 3200 2760 2515 3.58 2.44 CB26UH-36-R (Up-Flow/Horizontal) Factory Installed RFC(0.074) 13HPD-042 3.5 TON 41,500 41,000 26,400 13.00 11.00 8.50 7.45 3775 3780 3275 3,18 2.36 CB26UH-042-R (Up-Flow/Horizontal) Factory Installed RFC(0.082) 13HPD-060 5 TON 57,000 55,000 35,600 13,00 11.00 7.70 7.30 5060 4890 4295 3.30 2.42 CB26UH-060-R (Up-Flow/Horizontal) 'Factory Installed RFC (0.098) H P13-018 1.5 TON 18,000 16,800 10,600 13.00 11,50 7.70 6.90 1565 1425 1310 3.46 2.36 CB26UH-01B-R -Flow/Horizontal) RFC Facto0.057alled Ied HP13-024 2 TON 24,000 22,000 13,900 13.00 11,50 7.70 7.05 2085 1825 1715 3.54 2.38 CB26UH-024-R (Up-Flow/Horizontal) Factory Installed RFC(0.061) H P13-030 2.5 TON 31,000 28,600 17,900 13.00 11,00 7,70 7,10 2820 2405 2180 3,48 2.40 CB26UH-030-R(Up-Flow/Horizontal) Factory Installed RFC (0.072) H P13-036 3 TON 35,200 33,800 21,000 13,00 11.00 7.70 7.10 3200 2760 2515 3.58 2.44 CB26UH-036-R (Up-Flow/Horizontal) Factory Installed RFC (0,074) H P13-042 3.5 TON 41,500 41,000 26,400 13.00 11.00 8.50 7.45 3775 3780 3275 3.18 2.36 CB26UH-042-R (Up-Flow/Horizontal) Factory RFC 0.082)lled HP13-060 5 TON 57,000 55,000 35,600 13.00 11.00 7.70 7.30 5060 4890 4295 3.30 2.42 CB26UH-060-R(Up-Flow/Horizontal) Facto Installed RFC(0.098) NOTE-When used with gas furnaces,a dual-fuel control Q.e.FM21)or a control system with dual-fuel capabilities(Le,Harmony III,LZP-2 or LZP-4)must be used(ordered extra). Certifled In accordance with USE certification program which Is based on ARI Standard 2101240 with 25 ft,of connecting refrigerant lines; Cooling Ratings-95°F outdoor air temperature and 60°F db/67°F wb entering Indoor colt err. High Temperature Heating Ratings-47'F dW43°F wb outdoor air temperature and 70°F db entering Indoor toll air, Low Temperature Heating Ratings-17°F db/151F wb outdoor air temperature and 70°F db entering Indoor toll air. CB25UH-R-1.5 to 5 ton Air Handlers/Page 9